Donald R. Collins, Jr., MD

Products And Services

• Brow Lift

  If You're Considering a Brow Lift... A forehead lift or brow lift is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired. In a brow lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results -- smoother forehead skin and a more animated appearance. brow_lift-1 Using an endoscope, correction of a low-positioned or sagging brow may be made through incisions at the temples and in the scalp. brow_lift-2 An endoscopic brow lift can smooth the forehead, raise the upper eyelids, and minimize the frown lines that come with aging. brow_lift-4 The result of an endoscopic brow lift is a younger, more rested look. If you're considering a brow lift, this web page will provide a basic understanding of the procedure -- when it can help, how it's performed and what results you can expect. It won't answer all of your questions, since a lot depends on your individual circumstances. Be sure to ask your doctor if there is anything you don't understand about the procedure. The Best Candidates for a Brow Lift A brow lift is most commonly performed in the 40-60 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure. Brow lift surgery is often performed in conjunction with a facelift to provide a smoother overall look to the face. Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals. Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift. The surgeon will simply alter the incision location or perform a more conservative operation. Remember, a forehead lift can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them in detail with your doctor. All Surgery Carries Some Uncertainty and Risk Complications are rare and usually minor when a forehead lift is performed by a qualified plastic surgeon. Yet, the possibility of complications must be considered. In rare cases, the nerves that control eyebrow movement may be injured on one or both sides, resulting in a loss of ability to raise the eyebrows or wrinkle the forehead. Additional surgery may be required to correct the problem. Formation of a broad scar is also a rare complication. This may be treated surgically by removing the wide scar tissue so a new, thinner scar may result. Also, in some patients, hair loss may occur along the scar edges. Loss of sensation along or just beyond the incision line is common, especially with the classic forehead lift procedure. It is usually temporary, but may be permanent in some patients. Infection and bleeding are very rare, but are possibilities. If a complication should occur during an endoscopic forehead lift, your surgeon may have to abandon the endoscopic approach and switch to the conventional, open procedure, which will result in a more extensive scar and a longer recovery period. To date, such complications are rare -- estimated at less than 1 percent of all endoscopy procedures. You can reduce your risk of complications by closely following your surgeon's instructions both before and after surgery. Planning Your Surgery For a better understanding of how a forehead lift might change your appearance, look into a mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows. Gently draw the skin up to raise the brow and the forehead area. That is approximately what a forehead lift would do for you. If you decide to consult a plastic surgeon, he or she will first evaluate your face, including the skin and underlying bone.

  Link: Brow Lift

• Chin Surgery

  Chin surgery (often called mentoplasty or genioplasty), is a surgical procedure to reshape the chin. This can be accomplished in several ways. Your plastic surgeon may recommend enhancement with a facial implant or surgical reshaping of the chin bone. facial_implant-2 The general goal of cosmetic chin surgery is to provide a harmonious balance to your chin and facial features so that you feel better about the way you look. Many times a plastic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. What Happens During Chin Surgery? Anesthesia administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. With a short incision under the chin or inside the mouth, your plastic surgeon can place a chin implant directly on the bone. For a chin implant, the incision may be inside your mouth, along the crease that joins your lower lip and gums. An incision just beneath the chin is another alternative that may be recommended. Surgery will usually require 30 minutes to one hour. Before the surgery, your plastic surgeon selects the proper size and shape implant to enhance your appearance. He or she then inserts it into a pocket over the front of the jawbone. The small incision to create the pocket and insert the implant is placed inside the mouth (along the lower lip) or in the skin just under the chin area. Recovering from Chin Surgery The chin is also taped to minimize swelling and discomfort. If an intra-oral incision is used, the sutures will dissolve on their own.Your incisions will be closed with absorbable sutures or stitches that will be removed within 1-2 weeks following your surgery. While the initial outcome of plastic surgery with facial implants is noticeable almost immediately, it may be obscured by visible swelling, which can take several months to fully dissipate.

  Link: Chin Surgery

• Ear Pinning Surgery

  If You're Considering Ear Surgery... Ear surgery, or otoplasty, is usually done to set prominent ears back closer to the head or to reduce the size of large ears. This operation is typically done on children between the ages of four and 14. Ears are almost fully grown by age four, and the earlier the surgery is completed, the less teasing and ridicule the child will have to endure. Ear surgery on adults is also possible, and there are generally no additional risks associated with ear surgery on an older patient. otoplasty-1 Ears that appear to stick out or are overly large can be helped by ear surgery. otoplasty-2 An incision is made in the back of the ear so cartilage can be sculpted or folded. Stitches are used to close the incision and help maintain the new shape. otoplasty-3 Creating a fold in the cartilage makes the ear lie flatter against the head and appear more normal. If you're considering ear surgery for yourself or your child, this information will give you a basic understanding of the procedure-when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything you don't understand about the procedure. All Surgery Carries Some Uncertainty and Risk When ear surgery is performed by a qualified, experienced surgeon, complications are infrequent and usually minor. Nevertheless, as with any operation, there are risks associated with surgery and specific complications associated with this procedure. A small percentage of patients may develop a blood clot on the ear. It may dissolve naturally or can be drawn out with a needle. Occasionally, patients develop an infection in the cartilage, which can cause scar tissue to form. Such infections are usually treated with antibiotics; rarely, surgery may be required to drain the infected area. Planning For Surgery Most surgeons recommend that parents stay alert to their child's feelings about protruding ears; don't insist on the surgery until your child wants the change. Children who feel uncomfortable about their ears and want the surgery are generally more cooperative during the process and happier with the outcome. In the initial meeting, your surgeon will evaluate your child's condition, or yours if you are considering surgery for yourself, and recommend the most effective technique. He or she will also give you specific instructions on how to prepare for surgery. Where The Surgery Will Be Performed Ear surgery is usually performed as an outpatient procedure in a hospital, a doctor's office-based surgical facility, or a freestanding surgery center. Occasionally, your doctor may recommend that the procedure be done as an inpatient procedure, in which case you can plan on staying overnight in the hospital. Types of Anesthesia If your child is young, your surgeon may recommend general anesthesia, so the child will sleep through the operation. For older children or adults, the surgeon may prefer to use local anesthesia, combined with a sedative, so you or your child will be awake but relaxed. The Surgery Ear surgery usually takes about two to three hours, although complicated procedures may take longer. The technique will depend on the problem. With one of the more common techniques, the surgeon makes a small incision in the back of the ear to expose the ear cartilage. He or she will then sculpt the cartilage and bend it back toward the head. Non-removable stitches may be used to help maintain the new shape. Occasionally, the surgeon will remove a larger piece of cartilage to provide a more natural-looking fold when the surgery is complete. Another technique involves a similar incision in the back of the ear. Skin is removed and stitches are used to fold the cartilage back on itself to reshape the ear without removing cartilage. In most cases, ear surgery will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a better balance. Getting Back to Normal Adults and children are usually up and around within a few hours of surgery, although you may prefer to stay overnight in the hospital with a child until all the effects of general anesthesia wear off. The patient's head will be wrapped in a bulky bandage immediately following surgery to promote the best molding and healing. The ears may throb or ache a little for a few days, but this can be relieved by medication. Within a few days, the bulky bandages will be replaced by a lighter head dressing similar to a headband. Be sure to follow your surgeon's directions for wearing this dressing, especially at night. Stitches are usually removed, or will dissolve, in about a week.

  Link: Ear Pinning Surgery

• Eyelid Surgery

  If You're Considering Eyelid Surgery... Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat--usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or brow lift. If you're considering eyelid surgery, this web page will give you a basic understanding of the procedure-when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don't understand. The Best Candidates for Eyelid Surgery Blepharoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age. A few medical conditions make blepharoplasty more risky. They include thyroid problems such as hypothyroidism and Graves' disease, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease, and diabetes. A detached retina or glaucoma is also reason for caution; check with your ophthalmologist before you have surgery. All Surgery Carries Some Uncertainty and Risk When eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery. The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; your surgeon can remove them easily with a very fine needle. Following surgery, some patients may have difficulty closing their eyes when they sleep; in rare cases this condition may be permanent. Another very rare complication is ectropion, a pulling down of the lower lids. In this case, further surgery may be required. Planning Your Surgery The initial consultation with your surgeon is very important. The surgeon will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform your surgeon if you have any allergies; if you're taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke. In this consultation, your surgeon or a nurse will test your vision and assess your tear production. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along. You and your surgeon should carefully discuss your goals and expectations for this surgery. You'll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate. Your surgeon will explain the techniques and anesthesia he or she will use, the type of facility where the surgery will be performed, and the risks and costs involved. (Note: Most insurance policies don't cover eyelid surgery, unless you can prove that drooping upper lids interfere with your vision. Check with your insurer.) Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results. Preparing For Your Surgery Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. While you're making preparations, be sure to arrange for someone to drive you home after your surgery, and to help you out for a few days if needed.

  Link: Eyelid Surgery

• Facelift

  If You're Considering a Facelift... As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds and fat deposits appear around the neck. A facelift (technically known as rhytidectomy) can't stop this aging process. What it can do is set back the clock, improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. Traditional Facelift facelift-1 facelift-2 A traditional facelift incision begins in the hairline at the temples, travels around the ear and ends in the lower scalp. Fat may be sculpted, the underlying tissue is repositioned, and skin is trimmed. Limited Incision Facelift facelift-3 facelift-4 An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear and possibly within the lower eyelids or under the upper lip. The Best Candidates for a Facelift The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well. A facelift can make you look younger and fresher, and it may enhance your self- confidence in the process. But it can't give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. All Surgery Carries Some Uncertainty and Risk When a facelift is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable. Complications that can occur include hematoma (a collection of blood under the skin that must be removed by the surgeon), injury to the nerves that control facial muscles (usually temporary), infection, and reactions to the anesthesia. Poor healing of the skin is most likely to affect smokers. You can reduce your risks by closely following your surgeon's advice both before and after surgery. Planning Your Surgery Facelifts are very individualized procedures. In your initial consultation the surgeon will evaluate your face, including the skin and underlying bone, and discuss your goals for the surgery. Your surgeon should check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars. Be sure to tell your surgeon if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting. If you decide to have a facelift, your surgeon will explain the techniques and anesthesia he or she will use, the type of facility where the surgery will be performed, and the risks and costs involved. Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results. Preparing For Your Surgery Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. If you smoke, it's especially important to stop at least a week or two before and after surgery; smoking inhibits blood flow to the skin, and can interfere with the healing of your incision areas. If your hair is very short, you might want to let it grow out before surgery, so that it's long enough to hide the scars while they heal. Whether your facelift is being done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two if needed. Where Your Surgery Will Be Performed A facelift may be performed in a surgeon's office-based facility, an outpatient surgery center, or a hospital. It's usually done on an outpatient basis, but some surgeons may hospitalize patients for a day when using general anesthesia. Certain conditions such as diabetes or high blood pressure should be monitored after surgery, and may also require a short inpatient stay. Types of Anesthesia Most facelifts are performed under local anesthesia, combined with a sedative to make you drowsy. You'll be awake but relaxed, and your face will be insensitive to pain. (However, you may feel some tugging or occasional discomfort.)

  Link: Facelift

• Facial Implants

  If You're Considering Facial Implants Plastic surgeons use facial implants to improve and enhance facial contours. These implants can bring the face into balance by building up the chin, the cheeks, or the jaw. There are many facial implants available, manufactured from a variety of materials. They can help strengthen a jawline or bring the chin or cheekbones into balance with the rest of the face. This web page describes some of the facial implants currently available as well as the techniques for their use. It will familiarize you with these procedures but cannot provide all the details which may be relevant to your particular needs. If you feel that one or more of the procedures described here may benefit you, be sure to ask your plastic surgeon for more information. What to Expect From a Facial Implant Facial implants can enhance your appearance and bolster your self esteem. If you are looking for improvement, not perfection, in your appearance and are realistic in your expectations, you may find that a facial implant is the right choice for you. Plastic surgeons will frequently use such implants to bring better balance to the features of a younger patient. For instance, a teenage girl may want her nose reshaped or her chin brought forward so that these traits are better proportioned. The more mature patient may choose to have an implant placed in conjunction with another cosmetic procedure. For example, during a facelift, a patient may wish to have implants placed over the cheekbones to help restore a more youthful appearance. Implants may also be selected to fill out a face that appears "sunken" or tired. facial_implant-1 Cheek Surgery To augment the cheek area, your plastic surgeon can insert cheek implants through an incision in the mouth, placing them directly on (or even below) the cheekbone. These facial implants can vary in size and shape, to achieve an individualized result. Cheek augmentation surgery usually requires about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift, brow lift or eyelid surgery, the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. Your plastic surgeon forms a pocket for the implant, inserts it and secures it into place. Recovering from Cheek Surgery After the surgery, a dressing will be applied to minimize discomfort and swelling. The severity and duration of such side effects may vary, especially if another cosmetic procedure was performed at the same time. Your plastic surgeon will provide you with instructions about post-operative care. There will be dietary restrictions as well as limitations to your activities. Again, these instructions will vary, especially if another procedure was performed along with your implant surgery. However, you should be aware that your ability to move your mouth and lips may be diminished temporarily. Stitches used to close the incisions inside your mouth usually dissolve within about 10 days. Chin Surgery Chin surgery (often called mentoplasty or genioplasty), is a surgical procedure to reshape the chin. This can be accomplished in several ways. Your plastic surgeon may recommend enhancement with a facial implant or surgical reshaping of the chin bone. facial_implant-2 The general goal of cosmetic chin surgery is to provide a harmonious balance to your chin and facial features so that you feel better about the way you look. Many times a plastic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. With a short incision under the chin or inside the mouth, your plastic surgeon can place a chin implant directly on the bone. Insertion of a chin implant may take anywhere from 30 minutes to one hour. Before the surgery, your plastic surgeon selects the proper size and shape implant to enhance your appearance. He or she then inserts it into a pocket over the front of the jawbone. The small incision to create the pocket and insert the implant is placed inside the mouth (along the lower lip) or in the skin just under the chin area. Recovering from Chin Surgery After chin augmentation, the chin is taped to minimize swelling and discomfort. Sutures in the skin will be removed in five to seven days. If an intra-oral incision is used, the sutures will dissolve. All Surgery Carries Some Uncertainty and Risk Facial implants can produce some remarkable changes. Problems rarely occur, but you need to be informed about such possibilities. This brochure will touch upon a few, but is not intended to provide a detailed or complete inventory of potential risks.

  Link: Facial Implants

• Fat Grafting

  Fat grafting is also known as autologous fat transplantation or micro-lipoinjection. During facial fat grafting, fat cells are extracted from your abdomen, thighs, buttocks or elsewhere and re-injected beneath the facial skin. Fat can fill in sunken cheeks or lines between the nose and mouth, correct skin depressions, minimize forehead wrinkles or enhance the lips. Allergic reaction is not a factor for fat because the filler is harvested from your own body. However, there is still a small risk of infection and other infrequent complications. What to Expect During Your Procedure Both the donor and recipient sites are numbed with local anesthesia. Sedation can be used as well. If you elect to use sedation, be sure to arrange for a ride home after your treatment. After cleansing and treatment with local anesthesia, fat is withdrawn using a syringe with a large-bore needle or a liposuction cannula. The fat is then prepared and injected into the recipient site with a needle. Sometimes an adhesive bandage is applied over the injection site. Slight overfilling may be necessary to allow for fat absorption that occurs. When fat is used to augment the cheeks, this over-correction may cause the face to appear abnormally full. After Fat Grafting While some treatments require a brief recovery period, many patients resume normal activity right away. Expect some swelling, bruising or redness in both the donor and recipient sites. The severity of these symptoms depends upon the size and location of the treated area. Stay out of the sun until redness and bruising subsides - usually about 48 hours. In the meantime, you may use makeup with sunblock protection to help conceal your condition. In some cases, swelling and puffiness in the recipient site lasts several weeks, especially if a large area was filled. How long do the results last? While some patients report results lasting 1 year or more, the majority of patients find that at least half of the injected fullness disappears within 3-6 months. Therefore, repeated injections may be necessary. Your doctor will advise you on how to maintain your results with repeat treatments.

  Link: Fat Grafting

• Lip Augmentation

  Perma Facial Implant™ in Houston One of the greatest challenges in plastic and cosmetic surgery of the lip region has been the search for permanent solution to tissue augmentation. Past systems, both temporary and permanent, have met with disfiguring and disappointing results for both physician and patient. Many temporary solutions typically involve the use of commercially produced fillers or autologous fat, which can be unpredictable with respect to how long they last, and require repetitive treatments that are painful, repetitive, and costly. Permanent solutions have relied on implants that may, due to their surface characteristics, promote tissue ingrowth. This may result in a restriction of movement and an unnatural appearance. Perma Facial Implant™, the safe, definitive solution for permanent tissue augmentation. Perma Facial Implant™ is a patented, FDA approved device designed for tissue augmentation of the face and has undergone extensive clinical testing to ensure its safety and efficacy. Perma Facial Implant™ is made of a soft, solid silicone elastomer using an injection molding process to produce a naturally contoured implant with a smooth, non-porous surface. The implant cannot rupture or deflate, and may be removed at any time with minimal side effects. Contact our office at (713) 650-0800 today to schedule your personal consultation for lip augmentation with Dr. Collins.

  Link: Lip Augmentation

• Neck Lift

  As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. The jawline can grow slack and jowly while folds and fat deposits appear around the neck. Necklift surgery can correct visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your neck. A necklift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. facelift-5 Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. faceliftCOV The incision starts in front of the earlobe and wraps around behind the ear to the lower scalp. Excess skin is trimmed and sagging tissues are tightened. Liposuction may also be used to remove excess fat from the neck area. The Best Candidates for a Necklift The best candidate for a necklift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but necklifts can be done successfully on people in their seventies or eighties as well. All Surgery Carries Some Uncertainty and Risk When a necklift is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable. Complications that can occur include hematoma (a collection of blood under the skin that must be removed by the surgeon), injury to the nerves that control facial muscles (usually temporary), infection, and reactions to the anesthesia. Poor healing of the skin is most likely to affect smokers. You can reduce your risks by closely following your surgeon's advice both before and after surgery. Planning Your Surgery Necklifts are very individualized procedures. In your initial consultation the surgeon will evaluate your face, including the skin and underlying bone, and discuss your goals for the surgery. Your surgeon should check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars. Be sure to tell your surgeon if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting. If you decide to have a necklift, your surgeon will explain the techniques and anesthesia he or she will use, the type of facility where the surgery will be performed, and the risks and costs involved. Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results. Preparing For Your Surgery You will get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. If you smoke, it's especially important to stop at least a week or two before and after surgery; smoking inhibits blood flow to the skin, and can interfere with the healing of your incision areas. If your hair is very short, you might want to let it grow out before surgery, so that it's long enough to hide the scars while they heal. Whether your necklift is being done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two if needed. Where Your Surgery Will Be Performed A necklift may be performed in a surgeon's office-based facility, an outpatient surgery center, or a hospital. It's usually done on an outpatient basis, but some surgeons may hospitalize patients for a day when using general anesthesia. Certain conditions such as diabetes or high blood pressure should be monitored after surgery, and may also require a short inpatient stay. Types of Anesthesia Most necklifts are performed under local anesthesia, combined with a sedative to make you drowsy. You'll be awake but relaxed, and your face will be insensitive to pain. (However, you may feel some tugging or occasional discomfort.) Some surgeons prefer a general anesthesia. In that case, you'll sleep through the operation. The Surgery A necklift usually takes several hours-or somewhat longer if you're having more than one procedure done. For extensive procedures, some surgeons may schedule two separate sessions. Every surgeon approaches the procedure in his or her own way. Some complete one side of the face at a time, and others move back and forth between the sides. The exact placement of incisions and the sequence of events depends on your facial structure and your surgeon's technique.

  Link: Neck Lift

• Rhinoplasty

  If You're Considering Rhinoplasty... Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems. rhinoplasty-1 Before surgery, this rhinoplasty patient has a large, slightly hanging nose, with a hump and an enlarged tip. rhinoplasty-5 After surgery, the patient has a smaller nose, a straighter bridge, a well defined nasal tip, and an improved angle between the nose and upper lip. rhinoplasty-3A rhinoplasty-3B Surgery to improve an obstructed airway requires careful evaluation of the nasal structure. Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment. If you're considering rhinoplasty, this information will give you a basic understanding of the procedure-when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don't understand. The Best Candidates for Rhinoplasty Rhinoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for rhinoplasty are people who are looking for improvement, not perfection, in the way they look. If you're physically healthy, psychologically stable, and realistic in your expectations, you may be a good candidate. Rhinoplasty can be performed to meet aesthetic goals or for reconstructive purposes-to correct birth defects or breathing problems. Age may also be a consideration. Many surgeons prefer not to operate on teenagers until after they've completed their growth spurt-around 14 or 15 for girls, a bit later for boys. It's important to consider teenagers' social and emotional adjustment, too, and to make sure it's what they, and not their parents, really want. All Surgery Carries Some Uncertainty and Risk When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, nosebleed, or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery. After surgery, small burst blood vessels may appear as tiny red spots on the skin's surface; these are usually minor but may be permanent. As for scarring, when rhinoplasty is performed from inside the nose, there is no visible scarring at all; when an open technique is used, or when the procedure calls for the narrowing of flared nostrils, the small scars on the base of the nose are usually not visible. In about one case out of ten, a second procedure may be required-for example, to correct a minor deformity. Such cases are unpredictable and happen even to patients of the most skilled surgeons. The corrective surgery is usually minor. Planning Your Surgery Good communication between you and your physician is essential. In your initial consultation, the surgeon will ask what you'd like your nose to look like, evaluate the structure of your nose and face, and discuss the possibilities with you. He or she will also explain the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, your age, and your expectations. Your surgeon will also explain the techniques and anesthesia he or she will use, the type of facility where the surgery will be performed, the risks and costs involved, and any options you may have. Most insurance policies don't cover purely cosmetic surgery; however, if the procedure is performed for reconstructive purposes, to correct a breathing problem or a marked deformity, the procedure may be covered. Check with your insurer, and obtain pre-authorization for your surgery. Be sure to tell your surgeon if you've had any previous nose surgery or an injury to your nose, even if it was many years ago. You should also inform your surgeon if you have any allergies or breathing difficulties; if you're taking any medications, vitamins, or recreational drugs; and if you smoke. Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.

  Link: Rhinoplasty

• Breast Augmentation

  If You're Considering Breast Augmentation... Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons: To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small. To restore breast volume lost due to weight loss or following pregnancy To achieve better symmetry when breasts are moderately disproportionate in size and shape To improve the shape of breasts that are sagging or have lost firmness, often used with a breast lift procedure To provide the foundation of a breast contour when a breast has been removed or disfigured by surgery to treat breast cancer To improve breast appearance or create the appearance of a breast that is missing or disfigured due to trauma, heredity, or congenital abnormalities breast_augmentation-1 Inframammary (breast crease) Incision breast_augmentation-2 Periareolar (around the areola) Incision breast_augmentation-3 Transaxillary (underarm) Incision breast_augmentation-4 Breast implants can be placed above or beneath the pectoral muscle. breast_augmentationCOV The results of breast augmentation surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will gradually fade. By inserting an implant behind each breast, surgeons are able to increase a woman's bust line by one or more bra cup sizes. If you're considering breast augmentation, this will give you a basic understanding of the procedure--when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please ask your surgeon if there is anything you don't understand about the procedure. The Best Candidates for Breast Augmentation Breast augmentation can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for breast augmentation are women who are looking for improvement, not perfection, in the way they look. If you're physically healthy and realistic in your expectations, you may be a good candidate. Types of Breast Implants The choice of implant filler, implant size, shape and other features will be determined based on your breast anatomy, body type and your desired increase in size. Your lifestyle, goals and personal preferences, as well your plastic surgeon's recommendations and sound surgical judgment are also determining factors. Implant manufacturers occasionally introduce new styles and types of implants, and therefore there may be additional options available to you. Breast implants are medical devices with a solid silicone, rubber shell. The implant shell may be filled with either saline solution (sterile salt water) or elastic silicone gel. Both saline and silicone gel breast implants are approved by the U.S. Food and Drug Administration (FDA). Approval means that an implant has been rigorously researched and tested, and reviewed by an independent panel of physicians for safety. The size of a breast implant is measured in cubic centimeters (ccs) based on the volume of the saline or silicone filler. Breast implants vary both by filler and in size, but there are additional features to consider: Texture: the implant shell may be smooth or textured Shape: the implant may have a round profile or one that is anatomic (teardrop or tapered shape) Profile: the implant may have a low, medium or high projection (the depth of the implant from the base to the highest point of the implant curve) Diameter: the width of the implant measured across it's base (the side of the implant that will be positioned over the chest wall) Adult women of any age can benefit greatly from the enhancement breast implants provide. It is usually recommended, however, that a woman's breasts are fully developed prior to placement of breast implants. Saline implants are FDA approved for augmentation in women 18 years of age and older. Silicone implants are FDA approved for augmentation in women age 22 and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes. You should be aware that breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Regular examinations for breast health and to evaluate the condition of your implants are important whether you have chosen saline or silicone breast implants. All Surgery Carries Some Uncertainty and Risk Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.

  Link: Breast Augmentation

• Breast Implant Revision

  It's important to know that after receiving breast implants, results are not permanent and they may require replacement during your lifetime. You should expect to have future visits with your plastic surgeon to discuss changes in your breasts. Over time, your breasts can change due to aging, weight fluctuations, hormonal factors and gravity. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift or implant exchange to restore a more youthful contour. What is Breast Implant Exchange? Breast implant exchange is a surgical procedure that removes or replaces breast implants placed during breast augmentation. The procedure may be indicated for medical reasons or it may be the patient’s personal choice. To provide a satisfactory aesthetic outcome, a cosmetic procedure may be performed during or after breast implant removal. Removal of breast implants is frequently followed by replacement with a different implant type (such as silicone gel) or a breast lift (mastopexy) procedure. Reasons for Breast Implant Exchange You may believe that breast implants no longer fit into your lifestyle or you may decide that a different implant size or type is appropriate. In either of these cases, breast implant removal will be necessary. Change in size preferences Switch from saline to silicone Decision to remove implants Medical indications for breast implant removal may include trauma, disease, or a surgery complication. Complications of breast augmentation may necessitate breast implant removal or revision surgery. Some of these complications are as follows: Capsular contracture Implant displacement Visible implant rippling Ruptured implant Nipple malposition What Happens During Surgery? Breast implant removal is a relatively straightforward procedure. The implant is typically approached through the same surgical incisions as your original breast augmentation. Surgery may be as short as one hour, but this will vary depending on your particular condition. After Breast Implant Exchange Removal of breast implants carries a possibility for an undesirable aesthetic outcome, especially if you’ve had them for several years. When breast augmentation is first performed, the skin stretches to accommodate the implants. If they are removed, it is likely that your skin will not shrink back to a satisfactory state. While it is possible that your breasts will return to their pre-augmentation appearance, most patients will benefit from another cosmetic procedure. Your plastic surgeon may recommend a breast lift to tighten the tissues and excess skin. To meet your appearance goals, he or she may also recommend a different implant size or different implant type.

  Link: Breast Implant Revision

• Breast Lift

  If You're Considering a Breast Lift... Over the years, factors such as pregnancy, nursing, and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts--at least, for a time. (No surgery can permanently delay the effects of gravity.) Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume--for example, after pregnancy--breast implants inserted in conjunction with mastopexy can increase both their firmness and their size. If you're considering a breast lift, this brochure will give you a basic understanding of the procedure--when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don't understand. breast_liftCOV breast_lift-1 There are three common incision patterns for a breast lift. The first is around the areola. breast_lift-4 Around the areola and vertically down from the areola to the breast crease breast_lift-2 breast_lift-3 Around the areola, vertically down from the breast crease and horizontally along the breast crease The Best Candidates for Breast Lift A breast lift can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for mastopexy are healthy, emotionally-stable women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts. Many women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts. However, if you're planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn't interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure. Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. A Breast Lift May Be Right For You If: You are physically healthy and maintain a stable weight You do not smoke You have realistic expectations You are bothered by the feeling that your breasts sag, have lost shape and volume Your breasts have a flatter, elongated shape or are pendulous When unsupported, your nipples fall below the breast crease Your nipples and areolas point downward You have stretched skin and enlarged areolas One breast is lower than the other All Surgery Carries Some Uncertainty and Risk A breast lift is not a simple operation, but it's normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications or a reaction to the anesthesia. Bleeding and infection following a breast lift are uncommon, but they can cause scars to widen. You can reduce your risks by closely following your physician's advice both before and after surgery. Mastopexy does leave noticeable, permanent scars, although they'll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts. Planning Your Surgery In your initial consultation, it's important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient--and every physician, as well--has a different view of what is a desirable size and shape for breasts. The surgeon will examine your breasts and measure them while you're sitting or standing. He or she will discuss the variables that may affect the procedure--such as your age, the size and shape of your breasts, and the condition of your skin--and whether an implant is advisable. You should also discuss where the nipple and areola will be positioned; they'll be moved higher during the procedure, and should be approximately even with the crease beneath your breast. Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. He or she should also explain the anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved.

  Link: Breast Lift

• Breast Reduction

  If You're Considering Breast Reduction... Women with very large, pendulous breasts may experience a variety of medical problems caused by the excessive weight-from back and neck pain and skin irritation to skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders. And unusually large breasts can make a woman-or a teenage girl-feel extremely self-conscious. breast_reduction-1 Heavy breasts can lead to physical discomfort, a variety of medical problems, shoulder indentations due to tight bra straps, and extreme self-consciousness. breast_reduction-2 Incisions outline the area of skin, breast tissue, and fat to be removed and the new position for the nipple. breast_reduction-3 Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast its new contour. breast_reduction-4 Scars around the areola, below it, and in the crease under the breast are permanent, but can be easily concealed by clothing. breast_reductionCOV With smaller, better proportioned breasts, you'll feel more comfortable and your clothes will fit better. Breast reduction, technically known as reduction mammaplasty, is designed for such women. The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. If you're considering breast reduction, this will give you a basic understanding of the procedure- when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don't understand. The Best Candidates for Breast Reduction Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort. In most cases, breast reduction isn't performed until a woman's breasts are fully developed; however, it can be done earlier if large breasts are causing serious physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and have realistic expectations about the results. Breast reduction is not recommended for women who intend to breast-feed. All Surgery Carries Some Uncertainty and Risk Breast reduction is not a simple operation, but it's normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following your physician's advice both before and after surgery. The procedure does leave noticeable, permanent scars, although they'll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with slightly mismatched breasts or unevenly positioned nipples. Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples. Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.) Planning Your Surgery In your initial consultation, it's important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient-and every physician, as well-has a different view of what is a desirable size and shape for breasts. The surgeon will examine and measure your breasts, and will probably photograph them for reference during surgery and afterwards. (The photographs may also be used in the processing of your insurance coverage.) He or she will discuss the variables that may affect the procedure-such as your age, the size and shape of your breasts, and the condition of your skin. You should also discuss where the nipple and areola will be positioned; they'll be moved higher during the procedure, and should be approximately even with the crease beneath your breasts. Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result.

  Link: Breast Reduction

• Arm Lift

  Fluctuations in weight, aging and even heredity can cause changes in appearance that you might not expect. One such change that can occur in the upper arm results in a droopy, sagging, batwing-like appearance. Fitness may strengthen and improve underlying muscle tone of the upper arm, but it cannot address excess skin that has lost elasticity or underlying weakened tissues and localized fat deposits. If the underside of your upper arms has developed sagging, droopy skin, or appears loose and full due to excess skin and fat, an arm lift may be right for you. In general, an arm lift reduces excess skin and underlying fat that occurs between underarm region in the elbow, reshaping the arm to result in smoother skin and more normal contours. An arm lift results in a more toned and proportionate appearance, enhancing your self-confidence and expanding your fashion choices. The trade-off to your improved image is a resulting scar on the inside of your upper arm. 07_arm-lift-01 07_arm-lift-02 Inner Arm Incision arm-brachioplasty arm-brachioplasty Back of Arm Incision arm-brachioplasty arm-brachioplasty Minimal Arm Lift Incision This web page presents an overview of arm lift, technically called brachioplasty. The best way to learn how an arm lift can help fulfill your personal goals is a consultation with a plastic surgeon certified by the American Board of plastic surgery. What is an arm lift? An arm lift is a surgical procedure that reshapes the under portion of the upper arm, and the underarm region to the elbow. This procedure is performed to: Reduce excess sagging skin that droops downward when arms are extended away from the body Tighten and smooth the underlying supportive tissue that defines the shape of the upper arm In addition, any localized pockets of fat in the upper arm region may be reduced through brachioplasty, most commonly in conjunction with liposuction techniques. The conditions treated with an arm lift may develop in both men and women, most often due to a loss of elasticity in the skin and underlying tissue of the upper arm. This may be the result of significant weight loss and skin that has been so stretched it loses the ability to retract. Conditions may also result from the natural changes that occur with aging, heredity or a combination of these conditions. An arm lift cannot correct weakened muscles of the upper arm; in fact many individuals who seek surgery are relatively fit individuals who are bothered by a condition that cannot be corrected through exercise. In general, good candidates for an arm lift are: Adults of any age whose weight is relatively stable and who are not significantly overweight Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery Non-smokers Individuals with a positive outlook and realistic goals for what an arm lift can accomplish Individuals committed to leading a healthy lifestyle of proper nutrition and fitness Where do I begin? A consultation with your plastic surgeon is the first step to learn how and on what can help you achieve a smoother and more normal contour of the arm. A consultation is designed to fully educate you about brachioplasty in a non-pressured environment, and will include: A discussion of your goals and an evaluation of the individual case The options available for an arm left The likely outcomes of brachioplasty and any associated risks or potential complications The course of treatment recommended by your plastic surgeon Evaluation Overall health and personal outlook can greatly impact the outcome of arm lift surgery. These will be carefully evaluated in a consultation with your plastic surgeon. The success of your procedure, safety and overall satisfaction require that you: Honestly share your expectations Fully disclose health history, current medications, the use of vitamins, herbal supplements, alcohol, tobacco and drugs Commit to precisely following all of your plastic surgeon's instructions Your Arm Lift An arm lift is a safe and satisfying procedure that can greatly improve the appearance of your upper arm. The procedure begins with an incision placed in the inside of the upper arm. The incision may extend from the underarm to the elbow, or be more limited in length. Incision length and pattern depend on the amount and location of excess skin to be removed, as well as the preferences and surgical judgment of your plastic surgeon. If fat will be reduced during your arm lift, it will be excised or treated with liposuction techniques. The underlying supportive tissues are tightened and reshaped with internal sutures. Overlying skin is then smoothed over the new contour of your arm, with excess skin reduced. Your incisions will be closed with absorbable sutures, or stitches that will be removed within one to two weeks following your arm lift.

  Link: Arm Lift

• Body Contouring After Weight Loss

  Dramatic weight loss, whether achieved by proper nutrition and exercise, as the result of bariatric surgery, or from other forms of medical treatment, has many benefits. However, once you reach your weight loss goals, you may find that you still don’t have the fit and healthy body image you desire. Skin may be loose, sagging and in many cases, your body contours may appear irregular and disharmonious. If you have undergone dramatic weight loss that has resulted in excess sagging skin, surgical body contouring may be right for you. In general, body contouring following major weight loss reduces excess fat and skin that has developed in multiple body areas. The result of surgery is a smoother, more attractive body contour. Body contouring after major weight loss is an important and rewarding phase of your challenge to have a healthier, more proportionate body, and can help you further enhance your body image and self-confidence. body-lift-surgeon body-lifting In a body lift, a circumferential incision removes an apron of loose skin and fat and tightens tissues of the buttocks, abdomen, waist, hips and thighs in one procedure. breast_lift-2 breast_lift-3 The breast lift can help restore a youthful appearance to sagging, flattened breasts after dramatic weight loss. 07_arm-lift-01 07_arm-lift-02 Arm lift surgery tightens loose, hanging tissue of the upper arm. thighplasty thigh-lift Thigh lift reshapes the thighs by reducing excess skin and fat for smoother skin and better-proportioned lower body contours. What is Body Contouring Surgery? The condition of being significantly overweight can cause stress on your health in many ways. If your physical activity has been limited due to your overweight condition, you may have weak muscle and poor skin tone, and your skin may be severely stretched. Bariatric surgery, in its various forms, is one method of major weight loss for individuals clinically defined as obese. Following weight reduction surgery, or any substantial weight loss, the skin and tissues often lack elasticity and cannot conform to the reduced body size. As a result, skin that has been severely stretched now is unsupported, and begins to sag in pockets that most commonly develop around these areas: Face, neck and jowls, resulting in a droopy, sad appearance Upper arms, resulting in a “bat-wing” appearance Breasts, causing them to flatten and hang with nipples pointing down Abdominal area, extending around the sides and into the lower back, resulting in an apron-like overhang Buttocks, groin and thighs, causing hanging pockets of skin Weak and sagging skin that becomes macerated (wet or infected) is not only unattractive, it is also a serious threat to your health that should be treated. Surgical body contouring after major weight loss improves the shape and tone of the underlying tissue that supports fat and skin, and removes excess sagging fat and skin. The result is a more normal body appearance with smoother contours. This is, in essence, the final phase of your total weight loss experience. However, before you decide to undergo body-contouring surgery, it is important to understand that your weight loss must have stabilized. If you continue to lose weight, sagging pockets will redevelop. If you rapidly regain the weight you have lost, you will traumatically stress your already weakened and thin skin, causing further stress to the skin, visible stretch marks and wide scars. If you have weight reduction surgery, your plastic surgeon will work closely with your physician to determine when it is appropriate for you to begin body contouring. In general, good candidates for body contouring are: Adults of any age whose weight loss has stabilized Healthy individuals who do not have medical conditions that can impair healing or increase surgery risks Non-smokers Individuals with positive outlook and realistic goals Individuals committed to leading a healthy lifestyle Where do I begin? A consultation with your plastic surgeon is the first step to learn how body contouring can help you achieve better health and an improved appearance. A consultation is designed to fully educate you about surgery in a non-pressured environment, and will include: A discussion of your goals and an evaluation of your individual case The options available in body contouring The likely outcomes of body contouring and any associated risks The course of treatment recommended by your plastic surgeon Evaluation Overall health and personal outlook can greatly impact the outcome of your surgery. These will be carefully evaluated in your consultation with your plastic surgeon. The success of your procedure, safety and overall satisfaction require that you honestly share your expectations, fully disclose your medical history and commit to following your surgeons instructions.

  Link: Body Contouring After Weight Loss

• Body Lift

  A well-toned body with smooth contours often is a sign of fitness achieved by healthy diet and exercise. But exercise cannot always achieve results for individuals who have loose, sagging skin and uneven contours. Aging, sun damage, pregnancy and fluctuations in body weight as well as genetic factors contribute to poor tissue elasticity and may result in sagging of the abdomen, buttocks, thighs, and upper arms. If you desire a firmer, more youthful looking body contour, then a surgical body lift may help achieve your goals. In general, a body lift reduces excess fat and skin resulting in smoother skin and contours. These physical changes to the body can improve your body image and enhance your self-confidence. This web page presents an overview of body lift procedures. The best way to learn how body contouring through body lifts can help fulfill your personal goals is a consultation with a plastic surgeon. body-lift-surgeon body-lift-surgery A circumferential incision around the body removes an apron of excess skin and fat and repositions and tightens tissues. body-lifting body-surgeon A complete lower body lift treats the buttocks, abdomen, waist, hips and thighs in one procedure. What are body lifts? A body lift is surgery performed to correct excess loose and sagging skin and irregular contours of the: Abdominal area, locally or extending around the sides and into the lower back area Buttocks, that may be low, flat or shaped unevenly Groin that may sag into the inner thigh Thigh, including the inner, outer, or posterior thigh, or circumferentially Upper arms, including the armpit region Surgical body lifting improves the shape and tone of the underlying tissue that supports fat and skin. Excess sagging fat and skin is removed to treat conditions caused in part by poor tissue elasticity. In addition, a body lift can improve a dimpled, irregular skin surface, commonly known as cellulite. Body lifts are not intended strictly for the removal of excess fat. Liposuction alone can remove excess fat deposits where skin has good elasticity and is able to naturally conform to new body contours. In cases where skin elasticity is poor, a combination of liposuction and body lift techniques may be recommended. Body lifting procedures may be appropriate for individuals who are of stable weight that is reasonably proportionate to their height and body frame. In addition, it is recommended that women considering future pregnancies postpone and abdominal body lift since pregnancy may diminish results. Body lift procedures may be performed on adults of any age who have realistic goals in mind for improvement of their body contour. Good candidates are: Individuals with significant soft tissue looseness in one or multiple body areas Healthy individuals who do not have medical conditions that can impair healing or increase risk of surgery Non-smokers Individuals with a positive outlook and specific goals in mind for body contouring Where do I begin? A consultation with your plastic surgeon is the first step to learn how body lifting procedures can improve your body contours. A consultation is designed to fully educate you about your body lift in a non-pressured environment, and will include: A discussion of your goals and an evaluation of your individual case The options available in body lift surgery The likely outcomes of body lifting procedures and any risks or potential complications The course of treatment recommended by your plastic surgeon Evaluation Overall health and personal outlook can greatly impact the outcome of body contouring surgery, including body lifts. These will be carefully evaluated in your consultation. The success of your procedure, safety and overall satisfaction require that you: Honestly share your expectations Fully disclose health history, current medications, use of vitamins, herbal supplements, alcohol, tobacco and drugs Commit to precisely following all of your plastic surgeon’s instructions Your Body Lift Your body lift will be individualized to your specific conditions and the regions to be treated. Conditions that may be improved by a body lift include: Dimpled or uneven soft tissue Lax, loose skin Excess fat and tissue Sagging body contours Many conditions can contribute to tissue that is weak and lacking in tone and firmness, and to uneven or sagging body contours. These most commonly include: Weight changes, especially substantial weight loss, such as occurs following gastric bypass surgery Stress on the skin and underlying tissue that may result from pregnancy The natural aging process causing skin and tissue to lose elasticity and tone over time Sun damage and other environmental factors that cause premature skin aging Heredity or the genetic make-up that determines one’s body type and skin qualities including cellulite

  Link: Body Lift

• Breast Reduction for Men

  A Word About Breast Reduction in Men... Gynecomastia is a medical term that comes from the Greek words for women-like breasts. Though this oddly named condition is rarely talked about, it's actually quite common. Gynecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. Though certain drugs and medical problems have been linked with male breast over-development, there is no known cause in the vast majority of cases. gynecomastia-4 In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. gynecomastia-4 After liposuction, the patient has a flatter chest contour. gynecomastia-1 Excision techniques are recommended when glandular breast tissue or excess skin must be removed. gynecomastia-1 Incision patterns vary depending on the specific conditions and the surgeon's preference. gynecomastia-2 Sometimes a combined approach with both excision and liposuction is necessary. gynecomastia-3 The areola can be reduced, or the nipple repositioned for a more natural chest contour. For men who feel self-conscious about their appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured. The Best Candidates for Male Breast Reduction Gynecomastia surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. This procedure is a good option for you if: You are physically healthy and of relatively normal weight You have realistic expectations Your breast development has stabilized You are bothered by the feeling that your breasts are too large Surgical correction of gynecomastia is best performed on: Men whose condition cannot be corrected through alternative medical treatments Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing Non-smokers and non-drug users Men with a positive outlook and specific goals in mind for improving the physical symptoms of gynecomastia All Surgery Carries Some Uncertainty and Risk When male breast-reduction surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, as with any surgery, there are risks. These include infection, skin injury, excessive bleeding, adverse reaction to anesthesia, and excessive fluid loss or accumulation. The procedure may also result in noticeable scars, permanent pigment changes in the breast area, or slightly mismatched breasts or nipples. If asymmetry is significant, a second procedure may be performed to remove additional tissue. The temporary side effects of male breast reduction include loss of breast sensation or numbness, which may last up to a year. Planning Your Surgery The initial consultation with your surgeon is very important. Your surgeon will need a complete medical history, so check your own records ahead of time and be ready to provide this information. First, your surgeon will examine your breasts and check for causes of the gynecomastia, such as impaired liver function, use of estrogen-containing medications, or anabolic steroids. If a medical problem is the suspected cause, you'll be referred to an appropriate specialist. Your plastic surgeon may, in extreme cases, also recommend a mammogram, or breast x-ray. This will not only rule out the very small possibility of breast cancer, but will reveal the breast's composition. Once your surgeon knows how much fat and glandular tissue is contained within the breasts, he or she can choose a surgical approach to best suit your needs. Don't hesitate to ask your surgeon any questions you may have during the initial consultation- including your concerns about the recommended treatment or the costs involved. Treatment of gynecomastia may be covered by medical insurance, but policies vary. Check with your health insurance provider to be sure. If you are covered, make certain you get written pre-authorization for the treatment recommended by your plastic surgeon. Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating, drinking, and taking certain vitamins and medications. Smokers should plan to stop smoking for a minimum of one or two weeks before surgery and during recovery. Smoking decreases circulation and interferes with proper healing. Therefore, it is essential to follow all your surgeon's instructions.

  Link: Breast Reduction for Men

• Liposuction

  If You're Considering Liposuction... Liposuction is a procedure that can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck. During the past decade, liposuction, which is also known as lipoplasty or suction lipectomy, has benefited from several new refinements. Today, a number of new techniques, including ultrasound-assisted lipoplasty (UAL), the tumescent technique, and the super-wet technique, are helping many plastic surgeons to provide selected patients with more precise results and quicker recovery times. lipoCOV lipo-1 Women may have liposuction performed under the chin, on their hips, thighs, and stomach, and in the under arm and breast area. lipoCOV lipo-1 lipo-2 For men, common sites include under the chin and around the waist. Liposuction may also be used in the reduction of enlarged male breasts, a condition known as gynecomastia. lipo-3 Healthy, normal-weight people with elastic skin and pockets of excess fat are good candidates for surgery. lipo-4 The best candidates for liposuction are of normal weight with localized areas of excess fat-- for example, in the buttocks, hips, and thighs. lipo-5 The surgeon inserts a cannula through small incisions in the skin. At the other end of the tube is a vacuum-pressure unit that suctions off the fat. lipo-6 A snug compression garment worn after surgery helps reduce swelling. Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods. If you're considering liposuction, this brochure will give you a basic understanding of the procedure -- when it can help, how it is performed and how you might look and feel after surgery. It won't answer all of your questions, since much depends on your individual circumstances. Please ask your doctor if there is anything about the procedure you don't understand. The Best Candidates for Liposuction To be a good candidate for liposuction, you must have realistic expectations about what the procedure can do for you. It's important to understand that liposuction can enhance your appearance and self confidence, but it won't necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for liposuction are normal-weight people with firm, elastic skin who have pockets of excess fat in certain areas. You should be physically healthy, psychologically stable and realistic in your expectations. Your age is not a major consideration; however, older patients may have diminished skin elasticity and may not achieve the same results as a younger patient with tighter skin. Liposuction carries greater risk for individuals with medical problems such as diabetes, significant heart or lung disease, poor blood circulation, or those who have recently had surgery near the area to be contoured. Planning Your Surgery In your initial consultation, your surgeon will evaluate your health, determine where your fat deposits lie and assess the condition of your skin. Your surgeon will explain the body-contouring methods that may be most appropriate for you. For example, if you believe you want liposuction in the abdominal area, you may learn that an abdominoplasty or tummy tuck may more effectively meet your goals; or that a combination of traditional liposuction and UAL would be the best choice for you. Be frank in discussing your expectations with your surgeon. He or she should be equally frank with you, describing the procedure in detail and explaining its risks and limitations. Getting the Answers You Need Individuals considering liposuction often feel a bit overwhelmed by the number of options and techniques being promoted today. However, your plastic surgeon can help. In deciding which is the right treatment approach for you, your doctor will consider effectiveness, safety, cost and appropriateness for your needs. This is called surgical judgment, a skill that is developed through surgical training and experience. Your doctor also uses this judgment to prevent complications; to handle unexpected occurrences during surgery; and to treat complications when they occur. Your surgeon's education and training have helped to form his or her surgical judgement, so take the time to do some background checking. Patients are encouraged to consider a doctor certified by the American Board of Plastic Surgery (ABPS).

  Link: Liposuction

• Thigh Lift

  A thigh lift reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body. If fitness and weight loss efforts have not achieved your goals for a body that is firmer, more youthful-looking and more proportionate to your overall body image, a surgical thigh lift may be right for you. thighplasty thigh-lift Medial Thigh Lift thighplasty-surgeon thigh-surgeon Outer Thigh Lift Is a Thigh Lift Right For Me? Candidates for Thigh Lift Surgery Have: Body weight that is relatively stable Excess tissue along the inner (medial) thigh and/or the outer thigh No medical conditions that can impair healing or increase risk of surgery Positive outlook and realistic goals for thigh lift surgery Commitment to a healthy lifestyle with good nutrition and fitness What it won’t do: Thigh lifts are not intended strictly for the removal of excess fat. Liposuction alone can remove excess fat deposits where skin has good elasticity and is able to naturally conform to new body contours. In cases where skin elasticity is poor, a combination of liposuction and thigh lift techniques may be recommended. Anesthesia Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. The incision Incision patterns vary based on the area or areas to be treated, degree of correction and patient and surgeon preference. One common technique used for a thigh lift places incisions in the groin, extending downward wrapping around the back of the thigh. The underlying tissue matrix will be reshaped and tightened, and skin will be reduced and redraped resulting in more proportionate and smoother body contours. You may qualify for a minimal incision medial thigh lift which involves an incision only in the groin area. Your surgeon will determine what’s appropriate. Improving the contours of the outer thigh may require an incision extending from the groin around the hip. Through these incisions your plastic surgeon will tighten tissues for a smoother, better-toned lower body contour. Advanced techniques usually allow incisions to be placed in strategic locations where they can be hidden by most types of clothing and swimsuits. However, incisions may be extensive. Deep support sutures within underlying tissues help to form the newly shaped contours. Sutures close the skin incisions. Results of Thigh Lift Surgery The smoother tighter contouring that result from a thigh lift are apparent almost immediately, although initially obscured by some swelling and bruising. You may be required to wear a compression garment for several weeks following your procedure to minimize swelling and support the tissues as they heal. Following a thigh lift, skin quality is dramatically improved both in appearance and feel. The decision to have thigh lift surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications. When You Go Home When your procedure is completed, dressing or bandages may be applied to your incisions, and you may be wrapped in an elastic bandage or a compression garment to minimize swelling and to support your new contours as you heal. One or more small, thin tubes may be temporarily placed under the skin to drain excess fluid or blood that may collect. If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment. The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

  Link: Thigh Lift

• Tummy Tuck

  If You're Considering Abdominoplasty... Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include: Pregnancy Aging Significant fluctuations in weight Heredity Prior surgery Tummy tuck surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. abominoplastyCOV A full tummy tuck requires a horizontal incision in the area between the pubic hairline and navel. abominoplasty-1 Through this incision, weakened abdominal muscles are repaired and sutured and excess fat, tissue and skin is removed. abominoplasty-2 Your plastic surgeon draws underlying muscle and tissue together and stitches them, thereby narrowing the waistline and strengthening the abdominal wall. abominoplasty-3 abominoplasty-4 In a full tummy tuck, a second incision around the navel may be necessary to remove excess skin in the upper abdomen. abominoplasty-5 After surgery, the patient has a flatter, trimmer abdomen. Scars are permanent, but will fade with time. Abdominoplasty May Be Right For You If: You are physically healthy and at a stable weight You have realistic expectations You do not smoke Although the results of an abdominoplasty procedure are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies may be advised to postpone abdominoplasty surgery. What a tummy tuck won't do: Tummy tucks are not a substitute for weight loss or an appropriate exercise program. Also, tummy tuck operations cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised, generally the treated areas below the belly button. All Surgery Carries Some Uncertainty and Risk Thousands of abdominoplasties are performed successfully each year. When done by a qualified plastic surgeon who is trained in body contouring, the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure. Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible. Poor healing, which results in conspicuous scars, may necessitate a second operation. Smokers should be advised to stop, as smoking may increase the risk of complications and delay healing. You can reduce your risk of complications by closely following your surgeon's instructions before and after the surgery, especially with regard to when and how you should resume physical activity. Planning Your Surgery In your initial consultation, your surgeon will evaluate your health, determine the extent of fat deposits in your abdominal region, and carefully assess your skin tone. Be sure to tell your surgeon if you smoke, and if you're taking any medications, vitamins, or other drugs. Be frank in discussing your expectations with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. If, for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a partial abdominoplasty, also know as a mini-tummy tuck, which can often be performed on an outpatient basis. You may, on the other hand, benefit more from partial or complete abdominoplasty done in conjunction with liposuction to remove fat deposits from the hips, for a better body contour. Or maybe liposuction alone may create the best result. In any case, your surgeon should work with you to recommend the procedure that is right for you and will come closest to producing the desired body contour. During the consultation, your surgeon should also explain the anesthesia he or she will use, the type of facility where the surgery will be performed, and the costs involved. In most cases, health insurance policies do not cover the cost of abdominoplasty, but you should check your policy to be sure.

  Link: Tummy Tuck

• Botox®

  The cosmetic form of botulinum toxin, often referred to by its product name Botox®, is a popular injectable treatment. This purified toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles to give the skin a smoother, more refreshed appearance. Studies have also suggested that Botox is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes. Botulinum toxin can be used as a wrinkle treatment to smooth: Frown lines Crows feet Forehead furrows Skin bands on the neck Smiling, frowning, squinting and even chewing - basically any facial movement can eventually lead to one of the most common signs of aging: wrinkles. They can make you appear tired or even angry when you are not. One of the quickest and safest remedies to remove wrinkles is an injection of botulinum toxin. Botulinum toxin can be combined with other cosmetic skin procedures such as chemical peels, dermal fillers or microdermabrasion to further improve your results. This combination of therapies can even help to prevent the formation of new lines and wrinkles. Who Should Consider Botox? Botox Cosmetic is indicated for the temporary correction of moderate to severe glabellar lines (frown lines) associated with corrugator and/or procerus muscle activity in patients 18 to 65 years of age. If you exhibit lines on the smooth part of your forehead above and between the brows (the glabella), you should consider treatment with Botox Cosmetic. Botox Cosmetic is contraindicated if the patient exhibits an infection at the proposed injection site(s) and or has a known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation. Do not undergo Botox if you are allergic to any of the ingredients or if you have experienced an allergic reaction to another product containing botulinum toxin. Ask your plastic surgeon about the possible side effects of Botox. Botulinum toxins won't fix all types of skin problems. For example, while it can diminish under-eye wrinkles, it can't repair the damage caused by the sun. Your skin thickness, type, and the degree of wrinkling all play a role in determining the effectiveness of botulinum toxin. A qualified plastic surgeon is the best person to evaluate the appropriateness of this treatment for you personally. Special Considerations, Risks and Recovery You may resume normal activities immediately. One note of caution: Don't rub or massage the treated areas after the wrinkle treatment because it can cause the botulinum toxin to migrate to another area of your face. If this happens, you could have temporary facial weakness or drooping. Although generally safe, botulinum toxin side effects and complications can include: Bruising and pain at the injection site Redness Headache Flu-like symptoms Nausea Temporary facial weakness or drooping Very rarely, the toxin can spread beyond the treatment area, which can cause botulism-like signs and symptoms such as breathing problems, trouble swallowing, muscle weakness and slurred speech.

  Link: Botox®

• Chemical Peel

  If You're Considering Chemical Peel... A chemical peel uses a chemical solution to improve and smooth the texture of the facial skin by removing its damaged outer layers. It is helpful for those individuals with facial blemishes, wrinkles and uneven skin pigmentation. Phenol, trichloroacetic acid (TCA) and alpha hydroxy acids (AHAs) are used for this purpose. The precise formula used may be adjusted to meet each patient's needs. Although chemical peel may be performed in conjunction with a facelift, it is not a substitute for such surgery, nor will it prevent or slow the aging process. This brochure provides basic information about certain types of chemical peel treatments and the results you might expect. It won't answer all your questions, since a lot depends on your individual circumstances. Once you and your plastic surgeon have decided on a specific peel program, be sure to ask about any details that you do not understand. Deciding if chemical peel is right for you A chemical peel is typically performed for cosmetic reasons -- to enhance your appearance and your self confidence. The procedure may also remove pre-cancerous skin growths soften acne facial scars and help control acne. In certain cases, health insurance may cover the peel procedure. Be sure to check your policy and contact your insurance company before the procedure is performed. Alpha hydroxy acids (AHAs), such as glycolic, lactic, or fruit acids are the mildest of the peel formulas and produce light peels. These types of peels can provide smoother, brighter-looking skin for people who can't spare the time to recover from a phenol or TCA peel. AHA peels may be used to treat fine wrinkling, areas of dryness, uneven pigmentation and acne. Various concentrations of an AHA may be applied weekly or at longer intervals to obtain the best result. Your doctor will make this decision during your consultation and as the treatment proceeds. An alpha hydroxy acid, such as glycolic acid, can also be mixed with a facial wash or cream in lesser concentrations as part of a daily skin-care regimen to improve the skin's texture. Trichloroacetic acid (TCA) can be used in many concentrations, but it is most commonly used for medium-depth peeling. Fine surface wrinkles, superficial blemishes and pigment problems are commonly treated with TCA. The results of TCA peel are usually less dramatic than and not as long-lasting as those of a phenol peel. In fact, more than one TCA peel may be needed to achieve the desired result. The recovery from a TCA peel is usually shorter than with a phenol peel. Phenol is the strongest of the chemical solutions and produces a deep peel. It is used mainly to treat patients with coarse facial wrinkles, areas of blotchy or damaged skin caused by sun exposure, or pre-cancerous growths. Since phenol sometimes lightens the treated areas, your skin pigmentation may be a determining factor as to whether or not this is an appropriate treatment for you. Phenol is primarily used on the face; scarring may result if it's applied to the neck or other body areas. All chemical peels carry some uncertainty and risk A chemical peel is normally a safe procedure when it is performed by a qualified, experienced plastic surgeon. However, some unpredictability and risks such as infection and scarring, while infrequent, are possible. AHA peels may cause stinging, redness, irritation and crusting. However, as the skin adjusts to the treatment regimen, these problems will subside. With a TCA peel, your healed skin will be able to produce pigment as always; the peel will not bleach the skin. However, TCA-peel patients are advised to avoid sun exposure for several months after treatment to protect the newly formed layers of skin. Even though TCA is milder than phenol, it may also produce some unintended color changes in the skin. With a phenol peel, the new skin frequently loses its ability to make pigment (that is, tan). This means that not only will the skin be lighter in color, but you'll always have to protect it from the sun. Phenol may pose a special risk for patients with a history of heart disease. It's important that you make your surgeon aware of any heart problems when your medical history is taken. It is also possible that phenol will cause some undesired cosmetic results, such as uneven pigment changes. Certain modified phenol peels are gentler and may be preferred in some circumstances. Peel Formulas at a Glance Alpha hydroxy acids (AHAs) Uses: Smooths rough, dry skin Improves texture of sun-damaged skin Aids in control of acne Can be mixed with bleaching agent to correct pigment problems Can be used as TCA pre-treatment Considerations: A series of peels may be needed As with most peel treatments, sunblock use is recommended Trichloroacetic acid (TCA) Uses: Smooths out fine surface wrinkles Removes superficial blemishes Corrects pigment problems Considerations:

  Link: Chemical Peel

• Dermabrasion & Microdermabrasion

  Microdermabrasion is a clinical exfoliation technique that quickly improves the appearance of your skin. If your skin has become dull or damaged from aging or exposure to the elements, it may be a good time to perform a thorough exfoliation with a series of microdermabrasion treatments. Using suction and gentle abrasion, microdermabrasion buffs away dead skin cells to improve your complexion. The results are comparable to a light chemical peel. This treatment is very popular because it is simple, there’s no downtime, and it has a low risk of side effects. Plastic surgeons recommend microdermabrasion for patients who exhibit conditions such as: Mild sun damage Uneven skin texture Dull complexion Imagine a very fine sand blaster and you'll get a picture of how microdermabrasion works. It uses microparticles, or a diamond-tipped wand, to slough off the top layer (epidermis) of your skin and stimulate new skin growth. This technique also helps to thicken your collagen, which results in smoother and younger looking skin. There is almost no discomfort in microdermabrasion, meaning you won't need a topical or local anesthetic and there is no recovery or downtime. Is Microdermabrasion right for you? Facial microdermabrasion is sometimes performed with no medical oversight, often in conjunction with facial spa treatments. You can minimize your risks for complications and achieve optimal results by visiting a qualified plastic surgeon. Although the surgeon may not perform the procedure, you can rest assured that the surgeon's employees are properly trained and supervised. Microdermabrasion is an excellent choice if you want to improve your complexion but don't have the time to recover from a laser treatment or medium depth chemical peel. How Microdermabrasion Works There are two kinds of microdermabrasion treatments. One approach involves a hand-held device that streams tiny crystals across your skin. An attached vacuum simultaneously suctions those exfoliating crystals back into the machine, along with the dead or loosened skin. The newer approach uses a diamond-tip wand that is gently moved across your skin to exfoliate. Each treatment will last about 30 minutes. You may feel a mild scratching as the procedure removes the superficial skin cells. Additionally, you'll notice a vibrating sensation akin to a massage. There is also a suction mechanism to lift off the dead skin. Afterwards, your plastic surgeon may recommend a special moisturizer or facial product to enhance and prolong your result. But there is no down time or recovery period. Special Considerations, Risks and Recovery Any discomfort experienced as part of microdermabrasion is usually short-lived. This can include redness and swelling, which should subside within a few hours. Later, you can expect the skin to be flaky and dry for several days. Additional risks include the following: Mild post-inflammatory hyperpigmentation Bruising which can occur from the suction, which may last several days. Your skin will be more sensitive to sun exposure. Be sure to use sunscreen, especially immediately following a microdermabrasion session. After microdermabrasion, you can return to your routine immediately. Compared to a laser treatment or dermabrasion, the abrasive mechanism of this treatment is very gentle. You can expect a minor improvement with each treatment session. After the series, you should notice a significant improvement in your overall appearance.

  Link: Dermabrasion & Microdermabrasion

• Dermaplaning

  DERMAPLANING FOR EXFOLIATION & HAIR REMOVAL Dermaplaning is also known as Epidermal leveling. Our plastic surgeons at Biggs & Collins Aesthetic Plastic Surgery in Houston are offering this treatment for patients who seek a non-invasive exfoliation that resurfaces sun-damaged, dehydrated skin. A dermaplaning treatment regimen will: Diminish fine lines Smooth acne scars Clear pores Improve skin’s tone and texture Remove peach fuzz facial hair Promote new skin cell growth Enhance skin care products The Dermaplaning Treatment Unlike dermabrasion or microdermabrasion, dermaplaning removes the dead skin cells on the surface of your skin, as well as the fine hair known as vellus hair (or, more commonly, peach fuzz). Performed using a scalpel to “shave” away the outermost layers of the skin, this process is painless, quick, effective, and non-invasive. Seeing the Results Dermaplaning does not break the capillaries on the face. Not only will it help you achieve smoother, brighter skin, but this treatment will help keep peach fuzz at bay. Results can typically be seen after just one treatment. Get Started with a Consultation To find out more about dermaplaning, contact our Houston office to schedule a consultation with one of our plastic surgeons. During your consultation, we'll discuss important procedural details and payment options for your customized dermaplaning treatment.

  Link: Dermaplaning

• Facial Fillers

  If you're considering an injectable with hyaluronic acid If you want to reduce facial wrinkles and lines, hyaluronic acid may be a good choice as a dermal filler because of its compatibility with the human body. In fact, this substance is found in almost every single living thing. In humans, it acts as a network that transfers essential nutrients from the bloodstream to skin cells. Hyaluronic acid is a natural substance found in your body. High concentrations are found in soft connective tissues and in the fluid surrounding your eyes. It's also in some cartilage and joint fluids, as well as skin tissue. It is extracted and reformulated and now has become one of the most popular kinds of injectable fillers. If the term sounds familiar, it's because the same substance is often injected into the aching joints of people with arthritis to ease pain and provide extra cushioning. Brand names include Captique, Esthélis, Elevess, Hylaform, Juvéderm, Perlane, Prevelle, Puragen and Restylane. Hyaluronic acid is not derived from animal sources. When this gel is injected, it acts like an inflated cushion to support facial structures and tissues that may have lost volume or elasticity due to normal aging. It also brings water to the surface of skin to keep it looking fresh and supple. In the last few decades, various synthetic forms of hyaluronic acid have been developed and used to correct disorders in the fields of rheumatology, ophthalmology, and wound repair. More recently, synthetic forms of hyaluronic acid are being manufactured for use in face augmentation. What Hyaluronic Acid Can Treat Hyaluronic acid injections can be used to improve the skin's contour and reduce depressions in the skin due to scars, injury or lines. You can see potentially dramatic improvements for: Acne scars Cheek depressions Crow's feet at the corner of your eyes Deep smile lines that run from the side of the nose to corners of the mouth (also known as nasolabial furrows) Frown lines between the eyebrows Marionette lines at the corners of the mouth Redefining lip border Scars including burns, acne and those caused by wounds Smoker's lines; vertical lines on the mouth Some facial scars Worry lines that run across your forehead How Treatment is Performed Tiny amounts of hyaluronic acid are injected into your face through very fine needles. The treatments typically take less than 30 minutes, depending how many lines are treated. You can expect very little discomfort. First, your surgeon will listen to your desired results and then evaluate your facial appearance and skin tone, examining the areas of your face to be augmented with hyaluronic acid as a filler. Next, the surgeon will mark strategic points on your face as guides to the appropriate injection sites for the filler as part of your wrinkle removal treatment. Your injection sites will be cleansed with an antibacterial agent. Then a topical anesthetic will be used to numb the area, particularly if you are sensitive to injections. But in some cases, the hyaluronic acid includes an anesthetic in the mixture. The actual injections will take just a few minutes total, and just seconds per site. The marks will be washed away and you will be offered an ice pack to reduce any minor and temporary discomfort. At this point you may apply makeup, but be careful not to apply pressure to the treated areas, as doing so may result in movement of the hyaluronic acid. A special note about scars and deep lines. These areas will often require multiple injections to achieve your desired results. If a deeper injection is required, you'll be offered a local anesthetic to remain comfortable. Common sites for deeper tissue fillers are the nasolabial folds and marionette lines, or to enhance fullness in the cheeks. Hyaluronic Acid Aftercare You can resume most activities immediately following injection with hyaluronic acid wrinkle treatment. Just be careful not to rub the area. Most people tolerate injectable hyaluronic acid therapy without irritation or complications. Right after your treatment, the area may be red, swollen and bruised. This tenderness should go away within a few days. Almost everyone is a good candidate for hyaluronic therapy. It is almost always suggested as an alternative treatment to people who have a skin test for bovine collagen and develop an allergy. Some people, however, may experience: An allergic reaction Red and/or thickened nodules that arise in the injected sites. They can persist for several weeks or months. Before you consider having hyaluronic acid treatment, be aware that you might not achieve the results you want with just one treatment. Depending on how your body reacts to the injections, you might need additional injections. Most people need at least three visits before they are completely satisfied with the results.

  Link: Facial Fillers

• IPL Treatments

  PHOTOFACIALS TO REDUCE SUN DAMAGE, BLOOD VESSLES, & MUCH MORE At Biggs & Collins Aesthetic Plastic Surgery in Houston, we offer the latest in light-based therapies for facial rejuvenation like IPL Photorejuvenation. IPL (Intense Pulsed Light) is typically recommended for those who want clear skin and a treatment that has minimal downtime. Used to correct signs of sun damage while simultaneously improving skin tone and texture, this photo facial treatment is recommended for men and women who want to improve the appearance of aging skin with uneven pigmentation. The treatment works on most regions of the body, including: Face Back Arms Hands Neck Chest IPL Photorejuvenation can treat: Freckles and brown spots caused by the sun Skin discoloration Birthmarks Vascular irregularities Fine line and wrinkles Your IPL Facial Experience Intense pulsed light is applied to your skin with a special handheld device attached to a laser workstation. During your treatment, a broad spectrum of light in a range of wavelengths will be transmitted to the area to be treated. These wavelengths are customized to suit your skin type and treatment goals. What to Expect After Best results are seen after about five sessions, with three weeks between treatments. What you'll see is a significant reduction of unwanted pigmentation on skin that is altogether smoother and revitalized. As new collagen forms inside the skin, fine lines and wrinkles will be decreased. Call for a Consultation with Our Skilled Plastic Surgeons For more information on the IPL Photorejuvenation treatment, contact our Houston office to schedule a consultation. During your consultation, we'll discuss important procedural details and payment options.

  Link: IPL Treatments

• Permanent Makeup

  ENHANCING YOUR UNIQUE & NATURAL BEAUTY At Biggs & Collins Aesthetic Plastic Surgery in Houston, we help complete your natural assets by enhancing your own unique beauty. The concept behind permanent makeup is twofold: a) to cut back on the valuable time you spend applying makeup to your face, and b) to give you the confidence that comes with both feeling and looking beautiful from the moment you wake up. Permanent makeup will: Save you time and money Enhance your natural facial assets Give you confidence in your own beauty What is Permanent makeup? Permanent makeup, also known as Intradermal Pigmentation, or micro-pigmentation, is a cosmetic tattooing procedure. This state-of-the-art technique inserts microscopic particles made of naturally occurring pigments into the upper dermal layer of skin. Permanent makeup may be used on: Eyebrows Eyelid (eyeliner) Lips (lip liner or color) Stretchmarks Birthmarks Freckles/Age spots Permanent Results Currently, there are three methods of application: hand-tapped, rotary/coil machine, or via state-of-the-art digital equipment. Because it's done by hand, the hand-tapped method is a slower process that depends on the skill and artistry of the technician. The rotary/coil machines are among the most used today and are known as the tattoo gun. This method also takes skill, but is more consistent than the hand-tapped method. The most state-of-the-art method is the digital and computerized equipment available and is considered more stable than most, creating beautiful results with a more comfortable experience. As with any tattooing process, the degree of discomfort will depend on your unique body properties, as well as the location on your body -- some areas of your skin have more nerve endings than others -- and, of course, the use of anesthetics. Here at Biggs & Collins, the procedure is performed by our highly skilled technicians, and is proven to be not only safe but effective, resulting in immediate results with minor swelling and discoloration for only a few days. Get Started with a Consultation If you think you might benefit from Biggs & Collins Aesthetics Plastic Surgery permanent makeup procedure, call our Houston office to schedule a consultation today.

  Link: Permanent Makeup

• Skin Care Products and Services

  If you are looking for an affordable, non-invasive way to improve the look of your skin, we have the solution for you. Our Skin Care center offers a wide range of services ranging from injectables to peels. If you have a question about your skin care options, please give our office a call at (713) 650-0800. Please see our complete list of skin care services and products below. Skin Care Services: Micropeel Dermaplaning MyBody Probiotic Peels for aging and acne Vitalize Peels TCA Peels 20-40% IPL treatments for photorejuvenation, rosacea, pigmented lesions, sun damage of face, neck, chest, hands, arms, and back. Lightsheer hair removal for all skin types Permanent make-up Botox and Dysport injections Hyaluronic Injections - Restylane and Juvederm Sculptra injections Voluma SkinPen Product Lines MyBody SkinCeuticals Societe Vitamedica Nutritional Supplements

  Link: Skin Care Products and Services