Category Archives: Trends

Mommy Makeovers: How Soon Is Too Soon?

We have an obsession with celebrities, and truthfully, I have an obsession with Kate Middleton – her clothes, her shoes, her hair! I have enjoyed watching her romance with William for the nearly a decade, and now, the birth of their baby. During the past several months, she has set fashion trends with her maternity wear, and during the next several months, she will likely set more trends as her body changes again.

Mommy makeoverKate Middleton has just started her journey, and talk of a “mommy makeover” is premature, but as we watch her, we may wonder what is normal. Through the lens of paparazzi photos, we may be under the illusion that celebrity moms return to their pre-baby selves instantaneously; however, it is important to understand that all transformations take time. After the birth of a child, it takes several months for your body to return to its pre-pregnancy form. During pregnancy, the body makes hormones and changes to allow for the birth and growth of the new child. Not only does the abdomen have to stretch to accommodate the growing child, but breasts engorge to help provide milk for the baby. Once these changes are no longer necessary, the skin will contract to varying degrees in an effort to return the body to its pre-pregnancy state.

Following pregnancy, despite regular diet and exercise, some women may find that they have excess skin in the lower abdomen, and others may find that they have breasts that have lost volume and “sag,” even after returning to their pre-baby weight. A mommy makeover describes the surgical procedures done to correct these changes and may include an abdominoplasty (also known as a “tummy tuck”), liposuction, and either a breast lift, breast reduction or breast augmentation.

These surgeries are body contouring procedures, not weight loss procedures. To ensure that you have a long-lasting result, you should be at your goal weight for at least six months and have stopped breast-feeding for 6 months. It’s important to have stopped breast-feeding because your breasts need to return to their normal size and shape and stop producing milk. Additionally, I advise patients to have completed childbearing before proceeding with a “mommy makeover.” You can have a successful pregnancy after a “mommy makeover,” but you may require more procedures if you have more children or large weight fluctuations after your initial surgeries.

As I write this blog, I am watching the morning news shows – all of which are discussing the first wave, the carseat, Kate Middleton’s dress, and the drive home. While thoughts of a mommy makeover are far from her mind, we have to remember that each of us will recover from pregnancy at different rates, and we just need to enjoy the journey. When it is time to consider surgery, I urge all patients to do their homework before having surgery. Make sure that you see a qualified surgeon who is board certified by the American Board of Plastic Surgery. Ask where the surgery will be performed and make sure that it is an accredited facility. Ask to look at photos and make sure that you like and trust your surgeon.

Consider Custom Solutions for a Sagging Neckline

neck-liftNecklines for both men and women can be a focal point of self-consciousness. However, the etiology of an unattractive neckline can be diverse, so treatment options must be tailored to the underlying cause. There is no one solution for everybody.Careful three-dimensional analysis of the soft tissue and underlying bony structure of the midface, lower jaw and neck are imperative to choosing the correct modality to improve your neckline.

Some common underlying causes of poor aesthetic necklines:

Small lower jaw – If you have a deep underbite despite orthodontics and a short chin, this leads to less bone support of the soft tissues of the jawline and submental region. People with this type of lower jaw may have a very obtuse chin-neck angle leading to redundant skin. An ideal treatment for this situation is bony chin advancement (genioplasty).

If your chin is horizontally too short, then an augmentation with a chin implant is an excellent choice. I prefer the Medpore implant, which is carvable, and screw fixated and becomes an extension of the bone.

Both genioplasty and chin implants can easily incorporate the technique of liposuction as a means of sculpting the soft tissues of the neckline by removing unwanted fat. Liposuction induces collagen production and facilities skin shrinkage and redistribution yielding a pleasing result. This combination therapy can produce a wonderful outcome that makes you look more facially balanced. However, if your skin is too loose and hanging, a more formal neck lift may be preferable to liposuction.

Mid face descent of soft tissues – Aging can affect facial fat compartments leading to decreased volume, which results in the midface falling over time. This sagging increases nasolabial folds and causes lower facial soft tissue to drape over the jawline. A crisper jawline can be restored by replacing missing soft tissue volume in the fat compartments of the midface with filler agents like Voluma and Sculptra or via fat grafting. Subtle volume enhancements can create a nice effect on the jawline without looking like you’ve undergone a surgical procedure.

Gravitational changes to the soft tissue of the neck – Gravity affects all of us. The skin and muscles of the anterior neck begin to pull away over time. The appearance of the platysma muscle medial bellies becomes apparent leading to unsightly banding. In the early stages of gravity-induced changes, treatments such as chemical peels, micro-needling and radio frequency can yield improvements and delay the inevitable soft-tissue sagging.

Ultimately the best treatment option is a face/neck lift. A well performed facelift by an experienced board-certified plastic surgeon will yield excellent results with longevity of up to ten years depending on how well you age forward and take care of your skin, avoiding further sun damage.

Obesity – People with elevated body mass indices will accumulate increased fat throughout the body. The neck is no exception. Very mild amounts of fat excess with firm, good quality skin may realize improved contours with Kithera (an injectable product that dissolves fat in the neck). However, in my experience, few patients I evaluate are ideal candidates for this treatment. The injection results in inflammation, which can cause collagen production and skin remodeling, but most people need bigger guns to fight the battle. The price of several rounds of injections is as much as a true liposuction with less effective results.

If you have significant fat in the submental region and reasonable skin quality, liposuction can be a great treatment option to uncover a more normal neckline without a lot of expense or downtime. However, a face/neck lift with a corset platysmaplasty is the tried and true corrective option that works very predictably.

If you’re obese and undergo bariatric surgery or make lifestyle changes to produce massive weight loss, you’ll likely develop excess deflated skin that hangs off your face and neck creating an aesthetic deformity. Modifications of standard face and neck lifts must be incorporated to achieve a pleasing result.

The takeaway is that if you’re unhappy with your jaw and neckline, you can improve your appearance and boost your self-confidence by seeking out proper consultation with an experienced plastic surgeon. During the consult, a detailed facial analysis should be performed. Treatment options can be formulated to yield the best results by addressing your unique issues as presented during the interview. No need to hide your neck behind scarves and turtlenecks any longer.

Originally posted by Dr Jay Lucas MD here.

What Can Plastic Surgery Offer Men?

What services are available to men?

Skin Care: The concept may seem too metrosexual at first glance, but there is a health benefit as well. Sun exposure has a cumulative effect, which damages the outer skin, and dermis making the skin look dry and leathery. Loose, inelastic skin coupled with blotches of dark pigmentation makes the skin appear older than chronologic age would suggest. This is also a set up for skin cancers. Skin care may include skin resurfacing with peels to remove the damaged skin along with micro-needling to induce collagen production and improve skin tightening to provide a much-improved appearance and reduce the potential risks of skin cancers.

The use of Botox, which will weaken the overactive muscles between the brows and around the eyes, can prevent the deep furrows of the skin thus smoothing the appearance. This agent can be employed to hide some of the muscle bands in the neck as well.

Filler agents, such as Voluma, can be easily injected into areas of programed fat atrophy which occurs in aging and results in the cheek falling, causing accentuation of the cheek folds and may produce hanging on the jaw line. Voluma, which is a highly crosslinked stiff hyaluronic acid filler, can manage to lift the cheek without making the face look fat.

Rhinoplasty: This is the art and science of the interactions of skin, bone and cartilage of the nose to provide an aesthetically appealing appearance with normal function. Rhinoplasty is a very meticulous surgery with the goal of providing a balanced appearance between the various components of the nose as well as creating harmony with the rest of the face. This surgery can provide a real boost to someone’s appearance and self-esteem.

Gynecomastia: This is a condition in which the male breast increases in size with fibro-glandular tissue mixed with added volume of fat giving it a feminized appearance. This can occur at any age, creating self-conscious situations both with and without clothing. Fortunately, the correction is very straightforward and very predictable. We recommend the use of ultrasonic energy mixed with traditional liposuction to facilitate fat and fibro-glandular removal of tissue to sculpt the breast back to a masculine appearance. There are occasions when direct excision of tissue directly under the nipple-areolar complex is necessary in addition to the liposuction to achieve the desired results, but the scaring in minimal. Without question a very power surgery that gives wonderful results.

Lipo-Sculpturing: Unfortunately, diet and exercise can’t cure all problems with the contour of the abdomen and posterior flanks. With metabolism changes, even a meticulous healthy eater with an active lifestyle can still experience abdominal bulges and flank adiposity. For patients with good skin quality without a great deal of skin excess, liposuction can provide a means of sculpting the torso to give a more pleasing shape and enhance confidence with and without clothes. The surgery is generally not that difficult to recover from, and results can be effective.

Eyelid Rejuvenation: Do people say you look tired? Do your lids hang over your eyes giving the appearance of sleepiness? Do you have puffy lower eyelids giving you a less vibrant persona? Then you may want to consider eyelid surgery to give you a refreshed look. It’s been said that the eyes are the windows into the soul; so don’t have outdated window treatments. The surgery is mildly uncomfortable with swelling being the biggest issue related to return of feeling comfortable in social situations. Careful consultation with your surgeon is required to avoid complications depending on the anatomy of your eyelids. People will notice the refreshed look after the recovery has taken place.

In summary, plastic surgery offers men many options to consider. It’s not just for women anymore.

Article originally posted here by By Dr. Jay Lucas, MD.

2016 Plastic Surgery Trends Forecast

When asked which body areas they expected to be asked about most in 2016 by female patients, the surgeons responded:

  • Buttocks – 48 percent
  • Vaginal rejuvenation – 39 percent
  • Skin rejuvenation – 30 percent
  • Neck – 29 percent
  • Face – 27 percent

Outlook for 2016 Plastic Surgery Trends

With 2016 in full swing, which procedures and cosmetic enhancements will be in high demand in 2016?

According to the experts, this year will be more focused on neck and jawline procedures, thanks to new injectables like Kybella. In fact, 70 percent of the surgeons polled believe that the chin or neck will be the most popular body part next year.

But 2016 may place emphasis on other areas, including the buttocks and breasts. Here’s a rundown of this coming year’s biggest beauty trends.

2016 cosmetic surgery trend predictions

rihannaIf plastic surgery requests in 2015 forecast anything, it was the demand for a more natural look. The days of super-sized breast implants are long gone says California plastic surgeon Dr. Lavinia K. Chong. When discussing breast augmentation with prospective patients, Chong says that women now look to smaller chested-celebrities like Rihanna, Kate Hudson and Gwen Stefani for inspiration.

Besides the request for smaller, more natural-looking breast implants, more women were also looking to downsize their 34 DD’s. 2016 is likely to see a rise in breast reduction surgeries, thanks to the likes of Modern Family star Ariel Winter, who at just over 5 feet, struggled with a 32F cup size. Winter praised the emotional and physical benefits of the surgery, which she told Glamour finally made her “feel right” in her own body.

One trend that’s probably here to stay is the request for butt augmentation, explains Dr. Sheila S. Nazarian, a Beverly Hills surgeon. Nazarian’s practice has seen a surge in butt lift procedures since last year, but believes women will start asking for a more understated backside, rather than the bodacious curves Kim Kardashian.

The Mommy Makeover has gained widespread traction in recent years, but some doctors believe this post-pregnancy tune-up will shift to a different region of the body. Nearly 40 percent of surgeons expect an increase in requests for vaginal rejuvenation in 2016.

When asked which body areas they expected to be asked about most in 2016 by female patients, the surgeons responded:

  • Buttocks – 48 percent
  • Vaginal rejuvenation – 39 percent
  • Skin rejuvenation – 30 percent
  • Neck – 29 percent
  • Face – 27 percent

In the context of male plastic surgery, doctors say that guys have more awareness about the definition of the jawline and neck. Many are turning to non-invasive treatments like Kybella, which melts under chin fat, and CoolMini, which blasts away stubborn fat pockets with a cooling device. Besides chin and neck enhancements, doctors predict that men will focus on their chest, lower abdomen and eyelids.

Originally posted here December 24, 2015, By: Ava Lawson