Monday, January 27, 2014

The Psychology of Facelift Surgery

One of my favorite surgeries to perform is the facelift. Seeing the twinkle in the eye and the smile on the face of my patients when they see the final results is breathtaking. Not only is it an emotional experience for them, but it’s an extraordinary reminder of how far we’ve come as partners on this surgical journey.

When my patients first come to see me, the most important thing I can do for them is to listen. They tell me about their desire a have a more beautiful, younger or vivacious appearance. We spend a lot of time discussing their “problem areas” and what can be done to correct them. But that’s not all. We take the time to explore their “why.”

The “Why” of Knowing the “Why”
Aesthetic surgery is unlike any other surgical procedure. It is elective surgery meaning it is initiated by the patient. When a patient wants to undergo aesthetic surgery, they have a distinctive “why, and this tells me what they are expecting with the surgical outcome.

If a patient wants to look like a celebrity, the risk of disappointment is great after surgery. And it is this emotion that can lead to a more damaged self-view and a drop in self-esteem.

However, if a patient simply wants a better version of themselves, then he or she will be more satisfied with the surgical experience. And it is this result that we aim for in the field of aesthetic surgery.

Getting to the Nitty Gritty
When patients come to see me, I ask questions such as…

·      What area of the face seems to be “flawed”?
·      Would other people perceive it to be normal?
·      Why do you think it’s flawed?
·      Does the problem area cause pain or get in the way of everyday activities?
·      What are your expectations before, during and after your facelift surgery?
·      Is there someone you would like to resemble?
·      Will this surgical procedure be a boost to your self-esteem? How so?
·      Are you looking to simply change your appearance or do a total life makeover?
·      Why have you chosen this time in your life to seek aesthetic surgery?

Understanding the Psychology of Facelifts
Many would-be patients want to look and feel better, and some want the advantage of a boost in confidence because they are dating again or want to advance in their careers.

Sometimes patients want to shake things up during or after a traumatic event. They may be going through a dramatic change – the loss of a job, divorce or the death of someone who is close to them. It’s common to want to shake things up after such events, but it may be a good idea to postpone elective surgery until the issues have settled.

And still, there are those who want to play up to external influences such as cultural, social, physical and sexual influences. Sometimes they are pressured into having facelift surgery to keep the attention of a significant other. If this is the case, I believe it’s good for my patients to hear themselves tell me if this is the cause because it may prompt them to reconsider unhealthy relationships.

Naturally aesthetic surgery isn’t off the table in situations like these, but it is helpful to know what patients are dealing with so I can address their concerns and support them emotionally throughout the surgical process.

At Your Service
If you would like to learn more about the consultation process, contact us today. And be sure to ask us about our January special. Save 5% on a lower facelift and 10% on a mid or full facelift.*

*To take advantage of this special offer, you will need to pay a booking fee before January, 31, 2014. All procedures must be complete by May 31, 2014.
Sources:
http://www.ncbi.nlm.nih.gov/pubmed/7360810

Wednesday, January 15, 2014

When is the Right Time to Have Your Facelift Surgery?





If you’ve considered a facelift surgery, you’ve probably thought about the timing of this procedure.

“When is the right time to have my facelift surgery?”

“Is it too late for me to get rid of these [insert your problem area]?”

These are common questions, and I always tell my patients that the timing entirely depends on you as a patient. It also depends on the internal and external effects that cause your face to gradually age.

·      genetics
·      overall health
·      amount of sun exposure
·      the quality of food and amount of water consumed on a regular basis
·      addictions to nicotine or drugs

But despite all of these, there are also under-the-surface changes that cause patients to turn to facelift surgery for an improved appearance.

After one’s 24th birthday, collagen in the face slowly becomes less elastic. The soft tissue thins and features begin to sag. Plus, the fat that was once evenly distributed begins to lose volume as it shifts and drops to the lower half of the face. This can give the appearance of bags in the chin and around the neckline.

Here are some gradual affects that occur in one’s 40s, 50s, 60s and so on:

·      Forehead – Forehead tissue broadens causing the eyebrows to droop. Also, the hairline begins to thin.

·      Eyes – The cheekbones descend and offer less support. The eye sockets widen and lengthen making them appear to be deeply set. The soft tissue sags around the eyes and eyelids.  

·      Nose – As the patient ages, the connective tissue in the nose weakens. This causes it to droop or elongate, and possibly develop a small but pronounced dorsal hump. Also, the tip of the nose broadens and adopts a bulbous appearance.

·      Cheeks – The cheeks often sag leaving one with jowls.

·      Mouth – The corners of the mouth tend to droop which causes a slight frown.

·      Ears – Ears lengthen as cartilage grows.

·      Jaw – When the jawbone thins, it causes the facial structure to lose its more sculpted appearance.

And yes, one cannot get away from the generalized wrinkling of the face. Fine wrinkles (due to smoking, sun damage or genetics) and deep wrinkles (the pulling of muscles) can add years to one’s face.

Naturally, there are some things you can do to give your countenance a much more youthful glow.

1.    Use sunscreen daily and by wear wide-brimmed hats.
2.    Use exfoliant creams to get rid of dead skin and moisturizers to reduce the appearance of wrinkles.
3.    Prescription creams such as Avage, Avita, Retin-A and Renova can reduce wrinkles and induce collagen production in the dermis.
4.    Botulinum toxin injections like Botox, Myobloc and Dysport treats lines on the forehead and between the brows while restraining the muscles that form expression lines.
5.    Dermal fillers treat those lines which have been caused by the loss of collagen and redistribution of fat.
6.    Laser treatments get rid of freckles, liver spots, broken capillaries and acne scars.

While the above rejuvenation tips will help you delay the aging process, they are temporary and need to be repeated often. For something that will last for at least five years and can be repeated once or twice in a lifetime, the facelift surgery is the ultimate treatment.

A facelift will remove excess tissue while lifting skin that sags. The end result will be a refreshed, more natural appearance.

Some patients, many of whom are in their 40s, opt for a mini facelift. This is a good time to begin the age-defying surgical process as the early one addresses bothersome areas, the better their appearance in the long run. The mini facelift treats the lower eyelids, cheeks and mid-face areas. It reestablishes facial balance while lifting the lower face and neck.

Many patients in their 50s and 60s opt for either the lower facelift or the full facelift surgery.

·      Lower facelift – tightens loose skin on the jaw and neck as well as removes deep wrinkles along the corners of the mouth
·      Full facelift – treats all sections of the face for a smoother appearance

So, to answer your questions:

“When is the right time to have my facelift surgery?” – If you’re over 40 and have been considering a facelift, now is the right time for a consultation. From there, we will determine your ideal time.

“Is it too late for me to get rid of these [insert your problem area]?” – It’s never too late.
As a plastic surgeon, it is my pleasure to help you determine the best timing for your facelift surgery. Together, we will chart a safe and realistic course of action so that your surgical experience will bring you the highest level of satisfaction.

If you’d like to learn more, contact us today. And be sure to ask us about our January special. Save 5% on a lower facelift and 10% on a mid or full facelift.*

*To take advantage of this special offer, you will need to pay a booking fee before January, 31, 2014. All procedures must be complete by May 31, 2014.

Saturday, December 28, 2013

Post-Bariatric Surgery: Where to Begin Reaping the Benefits of Body Contouring?


If you’re among the thousands of patients who have undergone major weight loss, we say, “Congratulations, you did it! You have reclaimed your health.

But if you are distracted by the flabby skin that continues to hang on, we have great news. Post-bariatric surgery will rid your body of unwanted, uncomfortable and unattractive skin in the abdomen, breast, upper arm, buttock, groin and thigh regions.

In fact, major weight loss patients all over the U.S. have taken advantage of post-bariatric surgery. The American Society of Plastic Surgeons reports that there were over 45,534 body contouring procedures performed in 2012.

This surgery was so popular, because major weight loss patients were tired of skin tissue that had lost its elasticity. They wanted to show off their new bodies, and it was post-bariatric surgery that helped them look as good on the outside as they felt on the inside.

What is post-bariatric surgery? 

Post-bariatric surgery – also known as body contouring – is the final phase of your total weight loss experience. It removes sagging skin and fat while improving the shape and tone of underlying tissue. Post-bariatric surgery gives your body a more natural appearance and an added boost to your self-confidence.

Types of Body Contouring Procedures

There are a number of body contouring procedures for men and women.
  • Arm lift - designed to get rid of “bat wings,” the sagging tissue on the upper arm
  • Breast lift - corrects sagging or flattened breasts
  • Butt lift - eliminates extra skin and fat from the buttocks
  • Circumferential body lift - combines an abdomen reduction and a buttock reduction
  • Face lift - removes wrinkles by tightening facial skin
  • Neck lift - improves the appearance of the neck by removing excess skin and fat
  • Lower body lift - removes sagging skin located on the abdomen, buttocks, groin and outer thighs
  • Thigh lift - repairs sagging around the inner, outer and mid-thigh

 

Am I a good candidate for body contouring?

If you’ve experienced major weight loss and are considering surgery, be sure your weight has been stabilized for at least six months. This will prevent the reoccurrence of sagging pockets as well as stretch marks and scarring.

The success of your post-bariatric surgery greatly depends on your weight distribution, age, genetics and exposure to the sun. You will want to have a good attitude, a healthy lifestyle including proper nutrition and fitness, a clean bill of health as well as realistic expectations.


Will insurance cover body-contouring surgery?

Typically, insurance companies do not cover most body-contouring surgeries as they are considered to be cosmetic only. This is unfortunate as body contouring surgery is expensive in the U.S.
  • Arm surgery – approximately $8,000
  • Inner thighs – approximately $10,000 a pair
  • Breast lift and upper back surgery – approximately $15,000
  • Neck and face lift – approximately $15,000
  • Full-body lift – approximately $30,000
Because of these high prices, many Americans (and Canadians) opt to travel beyond their borders for post-bariatric surgery after major weight loss. They have come to rely on highly educated and experienced international surgeons and state-of-the-art facilities. Plus, the savings (up to 80%) makes surgery abroad too good to pass up.


What are the risks?

As with any surgery, there are risks. These can range from bleeding and scarring to infection and blood clots. Naturally, your doctor and surgical team will be on hand to handle any complications.

Once you have been discharged from the hospital, you will continue to experience some swelling and bruising. This is to be expected for approximately two to three weeks after your body contouring surgery.

How many surgeries can I have at one time?

It is quite common for a major weight loss patient to undergo several body contouring procedures at one time. This can significantly reduce your recovery time as well as the price tag. The decision to combine several body contouring surgeries will be made by you and your surgeon. He or she will consider those areas which are most bothersome to you. Of course, your safety is number one and will be taken into account when coming up with a surgical schedule.

There are several post-bariatric surgeries that can be combined.
  • Tummy tuck and liposuction
  • Tummy tuck and breast enhancement
  • Total facial rejuvenation with breast augmentation, tummy tuck or liposuction
  • Face lift with laser resurfacing or a combination of eyes, ears and nose

We're Here to Help

Whether or not to complete your major weight loss experience with body contouring is a big decision. But you don’t have to worry about where to begin. We are here to help.

If you’re curious about body contouring surgery after massive weight loss, visit medtogo.com. Our team will supply you with everything you need – options, locations, cost and recovery time – to help you reach your goals and be the best you can be.

Tuesday, December 10, 2013

The World’s Most Popular Cosmetic Surgery Procedures


The holidays are upon us, and with all of the shopping, decorating, cookie-making, and gift-giving, you’re probably wondering if there’s time to do something for yourself.

Of course, you could always go to the spa, join a health club or hit the road for a weekend getaway. But why not consider something with a little more staying power?

Maybe brighter eyes, a straighter nose, a healthier waistline or a perkier chest is just what you need to feel as confident on the outside as you do on the inside.

If you find yourself nodding up and down, you’re not alone. Millions of people around the world treat themselves to a healthy dose of confidence by going under the knife. Their procedures of choice? Liposuction, breast augmentation and rhinoplasty (nose jobs) are among the top five according to the International Society of Aesthetic Plastic Surgeons.

Those living in Venezuela, Argentina, Saudi Arabia, Brazil and Thailand go for liposuction while those in China, Japan and South Korea favor rhinoplasty. Patients in Romania, Australia, Mexico, France and the Netherlands jump at the chance to have breast augmentation.

It’s interesting to note that breast augmentation was the number one surgical procedure of all 1.5 million cosmetic procedures performed in the United States in 2012. Some women want to restore volume after a pregnancy or major weight loss. Others opt to reconstruct their breasts after a mastectomy. The American Society of Plastic Surgeons notes there are many women who are unsatisfied with their breasts altogether, and augmentation offers a desirable, balanced figure.

Below are the top five surgical procedures in the United States:  

Cosmetic Surgery
# of Surgeries in 2012
Breast Augmentation
286,274
Nose Reshaping (rhinoplasty)
242,684
Eyelid Surgery (blepharoplasty)
204,015
Liposuction
202,128
Facelift
126,320

Naturally, the question “Which surgery lasts the longest?” comes to mind. We tell clients, “The best results come from the most experienced physicians.” As you shop for the best surgeon to meet your surgical needs, be sure he or she offers a blemish-free record and a wealth of testimonials from within your age group. (Why age group? Because results will vary with patients in various age groups.)

If you’re looking for long-lasting procedures, check out our top five list below:

Type of Cosmetic Surgery
Average Period of Time
Breast Augmentation
10-15 years
Nose Reshaping (rhinoplasty)
Lifetime
Eyelid Surgery (blepharoplasty)
10-15 years
Liposuction
Varies for each patient and lifestyle.
Facelift
2-12 years (Depending on the patient’s age.)

If you’re thinking about a pick-me-up for the New Year, consider that you are not alone. Millions of people around the world are treating themselves to safe, long-lasting cosmetic surgery results.

Give us a call today to learn how you can “make a little merry” with a brand new look! We will provide you with a wealth of information to help you make the best decision for your surgical needs.