During your initial consultation we will discuss with you the reason for breast augmentation, family history of breast issues, and the breast size you desire. The physical exam will help determine the best option of implant location (on top of the muscle or below the muscle), incision (inframammary fold or periareolar) and implant type (silicone or saline).
The implant can be placed on top of the muscle (subglandular) or below the muscle (submuscular). Subglandular implant placement is valid in women who have a moderate amount of breast tissue present before surgery and physically active women or bodybuilders. Incision placement is usually below the breast in the inframammary fold. In women with large areola (pigmented portion of breast) a periareolar incision can be used with and without areolar reduction.
It is very common for women to have some asymmetry of the breasts. After breast augmentation some asymmetry may still exist. Correction of mild asymmetry in size can be improved by filling saline implants with different amount of fluid. To correct severe asymmetry a breast lift or reduction of the larger breast may be needed at the time of the breast augmentation
Breast augmentation is performed as an outpatient procedure. A post operative bra will be placed and you can shower on post operative day 1. Prescriptions for pain control and antibiotics will be provided. A patient can usually return to work after a week depending on your occupation. A full exercise program can be resumed 6 weeks after surgery. Follow up is performed one week, one month and 3 months after surgery.
During your initial consultation we will discuss with you the reason for breast reduction, family history of breast issues, and the breast size you desire. Breast reduction surgery is designed to decrease the size of the breast and move the nipple to a higher, more youthful position. There are 2 basic scar patterns with breast reduction surgery. The Vertical Reduction can be described as a "lollipop" with the scars in the periareolar and vertical inferior breast areas. The scar of the Wise Pattern Reduction looks like an "anchor". In addition to the periareolar and vertical scars, a scar of variable length is place in the inframammary fold.
It is very common for women to have some asymmetry of the breasts. After breast reduction some asymmetry may still exist.
Breast reduction is performed as an outpatient procedure. A post operative bra will be placed and you can shower on post operative day 1. Prescriptions for pain control will be provided. A patient can usually return to work after a week depending on your occupation. A full exercise program can be resumed 6 weeks after surgery. Follow up is performed one week, one month and 3 months after surgery.
Surgery of the upper and lower eye lids may be the answer for the tired or aged appearing eye. In both men and women the area around the eyes is one of the earliest concerns expressed due to aging. Commonly, excision of skin is used to improve the appearance of the saggy upper eyelid. This may be performed in conjunction with a brow lift. Complaints concerning the lower eyelid include bulging, excess skin, or hollowed out appearance. Treatment of the lower eyelid may consist of removal of skin, removal or redraping of the fatty tissues, and tightening of the lower lid. Additional procedures like fat or dermal filler injection, botox, or mid face lift may also be considered.
Eyelid surgery is performed as an outpatient procedure. After the operation it is recommended that you sleep with your head elevated and use an ice pack or bag of frozen peas intermittently during the first couple of days. Prescriptions for eye drops and pain medications will be provided. A patient can usually return to work after a week with minimal swelling and bruising. Follow up is within 1 week, one month, then three months after surgery.
If you are concerned about facial aging and desire a more youthful appearance (facial rejuvenation) then a facelift (rhytidectomy) may be the answer. Evaluation of facial aging takes into account the areas around the eyes, cheek and mouth, and the neck. Signs of facial aging may be seen in all these areas due to excess skin, descent of the underlying soft tissues or loss of subcutaneous fat. These changes with aging result in tired eyes, loss of cheek prominence, deep nasolabial or cheek folds, marionette lines, loss of lower jawline contour (jowling), wrinkles of the skin, and banding of the neck. A facelift addresses the signs of facial aging by removing excess skin and suspending the soft tissues below the skin to a more youthful position. Adjunct procedures may include upper and lower eyelid surgery, fat or dermal filler injections, botox, and neck liposuction.
Not everyone needs a facelift to obtain a youthful appearance. Skin care, chemical peels, fat or dermal fillers and botox may improve your concerns without undergoing surgery. Skin damage from sun exposure or smoking may benefit from some of these treatments prior to undergoing facelift surgery.
My philosophy to facial aging is to rejuvenate your facial features without the obvious signs of surgery. I want people to say that you "look good" or "did you do something different with your hair". I don't want to create a new appearance but rather a younger one.
Facelift surgery is performed as an outpatient or overnight stay procedure. A post operative garment will be placed and used for one week after surgery. After the operation it is recommended that you sleep with your head elevated and use an ice pack or bag of frozen peas intermittently during the first couple of days. Prescription for pain medication will be provided. A patient can usually return to work after two weeks. Follow up is within 1 week, one month, and then at three months after surgery.
Patients concerned with sagging or ptotic breasts may be candidates for breast lift surgery (mastopexy).
This condition may be due to pregnancy, weight loss, or poor skin quality. The ptotic breast is determined by the relationship of the nipple areola complex to the inframammary fold. A youthful nipple position is at or above the fold. Breast lift surgery is designed to move the nipple to a higher, more youthful position. There are 2 basic scar patterns with breast lift surgery depending on the presurgical position of the nipple. The Vertical Lift can be described as a "lollipop" with the scars in the periareolar and vertical inferior breast areas. The scar of the Wise Pattern Lift looks like an "anchor". In addition to the periareolar and vertical scars, a scar of variable length is place in the inframammary fold.
During a mastopexy breast tissue may be removed to correct for asymmetries but usually no breast tissue is removed. The breast will be slightly smaller due to the removal of excess skin. For patients that desire correction of sagging breasts and a fuller appearance breast implants can be placed at the same time as the breast lift. This combination results in a more youthful fuller breast. Also after breast lift surgery the size of the pigmented portion of the breast or areola will be smaller.
Breast lift surgery with and without augmentation are performed as an outpatient procedure. A postsurgical bra will be placed and patients can shower the day after surgery. Prescriptions for pain medications will be provided. Antibiotics will be needed if an implant is placed. A patient can usually return to work after a week depending on your occupation. A full exercise program can be resumed 6 weeks after surgery. Follow up is performed one week, one month and 3 months after surgery.
Also referred to as liposculpture, this procedure is used to address areas where fat deposits create an unwanted appearance. You may have distinct areas or a general area where you are unhappy with the contour. These concerns may affect the type of clothing you wear, intimacy, or self esteem. For women common areas are the flanks under the bra straps, lower abdomen, hips, inner and outer thighs, lower back and occasionally the inner knee and ankle. Men often desire correction of the chest, lower abdomen, and flanks. Both men and women may benefit from a large volume liposuction of the abdomen.
Liposuction is performed by making small incisions in preexisting creases or well hidden areas. A wetting or tumescent solution is injected into the fatty areas. This solution contains a local anesthetic and epinephrine which dramatically decreases the blood loss. A suction canula then removes the fat from the desired area.
Liposuction is performed as an outpatient procedure. Small distinct areas may be performed with only the local anesthetic. Large or very sensitive areas are best performed with the assistance of an anesthesiologist. A post operative garment will be placed and used for one month after surgery. The first 24 hours after surgery you will have fluid leaking from the incisions. Tylenol or motrin can be used for post operative pain. You can shower the day after surgery and return to work within a week. Follow up is within 1 week, one month, and then at three months after surgery.
After having children are you concerned about the size or shape of your breasts and the appearance of your abdomen? If so then the mommy makeover may be just what you need. The "mommy makeover" is a term used to describe procedures of the breast and abdomen for women who have children and are not planning future childbirth. Common concerns after childbirth are sagging breasts with loss of volume and excess skin and bulging of the abdomen. The breast surgery usually consists of breast augmentation with possible breast lift. A Tummy tuck and potentially liposuction addresses the abdominal concerns. For more information read the sections on breast augmentation, breast lift, and tummy tuck.
The mommy makeover is performed as an outpatient procedure or an overnight stay may be arranged. A post operative garment for the breasts and abdomen will be placed and you can shower on post operative day 1. After the operation it is recommended that you sleep with your legs and back elevated during the first couple of days. Prescription for pain medication and will be provided. Antibiotics will be necessary if breast implants are placed. Two drains are used for the tummy tuck, one drain will be removed around postoperative day 7 and the second about day 14. A patient can usually return to work after two weeks. Follow up is within 1 week, 2 weeks, one month, and then at three months after surgery
The neck area can be a major area of concern for a patient. Typical reasons for correction are a fatty neck with the "turkey gobbler" appearance, excess skin or banding. If any of these are a concern then neck lift surgery may be indicated. The surgical options consist of neck liposculpture, anterior neck lift or posterior neck lift (cervicoplasty). Each one has their advantages and disadvantages and together we will choose the option that is best for you.
Neck lift surgery is performed as an outpatient procedure. After the operation a compressive garment is placed and it is recommended that you sleep with your head elevated the first couple of days. Prescription for pain medication will be provided. Follow up is within 1 week, one month, and then three months.
The decision to undergo weight loss surgery is an important step toward improving health and quality of life. If you have undergone bariatric surgery with massive weight loss you may experience the frequent consequence of excess skin. Plastic surgery can provide a safe option for the removal of the excess skin. Common areas of concern for both men and women are the face, neck, abdomen, and buttocks. Women may also have sagging breasts with loss of size and excess skin of the bra strap areas and legs. During the initial consultation we will discuss your concerns and establish a plan designed for you. The risk of complications is higher in the massive weight loss patient compared to those who have not undergone bariatric surgery. This will be taken into consideration when planning the surgery and post operative recovery.
Prior to undergoing plastic surgery the ideal candidate should be in good health, nonsmoker, recent laboratory workup which shows normal nutritional status and stable weight. You should discuss the desire to undergo plastic surgery with your bariatric surgeon.
The operative and postoperative plan depends on what procedures are performed. Multiple surgical dates may be needed to optimize results and decrease potential complications.
If you have concerns about the extent that your ears "stick out" then you may be a candidate for otoplasty. Surgical correction of prominent ears or otoplasty may give you the appearance that you desire. The scars are well hidden behind the ears.
This procedure is performed as an outpatient procedure. After the operation a protective dressing is placed and worn when sleeping for 2 weeks. During the day a headband can be worn. Prescription for pain medication will be provided. A patient can usually return to work after a week depending on your occupation. Follow up is performed one week, one month and 3 months after surgery.
If you have concerns about the size, shape or feel of your breasts after breast augmentation, breast lift, or breast reduction you should first approach the initial surgeon. You may find that they care about your concerns and willing to work with you to address them. Should this not be possible then we can discuss your concerns and after a thorough exam design a course of treatment specific for you. An important aspect of secondary breast surgery is knowing what was done during the initial surgery. Bringing your previous operation reports to the initial consultation will improve the decision making process.
There are many reasons to desire correction of the post operated breasts. With breast augmentation you could experience implant malposition, hardening of the breasts, and visible or palpable implants. Concerns after breast lift or reduction may include size, scarring, and nipple position. Together we will plan a surgery to address your concerns.
Redo breast surgery is performed as an outpatient procedure. A post operative bra will be placed and you can shower on post operative day 1. Prescriptions for pain control will be provided. If implants are used then antibiotics will be needed after surgery. A patient can usually return to work after a week depending on your occupation. A full exercise program can be resumed 6 weeks after surgery. Follow up is performed one week, one month and 3 months after surgery.
A tummy tuck or abdominoplasty is an option if you have complaints of excess abdominal skin with or without pooching of the lower abdomen. The excess skin can be seen after pregnancy or weight loss and is due to loss of skin elasticity associated with stretch marks. Pooching or prominence of the abdomen may be seen after pregnancy and is caused by separation of the abdominal rectus muscles resulting in weakness of the abdominal wall. The excess skin or pooching cannot be corrected by exercise.
The excess skin and pooching of the lower abdomen may inhibit exercising, make you self conscious during intimacy, or prohibit you from wearing certain styles of clothing. A tummy tuck will improve the contour of the abdomen and the scars are placed to allow concealment with most styles of clothing.
An abdominoplasty consists of three parts; excision of excess skin, tightening of the rectus muscles, and transposition of the navel (umbilicus). This procedure may be performed as part of a lower body lift or liposuction may be done to better contour the flanks. The scar is placed just above the pubis and extends out to the hips. Two drains are placed.
Women who have minimal skin excess or lower abdominal prominence may be a candidate for a mini tummy tuck. The incision for the mini tummy tuck is much shorter and there is no scar around the navel.
Tummy tuck surgery is performed as an outpatient procedure. An overnight stay may be arranged especially if multiple other procedures are performed at the same time. A post operative garment will be placed and used for one month after surgery. After the operation it is recommended that you sleep with your legs and back elevated during the first couple of days. Prescription for pain medication will be provided. One drain will be removed around postoperative day 7 and the second about day 14. A patient can usually return to work after two weeks. Follow up is within 1 week, 2 weeks, one month, and then at three months after surgery.
Sophisticated skin care. Take your first step toward younger, healthier skin with iS Clinical. iS Clinical formulates advanced anti-aging treatments that are designed to reverse the signs of aging from deep within the skin. Committed to creating top-quality products, iS Clinical skin care offers science-based skin care and clinically tests every ingredient for safety and efficacy.
Anti-aging at its best. In the battle against aging, arm yourself with products that are proven to work. iS Clinical Super Serum Advance Plus effectively strengthens the skin and reduces the appearance of lines and wrinkles. Boasting a potent blend of active ingredients, including vitamin C, Copper Tripeptide Growth Factor and age-fighting botanicals, this sophisticated serum brings visible anti-aging results. It's also clinically proven to reduce the appearance of scars and stretch marks, while providing essential protection from skin-damaging UV rays.
Multi-tasking treatments. When you want to tackle both acne and aging, try a two-in-one attack. iS Clinical Active Serum is formulated with a unique complex of ingredients that works together to radically improve the condition of your skin. Willow bark extract helps control acne while sugar cane extract reduces the appearance of unwanted lines and wrinkles. Simply smooth iS Clinical Active Serum over your face and neck daily for quick and long-lasting results.
Skin should always be thoroughly cleansed before applying a moisturizer or a treatment product. iS Clinical Cleanse can be incorporated into any skin care routine and should be used before anything else. iS Clinical Cleanse is a gentle line of products that can be used morning and evening every day without the worries of dryness or irritation.
iS Clinical Cleansing Complex is loaded with nutrients that help restore health and vitality to the skin. Antioxidants are also added in order to protect the skin against environmental aggressors and help the skin repair itself after experiencing damage. iS Clinical Cleansing Complex contains gentle ingredients that resurface the skin without causing irritation and redness. Dead skin cells are removed gently so that they won't block pores or cause the surface of the skin to become dull. When the pores are purified, there is less instance of acne breakouts. Even sensitive skin types can use this cleanser without worry. This cleanser can also be used in the place of a shaving cream.
iS Clinical Cream Cleanser is ideal for those who are so sensitive that they very often experience irritation and tightness after simply rinsing their skin. This is a hydrating cleanser that is very light in texture but still effective at removing makeup and impurities. Water is not required when using iS Clinical Cream Cleanser. The cleanser can be removed by gently wiping it off with a cloth. The nourishing formula helps to soften and calm the skin, leaving it smooth and comfortable.
All skin care regimens should include a moisturizer for best results and good skin health. iS Clinical Hydrate seals in moisture in addition to providing other benefits to the skin.
iS Clinical Moisturizing Complex is a very rich moisturizer that absorbs nicely so that it hydrates effectively without a heavy or greasy feel. The cream is loaded with antioxidants which help protect the skin against environmental damage that can lead to signs of aging. This is an excellent cream for use in conjunction with treatment products as it can boost effectiveness of active ingredients. iS Clinical Moisturizing Complex reduces the look of fine lines and creases and also firms the skin with a retinol formula.
iS Clinical Hydra-Cool Serum is a lightweight product that absorbs quickly to deliver hydration that lasts. This is a calming serum that soothes irritable skin. It can also reduce the inflammation associated with mild blemishes. iS Clinical Hydra-Cool Serum offers protection against the elements with an antioxidant formula. It can be used for all skin types, even those with very sensitive skin and those suffering from the symptoms of rosacea.
Everyone should know that the eye area needs hydration just like the rest of the face. Because the eye tissue is so thin and fragile, it is important to use a product that is specially formulated just for the eyes. iS Clinical Eye Complex is a very gentle hydrator that respects the delicate nature of the eye area. Antioxidants reduce the damage done by the environment and therefore reduce future signs of aging. It also helps diminish puffiness and dark circles.
Since sun protection is so important, all sunscreen products should be pleasant to use without interfering with makeup application. iS Clinical Protect has developed its products to be cosmetically elegant so that nobody will ever have an excuse to skip the sunscreen.
iS Clinical SPF 25 Treatment Sunscreen is a truly unique, multi-tasking sunscreen product that offers many benefits to the skin. Along with a broad spectrum formula that protects against both UVA and UVB rays, iS Clinical SPF 25 Treatment Sunscreen can also lessen the symptoms off excess sun exposure such as redness and swelling. This is a hydrating product which delvers long lasting moisture to soften and protect the skin. iS Clinical SPF 25 Treatment Sunscreen combines mineral and chemical sunscreens for unbeatable protection. The minerals will not leave a heavy, white cast on the skin. Regular use can help ease the symptoms of aging such as lines and wrinkles. Use it faithfully every day for continued protection and benefits.
Even though it is very important to reapply sunscreen during the day for continued protection, most people fail to do so. Women in particular have a difficult time reapplying sunscreen because they do not want to disturb their makeup. iS Clinical SPF 20 Powder Sunscreen - Translucent is the perfect solution. This is a powder mineral formula that goes on easily with the attached brush. It is free of any color and is practically undetectable on the face. It is completely non-greasy and actually provides a natural, matte finish to reduce shine.
When you need to address a specific skin concern, turn to iS Clinical Treatments for a scientifically developed solution. Containing clinically-proven ingredients, these powerful treatments deliver visible results.
If your skin is inflamed or irritated, nurture it with iS Clinical Pro-Heal Serum Advance Plus. This superior formula contains advanced forms of vitamins A, C, and E together with olive leaf extract. It effectively targets the symptoms associated with acne and rosacea. In addition, it provides UV photo-protection. The calming action of this lightweight product relieves the irritation caused by contact dermatitis and insect bites. Offering Innovative Skincare's highest levels of antioxidant protection, this unique serum preserves the skin's architecture to provide long-lasting results.
Lighten hyperpigmented areas with iS Clinical White Lightening Serum. This lightweight serum is easily-absorbed and highly-effective. It inhibits the body's production of melanin, which reduces the development of hyperpigmentation. With a gentle exfoliating action, this potent formula retextures and refines the skin without peeling. This serum has been thoroughly tested and has been proven to deliver a 75 percent decrease in the intensity of pigmented areas in a three month period.
By stimulating the production of collagen and elastin, iS Clinical Youth Complex tightens and firms the skin. Fine lines and wrinkles are diminished, leaving skin smooth, soft, and supple. This unique formulation contains extracts of mixed fruit acid and white willow bark. Clinical studies have proven that this effective formula produces measurable results, which are visible immediately and intensify over the intermediate and long-term.
In order to find the right iS Clinical Treat products for your skin, first identify your skin type and your concerns.
Treating the signs of aging around the eyes is a tricky matter since the skin tends to be very thin and delicate. iS Clinical Youth Eye Complex is specially formulated for the needs of the eye area. This is a multi-functional product that addresses all of the most commonly reported concerns around the eyes including fine lines, crow's feet, dark circles and puffy bags. The formula is very hydrating to plump and smooth out the eye area. Collagen builders help to restore lost firmness and elasticity. A blend of antioxidants helps protect the skin against future damage. The eyes look brighter and more youthful.
iS Clinical Active Serum is a wonder product for all skin types except those that are highly sensitive. This is an exfoliating product that smoothes out rough and uneven skin textures while clearing up acne and reducing the look of wrinkles as well as patches of discoloration. The botanical extracts soothe the skin and prevent dehydration. This is a fast acting serum that also offers long term benefits.
iS Clinical Youth Complex is geared towards skin that is experiencing the signs of aging and looking to rediscover a beautiful youthful glow. The treatment contains a blend of protective and reparative antioxidants combined with powerful hydrators that restore proper moisture levels. The result is soft and supple skin that is smoother and healthier.
Small but mighty, iS Clinical Sets and Kits provide complementing travel-sized products that tackle some of the toughest skin care concerns. Treat yourself or a friend to a new skin care routine with these gorgeous travel kits.
If your skin is prone to dark patches associated with hyperpigmentation, the iS Clinical Hyperpigmentation Travel Kit is ideal. Containing travel sizes of four highly effective skin care products, this kit is beautifully presented in a travel case. The Cleansing Complex removes impurities, White Lightening Serum lightens and exfoliates the skin, and White Lightening Complex nourishes and lightens the skin. SPF 25 Treatment Sunscreen has been clinically-proven to diminish redness caused by UV rays by more than 53 percent in 24 hours.
Address the symptoms of rosacea with iS Clinical Rosacea Travel Kit. These four products combine to deliver an effective daily skin care regime. The Cleansing Complex prepares the skin. Formulated with plant extracts and vitamins, Pro-Heal Serum Advance Plus and Hydra-Cool Serum treat, sooth, and refresh the skin, leaving it calm and hydrated. SPF 25 Treatment Sunscreen not only protects the skin from the sun, but also repairs existing UV damage.
Tackle the effects of aging with iS Clinical Anti-Aging Travel Kit. After you have cleansed the skin with Cleansing Complex, apply Active Serum to exfoliate the skin and reduce the appearance of fine line and wrinkles. Youth Complex hydrates the skin and boosts collagen and elastin production. Finish off with SPF 25 Treatment Sunscreen to avoid further sun damage.
Botox is a prescription medication that is injected into muscles of the face to improve the look of moderate to severe frown lines. Years of squinting, concentrating, or frowning can cause your skin to crease. As time passes, your skin becomes less elastic and those frown lines remain. Botox will temporarily improve frown lines for up to 4 months and is approved for those lines between your eyes. Other areas like the "crows feet" of the lateral eyes or the forehead may be treated but are considered off label. Botox starts to work within 48 hours with the majority of people seeing significant results within 7 days.
Juvederm temporarily adds volume to facial tissue to restore a smoother appearance to the face. It is a colorless hyaluronic acid that is injected into facial tissue to smooth wrinkles and folds, especially around the mouth and nose. Hyaluronic acid is a naturally occurring sugar found in the human body which delivers nutrients , hydrates the skin by holding water, and acts as a cushioning agent. Injection of Juvederm only takes minutes and provides up to one year of facial rejuvenation.