Cosmetic Surgery

Emerging Plastic Surgery Techniques: A Fad or Here to Stay?

It seems like a new cosmetic product, technique or device emerges almost daily — typically with great marketing fanfare. Some will become excellent additions to our treatment options. Botox®, injectable fillers and fat grafts are great examples of breakthroughs that have become proven, accepted standards. However, the majority of new treatments have proven to be ineffective or even unsafe. So, how can you, as a potential patient, know what’s worthwhile and what’s not?

What to Watch Out For

In today’s world, the media buzz tends to get more attention than good, solid facts. But when it comes to medical interventions, you want to make sure you’re looking at the science behind them. During your quest for information, watch out for some common traps.

The “Latest and Greatest” Attraction

The first thing you should be aware of is that it’s human nature to be attracted to novelty. Cognitive scientists have long recognized that people have deeply ingrained biases toward things that are new. We tend to assume that new equals better — not because there’s evidence or proof to support that, but only because it’s new. That’s why the “latest and greatest” sales pitch works. People are wired to get drawn in to this way of thinking. It’s important to understand that the majority of new treatments and products aren’t better (and can often be worse) than established, proven ones. So, when you hear about the latest “advancements,” remember to approach them with a healthy amount of skepticism.

Prestige and Profit

The second thing to consider is the profit/prestige motive. Of course, a company that makes a new cosmetic treatment wants to hype up its product and claim the most amazing results it can. Every company’s primary objective is to make the largest possible profit. And if a doctor develops a new procedure … well, that’s their “baby,” and they often can’t help but believe it’s the best. However, as a savvy patient, it’s important not to be overly swayed by glossy ads or the enthusiasm of an innovator.

Biased Reviews

Searching the internet for reviews seems like a good place to find out how well a product works. The problem is we almost never know the source of a review. I’ll share a great example. A few years ago, a fast-growing company called Lifestyle Lift was promoting its “revolutionary” new lunchtime facelift. Unfortunately, there were a number of problems with Lifestyle Lift. First of all, the procedure wasn’t new at all. It had basically been around for decades and was considered by most plastic surgeons as inferior to standard techniques. A second problem was that Lifestyle Lift paid its employees to create fake identities online to give rave reviews of surgical results and experiences. In 2009, the company admitted to creating these false reviews and was fined $300,000 by the New York attorney general. Unfortunately, people that want to make money don’t always do it ethically. That’s why you have to take a critical look at the facts instead of getting drawn in by the glitz and glamour.

How to Get Legitimate Answers

So, how do you know which new things are good, which are not, and which we just don’t have enough information about to draw a conclusion? First, approach it with a bit of skepticism — make them prove that what they’re offering is good.

You may want to begin with conducting some research online. Just be sure to go to trustworthy sites like the American Society for Aesthetic Plastic Surgery or larger rating sites, such as RealSelf.com. Then, after you do a little research on your own, schedule a consultation with a well-trained plastic surgeon who can explain all your options. And, if the treatment is new, you should consider getting a second (or even third) opinion.

During your consultation(s), be sure to ask:

    1. How much information is known about the technique?
    2. Why he or she feels one treatment is better than another?
    3. What are reasonable expectations from each procedure?

Emory Aesthetic Center

Emory Aesthetic Center offers complimentary consultations with experienced, well-trained plastic surgeons. We’ll answer all your questions about different techniques available and work with you to choose the best options for you. Schedule your consultation today.

About Felmont Eaves III, M.D., F.A.C.S.

Felmont F. Eaves III, M.D., F.A.C.S., leads the Emory Aesthetic Center as Medical Director. He is double board-certified by the American Board of Surgery and the American Board of Plastic Surgery.

Dr. Eaves’s leadership is apparent in his impressive accumulation of distinctions. He serves as Director of the American Board of Plastic Surgery, the board that certifies plastic surgeons nationally. Previously, he served as President of the American Society for Aesthetic Plastic Surgery; he is currently a Trustee.

 

Request an appointmentor call us at 404-778-6880.

Labiaplasty

“Labia rejuvenation” may sound strange, but it can have a big impact on a woman’s quality of life — improving daily comfort, enhancing sexual satisfaction and increasing self-esteem. While you aren’t likely to hear women talk about problems with their labia as freely as issues with other parts of their body, that doesn’t mean those problems don’t exist.

What is Labiaplasty?

Labiaplasty is one of the world’s fastest growing cosmetic surgery procedures. Some women simply want to improve the look of the external vagina. Others want to eliminate chaffing, dangling or pinching of the labia minora (inner vulvar lips). The procedure involves removing excess tissue and carefully reshaping the labia minora to restore a comfortable and attractive shape and size.

Who is a Good Candidate for Labiaplasty?

While this procedure isn’t for everyone, for the right candidate, it can be life changing. You should consider labiaplasty if you want to improve the aesthetic look of your external vagina, are looking for relief from chaffing, dangling or pinching of your labia minora, or need both (functional and aesthetic improvement).

How Is Labiaplasty Performed?

The procedure is commonly performed in-office using local anesthesia, but it can also be done in an operating room using general anesthesia. Either way, you won’t experience pain during surgery. Your cosmetic surgeon will remove the excess tissue from the inner lips and clitoral hood, and strategically place your incisions to minimize scarring.

Labiaplasty usually takes about one hour, and you’re often able to go home immediately after. Your stitches will be absorbable and should disintegrate within two weeks, but you’ll need to return for follow-up appointments so your surgeon can be sure you’re healing properly.

What to Expect While You Recover

After labiaplasty, you can expect some discomfort, swelling and bruising for up to two weeks. You should lie down and keep your legs elevated as much as possible for the first couple of days to reduce swelling. And you’ll need to avoid intense physical activities for two weeks. Do not have sex, use tampons, ride a bike or go horseback riding for six weeks after surgery.

Icing the area for 15 minutes every hour while you’re awake for the first week can help relieve discomfort.

How Do I Choose a Surgeon?

Labiaplasty is a very delicate and intricate procedure that should be performed by plastic surgeons familiar with the local anatomy, anatomical variations from patient-to-patient and use of different techniques.

The American Society of Plastic Surgeons recommends you ask the following questions:

  • Am I a good candidate for vaginal rejuvenation?
  • Assuming you’re specially trained in this procedure, how much experience do you have performing it?
  • Do you have before-and-after photos that might show what results are reasonable for me?
  • Is your surgical facility accredited by a nationally- or state-recognized accrediting agency, or is it state-licensed?
  • What are the risks and complications associated with my procedure and how will any complications be handled?
  • What surgical technique is recommended for me?
  • What are my options if I’m dissatisfied with the cosmetic outcome of my vaginal rejuvenation procedure?

Emory Aesthetic Center

Considering labiaplasty? Schedule your complimentary consultation today. The skilled plastic surgeons at the Emory Aesthetic Center are committed to giving you a great experience that is private, pleasant and personal. We’ll explain your options and help you decide if it’s right for you.

About Gabriele Miotto, MD

Gabriele C. Miotto, MD, is an assistant professor of surgery in the division of Plastic and Reconstructive Surgery at the Emory University School of Medicine, and the associate program director of the Emory Aesthetic Center Fellowship program. She is fellowship trained in aesthetic and oculoplastic surgery and certified by the Georgia Composite Medical Board as well as the International Society of Aesthetic Plastic Surgery and Brazilian Society of Plastic Surgery. Dr. Miotto is also certified by the National Board of Medical Examiners.

 

Request an appointmentor call us at 404-778-6880.

Otoplasty: What You Need to Know About Ear Pinning

Everyone has a feature that makes them feel a bit self-conscious. But when that feature is as prominent as your ears, it can really take a toll on your self-esteem. If you’re uncomfortable with the shape, positioning or protrusion of your ears, the solution may be much less complicated than you think.

Otoplasty, more commonly referred to as “ear pinning,” is a cosmetic procedure used to correct ears that stick out too far, or are shaped or positioned abnormally. It can have a significant impact and involves very little risk. In fact, it can be performed on children as young as 5 years old.

Benefits of Otoplasty

In addition to feeling better about your appearance, otoplasty offers other amazing benefits. It:

  • Can provide dramatic results with no visible scarring.
  • Has a short recovery period — usually two weeks or less.
  • Is one of the safest facial surgical procedures.

What to Expect During an Ear Pinning Procedure

Choosing a skilled and experienced cosmetic surgeon is imperative. Otoplasty is a surgery that requires extreme attention to detail. After all, there’s an exact duplicate immediately available for comparison on the other side of your head. It’s impossible to recreate the exact same measurements from one side to the next, but most surgeons will take careful measurements throughout the procedure and only complete the closure when the measurements of your ears are within 1 to 2 mm of each other. Go into your surgery feeling confident in your surgical team.

Pain Management During Surgery

Adults may be able to have the procedure with local anesthesia. That means you may only require numbing of the specific area without any type of sedation. But since that method leaves you awake for the procedure — and many people are anxious about that — medication is sometimes given to also further calm you.

Children usually need a general anesthetic to make them sleep during the procedure.

How Ear Pinning Is Performed

The procedure itself involves making an incision in the crease behind your ear — allowing the incision to be completely hidden. Your surgeon will then decide where to place sutures to allow folding of the cartilage in specific locations, and to address any cartilage that may need to be weakened or even cut to achieve your desired results. Every case is different and your surgeon’s next steps will depend on your unique needs. If there is:

  • Too much depth to the bowl of your ear and the whole ear protrudes from the scalp, sutures will be placed to pull the bowl back towards your scalp in several specific locations.
  • Underdevelopment of the crease at the top of your ear, the surgeon will plan for the crease in a specific location and place a series of precise sutures to create the ideal fold.
  • A combination of both of the above issues, you may require a combination of both procedures.

Recovering from Otoplasty

The primary goal during your recovery period is to support your ears so the cartilage can strengthen. Most surgeons will place a pressure-type dressing over your ears for 24 to 48 hours and then evaluate you. If everything is going well, they’ll place a smaller dressing that you’ll wear for a week and they’ll remove any sutures at that point. They may also instruct you to wear the softer dressing at night for an additional week.

The natural folds and swelling should resolve over one to two weeks. While you can return to work within a week or two, you should avoid strenuous activity for at least two weeks. And, to prevent injury to the cartilage, you should not participate in contact sports for two to three months.

Emory Aesthetic Center

Emory Aesthetic Center has highly qualified cosmetic surgeons experienced in otoplasty. If you’re interested in an ear pinning procedure, schedule a complimentary consultation with one of our expert cosmetic surgeons today.

About Anita Sethna, MD, FACS

Anita Sethna, MD, FACS, is double board-certified in Head and Neck Surgery and Facial Plastic and Reconstructive Surgery since 2010. She is also an Assistant Professor of Otolaryngology, Head and Neck Surgery at Emory University School of Medicine where she has taught since 2011. Dr. Sethna is the recipient of the AOA Research Award, and she is an accomplished expert in her primary areas of interest: rhinoplasty and injectables.

 

 

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5 Things to Know Before Getting Liposuction

There’s a reason liposuction is one of the most popular cosmetic surgeries in the United States. It’s a great body-contouring procedure and offers immediate results. But before you jump in, you need to understand what it can and cannot do. Here are five things that you should consider as you make your decision and plan.

Facts About Liposuction

1. Liposuction Is for Shaping, Not for Weight Loss

A common misperception about liposuction is that it’s a way to “get skinny.” So, if you’re considering liposuction as a way to resolve a weight issue, unfortunately, it just doesn’t work that way. When you gain weight, the extra fat tends to spread throughout your body. Liposuction targets specific problem areas, such as love handles or a belly bulge, but it cannot effectively treat the whole body. There’s also a limit to how much fat can be safely removed at one time.

Bottom Line: Instead of thinking of liposuction as a way to lose weight, think of it as a powerful shape-changing tool that can help bring a problem area into harmony with the rest of your body. Also, remember that fat can come back, so it’s important to adopt healthy lifestyle habits to get and maintain the best results.

2. Patients Who Are at a Healthy Weight Get the Best Results

This ties in to our first point: Liposuction will give you the best results if you’re already at a healthy weight. If you get liposuction when you’re heavier than you’d like to be, your results will not be as dramatic. Studies show that patients who are happiest with the results of their body-contouring surgeries are those who have made a commitment to healthy eating and exercise prior to the procedure.

If you’re thinking liposuction will motivate you to lose weight and get you into shape, we’re sorry to tell you that usually the opposite occurs — these patients see an improvement in their appearance and wind up feeling LESS motivated to work on getting in shape.

3. The Type of Liposuction Tool Used Is a Decision Best Left to Your Surgeon

There are several “types” of liposuction tools out there. Suction Assisted Lipectomy (SAL) uses narrow tubes that are smooth on the ends to “suck out” the fat. Power Assisted Liposuction (PAL) tools are often used in areas where the fat is more firm or dense, like on the back. PAL tools use vibration, lasers or fluid to help break up and remove the fat.

Of course, all these tools are made by companies. And no surprise here — companies advertise their products. But don’t be pulled in by fancy advertising. All liposuction tools can work very well in the hands of a well-trained surgeon who is experienced in their use. So, your job is to choose a qualified surgeon who can guide you in which technique will be best for you.

4. Liposuction Will Not Tighten Loose Skin

Unfortunately, some advertisers claim their liposuction technique can help tighten skin. This is simply not true. Think of it this way: If you have a bag filled with liquid and you remove a large amount of that liquid, the bag gets looser, right? Well, your skin is like the bag and your fat is the liquid. If you remove a lot of fat from an area, your skin will likely get more lax. If you’re relatively young and have good skin elasticity, then your skin will probably “snap back” well. However, if you already have loose skin, then liposuction can potentially make the problem worse. In these instances, combining liposuction with a skin tightening procedure, such as a tummy tuck or thigh lift, can often yield amazing results.

5. The Removed Fat Cannot “Move” to Another Part of Your Body

So, what happens after liposuction? Patients are sometimes concerned that if they have liposuction in one area, the fat will “shift” to another area of their body. This myth is based on the fact that the way you gain and lose weight after liposuction can be a little different than how you gained and lost weight before it. Why? Because adults don’t make new fat cells after surgery and fat cells don’t move in the body.

So, let’s say you have liposuction that removes half the fat cells in your tummy area. What happens if you gain 20 pounds? Since there are fewer fat cells in your tummy, you’ll put less weight on there than you would have before, which means the weight will be partially redistributed to other areas. So, if you have weight fluctuations after surgery, you’ll probably gain and lose the weight more evenly. That means your “problem area” would stay more in harmony with the rest of your body. While this sounds like a relief, remember the ultimate goal is always to maintain a healthy weight.

Emory Aesthetic Center

Emory Aesthetic Center is experienced in the full array of liposuction procedures. Our expert surgeons will discuss your goals and options with you to create your best results. If you’re interested in liposuction, schedule your complimentary consultation and experience the Emory difference today.

About Felmont Eaves III, M.D., F.A.C.S.

Felmont F. Eaves III, M.D., F.A.C.S., leads the Emory Aesthetic Center as Medical Director. He is double board-certified by the American Board of Surgery and the American Board of Plastic Surgery.

Dr. Eaves’s leadership is apparent in his impressive accumulation of distinctions. He serves as Director of the American Board of Plastic Surgery, the board that certifies plastic surgeons nationally. Previously, he served as President of the American Society for Aesthetic Plastic Surgery; he is currently a Trustee.

 

Request an appointmentor call us at 404-778-6880.

The Difference Between Botox® and Dermal Fillers

Have you noticed that you just don’t look quite like yourself anymore? Maybe your eyes always look tired, no matter how much rest you get. Maybe you have furrow lines between your brows that make you look unfriendly. Perhaps your once pouty lips have become thin?

Great news! There are two injectable treatments that can restore your young, vibrant look — without a big price tag or a long recovery period. Botox and dermal fillers are popular nonsurgical treatments that can be used individually or in combination to give amazing results.

Botox

Botox® is the commercial name of the most popular botulinum toxin used for cosmetic purposes. Other well-known brands include Dysport® and Xeomin®. Botox is used for the treatment of dynamic wrinkles and lines that appear when we make certain facial expressions, such as frowning and smiling. It works by partially limiting the movement of specific facial muscles to ease these wrinkles, and sometimes even eliminates them entirely.

Botox is commonly used to treat:

  • Deep creases that run parallel between the eyebrows (often called “elevens”)
  • Lines next to the eyes (called “crow’s feet” or “laugh lines”)
  • Forehead lines
  • Chin dimpling
  • Muscle (platysma) bands on the neck
  • Downward turn of the corners of the mouth
  • Lines on the side of the nose (sometimes called “bunny lines”)

What to Expect with Botox

The injection takes just a few minutes and there is absolutely no downtime. You can go back to work right away. In fact, some people get it done during their lunch break. It takes about seven days for the treatment to begin taking effect, and full results are seen at about ten days. Results last three to four months, and sometimes up to six months, depending on how strong your facial expressions are.

Dermal Fillers

Dermal fillers are injectable gel treatments that actively fill in deep wrinkles and add volume where facial fat has disappeared. There are different types of dermal fillers. The most common and safe products are made of hyaluronic acids (HAs). Popular hyaluronic acid fillers include Restylane®, Juvederm®, Voluma® and Belotero®.

As we age, our facial muscles weaken and we lose some of our facial fat. This can lead to things like deep wrinkles, thinning lips, and sunken-in eyes or cheeks. Fillers can reshape the face and “lift” the tissues to restore a youthful appearance.

Dermal fillers are commonly used to treat:

  • Dark under eye circles
  • Lack of volume under the eyes
  • Lack of volume in the upper cheek
  • Lack of volume in the jawline
  • Thin lips
  • Nasolabial folds
  • Marionette lines (running from the corners of the lips to the chin)
  • Vertical lines around the mouth

What to Expect with Dermal Fillers

Filler injections take minutes to perform and you’ll see the results right away. You can see how it looks as its being injected and actively participate in deciding your final look. There may be some swelling and occasionally some light bruising after filler injections. Typically, you’re asked to avoid intense exercise the day of treatment but can expect to get back to your normal routine the next day. The length of time results last varies depending on the type of filler used and where it is injected.

How to Choose a Qualified Botox or Dermal Filler Provider

With the popularity of cosmetic procedures skyrocketing, there’s been a surge of providers offering services. But just because Botox and dermal fillers are nonsurgical procedures doesn’t mean you don’t want a qualified and experienced provider performing your treatment.

Cosmetic surgeons have undergone intensive, specialized training and have acquired a deep understanding of the facial structure as well as the full spectrum of cosmetic procedures. They can offer invaluable insight and guidance into which procedure, or combination of procedures, is right for you. If the results you’re hoping for require surgical techniques, they can educate you about the pros and cons of those procedures as well.

Choosing the right provider will ensure the best results. Do your homework and make sure you’re choosing a qualified cosmetic surgeon to perform your procedure(s).

Emory Aesthetic Center

Emory Aesthetic Center offers Botox treatments, dermal fillers and a wide array of other cosmetic procedures. Schedule your complimentary consultation today with one of our qualified expert cosmetic physicians.

About Gabriele Miotto MD, MEd

Gabriele C. Miotto, MD is an Assistant Professor of Surgery in the Division of Plastic and Reconstructive Surgery at the Emory University School of Medicine, and the Associate Program Director of the Emory Aesthetic Center Fellowship program. She is fellowship trained in aesthetic and oculoplastic surgery and certified by the Georgia Composite Medical Board as well as the International Society of Aesthetic Plastic Surgery and Brazilian Society of Plastic Surgery. Dr. Miotto is also certified by the National Board of Medical Examiners.

 

Request an appointmentor call us at 404-778-6880.

Breast Lift vs. Breast Implants: Which Do I Need?

You may know that you’re not happy with the appearance of your breasts, but do you know exactly what you need to get the results you want? How do you know whether you need a breast lift (mastopexy) or breast implants (breast augmentation)?

Fortunately, there are a few simple steps you can use to determine which procedure, or procedures, is right for you. The first step is having a clear picture of what you want. The second, and perhaps most important step, is choosing a plastic surgeon you can trust, and communicating that picture effectively.

Aesthetics of the Breast

There are many factors that can affect the aesthetics of the breast. Here are a few that are important for your cosmetic surgeon to consider, and for you to understand, before making a decision about your treatment plan:

Skin vs. Volume

Think of your breast as being composed of two parts: an “envelope,” which is the skin that covers the breast and the “filling,” which is the fat and tissue that creates the volume within the envelope. A well-shaped breast has a good match between the size of the envelope and the volume of the filling.

Nipple Location

A good way to determine if the skin envelope is too big is to look at the position of the nipple compared to the fold underneath the breast (called the infra-mammary fold). Normally, if there is a good match between the breast envelope and volume, the nipple will be positioned above the level of the fold. As the skin envelope gets bigger, the nipple droops lower.

When Breast Implants Are Enough

If the skin envelope is relatively normal (not stretched out much by weight fluctuations or pregnancy) and the breast volume is relatively low, then adding volume will create a good envelope-to-volume match. In this case, a breast implant alone can give a great result.

When a Breast Lift Is Needed

If the envelope is significantly stretched out but the volume is good, a breast lift is needed. Removing the excess skin will create a nice envelope-to-volume match.

When Both Implants and a Lift Are Needed

If the skin envelope is too big and the volume is smaller than you want, combining a breast implant with a breast lift will give you the best results.   

Some women think if they get large enough implants, they won’t need a lift. Trying to avoid a breast lift by getting large implants is a mistake. Implants that are too big weigh down the breasts and stretch out the skin. Often, this calls for a second surgery to replace the implants with smaller ones, as well as a breast lift to return the breasts to their proper position.

Emory Aesthetic Center

If you’re considering a breast lift or implants, come see one of our expert cosmetic surgeons to discuss your options. Schedule a complimentary consultation with the Emory Aesthetic Center to find out what procedure, or combination of procedures, is right for you.

About Felmont Eaves III, M.D., F.A.C.S.

Felmont F. Eaves III, M.D., F.A.C.S., leads the Emory Aesthetic Center as Medical Director. He is double board-certified by the American Board of Surgery and the American Board of Plastic Surgery.

Dr. Eaves’ leadership is apparent in his impressive accumulation of distinctions. He serves as Director of the American Board of Plastic Surgery, the board that certifies plastic surgeons nationally. Previously, he served as President of the American Society for Aesthetic Plastic Surgery; he is currently a Trustee.

Request an appointment

or call us at 404-778-6880.

Which Type of Liposuction Is Best?

types of liposuctionLiposuction is a cosmetic procedure to remove excess fat from specific areas of your body. Everyone is different, and it can be difficult to know which liposuction technique is appropriate for you.

Liposuction may be right for you if you:

  • Are at or near your desired weight
  • Have good skin elasticity
  • Have certain areas that are out of proportion with the rest of your body, and are not improved with diet and exercise

Types of Liposuction Procedures

While everyone has heard of liposuction, many may not know there are actually several different techniques available to help you achieve your desired results.

Regardless of technique, in most cases, the fat is prepared for removal by inflating it with a balanced saltwater solution that often contains lidocaine for pain relief and epinephrine to minimize bruising. This instillation of fluid is referred to as the tumescent preparation of fat.

Suction-Assisted Liposuction

While the preparation for fat removal is fairly standard (as described above), the technique for removing the fat can vary.  The most common type of liposuction involves using negative pressure to remove excess fat from an anatomic area.

After the fat is filled with tumescent fluid, the surgeon uses a thin tube (cannula) that is connected to a suction device. The fat is broken up and removed when the surgeon repeatedly passes the tip of the cannula through the fat. Most of the time, the fat is discarded. However, if you’d like to augment volume in other areas of your body, your surgeon may use it.

A new technology, called power-assisted liposuction, uses a mechanically enhanced cannula for easier passage and more thorough removal of unwanted fat.

Laser and Ultrasonic Assisted Liposuction

Some surgeons prefer to pretreat fat with a laser or ultrasonic device. There are many varieties of these devices on the market, but they all have the same method of treatment. Electromagnetic energy, by laser or ultrasound, is delivered to the targeted fat cells. The energy is converted to heat that breaks down the fatty tissue prior to aspiration, or removal of fat. Though not scientifically proven, some believe that breaking up the fat in this way allows for a better result because there is a more thorough removal of fat and by the tightening of connective tissue including the skin.

Your surgeon can usually perform most liposuction procedures while you are awake, using local anesthetics to numb the area. However, your surgeon can decide if more sedation is needed.

In some instances, patients may be put to sleep completely in the operating room. These decisions are made based on your surgeon’s judgment.

A Nonsurgical Way to Reduce Fat: Coolsculpting®

Coolsculpting is a nonsurgical way to “freeze off the fat.” A special pad is applied to the targeted area to freeze fat beneath the skin, without affecting the skin itself. Once the fat has been frozen and crystallized from the treatment, your body slowly destroys and discards the unwanted fat cells. Most patients start to see changes within three weeks, seeing final results within one to three months. It usually takes two or more treatment sessions to achieve results similar to liposuction.

How to Choose the Right Procedure

If you’re feeling confused by all these options, there’s good news — it’s actually as simple as choosing the right cosmetic surgeon. Ultimately, your results depend on finding an expert surgeon who is skilled in different liposuction techniques and understands what results you want that leads to the most favorable outcome. So, do your homework. Check credentials. Ask to see before and after pictures from their previous liposuction patients. And just as importantly, make sure the two of you communicate clearly.

Emory Aesthetic Center

Emory Aesthetic Center offers a variety of fat-removing procedures. If you’re interested in liposuction, schedule your complimentary consultation and experience the Emory difference today.

Request an appointmentor call us at 404-778-6880.

Choosing a Cosmetic Surgery Center

View of Emory Aesthetic Center Building EntranceWhy Choose Emory Aesthetic Center? If you’ve been thinking about cosmetic surgery, you probably have a lot of questions like “Why choose Emory Aesthetic Center.” “How do I find the right doctor for me?” “How do I know it will be safe?” “What kind of procedure do I need?” Then, like most people, you’ll likely turn to the internet for answers. But is the information accurate? Who and what can you believe?

Emory Healthcare: A Name You Can Trust

Emory Healthcare is the region’s most comprehensive academic healthcare system. It’s home to highly-regarded doctors who conduct innovative research and are ranked among the top for patient care. But is Emory the right place for cosmetic surgery? Absolutely. With an aesthetic center dedicated solely to surgical and nonsurgical cosmetic procedures, how could you go wrong?

Specialized Cosmetic Surgery Team

Cosmetic surgery is what we do. When you choose Emory Aesthetic Center you get a cosmetic surgery team filled with innovators in the field. Many of our expert surgeons teach nationally and internationally and have served as leaders in regional, national and international societies. Collectively, our team has also published hundreds of contributions in journals and books about how to perform cosmetic procedures — safely.

In addition to top-notch surgeons, our entire staff — including anesthesiologists, nurse anesthetists, nurses, technicians and more — works together to provide the best care in a center that meets the highest standards of credentialing.

Wide-Array of Surgical and Nonsurgical Cosmetic Procedures

How can you know if the procedure being recommended is the best choice for you? There’s a saying, “If the only tool you have is a hammer, the whole world looks like a nail.” That’s the problem with going to a center that has limited offerings. You will only be offered the choices they are able to provide.

Body contouring is an excellent example of why it’s important to go to a center that can offer a variety of procedures. Let’s say you want to improve the look of your abdominal area. There are several surgical and nonsurgical options for different situations:

  • Coolsculpting® can reduce small amounts of localized fat deposits, without surgery.
  • Liposuction may be needed if there is a higher percentage of fat to be removed.
  • Abdominoplasty (tummy tuck) is needed to remove significant excess skin from the tummy.
  • A body lift may be needed to tighten and firm the abdomen, thighs, and buttocks of a patient who has lost a significant amount of weight.
  • Or a combination of the procedures above may be required to give the best results.

At Emory Aesthetic Center, we’re continually studying, teaching and publishing about cosmetic procedures, so we’re always on top of the newest developments. We offer the entire spectrum of surgical and nonsurgical cosmetic procedures, including cosmetic surgery, skin care, facial rejuvenation and body contouring. Our familiarity with the full-variety of techniques available enables us to guide you toward the procedure that fits you best.

Luxurious Atmosphere

At Emory Aesthetic Center, you’ll get the best of both worlds — clinical excellence and a luxurious experience. You won’t feel like you’re in a hospital. Our center is quiet and elegant and stands remote from the main campus. Our entire staff is focused on ensuring you have a great experience. Whether you’re here for a skin treatment in our Spa or surgical treatment in the operating room, we’re ready to give you the experience of a lifetime.

Request an appointmentor call us at 404-778-6880.


Choose Emory Aesthetic Center

Emory Aesthetic Center is the right choice for your cosmetic procedure. But don’t take our word for it, schedule your complimentary consultation and experience the Emory difference today.

Optimize Scars from Plastic Surgery

optimize scarsIf you’re considering plastic surgery, you’ve probably thought about potential scarring. Maybe you have scars that haven’t healed well, or maybe you’ve seen pictures, and worry that you might get the same result. While there’s a possibility of poor scarring after any surgery, the good news is that most scars created during cosmetic procedures heal well and are minimally visible.

Today, plastic surgery procedures are designed so that scars are positioned in areas that are mostly hidden. There are also surgical techniques that can give scars a better chance of healing well.

What your surgeon can do to reduce or hide scars

Position the scars well

Cosmetic surgeons take great care in positioning scars in inconspicuous areas. With rhinoplasty (nose surgery), for example, the scars are sometimes entirely inside the nose or barely noticeable between the nostrils. For breast surgery, scars can be placed underneath the breast, hidden around the areola (pigmented area surrounding the nipple) or occasionally under the arm. For a tummy tuck, the scar can be positioned low, so underwear or swimwear hide it.

Choose the right tools

The materials used to close a wound can contribute to it healing well. In some areas, removable sutures may give a better scar appearance. While in other areas, absorbable sutures (that don’t require removal) may be the better option. Sometimes, like during a face lift, for example, surgeons use surgical staples because they’re gentler on hair follicles. An experienced and skilled cosmetic surgeon will know what tools will work best for your particular situation and surgery.

Reduce tension on sutures

How a wound is closed can have a significant impact on how the scar heals. Many studies have shown that tension on healing skin incisions contributes to poor scarring. To combat this, we use techniques to control this. One common procedure is to use supportive sutures on the deeper tissues, so the tension lies well inside (where scarring isn’t visible) and the skin itself isn’t being pulled. Supportive dressings and minimizing movement that creates excess tension on the scars also helps.

What you can do to optimize scars

There are also things you can do to optimize scars after surgery.

  • Apply silicone strips, gel or ointment to your scar
  • Avoid significant sun exposure to scars during the healing period
  • Keep scars moist

Be aware, there are lots of products out there that claim to improve scars, but most don’t have much evidence to back up their claims.

If you’re prone to poor scarring

While most patients heal very well after surgery, some patients may have a genetic predisposition to develop poor scars. Although the tendency to develop hypertrophic scars (scars that heal to appear thick, elevated and red) or keloid scars (similar to hypertrophic scars, but can grow) can exist in any ethnic group, the risk is higher for individuals of African or Asian descent.

If you have a history (or a family history) of this kind of scarring, talk it over with your surgeon before embarking on surgery. They might suggest varying the procedure, using a different closure mechanism or offer adjunctive therapies to help you get the best possible outcome. And, in the case that a poor scar does develop, it can be treated with topical treatments, taping or steroid injections to improve its appearance. Or, in more severe cases, a small scar revision procedure, typically done under local anesthesia with minimal recovery, may do the trick.

Emory Aesthetic Center

Schedule your consultation today and let the skilled surgeons at Emory Aesthetic Center help you learn more about how to optimize scars after treatment.

Request an appointment

or call us at 404-778-6880.


 

Factors to Consider Before Breast Lift Surgery

breast lift blog postPregnancy, breastfeeding, aging and weight fluctuations commonly take a toll on a woman’s breasts. If you’re noticing yours are sagging or not as full as they once were, it may be time to consider a breast lift (mastopexy). Breast lifts can produce dramatic results with a relatively short recovery.

If you’re serious about it, the first and most important thing on your to-do list should be finding a skilled and experienced cosmetic surgeon. The right surgeon will listen as you describe your desired outcome and talk through all the options. Remember your body is unique—there is no one-size-fits-all procedure. Here are two important factors to consider with your surgeon:

1. What will the scars look like?

Of course, women (and their plastic surgeons) want to minimize scars whenever possible, but the procedure that leaves the smallest scar may not be the best choice for you. One of the keys to getting great results with a breast lift is to match the right scar pattern with your needs.

Types of scar patterns

There are several surgical techniques used during breast lifts that leave different scaring patterns. Some include:

“Donut” (periareolar) lift – This procedure is effective for women who have very mild drooping or who want to reduce the size of their areolas (the pigmented area surrounding the nipple). It yields the smallest scar that runs around the perimeter of the areola.

“Lollipop” (vertical) lift – This is probably the most common breast lift procedure because it addresses moderate drooping and provides more extensive reshaping. The scaring goes around the perimeter of the areola and then straight down from the bottom of the areola to the fold underneath the breast (inframammary fold)—resulting in a lollipop-shaped scar.

“Anchor” (inverted T) lift – With this procedure, the scar goes around the areola, then from the bottom of the areola to the fold underneath the breast (the inframammary fold), and finally along the fold of the breast. The anchor technique is most effective for women with significant drooping and whose breasts have slid down on the chest wall. Most commonly, women who have had multiple pregnancies (with breast feeding), who have lost a significant amount of weight, or who are having a breast reduction require this technique. Although it yields the most scarring, scars can often be placed in areas that can be hidden by bras or bikini tops.

Be careful about pushing your plastic surgeon toward a technique based solely on scar patterns though. Some techniques may not adequately address the issues you’re having. Also, remember that surgeons will always work to place scars in the least noticeable positions possible, like under skin folds.

2. Do I need implants?

Determining if you need breast implants, a lift or both, is often a point of controversy and confusion—but it’s important to think it through. One easy way to narrow down your choice of procedure is to take the size test.

The size test

You need to separate the concept of size and lift, which isn’t always easy. To help, try manually lifting your breasts in front of a mirror. How you feel about the size of your breasts when they’re lifted will guide you toward which procedure is right for you.

Just a lift – If you’re happy with the size of your breasts, or if you wish they were just slightly bigger, a breast lift is probably the right choice for you. Small implants will give you very little (if any) benefit, yet you’ll still incur the cost and potential future surgeries that can come with breast augmentation. Should you decide after your lift that you still want to add volume, you can always have an augmentation down the road. But most women are satisfied with the results of a lift alone.

Just implants – If your breasts are too small or relatively deflated (need volume) but the nipples aren’t too low, breast implants might do the trick. While it’s true that implants will give a slight lift, they will not make up for more significant drooping. Sometimes, women make the mistake of getting bigger implants to avoid getting a lift. Unfortunately, this usually results in the heavy implants sagging and the woman feeling her breasts are too large for her comfort. Often in this instance, a woman will opt to remove or replace the implants and must undergo a more extensive (and complicated) breast lift than she originally needed.

Both – Combining breast implants and a breast lift can give wonderful results. Women who wear “A-” or “B-” cup bra sizes, and who have extra loose skin but not a lot of tissue to droop, do especially well with the combined procedure. Women who have larger breasts can also get implants; however, over time, fuller breasts may “fall off” of the implant, requiring additional surgery.

Emory Aesthetic Center

If you’re considering a breast lift or implants, schedule a complimentary consultation with one of the expert cosmetic surgeons at the Emory Aesthetic Center to discuss your options.

Request an appointmentor call 404-778-6880.