Cosmetic Surgery

Avoid Facelift Scarring with the Right Surgeon, Experienced Approach

woman looking at skin in mirrorA facelift can restore a youthful appearance and make you feel younger than your age by adding volume to your cheeks, erasing lines from around your mouth and eyes, and smoothing the skin around your neck. Done properly, your scars won’t even be noticeable.

So why do so many facelift patients have red and swollen scars on their face in plain sight? The answer is an unfortunate truth: Because poorly planned and executed facelifts are far too common.

If you’re considering a facelift, learn more about proper facelift technique — and the importance of finding a skilled cosmetic surgeon — so you can experience the best possible results.

 

Proper Facelift Technique Erases Aging and Scars

Facelifts should not, and generally do not, leave noticeable scars. However, if a patient’s skin is pulled too tight, it can distort the earlobe, and cause scars to spread and turn red. This is not the case in the before and after photo below.

facelift scarring

Thanks to an experienced Emory cosmetic surgeon with a clear understanding of how and where to place incisions, the patient above enjoyed impressive results without visible evidence of scarring. In fact, the patient felt so confident with her results, she cut her hair short to show off her new profile.

Reduce Your Risk of Scarring

While you may not be the one performing the surgery, there are steps you can do to take control of your facelift and reduce your risk of scarring.

1. Talk to your surgeon before surgery

Find out about your surgeon’s technique, and don’t be afraid to ask questions about how they avoid noticeable scars, swelling, and redness. There should be a clear plan for where your scars will begin and end. In fact, experienced surgeons will show you exactly where your incisions will be placed and will share how their techniques reduce scarring risk.

2. Ask for before-and-after pictures

A picture is worth a thousand words, as the old saying goes. After all, if your surgeon’s past patients have noticeable scars, you can likely expect similar results. It’s both appropriate and smart to ask to see photos. You may also want to ask for a wide range of ages, ethnicities, and genders so you can compare results across patients.

3. Use online reviews

Online reviews of your surgeon are a great way to find out what patients are saying about their facelift results. These reviews often provide a very candid glimpse into patients’ experiences and outcomes.

4. Rely on your friends and family for advice

Scan your personal social network for others who understand what you’re going through and have experience with a cosmetic surgeon in your area. A referral from a trusted source can help you feel more at ease with your decision to have a facelift and with your choice of surgeon.

5. Follow your surgeon’s instructions

After a facelift, you’ll be given care instructions designed for your optimal healing and recovery. For example, you may be asked to keep the surgical area clean and to gently massage the area around your incisions. Closely following these instructions will help reduce your risk of scarring and swelling.

If you have any questions about your recovery, please contact your surgeon’s office to get additional information.

Emory Aesthetic Center

The expert surgeons at Emory Aesthetic Center are experienced in performing facelifts without noticeable scarring. Contact us today to schedule a consultation and speak to a surgeon about the approach that’s right for you.

About Dr. Zubowicz

Vincent Zubowicz, MD, assistant professor of Surgery, division of Reconstructive Surgery at Emory University, is a renowned leader in the Atlanta medical community where he has practiced for over 35 years. He is triple board-certified by the National Board of Medical Examiners, the American Board of Surgery, and the American Board of Plastic Surgery.

Dr. Zubowicz is not only a leader in Plastic, Reconstructive, and Maxillofacial Surgery, but also a leader in patient communication. He is one of the Top 50 Contributors on Real Self, the nation’s premier online communication resource for patients, where he serves on the national media committee. As an advocate for open patient communication, Dr. Zubowicz has written over 18,000 individual answers to patients seeking insights on both surgical and non-surgical procedures. Dr. Zubowicz is a prevailing voice of medical expertise for the Atlanta media, most recently appearing on CNN to discuss the selection and safety of free-standing aesthetic surgery centers.

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

Optimizing Your Recovery After Cosmetic Surgery

surgery roomPeople love what cosmetic surgery can do to enhance their appearance and self-esteem, but nobody looks forward to the recovery period. Maybe you’re worried about pain or not being able to complete your normal activities. You might be concerned about missing work, caring for your children, or even the possibility of gaining weight when you’re not able to exercise. Fortunately, recent advancements in surgical and postsurgical care help to enhance the recovery period — with benefits like less pain, improved mobility and a quicker return to your normal activities.

Advancements in Surgical Techniques

The field of cosmetic surgery is constantly evolving. Several new techniques have been developed that make for a much smoother recovery. The tummy tuck (abdominoplasty) procedure is a great example.

With traditional methods, a tummy tuck requires the use of one or two drains. Drains are plastic tubes that are left under the skin at the surgical site and poke out through the incision or through a small, separate hole in the skin. The drains require special care — you have to empty them, measure the output, and be careful with them during showers and other activities. They also have to be removed by your surgeon.

Luckily, with new treatment advances, we’ve been able to eliminate the need for drains and all the work that comes with them. Instead, your surgeon can now use progressive tension sutures — a method of placing stitches internally during the procedure — so you can now wake up with no drains at all. Best of all, studies have shown that progressive tension sutures actually work better than drains at preventing fluid buildup.

Better Pain Control Immediately Following Surgery

We’ve also made headway in the area of pain control. Over time, we realized that the less pain you have early on (when the pain is usually at its worst), the less pain you’ll experience later in your recovery. Now engaging a new strategy, surgeons are using local anesthetic agents to help with your pain after surgery instead of just during the procedure.

Two particular procedures where local anesthesia can help with recovery are breast augmentations and tummy tucks. In breast augmentation, a local anesthetic can be placed around the implant to help reduce pain for the first few hours. During a tummy tuck, which is known to be one of the more extensive and painful recoveries, your surgeon can use a long-lasting local anesthetic to reduce your pain for 48 to 72 hours.

Post-Surgical Pain Control Using Medications

One of the most significant changes over the past several years is the use of a multimodality pain control strategy. This means using more than one medication or type of pain control to improve your recovery.

In the past, surgeons often recommended you avoid aspirin and ibuprofen (Motrin, Advil) after surgery. However, we’ve found that in higher doses, these medications not only provide effective pain relief, they also work to reduce inflammation — something a narcotic medicine (Vicodin and Percocet) can’t do. They also reduce the need to take more powerful pain medications (narcotics) as frequently as was traditionally prescribed. This is especially important because narcotics can cause unpleasant side effects like nausea or constipation, and carry the risk for addiction.

So, it’s now common to use anti-inflammatory pain relievers, narcotics and muscle relaxants in combination to effectively combat your pain. This makes a lot of sense because different medications work in different ways, and their results can be complementary.

Emory Aesthetic Center

At Emory Aesthetic Center, we’re committed to making your cosmetic surgery experience a positive one. Our team of highly skilled surgeons and nurses are happy to answer your questions so you fully understand what you can expect during and after your procedure.

In an effort to make your recovery even smoother, we’ve launched a new program that enables you to remain in the comfort of your own home during your postoperative check. Instead of having to get up and about early on in your recovery, you can simply connect with your doctor or nurse through a secure video system.

About Dr. Eaves

dr. felmont eavesFelmont 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.

 

Is a Neck Lift Right for You?

woman caressing neckIt’s no secret that as you age your appearance will change, too. Over the years, as your skin loses its elasticity it can wrinkle and sag, making you look older than you actually are. A neck lift can help erase signs of aging and restore your youthful appearance with a smoother, slimmer profile. Learn more about neck lifts so you can decide if this common procedure is right for you.

Who’s a Good Candidate for a Neck Lift?

A cosmetic surgeon can make treatment recommendations based on your specific goals and needs. All of those options should be considered before creating your treatment plan.

There are a number of options available today, from minimally invasive techniques, such as Botox®, Kybella® injections and dermal fillers, to more traditional neck lift surgery. While less invasive techniques may work well for most, neck lift surgery will likely provide more dramatic and permanent results for common problems like double chin, neckbands and sagging jowls.

If you’re in good health and want to improve the profile and appearance of your neck, you may be a good candidate for surgery.

Does Having a Neck Lift Mean I Also Need a Facelift?

The answer depends on your unique anatomy. Most of the time, patients can address their necks without making any changes to their face at all. Simply tightening the muscles and removing excess skin can effectively create a new profile along your jawline.

What Happens During a Neck Lift?

While a neck lift can usually be done as an outpatient procedure, the surgery can take several hours. During the procedure, your surgeon will make several small incisions, which will depend in large part on how much skin and muscle needs to be tightened or removed. These incisions are generally not noticeable and will be carefully placed by your surgeon for minimal scarring. Your incisions may be placed:

  • Along your hairline
  • Around your ear
  • Under your chin

Your surgeon will discuss where your incisions will be placed prior to your surgery so you know exactly what to expect.

How Long Will It Take Me to Recover From a Neck Lift?

After a neck lift, you can expect a recovery period of about two weeks. There will be some bruising and swelling along the front of your neck and behind your ears during the first week post surgery. Your sutures will likely be removed in the first week as well – between 7 and 10 days after surgery.

How Can I Improve Recovery After a Neck Lift?

It’s important to follow your surgeon’s instructions after your neck lift to ensure successful results and a healthy recovery. Your doctor and care team will share specific instructions to follow after your surgery. These may include:

  • Asking someone to stay with you during the first 24 hours after your surgery to help you rest and recover
  • Having a supply of gauze and towels to change any bandaging as directed by your surgeon
  • Keeping your head propped up in a comfortable position to promote circulation and reduce swelling
  • Taking at least one week off from work to help your body rest and recover
  • Using ice packs to reduce swelling
  • Wearing loose, comfortable clothing that can be easily pulled over your head or unbuttoned

Neck lifts are generally safe but, as with any surgery, carry certain risks of side effects. Contact your doctor immediately if you develop a low-grade fever or have unusual bleeding or swelling along your incisions.

Emory Aesthetic Center

The Emory Aesthetic Center has expert surgeons experienced in cosmetic procedures, including neck lifts and facelifts. We’ll evaluate your needs, discuss your goals and guide you toward techniques that will offer you the best results. Contact us today to schedule a consultation and speak to a surgeon about the approach that’s right for you.

About Dr. Miotto

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.

Understanding Fat Grafting: Is It Reliable?

With the New Year upon us, many will resolve to exercise more or start a diet in order to lose those excess pounds or fat we’ve accumulated over the years. Too much fat in the wrong place leads to a flabby tummy, ‘love handles,’ full thighs, a fatty neck, etc. But fat isn’t always a negative thing. In fact, in the right amount, fat makes our face have a youthful richness, helps give fullness to a woman’s breast, and produces a youthful, round bottom. With fat, just like real estate, it’s about location, location, location.

At the Emory Aesthetic Center, we offer a technique called autologous fat transfer or fat grafting to help improve appearance, address early aging, and just make you feel better about yourself. Below are some common questions to help you make an informed decision if you are considering undergoing this type of procedure.

What is Autologous Fat Grafting?

Fat grafting is a relatively new technique that is growing in popularity each year due to the beautiful, natural results it produces. A fat grafting procedure transfers fat from areas in which you have excess fat, and injects it into areas that may be lacking in volume. People who are dissatisfied with the volume and contour of the buttocks, face, hips, breasts, or abdomen can have their own fat transferred to these areas, improving the appearance of both areas in the process.

What are the Common Areas on the Body for Fat Grafting?

The most common areas for fat transfer are the face, breast, buttocks and hands. In the face, fat transfer can be done alone or combined with chemical peels or excisional techniques such as a facelift. Fat is typically placed in the cheeks, nasolabial folds (smile lines), and even hollowed temples. Very little volume is needed to improve these deficient areas. Fat can also be used instead of implants to augment the breast or buttocks. These procedures require larger volumes of fat grafts and in some cases, require more than one surgical stage to get the desired result.

How is a Fat Graft Performed?

First, the fat has to be harvested and depending on where we are planning to graft the fat, the harvesting method is different. For the eyelids or face, we use tiny little cannulas or tubes to remove the fat. For areas such as the breast and buttocks, the tubes are much larger. The second step involves preparing the fat. Generally we use a sieve or strainer so that the supernatant fluid – the clear fluid that separates from the fat after the settling – is drained and the fat itself is left for grafting. That fat, we call micro-fat. The fat is then carefully injected in multiple tissue planes of the targeted area so that it receives plenty of oxygen and nutrients so it can develop a new blood supply. The fat that survives provides the soft tissue volume to address areas of need. The fat that does not survive is absorbed.

How Reliable are Fat Grafts?

The most challenging part of fat grafting is the ability to predict how much of the grafted fat the tissue will take. How much do we inject? How much will be retained? Because it is much easier and more convenient to reinject than it is to remove over-grafted fat, I tend to over correct by a very small amount, about 20 to 30 percent, knowing that not all the grafted fat will take. With experience, a qualified cosmetic surgeon will know that within his or her hands, how much of that fat will survive, so it’s less likely that a patient will have to come back for a second time of re-grafting.

Emory Aesthetic Center

If you look in the mirror, and see fat that you wish were somewhere else, fat grafting may be a great procedure for you. Come meet with one of the expert cosmetic surgeons of the Emory Aesthetic Center. We can discuss your goals and see if fat grafting alone or in combination with other procedures is right for you.

About Dr. Nahai

Foad Nahai, M.D., F.A.C.S., Maurice J. Jurkiewicz chair in Plastic Surgery and Professor of Surgery at the Emory University School of Medicine, has taught for over forty years. He is certified by the American Board of Plastic Surgery where he served as a director of the board for six years.

Not only Dr. Nahai’s patients, but also his peers, benefit from his incomparable wealth of experience. His contributions to the field of plastic surgery make him a highly sought-after presenter, both domestically and internationally. He has developed and implemented many procedures, some of which he has been invited to demonstrate live.

 

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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.