Emory Aesthetic Center

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.

Enhancing Your Lips: Lip Fillers or Lip Augmentation

lip-augmentation-imageYour lips are as unique as your face. Lip shape and volume play an important role in overall facial aesthetics. Today, full, sensual lips are considered the aesthetic ideal, hence the popularity of lip augmentation procedures. But even if you have naturally full lips now, they will change as you age – making it a concern for most women at some point in their lives.

When we’re young, our lips are full, edges are crisp and only the tiniest lines are evident when we smile or frown. As we age, our lips tend to get thinner, the edges soften and permanent vertical lines are set.

Lip augmentation (aka, lip enhancement) procedures are very popular and are designed to highlight original lip features or to improve the shape, the volume and the hydration of the lips. The vertical lines that appear on the skin around the lips can also be erased without changing the lip volume.

Injectable dermal fillers for lip augmentation

Hyaluronic acid fillers and fat are the most commonly used products to enhance the lips and surrounding skin. These products are injected with precision and the results look very natural — providing instant volume and contour to lips that lasts for several months. Because the effects are temporary, lip fillers are often used for special occasions — such as weddings or other important life events — or for experimenting with a new look.

Specific brands of hyaluronic fillers have specific uses in lip enhancement. Some lip fillers will bring more volume to your lips, enhancing them for a sensual youthful appearance. Other lip fillers have a softer affect, improving your lips’ shape and easing dryness with less volume.

Your aesthetic surgeon must select the correct lip filler to achieve your goals and to prevent lumps and irregularities. Our surgeons offer years of experience in lip enhancement and will advise you on the specific product that best suits your goals.

If you and your surgeon decide an injectable filler is right for you, the procedure will be done in your surgeon’s office. You’ll be given local anesthesia in the form of an anesthetic cream or shot to numb your lips and the surrounding soft tissues. The lip filler will be injected just under your skin with needles or blunt cannulas, and usually, takes 30 minutes.

Swelling and minor bruising are common after lip injections. Icing the areas help speed up the recovery and help improve any further discomfort. Your results are immediate and typically last about 6 months.

Fat transfer for lip augmentation

Fat is also used as a natural filler and can be injected into the lips. Small amounts of fat can be taken from your hips, stomach or thighs in a separate procedure. Once it’s purified, it can then be used as a lip filler to improve the volume and shape of your lips, and smooth mouth lines. Several recent studies have shown that injected fat has added benefits – as it improves skin quality and texture.

During the first few months after injection, the lips will absorb some of the fat cells, so the results are somewhat unpredictable. However, the volume that remains is permanent.

In many cases, two procedures are required. The fat is first harvested from your body and purified for the implant process. Then, the fat transfer is performed in a second procedure. (Some surgeons choose to combine both steps in one appointment).

Both procedures will be in the surgeon’s office under local anesthesia. The fat harvesting takes only a few minutes. The fat transfer usually takes 45-60 minutes. As with any other lip filler, it’s common for bruising and swelling to occur.

Is it time for lip augmentation?

If your face doesn’t match the youthful energy you feel, it may be time to talk with a doctor about lip augmentation. Contact the Emory Aesthetic Center to schedule a complimentary consultation with one our expert cosmetic surgeons.

Make an appointment

To make an appointment, use the link below or call 404-778-6880 to schedule a personal consultation.

Schedule and appointment

 

 

Tummy Tuck without Drains

Tummy Tuck without Drains Tummy tucks (abdominoplasty) have increased in popularity over the past two decades. And, according to the American Society of Plastic Surgeons, more than 130,000 are performed yearly. Certainly, today’s emphasis on fitness plays a role. One of biggest procedural breakthroughs is the elimination of tummy tuck without drains. No-drain tummy tucks translate to a speedier — and easier — recovery.

What are drains?

Surgical drains are soft plastic tubes used to remove fluids that can build up after a surgical procedure.

A section of the tube (drain) stays inside your body at the surgical site and comes out through a small incision. The fluids empty through the drain into a collection bulb.

In traditional abdominoplasty, one or two drains are used and must stay in place anywhere from three days to two weeks or more. If you have drains after a tummy tuck, they require care — you’ll need to empty the bulb and record the amount of drainage.

What then instead of drains?

In some instances, drains may still be necessary. But, for many people, a newer technique called Progressive Tension Sutures (PTS) can be used instead. This technique is similar to standard abdominoplasty, except it uses special stitches instead of drains. The stitches close off the space between the abdominal fat pad and the muscle and help prevent fluid from accumulating.

What are the benefits of PTS with a tummy tuck without drains?

Progressive Tension Sutures are proven to be highly effective. In one study of nearly 600 patients with these sutures, only one needed to have fluid removed after surgery. In comparison, typically 5 to 30% of patients with drains develop fluid collections that require care. So not only does PTS eliminate the need for drains, but it also does a better job than drains at keeping fluids from building up in the first place.

Progressive Tension Sutures tend to result in a more comfortable recovery and less scarring. This technique is commonly combined with long-lasting local anesthetic blocks. The blocks can reduce some initial surgical discomfort after abdominoplasty and make it easier for patients to be up and walking. The blocks can also lessen the need for narcotic medication, which means fewer potential side effects like nausea and constipation.

Emory Aesthetic Center for your abdominoplasty

If you’re considering a tummy tuck without drains, contact the Emory Aesthetic Center to schedule a complimentary consultation with one our expert cosmetic surgeons.

Request an Appointment Now 

Or call us at 404-778-6880 to schedule your complimentary personal consultation.

Target Stubborn Fat with Liposuction

miotto-gabriele-caceres-liposuctionYou cleared out the bulky sweaters and brought in shorts and flip-flops with a smile. But did you hesitate before you put your favorite bikini back in the closet? The truth is you may be at a healthy weight — downright skinny even — and still have areas of localized fat that won’t go away no matter how hard you work out. Those stubborn fat deposits that don’t respond to diet and exercise are ideal target areas for treatment with liposuction.

What is liposuction?

Liposuction (also called lipoplasty or lipectomy) is a safe and proven procedure that allows your surgeon to permanently remove unwanted fat from your innermost layer of skin and sculpt a slimmer, curvier physique.

During the procedure, your surgeon will insert a hollow instrument (cannula) through small incisions. With a controlled back-and-forth motion, the excess fat is dislodged and removed from your body.

Different surgical techniques are available and use slightly different methods for removing the fat once it’s loosened. Your surgeon may use traditional vacuum-assisted, power-assisted or ultrasound-assisted liposuction. Only a surgeon can help you decide which technique is right for you.

Liposuction can be done under local or general anesthesia depending on the areas being treated. It’s an outpatient procedure, so you can go home the same day of surgery. Since there are minimal incisions, patients usually recover quickly. Some bruising and swelling are common, but you can usually return to work and daily activities after a few days.

Which parts of my body can be treated?

Liposuction can be used for contouring almost any area of the body. Most commonly, your:

  • Stomach
  • Waist Line (“love handles”)
  • Arms
  • Thighs

But it can also be used to sculpt your neck, remove a “double chin” or reshape your breasts. The results can be dramatic, creating sleek and slim contours in the treated areas. You may even be able to have multiple areas treated in a single surgery, as long as your surgeon agrees it’s safe to do so.

Liposuction can be done by itself or in combination with other procedures to improve the overall result, such as a tummy tuck. When performed in combination with another procedure, the fat that’s removed is kept sterile and often transferred into your buttocks or breast for augmentation and reshaping of those areas, if desired. The fat can also be used on your face to treat fine lines and wrinkles. This type of procedure is called a fat transfer or fat grafting. Fat from liposuction is a natural, biocompatible and non-allergenic filler.

Am I a good candidate for liposuction?

There are a few things to consider with your doctor when deciding if liposuction is right for you:

  1. Are you at a healthy and stable weight? Liposuction isn’t a weight loss solution and if your weight fluctuates, your results won’t last.
  2. Are you in good general health? As with any other surgery, you must be in good general health before surgery is considered safe for you.
  3. Do you have good skin elasticity? Your skin must be able to retract (bounce back) once the unwanted fat is removed.

Schedule a consultation

Liposuction is a sound and effective way to help you get your body reshaped and bikini ready. Schedule a complimentary consultation with one of our expert cosmetic surgeons at the Emory Aesthetic Center.

Request an appointment

Or call us at 404-778-6880 to schedule your free personal consultation.

Types of Dermal Fillers – Benefits and Risks

Dermal FillersThe world of facial injectable treatments can be overwhelming with all the options seen in print and TV ads. New injectable materials seem to come out almost weekly. Here is a run-down of the dermal fillers we most often use, where we use them, and some common side effects.

Hyaluronic Acid (HA)

The most frequently used dermal fillers are made of a material called hyaluronic acid (HA). Hyaluronic acid is a chemical structure found in our bodies — so most individuals tolerate the filler well, without side effects. The chemical structure of the molecule can be processed in different ways, giving us the ability to manipulate the thickness, the amount of volume and the longevity of the effects on your skin.

This versatility is important because, depending on your particular area of concern, you may desire one benefit of the treatment over another. For example, you may desire additional volume and want the treatment to last a long time, but not need fine lines to be treated. On the other hand, you may desire smoker’s lines around the mouth to be improved, but not want a lot of volume or swelling in the mouth area.

Hyaluronic acid fillers come packaged in a variety of forms: Juvederm, Volbella, Juvederm Ultra Plus and Voluma, Restylane, Restylane Silk, Restylane Refyne/Defyne, Lyft and Belotero. Your facial cosmetic surgeon will recommend the use of particular kinds of HA fillers based on the treatment area, as well as your desired outcome, preference, and experience.

Side Effects of HA

Hyaluronic acid is a water-loving (hydrophilic) product, which means one expected side effect is swelling. The degree of swelling experienced after HA treatment varies. You’ll most likely experience swelling on the first day after injections, with a drastic reduction after that.

Follow these tips to help reduce swelling during the first day and night after facial injections:

  • Keep your hands off the area injected
  • Keep your head elevated while resting and sleeping
  • Limit alcohol and salt intake
  • Use cold compresses on the affected area

Rarely, patients are hypersensitive to this product and can exhibit an allergic response. If you experience any significant swelling, itching or redness at the injected areas, you should contact your surgeon. The biggest benefit to HA fillers is that with another enzyme injection, they can be dissolved, making this filler reversible.

Other Types of Dermal Fillers

Although HA fillers are the most common, other fillers may be useful for specific treatment areas:

Artefill

Permanent fillers, such as Artefill, can be helpful for areas with deep folds and are unlikely to change dramatically over time, such as the lines from the nose to the mouth (called nasolabial folds). The downside to permanent fillers is that if there is a reaction or a less than desirable result, the process is not reversible.

Radiesse

Radiesse is a temporary thickener made of a material called calcium hydroxyapatite. It’s longer lasting than HA fillers, and not dissolvable.  Your plastic surgeon may recommend Radiesse for deeper injection areas such as the lines from nose to mouth (nasolabial folds), cheeks and deep temple injections. One risk of using Radiesse is possible injection into a blood vessel, which can affect blood supply to a specific area of skin, causing serious complications. In some cases, Radiesse injection made too close to the skin can cause lumpiness under the skin. When used correctly, however, this filler can be very beneficial for reducing deep folds and providing volume.

Sculptra

Sculptra is collagen-stimulator filler intended for patients who need to gradually increase volume in larger areas. Before injection, Sculptra is hydrated with water for 48 hours. It’s then injected in small doses throughout the tissues under the skin in the treatment area. You can expect it to take between three to six weeks to see full results. Benefits include a more natural-appearing result and gradual increase in volume rather than abrupt change. The downside is that results can take several months to become apparent.

Which Dermal Filler is Right for You?

A board-certified facial plastic surgeon with experience treating the face can help you determine the best derma filler treatment for your most bothersome areas. The best filler product will depend on the area of concern, the depth of the issue and the thickness of the material. The experienced cosmetic surgeons at Emory Aesthetic Center have years of experience with fillers and individual preferences based on those experiences. Feel free to ask questions, return for a second discussion or look at photos to help you make your decision. Ultimately, our goal is ensuring your best result.

Request an appointment

Your Body Contouring Questions Answered!

Body Contouring Options - Non-surgical & Surgical On March 28th, 2017, Emory Aesthetic Center plastic surgeon, Dr. Gabriele Miotto held an informative live chat on body contouring. With summer coming, many want to know how to improve the shape of their body and tighten excess or loose skin. Dr. Miotto discussed both non-surgical and surgical options – including CoolSculpting, liposuction and tummy tucks.

The live chat had a great turnout and is now available online.

Body Contouring Live Chat, 3/28/17

[Mar 28 2017, 11:48 AM] EmoryHealthcare: We are starting the live chat in 14 min. Are you, guys, ready? We see a few people online waiting and we are ready for your questions. Dr. Miotto is so excited to help all our guests today!

[Mar 28 2017, 12:00 PM] EmoryHealthcare: Welcome everyone! Thanks for joining us today for our web chat about
Body Contouring with Dr. Gabriele Miotto of Emory Aesthetic Center.

[Mar 28 2017, 12:02 PM] EmoryHealthcare: We’ll get started in just a minute. Dr. Miotto is here to answer all of your questions!

[Mar 28 2017, 12:05 PM] EmoryHealthcare: Please note that all questions are moderated before appearing in the stream, so you may not see yours appear right away, but we will do our best to answer all of your questions today.

[Mar 28 2017, 12:06 PM] EmoryHealthcare: We received some questions that were submitted in advance of the chat, so we’ll get started by answering a few of those first.

[Mar 28 2017, 12:08 PM] EmoryHealthcare: Lynn asked: “I am 5’10” and 126lb. I look skinny but have severe cellulite. I’m embarrassed to wear a bathing suit. What do you recommend?”

Dr. Miotto: If there is no weight issues, cellulite can be improved by localized leg exercising and changing your diet (no sugar, low carbohydrates, etc). Healthy life habits always improve the skin overall. Lymphatic drainage massage can have some beneficial effect if there is fluid retention in the tissues.

If the dimpling is very severe, we can perform a procedure

[Mar 28 2017, 12:11 PM] EmoryHealthcare: Anna asked: “Are there any changes to my diet that I can make to reduce my cellulite?”

Dr. Miotto: Low sugar diet can help with cellulite. If you are overweight, weight loss associated with exercise also improve the quality of skin.

[Mar 28 2017, 12:14 PM] EmoryHealthcare: Sydney asked: “Do sleep and the level of stress I have affect my weight?”

Dr. Miotto: A good night sleep is very important for balancing the body functions. It helps the body produce its hormones and can definitely affect your weight. When stressed, we tend to eat more and not to pay attention to the quality of the food we eat, so it can promote weight gain.

[Mar 28 2017, 12:22 PM] EmoryHealthcare: Tina asked: “After having two babies, I have a lower abdominal pooch that just won’t go away with diet and exercise. I’d love to get back into my bikini. What can I do?”

[Mar 28 2017, 12:22 PM] EmoryHealthcare: Dr. Miotto: After having babies, the abdominal pooch is usually caused by fatty deposits, skin laxity or muscle laxity, or even a combination of those. During the consultation, we can determine the main cause of the pooch and decide between the different procedures we do which one will be best for you. Options include liposuction, tummy tuck, Coolsculpting or a combination of them.

[Mar 28 2017, 12:23 PM] EmoryHealthcare: Tatyana asked: “I am unhappy with my stomach. I am considering liposuction. What is the recovery like?”

[Mar 28 2017, 12:23 PM] EmoryHealthcare: Dr. Miotto: Recovery depends on the amount of liposuction that we need to do but usually patients go back to work in 5-7 days.

It is common to have tenderness for the first 48-96 hours that responds well to pain medications. A postoperative compression garment is also recommended for a couple of weeks to help with healing. Mild bruising and swelling can last for a few weeks so plan to do the procedure at least 4 weeks before going to be beach

[Mar 28 2017, 12:25 PM] EmoryHealthcare: Caroline asked: “I like to eat fruit for dinner. Like bananas and grapes. And oranges. Does this habit contribute to my weight gain?”

[Mar 28 2017, 12:26 PM] EmoryHealthcare: Dr. Miotto: Weight gain can have many factors.

Eating fruits at night could contribute to weight gain. Sweet fruits like bananas, grapes, oranges have a high fructose content that functions as sugar in the body. Think about sweet fruits as desert and start your dinner with vegetables and legumes instead to balance your diet and reduce the sugar content of your overall intake.

[Mar 28 2017, 12:26 PM] EmoryHealthcare: Maria asked: “When I wear a dress, it looks like I have a muffin on my belly. I don’t like being in pictures because of it…. How can you help me?”

[Mar 28 2017, 12:28 PM] EmoryHealthcare: Dr. Miotto: Fatty deposits in the abdomen can look like a “muffin top”. Depending on your skin laxity and muscle tone it is possible to remove the extra fat with liposuction or a tummy tuck. Non-invasive fat removal using Coolsculpting could also be an option in some cases.

[Mar 28 2017, 12:33 PM] EmoryHealthcare: Kara asked: “When would one consider a tummy tuck over lipo?”

[Mar 28 2017, 12:33 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you.

[Mar 28 2017, 12:33 PM] Guest5387: what exactly is cool sculting

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Dr. Miotto: CoolSculpting® is an FDA approved treatment that works without surgery, needles, or anesthesia.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: The procedure cools and freezes unwanted fat—without damaging surrounding tissues.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Once the fat has been frozen and crystallized from the treatment, the body will slowly break down the unwanted cells and dispose of them, resulting in gradual fat loss following the treatment.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Most patients start to see results within about three weeks, with final results becoming apparent within 1-3 months after treatment.

[Mar 28 2017, 12:37 PM] EmoryHealthcare: Great question, @Guest5387! Thank you.

[Mar 28 2017, 12:39 PM] EmoryHealthcare: Kelly asked: “I want to add some fullness to my bottom. What are my options?”

[Mar 28 2017, 12:39 PM] EmoryHealthcare: Dr. Miotto: A great option to add fullness to the bottom area is by transferring your own fat into the buttocks. Fat is removed from areas like abdomen, waist line, tights or back using liposuction. Then, the fat is prepared as a filler and reinjected into the buttock to increase the volume and improve the shape of the area.

[Mar 28 2017, 12:41 PM] Guest8698: Do you recommend waist training?

[Mar 28 2017, 12:41 PM] EmoryHealthcare: Great question, @Guest8698!

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Dr. Miotto: That is an option for body shaping but the effects are not reliable for long term improvement. It also depends on your weight, initial body shape and exercising.

[Mar 28 2017, 12:42 PM] Guest7903: What procedures do you recommend for men?

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Thank you, @Guest7903!

[Mar 28 2017, 12:42 PM] EmoryHealthcare: Plastic surgery procedures can be done for men and women alike. Liposuction, tummy tucks and Coolsculpting are frequently used to improve body contouring in men of all ages.

[Mar 28 2017, 12:43 PM] EmoryHealthcare: @Guest7903, that was a response from Dr. Miotto 🙂 Thanks 🙂

[Mar 28 2017, 12:45 PM] Guest2220: Where can I see a full list of of the services Dr. Miotto offers?

[Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, Dr. Miotto does all of the facial and body contouring procedures available on the Emory Aesthetic Center’s website page here: http://www.emoryhealthcare.org/centers-programs/aesthetic-center/index.html

[Mar 28 2017, 12:46 PM] EmoryHealthcare: @Guest2220, thanks for the great question 🙂

[Mar 28 2017, 12:47 PM] Guest8162: I’m a male with just enough fat below the bellybutton to bother me. A friend who’s had cool sculpting said it didn’t work. Do you recommend another type of non-invasive procedure?

[Mar 28 2017, 12:48 PM] EmoryHealthcare: @Guest8162, Dr. Miotto says: Unfortunately, there is no other non-invasive fat removal procedure that is effective. I would recommend a small liposuction. When the fatty deposits are small it can safely be even done under local anesthesia with a light sedation or even under straight local anesthesia.

[Mar 28 2017, 12:49 PM] Guest950: Sorry if this was already asked, but do those heat based non surgical procedures work and do you recommend them?

[Mar 28 2017, 12:50 PM] EmoryHealthcare: @Guest950, Dr. Miotto is asking if you could please clarify which ones you are including in your question. Thank you.

[Mar 28 2017, 12:52 PM] EmoryHealthcare: We are so excited about your questions, everyone! We have 9 min left and 3 questions are now being answered by Dr. Miotto, so they will be posted in a minute. Please submit your question asap if you’d like her to answer them. Thank you 🙂

[Mar 28 2017, 12:52 PM] Guest950: I think it’s called thermage?

[Mar 28 2017, 12:53 PM] EmoryHealthcare: Thank you, @Guest950, Dr. Miotto will answer in just a second 🙂

[Mar 28 2017, 12:55 PM] EmoryHealthcare: We have 2 questions’ answers coming and you have 6 min left to ask yours 🙂

[Mar 28 2017, 12:56 PM] Guest761: Can I get body contouring after bariatric surgery?

[Mar 28 2017, 12:56 PM] EmoryHealthcare: Very good question, @Guest761!

[Mar 28 2017, 12:56 PM] EmoryHealthcare: @Guest761, Dr. Miotto said: “Absolutely! There are several procedures that can be performed to treat the extra skin and fat that remains after massive weight loss.”

[Mar 28 2017, 12:57 PM] EmoryHealthcare: Bella asked: “When would one consider a tummy tuck over lipo?”

[Mar 28 2017, 12:58 PM] EmoryHealthcare: Dr. Miotto: Liposuction does not treat skin or abdominal muscle laxity, it only removes fat. So if there is an association of fatty deposits with skin laxity and/or muscle laxity a tummy tuck is the right procedure for you.

[Mar 28 2017, 12:58 PM] Guest2220: Does Emory offer financing for procedures?

[Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest2220, we do offer financing through Care Credit https://www.emoryhealthcare.org/centers-programs/aesthetic-center/become-a-patient/index.html

[Mar 28 2017, 12:59 PM] EmoryHealthcare: @Guest950, Dr. Miotto said: Heat based procedures were designed to improve skin laxity of the face and body. They have some effect for mild laxity, mostly on the face and neck, but not a consistent effect for body skin laxity. They are not effective devices for fat removal.

[Mar 28 2017, 1:00 PM] EmoryHealthcare: That’s all the time we have for today. Thanks so much for joining us! As we mentioned, we’ll follow up with a blog post to answer any questions we didn’t get a chance to address today.

[Mar 28 2017, 1:01 PM] EmoryHealthcare: Thanks for your questions. Have a great day, everyone!

[Mar 28 2017, 1:02 PM] Guest950: Thanks for your time

[Mar 28 2017, 1:02 PM] Guest3275: thank you!

[Mar 28 2017, 1:02 PM] Guest5784: It says Dr. Miotto explores cutting edge technology. are there any techniques or procedures she uses that haven’t been mentioned?

[Mar 28 2017, 1:02 PM] FSUnole755: I’ve seen advertisements to Cool Sculpting and it seem like everyone is doing it. Should I be selective on choosing a person to do body contouring?

[Mar 28 2017, 1:03 PM] EmoryHealthcare: All unanswered questions will be answered in a followup blog. Thanks, everyone and enjoy the rest of your day!


About Dr. Miotto

Dr. MiottoDr. Miotto is constantly exploring cutting edge technologies to provide the best available options to her patients. She has published and presented on aesthetic plastic surgery in many national and international meetings. Her main interests include body contouring, facial rejuvenation, eyelid surgery, rhinoplasty, aesthetic breast surgery and fat grafting.

After completing medical school under a full academic scholarship at the prestigious Federal University of Rio Grande do Sul, Dr. Miotto trained at the Hospital de Clinicas and at Santa Casa in Porto Alegre, Brazil. She also received additional training at Emory University and completed a fellowship in Aesthetic and Oculoplastic Surgery with Dr. Clinton McCord and Dr. Foad Nahai at Paces Plastic Surgery in Atlanta. She is a “Membro Titular” of the Brazilian Society of Plastic Surgery, the highest level of credentialing for board-certified plastic surgeons in Brazil.

Dr. Miotto is committed to providing excellent care to her patients. She has a passion for restoring and enhancing beauty through surgical and non-surgical cosmetic procedures of the face and body.

Improve the Appearance of Your Neck With or Without Surgery

Weakened muscles and sagging skin under your chin, otherwise known as “turkey neck,” is one of the most common complaints I hear from patients. The neck is an area that often changes significantly with age — starting as early as your 40s. Despite weight loss and good skincare routines, many men and women are unhappy with the appearance of their neck and are determined to find a way to improve it.

Treating aesthetic neck issues

Aging in the neck takes on multiple forms, and each may require different treatments. Every person is anatomically and texturally unique, so what works for your friend may not work for you. It’s important to have an in-depth discussion with a reputable cosmetic surgeon to determine what solution is right for you.

Prevention is key

Prevention is the best cure. Good skincare in your 20s and 30s can certainly impact the appearance of your neck in later years. Consistently using sunscreen, avoiding tanning and regularly using Retin-A (tretinoin) on your face and neck can increase collagen production, tighten skin and remove sun damage.

Excess fat

There are several options available to treat excess fat under your chin, including:

Liposuction. Fat is removed through a small incision just large enough to accommodate an instrument narrower than a pencil. With the fat cells removed, your skin bounces back to make up for the lack of tissue. This works best in your 30s and 40s because in your 40s, your skin begins to lose its elasticity.

Nonsurgical Injections. Specific chemical agents, such as Kybella© can be injected to remove fat cells. Not everyone is a good candidate for this treatment though. The only way to know if this option is right for you is to talk to a board-certified facial plastic surgeon who can advise you based on your age, skin type and specific anatomic considerations.

Loose skin

Loose skin is the most challenging aspect of rejuvenation. For decades, we’ve been searching for the ideal tool for nonsurgical skin tightening — but so far nothing matches the long-term results of surgery.

Neck lift. Surgical neck lifting (or face lifting) is the most predictable, safest and longest-studied form of neck rejuvenation. If you’re older than 45 and you have loose skin, excess fat, or looseness or prominence of the bands of muscles in your neck, a neck lift may be the right option for you.

Through a small incision just beneath your chin, liposuction can be performed to lift the skin and contour the area under your neck. Then, the skin of your neck is lifted through incisions behind your ears and just into your hairline, and the underlying muscle is tightened. This allows the skin to be re-draped and excess skin to be removed.

The goal of plastic surgery is to turn the clock back a few years, not stop it. After a neck lift, you’ll continue to age and regain some looseness over the course of three to five years. However, you’ll always look better after having undergone a lift than if you had not.

Damaged skin

Many people overlook the skin texture of their neck. Sun damage accumulated over years can be treated with methods such as peels and light laser treatments. These can be performed in a medical spa under the guidance of a medical aesthetician or doctor. They require little downtime and are less expensive than other treatments, especially when started early.

If you have a lot of sun damage, a heavier laser treatment may be needed to kick-start significant improvement. Fractionated CO2 laser treatments can be performed under local anesthetic to improve sun damage, stimulate collagen and smooth (maybe even somewhat tighten) your skin over time. It will not give the same tightening results as surgery, but in cases where sun damage is the true culprit, it can make a significant improvement.

Emory Aesthetic Center

If you’re ready to turn back time and improve the appearance of your neck, come talk to the expert cosmetic surgeons at Emory Aesthetic Center.

How to Heal After Plastic Surgery

You may love what plastic surgery can do to enhance your appearance and self-esteem, but nobody looks forward to the recovery after plastic surgery. You may fear the pain of surgery or the temporary limitations on your normal activities like working, exercising or caring for your kids.  Fortunately, there are new strategies and surgical techniques that offer less pain and a quicker recovery.

Breast Implants or a Lift: Which is Right for Me?

It’s not uncommon for women to feel dissatisfied with their breasts. Whether your breasts didn’t develop as you’d hoped or you’re unhappy with changes from aging, pregnancy or weight loss, there are many options for helping you achieve a breast size and shape you can enjoy.

First, Pinpoint the Real Issue

Zeroing in on which aspect bothers you — your breast volume or position — will help you choose the best procedure(s) to get the results you want. And, it’s not always as straightforward as it sounds. For example, you can’t assume you need to add volume if your breasts don’t project like they used to, even after extreme weight loss. A breast lift could very well give you the look you want.

So how do you pinpoint the real issue? I make this simple suggestion to all my patients to help determine if they’re truly unhappy with the size of their breasts:

Lift your breasts up or wear your favorite bra in front of a mirror and ask yourself, “Do I like the size of my breasts now with this additional support?”

If so, you’ll probably be happy with the results of a breast lift. But if you feel your breasts are too small even when lifted, you’ll likely want implants.

Now, Choose the Right Procedure For You

 Determining which type of procedure will achieve the best results, implants or a lift, can be confusing. But now that you’ve narrowed the issue down to size or position, you can make a better decision about which procedure you want.

Breast implants add volume and may give a subtle lift, but not enough to combat significant drooping.

If you’re happy with your size, but want a ‘perkier’ look, a breast lift can be the answer.

A Dual Procedure

If you’re unhappy with your size and have a significant amount of drooping, you’ll likely want a dual procedure — breast implants and a breast lift at the same time — to get the shape you desire. Since two things are happening at once during this dual procedure, it does require some surgical finesse. So, it’s important to have an experienced and skilled cosmetic surgeon. In my experience, women with smaller breasts tend to have better and more predictable results from the dual implant and lift procedure than women whose breasts are larger. With larger breasts, there’s an increased possibility the lifted breast tissue may droop from the implant over time.

A Staged Approach

If you’ve chosen to get implants, but aren’t sure if you want a lift too, you might consider a staged approach. With this strategy, you get your implants first and see if you like your results. If you’re satisfied, you saved yourself from an unnecessary procedure. If you’re not satisfied, you can choose to get a breast lift later. The drawback is if you decide you need the lift after all, you’ll have to endure two surgeries and two recovery periods instead of one.

A Word of Caution

Some women (and the occasional cosmetic surgeon) will push for very large implants to get more of a lifting or filling effect to the breasts without having a breast lift. I’ve seen many women over the years with overly augmented breasts who still feel their breasts aren’t as perky as they’d like. These women then need both a breast lift and a downsizing or removal of their implants to get to their desired look.

Emory Aesthetic Center

Emory Aesthetic Center has years of experience helping women achieve their ideal breast size and shape. As part of Emory, we are one of Atlanta’s most trusted names in health care. If you’re considering a breast enhancement procedure, but just aren’t sure which procedure is right for you, come see us for a complimentary consultation. Make an appointment using the request an appointment button below or call 404-778-6880 to schedule your personal consultation.

‘Brazilian Butt Lift’: What Exactly Is It?

Learn about the different options available for buttock augmentation, such as the Brazilian butt lift, at Emory Aesthetic Center.In Brazil, the female derriere has long been appreciated and buttock cosmetic surgery is very popular. Several techniques, often referred to as a Brazilian butt lift, currently used worldwide for buttock enhancement were developed or refined by Brazilian plastic surgeons.

“Brazilian butt lift” is a popular search term on Google, but it isn’t just one procedure. It’s a common name for several different procedures that can result in a shapelier, firmer backside. More technical terms are “buttock augmentation” or even “gluteoplasty” — which both simply mean aesthetic improvement of the buttock area.

Buttock Enhancement Options

The best option for you depends on your anatomy, shape and desired results:

Liposuction with or without fat grafting

Liposuction of the back and hip area alone (sometimes called “liposculpture”), can sculpt the body in a way that enhances the buttock without surgery. Fat from liposuction can also be used as a filler to reshape the buttock in a procedure called fat grafting or fat transfer. Fat grafting or a fat transfer involves taking fatty tissue from another area of the body using liposuction, such as the stomach, hips, or thighs, and using it to add natural-looking volume to the buttocks.

Gluteal implants

If you don’t have enough fat for grafting, placement of a silicone gel implant may be an option. The procedure involves your doctor making a cut just above the buttock crease where the implant is inserted and placed under the muscle.

Lower body lift

A lower body lift involves removal of skin and fat in the upper gluteal area (just below the waist) and can be especially helpful if you have excess or stretched skin from losing a lot of weight.
The fat your doctor removes can then be used to reshape your hips.

More important than the naming of a Brazilian butt lift, as liposculpture or as gluteoplasty is to make sure that your surgeon knows how to match the right procedure to the right candidate. A good assessment of your body’s anatomy, skin quality and fat distribution is crucial to determine the right combination. The highly skilled team at Emory Aesthetic Center will carefully evaluate you and help you define the best options for your body.

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