Emory Aesthetic Center

Understanding Breast Implants

While many still think of breast implants as comically large, fake-looking breasts, they couldn’t be further from the truth. Today, breast enhancement is highly customizable, allowing you to decide the size, shape and projection you want. If you’re considering breast augmentation, understand your breast implant options so you can make the decision that is right for you.

What You Need to Know

Consider choosing a qualified plastic surgeon as your first step, rather than your last. Involving them early in the process can help you understand the process, and get the results you want. Your plastic surgeon will review the aspects of implants with you, explain your options and provide you with the best recommendation to great the results that you want.

Filler Material

Implants can be filled with either silicone gel or saline (salt water). But the vast majority of implants are made with silicone since it has cohesive properties which help your implant look, feel and move more like natural breast tissue.

There was some controversy about the safety of silicone gel implants in the early 1990s. However, after many years of study in thousands of women, silicone gel breast implants have been confirmed safe by the U.S. Food and Drug Administration (FDA). For those who prefer saline implants, recent improvements (adding internal baffles) have made them feel more like silicone implants.

Shell Surface

The shell is the part of the implant that touches your tissue and holds the filler material. It’s made of a silicone polymer (rubber) and can have either a smooth or textured surface. A textured surface can help implants stay in place better and may reduce the risk of capsular contracture (excessive scar tissue). Which type of surface you need depends on your specific body characteristics, where in the body your implant is positioned, and the shape of your implant.

Shape

Implants don’t just come in different sizes. They also come in different shapes — “round” and “teardrop.” Teardrop implants (sometimes called “shaped” implants) can look round from the top view, or they can have a more oval shape. From the side, they have a lower portion that is thicker and projects more, while the upper part is thinner. Because there’s no up or down orientation, round implants can use either a smooth or textured shell. But because a shaped implant has to stay in the same direction (i.e., up is up), it must use a textured shell.

Projection

Whether round or shaped, implants can be made with different projections or profiles, meaning how far your breasts extend forward. Having these options means that your surgeon can help you match the right implant to the width of your breast with the right projection of your breast to give you the best results.

Size

Implant size is one of the most important choices of all. Every woman has a different goal in terms of breast size. Some want a more modest look, while others want a very large increase in size. It’s important to remember, however, that the size of a breast implant should be compatible with your body. A large, wide breast implant in a chest that is small and narrow will not look natural, and over time can stretch the breast tissue or become displaced.

Positioning

While implant positioning within the body isn’t a feature of implants per se, this is an important decision. There are two primary positioning options:

  • Subglandular augmentation — implants are placed on top of the breast (pectoral) muscle but under the breast gland
  • Submuscular or subpectoral — implants are placed under the breast gland and under the pectoral muscle

Each has its advantages and disadvantages. With a subglandular augmentation, recovery may be a bit easier the first couple of days, but the chance of capsular contracture (scarring around the implant) is significantly higher than with subpectoral augmentation.

Emory Aesthetic Center

When taking all of these different factors together, there are many combinations of implant size, shape, fill, texture, projection, and location for a given patient. A well-trained and experienced plastic surgeon can help you confirm your goals and understand your particular anatomy in order to make the best recommendation for you.

Emory Aesthetic Center surgeons are experts in breast enhancement. We’ll help you better understand your options and determine how to get the results you want. Schedule your complimentary consultation today.

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

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.

 

Lip Rejuvenation for Beautiful, Natural-Looking Lips

Cropped shot of a gorgeous young woman on a couchNothing beats beautiful lips — with great proportion, volume and shape. Since your lips are one of your most prominent facial features, they can play a large role in how you look. Unfortunately, not everyone is born with great lips. And as you age, your lips can lose their fullness. Sun exposure or smoking can also create lines on and around your lips that add years to your appearance. So, what can you do to get your lips looking great?

With all the advancements in cosmetic procedures, there seems to be a treatment for anything that bothers you. Thankfully, your lips are no exception. Whatever your reason for wanting lip enhancement, there are several treatments available that offer a variety of results. The final goal of any procedure should be beautiful, natural-looking, kissable lips.

Lip Rejuvenation Techniques

There are many options for lip rejuvenation — ranging from spa-like services to cosmetic surgery. All this flexibility gives you a great chance to get the exact results you want. Just remember that choosing the right cosmetic specialist can make all the difference.

1. Lip Enhancement with Dermal Fillers

Dermal fillers are an ideal solution for increasing lip volume, reshaping lip edges and improving fine lip wrinkles. Filler injections are nonsurgical in-office procedures performed in just a few minutes with topical anesthesia and little downtime. Hyaluronic acid fillers (Restylane®, Juvederm®) are the most commonly used fillers for lip augmentation. They’re absorbable and reversible. Since fillers are temporary, they need to be redone every three to six months to maintain optimum results.

2. Lip Enhancement with Fat Transfer

Lip augmentation uses a process called fat transfer or fat grafting. Your cosmetic surgeon removes a small amount of your body’s fat and then injects it into your lips as a “natural” filler to create fuller, plumper lips. Fat transfer requires local anesthesia, and there’s a little more swelling and bruising than with dermal fillers. This technique provides permanent results for most people.

3. Lip Enhancement with a Lip Lift

A lip lift is a procedure performed on people who have a longer and flat upper lip. Injecting fillers into long and flat lips can create the “duck lips” appearance, or an overdone look. A lip lift can improve facial aging by revealing more of your upper teeth when you’re smiling. The procedure requires local anesthesia and involves a small cut under the base of the nose. The cut is hidden in natural creases beneath the nostrils, leaving no obvious scarring.

4. Perioral Peels

Medium and deep peels are great options to improve “lipstick lines” or “smoker’s lips.” They work by removing several layers of skin around the mouth and stimulating collagen production. This technique creates a permanent improvement of skin texture and lessens deep lines.

Lip Rejuvenation Recovery

Your recovery will depend on the procedure you have done. If you had fillers injected, you can go back to your normal activities instantly with absolutely no activity restrictions. Some bruising, swelling and discomfort are common but minimal. You should feel completely normal within a few days.

As you probably expect, surgical lip augmentation requires more downtime. You can usually get back to your daily activities within a few days. Swelling and discomfort are common for about a week or two, but medication can help.

Emory Aesthetic Center

The Emory Aesthetic Center offers a full array of surgical and nonsurgical lip enhancement services. Our highly qualified staff is committed to helping you bring out your very best. Schedule a complimentary consultation with one of our expert cosmetic surgeons today.

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.

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.

Anti-Aging Skincare Tips

Your skin doesn’t have to show your age. An ounce of prevention goes a long way when it comes to skincare. Check out these easy and inexpensive ways to continue putting your best face forward.

1. Get Enough Sleep

It’s called “beauty sleep” for a reason. Getting about eight hours of sleep a night is essential for a healthy lifestyle and healthy skin. When you don’t get enough sleep, you’re likely to see dark circles or bags under your eyes. Your skin may also look puffy, washed-out or saggy. None of that sounds very youthful, does it?

Sleep deprivation also causes your body to produce more of a hormone called cortisol. If you have a high level of cortisol, it can affect your appearance and lead to serious health conditions, such as high blood pressure, diabetes, heart attack, heart failure and stroke. So, make sure you catch those zzz’s.

2. Drink Plenty of Water

Staying hydrated is important. After all, about 60 percent of your body is water. It helps your body function and plays a major role in the appearance of your skin.

Think of your skin as being like a sponge. When you fill it with water, it plumps up and all those little creases and crevices disappear. When it dries out, it gets flat and shriveled up. The same thing happens with your skin. When you’re well hydrated, your skin looks plump, dewy and fresh.

The two most common recommendations for drinking enough water are:

1. The 8×8 rule. Drink eight, 8 oz. glasses of water a day.
2. The half your body weight rule. Divide your body weight by half and drink that many ounces of water per day. For example, if you weigh 100 pounds, you would drink 50 oz. of water a day.

3. Use Sunscreen

Preventing sun damage is vital to keeping your skin looking healthy. Sun exposure can dehydrate you, cause age spots, give you “leathery” skin and, in the worst case, cause skin cancer. Wear a broad-spectrum sunscreen every day — even when you’re not outside. It may surprise you to hear that the rays that cause long-term skin damage, and possibly even cancer, can penetrate windows.

4. Apply Retinol

Even if you take great care of your skin, your cells will become damaged with age. This is where retinol comes in. Applying it a couple of times per week turns old damaged cells into new fresh ones.

And as you get older you also lose collagen. A good retinol regimen helps you retain some of that collagen to lessen the appearance of volume loss and wrinkles. Retinols come in different strengths for different skin types. So you’ll need an aesthetic partner to help design the right retinol routine for your skin.

5. Consult with a Skincare Expert

If all skin were the same, there would only be one cleanser, one beauty cream, and so on. But if you’ve walked down the cosmetics aisle of any store recently, you know that’s not the case. Just like every other part of you, your skin is unique. That’s why an individualized skin care regimen is so important.

An aesthetic partner can help you get to know your skin and what it needs. They can help you sort through the plethora of products out there and guide you to the ones that will work best for you. They can also help you navigate the changes that naturally occur as you age, and provide you with anti-aging procedure options – including both non-surgical treatments and cosmetic surgical options.

Emory Aesthetic Center Spa

The Emory Aesthetic Center Spa offers a range of services designed to improve skin health and beauty. Our non-surgical treatments can be successfully performed alone, or used to complement more in-depth anti-aging procedures, either as a skin preparation or as maintenance. Our talented, licensed aestheticians are available to help you determine which procedure or combination of procedures and products are right for you. If you’re ready to look your best, schedule a complimentary consultation with one of our licensed aestheticians today.

Take a tour of the Emory Aesthetic Center Spa.

Request an appointment

or call us at 404-778-6880.

Low Down Time, High Impact Plastic Surgery Procedures

Plastic surgery no longer means heavily wrapped faces and weeks of recovery while you hide away in your home. Today, you can choose from a wide range of procedures to help you get the results you want—and get back to the life and activities you love quickly. If you are looking to refresh your appearance in the New Year, Emory Aesthetic Center has low downtime, high impact plastic surgery options to help you look your best.

Facial Peels

Performed in a spa setting so you can relax and enjoy the experience, mild facial peels offer an opportunity to refresh and brighten your skin with very little redness or discomfort.

Medium or deeper peels can target scarring, lighten dark spots and even tighten skin. But these peels can make your skin a little red, so be sure to talk to your doctor about your activity calendar.

In-Office Procedures

In-office procedures, such as Botox© and facial fillers, are a great way to get a more youthful appearance. These procedures may cause some bruising and swelling, so it’s best to be prepared to cover up a small bruise rather than be taken by surprise.

Botox

Botox© can smooth out those pesky lines around the eyes and between the brows. It takes at least a week to start to see results, but with a little planning, you can be bright-eyed within a few days. Botox© is FDA-approved for treatment in the forehead, between the eyes and around the crow’s feet. It can also be used to elevate the corners of a saggy mouth, treat lines around the lips and even smooth a dimply chin.

Facial Fillers

Facial fillers are usually made of hyaluronic acid, a compound that’s found in our cells. They are incredibly versatile and can deliver great results with low down time.

Facial fillers can be used to add volume to the cheeks, soften lines around the mouth, bring a little more attention to the upper and lower lips or improve hollowing under the eyes. With a skilled and talented surgeon, fillers can have a significant impact on your appearance—sometimes even before you leave the office.

Eyelid Lift

The skin at the upper lids can hang and become loose over time, making your eyes look more tired than you feel. An upper eyelid lift can have a phenomenal impact.

Before an eyelid lift, you’ll get a local anesthetic to numb the eyelid area. Then, the excess skin is removed. The procedure itself takes about an hour, and delivers immediate results. This procedure does require about one week of down time though—and you will have stitches—so it’s best to plan accordingly.

Emory Aesthetic Center

Recommit to taking care of yourself in the New Year. If you’re considering a facial peel, Botox©, eyelid lift or something else, we can help. The expert cosmetic surgeons at the Emory Aesthetic Center are here to help you with a wide range of facial procedures and spa experiences to help you put your best face forward without a lengthy recovery.

About Anita Sethna, MD

Anita Sethna, MD, is double board-certified in Head and Neck Surgery and Facial Plastic and Reconstructive Surgery since 2010. She is 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. She is an accomplished expert in her primary areas of interest, rhinoplasty, and injectables. She has published book chapters on the topics of rhinology and rhytidectomy and reviewed manuscripts for the Aesthetic Surgery Journal and the Archives of Facial Plastic Surgery.

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.


 

10/3/17 Facial Rejuvenation Live Chat Transcript

If you’re considering facial rejuvenation,  Dr. Vincent Zubowicz was hand to answer questions and discuss the surgical and non-surgical solutions that are available.

The live chat had a good turnout and the transcript is now available below.

Live Chat Transcript

Oct 3, 11:57 AM
EmoryHealthcare: Welcome everyone! Thanks for joining us today for our web chat about facial rejuvenation with Dr. Vincent Zubowicz of Emory Aesthetic Center.

Oct 3, 11:58 AM
EmoryHealthcare: We’ll get going in a few minutes!

Oct 3, 12:00 PM
EmoryHealthcare: Please sign in using one of the options at the bottom of the chat and submit your questions.

Oct 3, 12:00 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 your questions today.

Oct 3, 12:02 PM
EmoryHealthcare: We’ve got an eager group today and have a few questions already in the queue, so let’s get started.

Oct 3, 12:02 PM
Guest1551 (Guest): Do you remove skin tags and brown spots from seborrheic keratosis?

Oct 3, 12:03 PM
EmoryHealthcare: These types of lesions, usually the product of aging, can be removed during an office visit using local anesthesia.

Oct 3, 12:06 PM
Guest2581 (Guest): I’ve read that there are different ways of doing a facelift – what is the best one that hides the scars the best?

Oct 3, 12:06 PM
EmoryHealthcare: There are different types of facelifts, all are planned to hide scars – but many factors are involved and we suggest a consultation to determine the best clinical approach.

Oct 3, 12:09 PM
EmoryHealthcare: During your consultation, we walk you through a gallery of images depicting the various stages of the post-operative progression.

Oct 3, 12:09 PM
Anita Korwin: Are oral collagen supplements effective and if so, which brands?

Oct 3, 12:11 PM
EmoryHealthcare: There is no clinical evidence that oral collagen supplements work.

Oct 3, 12:13 PM
Guest9448 (Guest): Seeing celebrity plastic surgery outcomes, what kind of research do you recommend so that I don’t look end up looking puffy like Madonna?

Oct 3, 12:16 PM
EmoryHealthcare: Good aesthetic surgery should be anonymous, but when it’s done improperly it tends to be noticeable.

Oct 3, 12:17 PM
EmoryHealthcare: Get plenty of opinions and make sure you see pre-and post-operative images.

Oct 3, 12:19 PM
EmoryHealthcare: You’ve probably seen many people that have had plastic surgery, but because it’s done properly, you didn’t notice it.

Oct 3, 12:19 PM
Katness1975 (Guest): Is there a procedure to correct, or advance a receding hairline?

Oct 3, 12:21 PM
EmoryHealthcare: Yes. Depending on the hair pattern there are operations to advance or move the hairline forward.

Oct 3, 12:24 PM
Guest1551 (Guest): I heard that Botox can be watered down. How can I be sure that I’m getting the best results?

Oct 3, 12:26 PM
EmoryHealthcare: Botox has become prolific and it is necessary to establish a relationship with a reputable clinic that you trust.

Oct 3, 12:27 PM
Anita Korwin: Are there any skin care product lines that you recommend for the best anti-aging benefits?

Oct 3, 12:31 PM
EmoryHealthcare: We have several skin care product lines at Emory Aesthetic Center. Our trained skin care experts would be happy to recommend a brand and/or products, such as Revision Skin Care, ZO Skin Health, among others.

Oct 3, 12:34 PM
Guest6451 (Guest): What are the best options for tightening jowl lines?

Oct 3, 12:36 PM
EmoryHealthcare: Since there is no effective way to tighten skin, any excess skin would need to be removed by some form of facelift. However, we may be able to camouflage the jowl lines using filler.

Oct 3, 12:41 PM
Katness1975 (Guest): microdermabrasion or microneedling? Which is best?

Oct 3, 12:41 PM
EmoryHealthcare: In terms of level of complexity, microdermabrasion is less aggressive – it works only on the top layer of skin, the epidermis. Micro-needling works on the epidermis and dermis layers of your skin and may be best to treat wrinkles or more difficult issues.

Oct 3, 12:46 PM
EmoryHealthcare: Emory Aesthetic Center is currently offering 20% off of a micro-needling treatment for the month of October: http://bit.ly/2yWhgwP

Oct 3, 12:52 PM
EmoryHealthcare: These questions have been great! We have time for just one more question today. Any remaining questions will be answered by Dr. Zubowic in a post-chat Q&A blog on http://advancingyourhealth.org

Oct 3, 12:55 PM
EmoryHealthcare: Q. What is the recovery like after a facelift and when can I return to work and look presentable?

Oct 3, 12:57 PM
EmoryHealthcare: Physiologically a facelift is not a stressful procedure, there is generally little pain or discomfort. Most patients will look presentable to return to work within two weeks, however, there will be outliers.

Oct 3, 1:00 PM
EmoryHealthcare: That’s all the time we have for today. Thanks so much for joining us! If you’d like to learn more or schedule a complimentary consultation to speak with one of our physicians, please call 404-778-6880 or request an appointment online: http://bit.ly/2yWhgwP

Emory Aesthetic Center

To learn more about the Emory Aesthetic Center and the treatments and services we offer, please visit our website.

or call 404-778-6880.


About Dr. Zubowicz

Doctor ZubowiczDr. Vincent Zubowicz, Clinical Professor of Surgery at Emory University, is a renowned leader in the Atlanta medical community where he has practiced for over thirty-five 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 Doctors on RealSelf, 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.

An effective communicator, Dr. Zubowicz has presented dozens of times professionally at venues such as the American Society of Plastic and Reconstructive Surgeons and the International Congress on Cleft Palate and Related Craniofacial Deformities. He has been appointed to the Plastic Surgery Undergraduate Education committee and the Aesthetic Society and Plastic Surgery Educational Foundation-Joint Grants Research Committee; in addition, he has published numerous times on topics such as Esophageal and Maxillofacial reconstruction. In 2017 he was named Top Doctor by International Association of HealthCare Professionals.

Active in charity work, Dr. Zubowicz lends his plastic surgery expertise locally to children’s clinics and volunteers globally with patients as far as Bangladesh and Ecuador. He is the married father of three daughters: Miranda, Alexandra, and Victoria.

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.