General

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.

Defying Gravity: Surgical and Non-surgical Treatments to Prevent Aging

crunchesPatients ask me all the time…”How do I fight off the effects of gravity, and do I need surgery to do that?” The good news is that we now have more tools than ever before to defy the effects of aging. In order to get the best results, it is essential to know what each tool can do, but perhaps even more importantly, what it cannot do. By picking the right tool for each area of your body – whether surgical or non-surgical – you will have a better chance to get the result you are seeking.

As we age, the loss of elasticity of our skin results in the appearance of sagging. Brows can look low, eyelids can sag, and jowls invade once beautiful jawlines. Laxity in the neck can result in drooping that is especially noticeable when looking down or in pictures taken from the side. Sagging of the breasts, technically known as breast ptosis, may result not only from aging and the effects of gravity, but from the after-effects of pregnancy and breast feeding. Pregnancy can have a profound affect on the tummy area and can lead to loose skin as well as separation of the muscles which leads to an appearance of rounding. Weight fluctuations can also have a profound effect. If you gain and loose weight frequently, and especially if you loose a large amount of weight, the laxity and sagging will be much greater, particularly contributing to laxity in the tummy and thighs.

Non-surgical treatments have a critical role in preventing aging and the effects of gravity, but when actual sagging occurs, surgery is typically the best and often only solution to get the changes you want. Currently non-surgical treatments have little capacity to tighten loose skin, particularly in the body region. But non-surgical treatments can do a wonderful job addressing wrinkles due to muscle hyperactivity (Botox®), of softening the appearance of deeper creases in the face (dermal fillers), of reducing isolated areas of fat accumulation (CoolSculpting®), and improving the texture and appearance of the skin(skin care, lasers, chemical peels).

In the face, if you really want to tighten sagging jowls, lift a droopy brow or eyelids, or to address loose skin in the neck, surgery is definitely the way to go. A brow lift can reposition the brows and help create a more open, bright look to the eyes. An eyelid lift can smooth the skin of the upper eyelid or soften the appearance of “bags” of the lower eyelid. A facelift can improve the cheek contours and reduce jowls, creating a more youthful, smooth jaw line, and a neck lift can tighten and smooth the neck. While surgery is the dominant solution for defying gravity in the facial area, there are situations where non-invasive procedures can play a role. For example, if a patient has very early jowling and isn’t yet ready for a face lift, placing fillers along the edge of the jowl and along the jawline can camouflage the appearance, although it will not “lift” it away. If a patient has lost volume of the upper cheek area, injecting the area with fillers can replace volume and give the appearance of lifting the midface.

In the facial area it is extremely common to combine surgical and non-surgical approaches to optimize your results. For instance, while a face and neck lift will help you defy the effects of gravity, the surgery will not change the overall appearance of your skin. A skin care program can work wonders to enhance the results of your surgery by smoothing rough spots, evening the color of your skin and reducing dark spots, shrinking pore size, and creating a healthy glow to your skin.

In the breast and body areas, non-surgical approaches have little to offer in terms of actual lifting of tissues in order to defy gravity. This is because current technologies do not sufficiently tighten skin to create dramatic improvements, nor can they effectively tighten the soft tissues under the skin. If you really want to tighten sagging tissue back to its youthful position, surgery is required. In the breast, this means undergoing a breast lift (mastopexy) either with or without implants. In the tummy area, this means an abdominoplasty (tummy tuck) with or without liposuction. In recent years, buttock lifts and thigh lifts have become increasingly common.

While there are plenty of non-surgical technologies being marketed that tout skin tightening, they have not been proven to work. In fact, some of our patients have said they tried these treatments, especially in the body areas, and most felt that they had either no result or that the results were so minimal that it was not worth the investment.

If you are interested in counteracting the effects of gravity, come and consult with one of the board-certified physicians at the Emory Aesthetic Center. We can go over options specific to your individual needs, and help you understand which surgical or non-surgical treatments are best for you.

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or call us at 404-778-6880 to schedule a consultation

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Your Weight and Plastic Surgery: Why It Matters

exercising-2womenSometimes patients will go into a plastic surgeon’s office excited about a decision to finally move forward with breast or body contouring surgery, but then afterwards emerge having found out they are not currently a candidate because of excess body fat. This scenario is not only disappointing, but it can be an emotionally deflating and potentially embarrassing experience for patients. As plastic surgeons we sympathize over the emotional pain that such patients feel, and we want to help them realize their goals. However there are several specific reasons that your plastic surgeon might recommend weight loss prior to undergoing a procedure and our motivations are only to provide you with the safest care and the best results.

According to the Centers for Disease Control (CDC), currently 69% of the U.S. population over 20 years of age is overweight. Of this percentage, 35% is obese. So how does the CDC calculate this statistic? First, the CDC defines “normal” weight, “overweight” and “obese” using a formula that calculates Body Mass Index (BMI). This is based on your height and weight. A “normal” BMI is 20-25, “overweight” is defined as a BMI of 25-30, and a BMI over 30 is technically considered “obese”. The BMI calculation is not perfect – for instance it does not take into account muscle mass versus fat mass – yet it is a pretty good basic measurement nonetheless. And it is important to us as plastic surgeons because BMI is a good predictor of the risks of surgery and the likelihood of a good result.

Many medical studies have shown that increased BMI is a predictor of potential complications that can occur from plastic surgery. A higher BMI is associated with an increased risk for wound complications, such as dehiscense (the wound opens up), infection, or tissue necrosis (tissues do not survive due to poor blood supply). The increases are typically small for patients who are overweight – a BMI 25-30, but they start increasing quickly as the BMI enters into the obese range. In general, it is a fair statement that the higher the BMI, the higher the risks of surgery. These complications can be significant, so as plastic surgeons we consider these risks with great thought.

In addition, the results that you can get are likely to be much better if your weight is in a better range. Let’s consider a couple of examples. Say, for instance, that a patient wants breast reduction surgery, but they are very heavy. Even when the breasts become smaller and more uplifted, it is extremely difficult for us to deal with the fullness lateral to the breasts (the “bra roll”), which significantly compromises the aesthetic result. In addition, it is much harder to get a beautiful transition between the breast and the abdomen due to the excess weight. On the other hand, let’s consider the patient that is overweight and wants a tummy tuck or liposuction. In this instance, the surgeon will not be able to remove all the excess fat in these areas, as it is technically challenging and can look odd as it is out of proportion to the surrounding fatty deposits. Even a lot of liposuction cannot fully solve this problem. Body contouring surgery is great for shaping your body, but it is not a method or substitute for weight loss or weight control.

What is the “cutoff” BMI number for plastic surgery? That is a difficult question, and there are some exceptions based on individual surgical procedures, body fat distribution, muscle mass and other factors. Many plastic surgeons consider a BMI above 30 or 32 to be in the range where surgery should be delayed until weight loss is achieved. If you are interested in calculating your own BMI, there are several free online tools, including the one from the Emory Bariatric Center.

As plastic surgeons I believe that we have an ethical responsibility to guide our patients related to their weight and desire for surgery. When surgery is unfavorable due to weight, there is the opportunity to partner toward a weight loss goal. Struggling with excess weight is a problem that so many of us deal with, and it is good to know that someone is on your side and understands. We can provide some advice, but even more importantly we can help guide you toward weight loss experts that help with diet modification and even newer procedures – such as the recently approved intragastric balloon – to assist with weight loss. Let the board certified plastic surgeons of the Emory Aesthetic Center, along with the Emory Bariatric Center, help you achieve the weight and body that you want. Imagine the joy of finally getting your weight under control, and then having the surgery you want to get the most effective results.

404-778-6880
emoryaesthetic.org
Click here to schedule your personal consultation.

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Holiday Glow: Getting Ready for the Holidays Live Chat- October 13

eac-holiday-calloutBelieve it or not, the holidays will be here before we know it. There are so many things to look forward to as the holiday season begins – parties, events and time with family and friends. But will you be ready?

Join Dr. Anita Sethna of the Emory Aesthetic Center for a live chat on Tuesday, October 13, 2015 at 12:00 p.m. EST where she will give advice and answer questions on how to get your skin glowing for the festive season. Dr. Sethna will discuss effective non-surgical treatments that will provide the most significant changes to your skin to those last minute options that will still give you a brighter, rejuvenated look. She will also be available to answer questions around cosmetic surgical options and recovery to ensure your are ready just in time for the season.

Register for the live chat on Tuesday, October 13 at 12pm here.

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About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.

 

Ask the Doctor: Can I Get Rid of My Double Chin?

nice-neckI am often asked by my patients, “Can I get rid of my double chin?” The answer is, “Of course you can!” There are many options, all of which are effective. The key is to choose the right one for you. I always recommend the option that offers the best result, the least risk and the shortest recovery.

Before we discuss the options, lets briefly look at what constitutes a double chin. Most believe it is simply a collection of excess fat under the chin, and in most cases it is. However, there can be more to a double chin than fat. The skin, neck muscles, deeper fat layers and even minor salivary glands can play a role.

But in most patients, all that is needed is removal of the fat. The fat can be eliminated through injections, external “fat melting” devices, or liposuction. Kybella™ is an injectable drug newly approved by the FDA, which “dissolves” the fat. It is an in office procedure with a series of injections. External “fat melting” devices are another option where a device is applied to the skin that leads to fat elimination. This is also an in office procedure. The results of both injections and devices are not immediate and may take weeks or months to be noticeable. There are also limitations as to how much fat can be treated. These treatments are best suited for patients with small to moderate amounts of excess fat.

Liposuction is by far the most popular, most common and most effective solution. Liposuction can be performed under local or general anesthesia as an outpatient procedure. If there is no excess skin or skin laxity, there is almost no limit as to how heavy or full a neck can be treated. The results are visible immediately with the final result taking approximately three weeks to see. As with any surgical procedure, there is post-operative swelling and bruising.

But if in addition to excess fat there is skin laxity, deeper fat layers and the need to work on the salivary glands, then a neck lift would be the best option. Through an incision under the chin, the fat is removed from the deep layer, and if needed, muscle bands and salivary glands are dealt with. In some patients an incision around the ear may also be needed for the best results. The recovery is up to two weeks with associated swelling and bruising.

Getting rid of a double chin can be as easy as a few injections, undergoing an in office procedure, or a trip to the operating room. It all depends on your specific need. Your physician will examine you, assess all your tissues, and then recommend the best treatment option for you. Let the board certified physicians at the Emory Aesthetic Center provide you with a consult to assess your needs.

404-778-6880


emoryaesthetic.org


Click here to schedule your personal consultation.

How To Get Cosmetic Surgical Results Without Surgery

natural-beautyNo one really wants to have surgery if they don’t need it; therefore, it isn’t surprising that cosmetic surgeons are asked quite often how someone can get surgical results without actually having surgery. Well, it certainly sounds good . . surgical results without surgery, right? The problem is that it really doesn’t work that way. The long and the short of it is in order to get the dramatic results of surgery, you have to have surgery. But with all of the new non- and minimally-invasive treatment options that have become available in recent years, the answer isn’t always so cut and dry, and there are options. It is not a matter of good versus bad, but really understanding the differences between the surgical and the non-surgical options, and figuring out which one is going to best help you achieve your goals.

The facial region is the area with the greatest number of non-surgical options, from Botox® to dermal fillers and chemical peels to lasers and micro-needling. Non-surgical treatments can be quite effective in the face when you are treating the right problem. Botox® does a wonderful job of temporarily softening wrinkles in the forehead, between the brows, and the sides of the eyes. Dermal fillers can plump up the cheeks and minimize creases around the mouth. Skin products, in-office chemical peels, Intense Pulsed Light (IPL), micro-needling, and lasers can do a superb job of improving the fine wrinkles, texture, and pigment in the skin. However, if you are looking to reduce the jowls, tighten the neck or lift droopy brows or eyelids, then non-surgical treatments won’t provide the results that you seek. It is extremely common patients will undergo a blend of surgical and non-surgical procedures to take advantage of the strengths of both. In younger patients who are not yet ready for surgery, non-surgical options may provide them exactly what they want.

For breast augmentation, the surgical versus non-surgical comparison doesn’t work, because there really aren’t non-surgical options to do the things that patients want. At the present time you can’t increase the breast size, reduce the breast size, or lift up drooping breasts without surgery. In the breast, though, the discussion is often around full length or reduced incision approaches. Like non-surgical treatments, reduced scar approaches sound really positive – and of course who wouldn’t want that? However, in some cases a full scar approach is required to get the degree of results that a patient wants or needs.

Only recently have significant non-surgical options emerged for treatment of the abdomen, flanks, and thighs. These treatments are directed at two primary goals – reducing the fatty layers and tightening the skin. Infrared therapy, external ultrasound, and cryolipolysis (fat freezing) are all energy devices approved to reduce the thickness of the fatty layer. CoolSculpting® is a fat freezing treatment currently available, and it is the treatment that we have chosen to offer at the Emory Aesthetic Center due to the level of comfort experienced by patients and the medical studies that support its use. But not all patients get the results that they seek. And while a few patients don’t seem to achieve much of a result, a small number of patients are “super-responders” who can get a dramatic result, sometimes with just one treatment. But overall, most patients will see a 10-20 percent improvement in an area with a single treatment, but for additional improvement they will need repeat treatments. Liposuction is the surgical counterpart to fat freezing. Not surprisingly, liposuction allows us to treat more areas at a time, be more aggressive in fat removal, and depending on the number of areas to treat and the number of CoolSculpting® sessions, sometimes liposuction can be less expensive as well.

At this point, non-surgical treatments seem to do a better job at fat removal than skin tightening. For this reason, there isn’t much in the way of non-surgical options for patients that may have significant skin laxity, for example when they need a tummy tuck or thigh lift. In these instances, surgical resection can be combined with liposuction to not only tighten the skin, but to sculpt the tissues as well. It is because of this combined strategy that tummy tucks, for instance, can produce some of the most dramatic improvements of any of the surgeries that plastic surgeons perform. However, if a patient is young and has generally good skin quality, with limited fatty deposits, fat freezing without the need for surgery can be a great option.

To pull it all together, there are some things that surgery can do that non-surgical treatments simply can’t do. In other cases non-surgical treatments can be highly effective and can provide for you the results you want – without the need for a surgical procedure or significant recovery period. What is best for you depends on your specific appearance, your tissues, and your goals. At the Emory Aesthetic Center, we are happy to be able to offer the entire spectrum of surgical and non-surgical options. Our board-certified physicians can work with you to determine the best solution for you and your desired result.

404-778-6880


emoryaesthetic.org


Click here to schedule your personal consultation.

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Can Men Get Plastic Surgery?

guysAt the Emory Aesthetic Center, we have traded in our Cosmopolitan subscription and replaced it with Sports Illustrated. Why? It’s simple. Plastic surgery is no longer just for women.

Today, we are seeing more and more men of all ages requesting plastic surgery for cosmetic reasons. We’ve discovered that men are just as worried about their appearance as women. But it is important to know that men’s needs may be different, as most cosmetic procedures have been designed with women in mind. Factors to consider include skin thickness, beard growth, and body type.

Let’s review the top plastic surgery procedures men are requesting by the numbers.

Face-Lift/Neck-Lift
Results last: 10 to 15 years
Recovery: 7-10 days
Cost: $12-14,000

Eyelid Lift
Results last: 15 to 20 years
Recovery: 7-10 days
Cost: $6-8000 for upper and lower (half of that for just upper)

Body Liposuction
Results last: Depends on maintaining a healthy lifestyle and weight
Recovery: 1-2 days
Cost: minimum $4500-unmlimited based on areas treated

Breast Reduction
Results last: Permanent
Recovery: 2-3 days
Cost: $8-10,000

Rhinoplasty
Results last: Permanent
Recovery: 5-7 days
Cost: $7-9,000

Botox®
Results last: 6 to 9 months
Recovery: 0 days
Cost: $300-600 per treatment

Dermal Fillers
Results last: 1 to 2 years
Recovery: 1-2 days
Cost: $450-800 per syringe

At the Emory Aesthetic Center, our board-certified physicians understand that the delivery of plastic surgery is different for men than women. We will approach your individual goals with personal attention and help you choose the procedure that is right for you.

404-778-6880
emoryaesthetic.org

About Dr. Anderson

Erica Anderson, MDErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.

Caring for Your Skin Throughout the Stages of Life – Join our Live Chat with Dr. Erica Anderson

EACPreChat_7-10As we age, as seasons change, and as we move through the different stages of life, our skin care needs change as well. Good skin care is essential for looking your best through every phase of your life. Join Emory Aesthetic Center skin care specialists, Dr. Erica Anderson and licensed aesthetician Danette Baxter, on Tuesday, July 28, 2015 from Noon – 1PM as they discuss treatments and ingredients that will allow your skin to be at its optimal health. They will provide general skincare guidelines for every stage of life as well as cosmetic treatment options to reduce the signs of aging and keep you looking younger.

During this live chat all of your questions will be answered from products to nonsurgical treatments like chemical peels and injectable fillers to facial surgery options. Understanding that every person has their own individual concerns and needs, Dr. Anderson and our licensed aesthetician will answer all of your questions such as:

• What is the best method for reducing facial dark spots and imperfections from acne scarring from the face?
• What are the best over the counter products to use for anti-aging?
• What is the difference between a photofacial and laser resurfacing?
• Do dermal fillers and Botox injections do the same thing?
• What types of results can I expect to see from a facial surgery versus Botox or dermal fillers?
• What is the benefit of having my non-surgical or surgical procedure performed at a place like Emory Aesthetic Center?

Register now for our July 28 chat at emoryhealthcare.org/mdchats.

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Fractionated Laser Resurfacing or Micro-needling: Which One Should I Have to Improve My Skin?

MicroneedlingAs a plastic surgeon, I am often asked by patients, friends and family members, “what can I do to look younger?”. The appearance of the skin is the most troubling to them. Typically, they are bothered by wrinkles, discoloration, enlarged pore size, and sometimes scarring from acne in their youth. Luckily for them, I am armed with a multitude of products and treatments that will rejuvenate the skin. Two of the most popular treatments used at the Emory Aesthetic Center Spa are fractional laser resurfacing and micro-needling. Let’s review each one to help you decide which one is right for you.

Fractional Laser Resurfacing

Fractional Laser Resurfacing is a non-ablative laser used to resurface the skin. The laser works by penetrating beneath the skin’s surface to the dermis, where it heats the tissue and initiates a healing process that forms new, healthy tissue. The treated area regenerates new collagen, improving the tone and texture of the treated skin, resulting in a fresher and more youthful skin tone.

Micro-needling

Micro-needling is a procedure that uses needles to create micro-channels in your skin without causing thermal injury to the surrounding tissue. Like lasers, micro-needling relies on the skin’s natural healing ability. But since the mechanism leaves the protective epidermis intact, there is less risk of scarring and infection. This results in the skin becoming firmer and regaining elasticity, fine lines and wrinkles are visibly reduced, pores become finer and the overall condition of the skin improves.

So how do you choose?

For both procedures, a topical numbing agent will be applied to your skin about 60 minutes prior to treatment – oral pain medication is NOT needed. A relaxing spa environment also accompanies the procedure for added benefit to the experience.

Once adequately anesthetized, the treatment begins. The forehead is treated first as it can be the most painful anatomical location for either procedure. Patients generally grade the pain associated with laser treatment at 4-6 on a scale of 10, and the micro-needling as a 2-3, being notably more tolerable. We understand that no one welcomes pain, but if you know that your pain threshold is somewhat low, micro-needling may be a better choice for you. Both procedures are relatively fast with the laser treatment completed on average in 20-30 minutes, while micro-needling takes 15-20 minutes.

Both procedures lead to redness immediately at the completion of the treatment. You appear as if you have a sunburn. The redness persists for 24-48 hours in both cases, although it seems to resolve more quickly after the micro-needling than laser. There is more associated swelling with the laser treatment as well. In both case, makeup can be worn the next day to help camouflage these changes so no one will be any wiser.

Most importantly, people with all skin types can effectively use micro-needling throughout the year. Unlike lasers, micro-needling does not depend on chromophores (pigment or color) to work. Therefore, it does not matter how dark one’s skin tone is when considering whether to perform a micro-needling treatment. Micro-needling can provide great results for people with all skin types, which is not the case for lasers.

If you think you may benefit from fractional collagen induction therapy either by laser or micro-needling, an evaluation at the Emory Aesthetic Center Spa is a great start. Let us help you reveal your beauty and decide what treatment is best for you.

404-778-7261
emoryaesthetic.org

About Dr. Anderson

Erica Anderson, MDErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.

Does Laser Hair Removal Really Work?

Laser Hair RemovalIt was 75 degrees and sunny in Atlanta yesterday. Suddenly winter is over and the summer season is quickly upon us. The shorts and sundresses have already made their way out of our closets. With the loss of layers, we now need that extra time in the shower for you know what….shaving. If you are like me, you hate shaving. I mean REALLY hate shaving. Can’t there be another option to shaving that works? Wait a minute, there is. For some, laser hair removal can be an answer! Let’s review the science behind laser hair removal to see if you are a candidate to rid yourself of razors forever.

Does laser hair removal work?

The simple answer is yes, laser hair removal does work. A better term to use however for the procedure is laser hair reduction. With a full treatment protocol, roughly 80-90% of the hair is gone. The hair that remains is typically fine and colorless so causes little issues.

How does laser hair removal work?

In general, lasers work by a process known as selective photothermolysis, wherein a specific wavelength of light is directed at a target. In the case of laser hair removal, that target is melanin. The light energy emitted by the laser is selectively absorbed by the hair follicle, which subsequently heats up and dies. The surrounding skin is unaffected.

Are you a candidate for laser hair removal?

The best candidates for laser hair removal are those that have darker pigmented hair, either black or brown, and a more fair skin type. Blonde, red and grey hair will not respond to laser hair removal, as it does not have the necessary pigment to target. Vellus hair (or peach fuzz) similarly cannot be treated. There are newer lasers available now that can successfully treat black hair in dark skinned patients.

Is it a single treatment?

Hair grows in several phases and only hair that is in the active growth phase (early anagen) is affected. That is why multiple sessions are required. For the best treatment, we recommend 10 sessions. For body hair removal, these sessions are scheduled 6 weeks apart. For the face, only 4 weeks between treatments is required as the hair on the face typically grows faster.

How to prepare for laser hair removal?

You need to avoid tanning or self-tanning products for 2 weeks in advance of your treatment. The skin needs to be without pigmentation to avoid injury. We also ask you to shave the area 48 hours in advance of the treatment. The idea is to have the hair present in the follicle but short at the skin, again to avoid excess heat or cause injury. Waxing should be avoided prior to treatment to allow the hair to regrow in the follicle.

What to expect?

The pain of the treatment is tolerable even in the most sensitive areas. No numbing creams are applied as they risk the success of the treatment. After the procedure you may notice itching, redness, and swelling to the skin at the treated site. A more localized reaction can occur with swelling around each follicle follicular edema) which looks like little red bumps in the treated area. Any irritation is typically resolved in 1-2 days.

Summer is almost here in Atlanta. Make an appointment today at the Emory Aesthetic Center Spa and see if you are a candidate for laser hair removal so you can ditch the razor for good.

404-778-7261
emoryaesthetic.org

About Dr. Anderson

Erica Anderson, MDErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.