Plastic Surgery – Face

Facial Rejuvenation- Secrets to Defying the Aging Process

Learn the secrets to defying the aging process with facial rejuvenation. Renew your face with tips from a board-certified cosmetic surgeon.Aging is a part of life. And yes, your appearance will change as you get older. But that doesn’t have to be a bad thing. Aging gracefully is about allowing the best version of yourself to shine through, and there are countless facial rejuvenation tools to help you do just that.

Facial Rejuvenation Starts with Skin Care

Skincare is the first and most important step of facial rejuvenation. You don’t need to ditch your current products and spend a fortune on complete skin care “systems” to get good results.

A licensed aesthetician can help. Find someone who’s willing to listen to your concerns and offer advice to help you get the results you want within your budget.

These products can help you look your best:

• Sunscreen. Use sunscreen every day to prevent aging sun damage, such as dark spots and fine lines.
• Vitamin C. Apply Vitamin C to your skin to reduce the effects of sun damage and significantly brighten your complexion.
• Tretinoin (Retin-A). Use a Retin-A product to penetrate the deeper layers of your skin and stimulate collagen production. It also works as a mild daily exfoliant.
• Prescription medicine. Ask a dermatologist about certain prescription medicines (such as hydroquinone), which can lighten dark brown spots, patches and hormone-induced darkening.

Chemical Peels and Micro-Needling

Minor procedures for facial rejuvenation such as mild to medium facial peels (also known as chemical peels) and micro-needling can do wonders to kick-start a healthy routine and help your skin care products to work even better. Regular peels can help keep your skin texture looking younger as you age.

Injectable Treatments

You may get great results from fillers and/or Botox© if you have these early signs of aging:

• Mild volume loss
• Fine, early creases around your forehead and/or between your eyes
• Crow’s feet

Most patients have more than one of these signs, plus others such as loose skin and fat build up. You may need a multi-step action plan for facial rejuvenation to tackle multiple concerns.

Cosmetic Surgery

If you’re trying to use fillers or Botox for something that really requires cosmetic surgery, you probably won’t be happy with the results.

For example, if you have extra skin or fat around your eyelids and use Botox to lift your eyebrows, you may end up with an unnatural, arched expression. If you use an injectable filler to add a significant amount of volume to your jawline, you may look more “puffy” than youthful.

There are many surgical procedures that can help you put your best face forward. Talk to a board certified cosmetic surgeon to learn which procedures may be right for you.

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

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.

Getting Rid of That Double Chin — Without Surgery

double-chin-smallSubmental fullness, often referred to as a “double chin,” is a common facial aesthetic condition that can impact both men and women. It can be related to the aging process or could simply be a part of your genetics. Though it can become more prominent with weight gain, sometimes diet and exercise alone do not make it go away. But chin up…we have good news for you.

Nonsurgical Treatment

At the Emory Aesthetic Center, we offer a nonsurgical approach (Kybella) to treat this common condition. Kybella is the first and only FDA-approved nonsurgical treatment that contours and improves the appearance of double chin.

Kybella contains deoxycholic acid, a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. It is injected into the fat beneath your chin to destroy fat cells. Once the cells are destroyed, they can no longer store or accumulate fat. For most patients, two treatments are needed.

How Do I Know if Kybella is Right for Me?

Kybella is an effective treatment for submental fullness, but not everyone is a candidate. Your physician will help you determine if the treatment is right for you.

You may be a good candidate for this treatment if you:

  • Are bothered by the appearance of a double chin
  • Feel the condition makes you look older or heavier than you are
  • Eat well and exercise but submental fullness doesn’t go away
  • Prefer a nonsurgical approach

Some health problems may prevent you from being a candidate for treatment:

  • Bleeding problems
  • Difficulty swallowing
  • Infection in the area of treatment
  • Weak facial muscles

What Can I Expect During the Procedure?

The Kybella injection is a quick and minimally invasive procedure. Cold packs are applied to make the process more comfortable and, if needed, a topical numbing cream is used. The procedure typically lasts only 15 to 20 minutes, and discomfort should be minimal.

What Can I Expect During Recovery?

The injection involves minimal discomfort and absolutely no downtime. Many people even undergo treatment on their lunch break, and then return to work immediately afterward.

As with any needle treatment, the injection site may become slightly sore, red, swollen or bruised. These side effects are temporary and subside within a few days.

Kybella doesn’t produce immediate results. It works to reduce submental fullness, and you’ll usually see results within 4 to 6 weeks after treatment.

How Long Will My Results Last?

As with any fat removing treatment, your results are impacted by your commitment to a healthy lifestyle and weight management. You’ll continue to age, but your submental fullness will always be better than it would have been without treatment.

I’m Ready to Lose My Double Chin. How Do I Get Started?

At Emory Aesthetic Center, we offer Kybella and CoolSculpting® to address double chin.

Schedule a consultation with one of our skilled, board-certified cosmetic surgeons. They’ll discuss with you how it works, what to expect and your goals for treatment.

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

About Dr. Anderson

anderson-ericaErica 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.

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Rhinoplasty 101: (Almost) Everything You Need to Know

rhinoplasty250x250Whether you struggle to breathe through your nose or you’re uncomfortable with your appearance, rhinoplasty (or a “nose job”) may be the answer. Rhinoplasty is a very intricate procedure that requires great skill and precision. So choosing the right facial plastic surgeon is one of the most important steps toward a successful surgery.

How Do I Choose a Plastic Surgeon?

The first step is to schedule a consultation with a facial plastic surgeon who focuses on rhinoplasty. Getting at least two opinions is a great way to become aware of different concerns, considerations and differing styles of particular surgeons.

There are many different reasons to get rhinoplasty, and everyone has their own unique idea of what they would like their results to be. So it’s very important to discuss these issues in detail during your consultation.

It’s also important to know that your surgeon will stand by you if there are any complications or if you need further surgery. Ask about how they handle those situations. If you get the feeling that you wouldn’t be supported if you have concerns after your surgery, that doctor may not be right for you.

What Happens at an Initial Consultation?

You and your surgeon will discuss your desires and expectations. Sometimes computer imaging is used to help you both clarify what results you’re looking for and understand what you can realistically expect.

The surgeon will likely examine the outside and inside of your nose. They may also perform minor maneuvers to determine if there are functional issues, and possibly make recommendations based on their experience.

What Happens During Surgery?

Rhinoplasty typically takes anywhere from 90 minutes to 3 hours. Most often, it’s performed in an outpatient surgery center using general anesthesia. You’re able to go home once your surgery is complete, and will likely follow up with your surgeon within a week.

What Can I Expect Right After Surgery?

It’s common to have bloody drainage from your nose for the first 24 – 48 hours after surgery. Congestion is also very common during the recovery period. Pain medicine is usually prescribed for several days. You can expect discomfort, but significant pain is not the norm.

If your nose had to be broken as part of the narrowing or refining process, you may have tape and a cast for the first week. These will be removed at your 1-week appointment, which will be your first opportunity to see your new nose.

What Can I Expect During the Recovery Process?

Sometimes, patients are surprised with what they see when their bandages are removed. It’s important to remember that you will not see the “final” results from a rhinoplasty until one year after the surgery. Make sure to mention your concerns as they arise, but know that time and patience will alter and resolve most of them. Your surgeon may encourage you to wait while your body handles the healing process.

For the first 3 – 6 weeks, there will be significant fluctuation in tip and bridge swelling, as well as breathing changes. After the first 6 weeks, things start to stabilize more. You’ll most likely see your surgeon every few weeks to start with and then gradually increase time between visits.

What Can Emory Aesthetic Center Do for Me?

The Emory Aesthetic Center has experienced, board certified cosmetic surgeons that help guide you through every step of the process — from initial decisions to successful recovery. In addition to improving your appearance, we provide meticulous attention to detail and a comprehensive understanding of the functional aspects of nasal breathing.

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

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.

Brow Lift Versus Eyelid Lift: Which One Do I Need?

eye-checkAre you tired of looking tired? As we age, excess skin or drooping brows can cause our eyes to lose their sparkle, leaving us looking chronically fatigued. You may assume that the problem is excess skin on your eyelids—and you might be right. However, sometimes the reason is more complex. If your eyebrows have drooped, they may be causing your eyelid skin to bunch up and even crowd your eyelashes.

So, do you just have to go through life looking exhausted? Fortunately, no. Eyelid lifts and eyebrow lifts are two options that can immediately enhance the appearance of your eyes and bring back your natural sparkle. Emory Healthcare cosmetic surgeons can help you determine if you’re a candidate for an eyelid lift, a brow lift or a combination of the two.

Do I Need an Eyelid Lift?

If the issue is skin excess in your upper lids alone, without any need for change in brow position, an upper eyelid lift may be all you need. This is a relatively simple and low-downtime, cost effective way to improve the brightness of your eyes. In some cases, it can even be performed under local anesthetic.

Do I Need an Eyebrow Lift?

You may be wondering how you can tell if your eyebrows have drooped. Well, ideally, a woman’s eyebrow should start in a gentle curve above the top of her nose and rise above her orbital bone (brow bone) until it peaks at the outer edge of her eyelid. Then, the brow should gently curve out and slightly downward. The entire course of her brow is preferred to be at, or slightly above, her brow bone and both brows should be relatively symmetric.

Many people hold their eyebrows up to compensate for drooping, without even realizing they’re doing it. In order to assess if this is the case for you, stand in front of a mirror and close your eyes. Take a deep breath in and out and purposely relax your brows and forehead. Open your eyes slowly, taking care not to raise your forehead, and look at your eyelids and brow position. If your brows seem to have dropped lower than you thought they were, it’s likely that you inadvertently hold them up and may benefit from a brow lift.

Although a brow lift may sound invasive or complicated, the procedure is actually not particularly high-risk or painful.

How Will I Look After an Eyebrow Lift?

To imitate the effect of a brow lift, watch in a mirror as you take your fingers and place them between your eyebrows and hairline. Gently lift a little to see how your brow position changes and if excess skin on your eyelid is reduced. If doing this improves the skin excess at your eyelids and makes a favorable change in your appearance, a brow lift may be the right option for you. If there is still excess skin on your eyelids, even as you’re gently pulling, your surgeon may recommend a combination of eyebrow and eyelid lifts for best results.

What Can I Expect?

Satisfaction rates for brow and lid lifts are high and the downtime can be as little as five to 10 days, depending on your individual surgery. Results usually last many years and don’t often need to be “tucked up” in the way that some other plastic surgery procedures require.

Eye Enhancement at Emory Aesthetic Center

If you’re considering rejuvenating and improving the appearance of your eyes, come see one of the board-certified physicians at Emory Aesthetic Center for a complimentary consultation. We can discuss your goals and determine what treatment is right for you.

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

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.

Eyelid Surgery: Using Eyelid Spacer Grafts

checking-eyesI have many patients come into my office asking how I can help minimize or remove the puffiness or fat bags under the eyes. Fortunately, there is a cosmetic solution to help with that. Lower eyelid blepharoplasty is a great choice for many patients who want to rejuvenate the eyelids and reduce the puffiness from under the eyes. This technique requires removing fat from the under eye area and trimming excess skin as needed. There are some potential issues that can arise, however. Though uncommon, one of the complaints is the lower lid can look “pulled down”. This condition is called eyelid retraction. It can arise from a variety of factors, one of the main ones being excess skin removal. This may be coupled with loose eyelid ligament support, prominent eyes, or excess scarring in the lid. Fortunately, many cases of mild lid retraction resolve in the post-operative recovery period. For those that do not, one potential option is the introduction of an eyelid spacer graft.

Eyelid spacer grafts can be helpful for a variety of conditions, including repair of lower eyelid retraction after blepharoplasty. The purpose of the grafts is to lengthen the eyelid vertically. This helps improve lid closure, reduce eye irritation, and make the lids look more natural in their resting position on the eye. They are placed into the eyelid on the back half so they cannot be seen from the outside. This requires an outpatient or in office procedure to perform. The recovery period is similar to that of most eyelid surgery and the outcome can be very satisfactory.

Eyelid spacer grafts aren’t the only option for repair, and of course, some people may require something different to get the best results. But eyelid spacer grafts have proven themselves to be very effective on giving the lower eyelid the support it needs to ensure proper lid position and closure after blepharoplasty.

If you are considering eyelid surgery to rejuvenate and improve the appearance your eyes, come see one of the board-certified physicians of the Emory Aesthetic Center for a complimentary consultation. We can discuss your goals and determine what treatment is right for you.

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

About Dr. Hayek

hayek-brentBrent Hayek, MD, areas of expertise include both reconstructive and cosmetic procedures. He addresses “droopy” (puffy) or malpositioned eyelids, treats Graves disease or thyroid problems as they affect the eyes, and orbital problems including tumors around the eye and fractures that affect the protective bony walls. Dr. Hayek also handles tearing problems that involve obstruction, infection or other issues of the tear drain system. Dr. Hayek performs a number of eyelid and facial cosmetic services include Botox®, facial fillers and peels, upper and lower blepharoplasty, midface and endoscopic forehead lifts.

Dr. Hayek’s research interests include eyelid and orbital tumors, as well as various implants suitable for long-term eyelid reconstruction. He has published articles in peer-reviewed publications, book chapters and has presented at regional, national and international meetings.

Takeaways from the Emory Aesthetic Center’s Getting Ready for the Holidays Live Chat

eac-holiday-260x200Thank you to everyone who joined us on Tuesday, October 13th, for our live online chat on “Getting Ready for the Holidays”, hosted by Emory Aesthetic Center’s facial plastic surgeon, Dr. Anita Sethna.

Believe it or not, the holidays will be here before we know it. In this live chat, Dr. Sethna provided advice and answered questions on how to get your skin glowing for the festive season. She discussed effective non-surgical treatments that will give you a brighter, rejuvenated look. She also answered questions around cosmetic surgical options and recovery to ensure your are ready just in time for the season. Here are just a few highlights from the chat, including one question we didn’t have a chance to answer:

Question: Can you perform a nose job with injections? My friend said that he had it done and I can see a difference.

anita-sethna-avatarDr. Sethna: Non-surgical rhinoplasty is a relatively new concept in injectables, but not one that should be taken lightly. There are no FDA-approved injectables for injection into the nose. That being said, in very select cases either after a rhinoplasty has already been done, or if a small issue in the bridge needs to be corrected, injection of a hyaluronic acid filler (juvederm , restylane for example) can be injected to correct the concern. A rhinoplasty surgeon familiar with the anatomy and blood vessels of the nose should be the one performing the injection. The risks of improper placement or unintended consequences can be severe in the nasal skin if performed by an untrained individual. As always, a consultation with a rhinoplasty expert to determine whether your concerns are even amenable to non-surgical (injectable) rhinoplasty is recommended prior to any interventions.

Question: What is the simplest thing someone can do to look fresher and rejuvenated?

anita-sethna-avatarDr. Sethna: On a daily basis, skin care is probably the easiest and biggest bang for your buck. The ingredients that are most helpful are tretinoin, or some type of retinol, that is essentially a daily exfoliant that is helpful in stimulating collagen and removing surface dead skin cells.

 

 

Question: When would you recommend a chemical peel and what does it best treat? Wrinkles? Complexion? Wondering if I should have one.

anita-sethna-avatarDr. Sethna: There are many different types of chemical peels and many different concentrations that can be used to achieve a different type of cosmetic result. Very limited amount of down time can be achieved with a lower concentration of peel solution and can improve overall brightness of the complexion and possibly improve the appearance of darker spots or age spots. If deeper wrinkles are present or overall skin tightening is desired, most of the time a deeper peel will need to be performed in an operating room or under sedation, with a recovery time of closer to seven days. Most peels can be repeated to get more drastic results and can be repeated with varying intervals depending on the depth of the original peel. Ultimately, the best recommendation on whether or not it will be helpful will be to come in for a consultation to address what your overall goals are and whether a peel could accomplish those.

If you missed out on this live chat, be sure to check out the full list of questions and answers on the chat transcript. You can also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

If you have additional questions for Dr. Sethna, please feel free to leave a comment in our comments area below.

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

How to Prevent and Treat Crows Feet

happy-ladyCrow’s feet, or laugh lines around the eyes, can be a challenging area to treat from a cosmetic perspective. On one hand, expressions of joy transmitted through the eyes are beautiful in their own right, but deeper lines and creases in this area can often draw attention to the changes associated with aging and loose skin.

My personal approach is to attempt as much as possible to prevent the lines from becoming deep, or in some cases, even forming to begin with. There are two main methods to achieve this – skincare to plump and stimulate collagen (such as tretinoin or Retin-A©), and Botox® (or equivalent Xeomin® or Dysport®) to reduce the muscle movement in the area and thereby reducing crease patterns. These options can be started at any time, even in the early 30s before real creases have begun. A combination of treatments early can prevent the formation of obvious deeper creases. At this stage, Botox can be performed as little as twice a year before creases have actually formed.

Once the creases are present, the above combinations of skincare and Botox can still make a significant impact and can lessen the appearance of lines around the eyes. Often, this is all that patients are interested in so that they can still appear to have movement while improving their overall appearance. If a more drastic improvement is needed, a series of peels or even fractional laser treatments can be undertaken. The choice of intervention depends on the comfort level of the surgeon and the amount of downtime or recovery the patient is able to give.

If a week of downtime is tolerable, fractional laser resurfacing can be performed relatively aggressively to specifically treat the area around the eyes. Makeup can typically be worn to reduce the appearance of redness during the recovery period. Because we usually cannot be aggressive enough with one treatment to wipe out these lines, a repeated treatment may be needed 3-6 months later. During that period of recovery, Botox can be used to give the skin a continued break from creasing as well.

Facial peels can also be performed, often at varying depths, depending on the amount of recovery or downtime afforded. Often, a peel will have 3 days of recovery and can be repeated every 4 to 6 weeks for a total of 3 to 4 treatments to allow improvement in this area. It is a slower, but less intensive treatment plan. Continuing skincare and Botox through this period will also boost results.

All in all, a multi-pronged approach is often needed to treat the eye area. The good news is that crow’s feet respond to treatment quite well if all options are utilized. Other treatments, such as fillers, can be used as well if indicated, but are not routine as they can be fraught with unexpected complications. With judicious use of Botox and a rigorous skincare routine early, an ounce of prevention is definitely worth a pound of cure.

Come meet with one of the board-certified physicians of the Emory Aesthetic Center. We can discuss your goals and determine what combination of treatment is right for you.

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

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.

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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.

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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.