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Breast Augmentation: 5 Things to Know Before You Make a Decision

Breast augmentation — an effective method for improving breast shape and cup size for women that want larger breasts — is the most popular aesthetic breast procedure performed by plastic surgeons. In fact, in 2017 more than 300,000 women opted to have this procedure, which was up 3 percent over 2016, according to the American Society of Plastic Surgeons.

Your decision about whether or not to have breast augmentation is a big one and should be made slowly and deliberately. Reviewing the five things you should know before you make your final decision is a great place to start.

1. Breast Implants are Safe

Numerous studies have demonstrated the safety of breast implants. Made from medical-grade silicone bags filled with either saline or silicone gel, implants can vary in shape and size. Your surgeon will work closely with you to determine the best implant type and placement for you.

During your procedure, the implant is placed above or below your chest muscle. Your body keeps the implant in place and prevents it from shifting.

2. Incisions are Virtually Unnoticeable

The most common incision site is in the inframammary fold — the natural crease under your breast — since it’s hidden and heals very well, leaving almost an invisible scar. Again, your surgeon will work with you to determine the best incision site for you.

3. Your Consultation is Key

During the consultation, you’ll meet with your doctor to discuss your goals for surgery. Many factors, including your age, desired cup size or additional need for rejuvenation of the breast, such as a breast lift, will be considered.

Your consultation offers you and your surgeon the opportunity to create a plan that will give you the results you want. The details of your surgery, including where your implant and incision are best placed, is discussed during your consultation.

4. Ideal Candidates are Healthy

Your health is an important consideration for your surgery. Ideally, breast augmentation candidates are healthy, non-smoking women with good skin elasticity and realistic expectations about the results of their procedure. It’s important that you are willing to follow all pre- and post-operative care instructions to optimize your healing, and promote good results.

5. The Road to Recovery

Performed under general anesthesia, breast augmentation surgery takes about an hour on average and is usually done as an outpatient procedure.

You can expect your initial recovery to take one to two weeks, but you’ll likely be able to return to work after one week. During your recovery period, swelling is normal and is most evident in the first month after surgery. You should avoid intense exercise for the first two to four weeks after your procedure. Your final results will be achieved after about 6 months post-surgery.

Breast implants need to be replaced usually between 10-15 years after the initial surgery.

Emory Aesthetic Center

At the Emory Aesthetic Center, we offer a complimentary consultation for breast augmentation. This consultation is the perfect opportunity to learn more about which procedure is right for you and have any additional questions answered. Our team includes highly qualified plastic surgeons that teach the next generation of plastic surgeons. Learn more and find out about our services and which treatment options will best meet your needs.

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.

Mommy Makeover: Things to Know

It’s no secret that pregnancy can take a toll on your body. And those physical changes can sometimes make new moms feel uncomfortable. The good news is there are ways to restore your confidence and look like yourself again.

But before we talk about that, let’s first take a moment to appreciate your body. Even though you may not like the post-baby changes to your belly or breasts, it’s important to take a moment to acknowledge what your body just accomplished with pregnancy and childbirth. It’s served you well. Be patient and kind to yourself— healing and getting your body back into shape, takes time.

When you’re ready, diet and exercise can help your body shift back to the way it was before you had your baby. But if you just aren’t getting the results you want — and it’s affecting how you feel about yourself — it may be time to talk with a doctor. A cosmetic surgeon can help you pinpoint the procedures that are right for you, such as a tummy tuck, breast augmentation or mastopexy.

Tummy Tucks

During the procedure, your plastic surgeon will make one incision across your lower abdomen. The incision will heal and slowly fade after a few months, allowing it to be virtually unnoticeable. A tummy tuck can allow your plastic surgeon to:

  • Correct connective tissues issues, including hernias
  • Remove excess skin or fat
  • Tighten abdominal walls

Breast Augmentation

Breastfeeding and pregnancy can create many changes to your breasts. Breast augmentation can address several of those issues — including loss of volume, lift and shape — and is a straightforward procedure. Your surgeon will make a small incision and place a breast implant into a pocket above or below your pectoralis muscle. Implants are filled with either silicone gel or salt water, both of which are safe for surgery.

If your breasts have become saggy, you may also opt for a second procedure, called mastopexy. Usually done at the same time as your augmentation, mastopexy allows your surgeon to reposition your areola and reshape your breast.

Mommy Makeover Recovery

Your recovery will depend on which procedures you have and can vary from person to person. In most cases, you’ll be able to get up and walk around immediately after your procedures. It’s also likely you’ll be able to go home immediately after your stay in the recovery room. Should you need more personalized nursing care for any reason, luxurious overnight suites are available at the Emory Aesthetics Center. The decision to stay overnight is made together, between you and your surgeon.

Of course, with any surgery there are risks. With mommy makeovers, however, significant complications are uncommon since patients are typically young and healthy. Infection can happen but is extremely rare.

You can expect to take 1-2 weeks before returning to work and should avoid exercises that target abdominal muscles for 6 weeks after a tummy tuck. You may gradually increase your activity over a 3-month period, after which there are no limitations.

Get the Results You Want at Emory Aesthetic Center

Learn more about Mommy Makeovers at the Emory Aesthetic Center. Our highly qualified expert plastic surgeons are committed to helping you bring out your very best. We offer a wide range of procedures that help you look and feel great.

About Vincent Zubowicz, MD

Dr. Vincent Zubowicz, Assistant Professor of Surgery, Division of Reconstructive Surgery at Emory University, is a renowned leader in the Atlanta medical community where he has practiced for over 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 Contributors on Real Self, the nation’s premier online communication resource for patients, where he serves on the national media committee.

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or call us at 404 778-6880.

The Difference Between Botox® and Dermal Fillers

Have you noticed that you just don’t look quite like yourself anymore? Maybe your eyes always look tired, no matter how much rest you get. Maybe you have furrow lines between your brows that make you look unfriendly. Perhaps your once pouty lips have become thin?

Great news! There are two injectable treatments that can restore your young, vibrant look — without a big price tag or a long recovery period. Botox and dermal fillers are popular nonsurgical treatments that can be used individually or in combination to give amazing results.

Botox

Botox® is the commercial name of the most popular botulinum toxin used for cosmetic purposes. Other well-known brands include Dysport® and Xeomin®. Botox is used for the treatment of dynamic wrinkles and lines that appear when we make certain facial expressions, such as frowning and smiling. It works by partially limiting the movement of specific facial muscles to ease these wrinkles, and sometimes even eliminates them entirely.

Botox is commonly used to treat:

  • Deep creases that run parallel between the eyebrows (often called “elevens”)
  • Lines next to the eyes (called “crow’s feet” or “laugh lines”)
  • Forehead lines
  • Chin dimpling
  • Muscle (platysma) bands on the neck
  • Downward turn of the corners of the mouth
  • Lines on the side of the nose (sometimes called “bunny lines”)

What to Expect with Botox

The injection takes just a few minutes and there is absolutely no downtime. You can go back to work right away. In fact, some people get it done during their lunch break. It takes about seven days for the treatment to begin taking effect, and full results are seen at about ten days. Results last three to four months, and sometimes up to six months, depending on how strong your facial expressions are.

Dermal Fillers

Dermal fillers are injectable gel treatments that actively fill in deep wrinkles and add volume where facial fat has disappeared. There are different types of dermal fillers. The most common and safe products are made of hyaluronic acids (HAs). Popular hyaluronic acid fillers include Restylane®, Juvederm®, Voluma® and Belotero®.

As we age, our facial muscles weaken and we lose some of our facial fat. This can lead to things like deep wrinkles, thinning lips, and sunken-in eyes or cheeks. Fillers can reshape the face and “lift” the tissues to restore a youthful appearance.

Dermal fillers are commonly used to treat:

  • Dark under eye circles
  • Lack of volume under the eyes
  • Lack of volume in the upper cheek
  • Lack of volume in the jawline
  • Thin lips
  • Nasolabial folds
  • Marionette lines (running from the corners of the lips to the chin)
  • Vertical lines around the mouth

What to Expect with Dermal Fillers

Filler injections take minutes to perform and you’ll see the results right away. You can see how it looks as its being injected and actively participate in deciding your final look. There may be some swelling and occasionally some light bruising after filler injections. Typically, you’re asked to avoid intense exercise the day of treatment but can expect to get back to your normal routine the next day. The length of time results last varies depending on the type of filler used and where it is injected.

How to Choose a Qualified Botox or Dermal Filler Provider

With the popularity of cosmetic procedures skyrocketing, there’s been a surge of providers offering services. But just because Botox and dermal fillers are nonsurgical procedures doesn’t mean you don’t want a qualified and experienced provider performing your treatment.

Cosmetic surgeons have undergone intensive, specialized training and have acquired a deep understanding of the facial structure as well as the full spectrum of cosmetic procedures. They can offer invaluable insight and guidance into which procedure, or combination of procedures, is right for you. If the results you’re hoping for require surgical techniques, they can educate you about the pros and cons of those procedures as well.

Choosing the right provider will ensure the best results. Do your homework and make sure you’re choosing a qualified cosmetic surgeon to perform your procedure(s).

Emory Aesthetic Center

Emory Aesthetic Center offers Botox treatments, dermal fillers and a wide array of other cosmetic procedures. Schedule your complimentary consultation today with one of our qualified expert cosmetic physicians.

About Gabriele Miotto MD, MEd

Gabriele C. Miotto, MD is an Assistant Professor of Surgery in the Division of Plastic and Reconstructive Surgery at the Emory University School of Medicine, and the Associate Program Director of the Emory Aesthetic Center Fellowship program. She is fellowship trained in aesthetic and oculoplastic surgery and certified by the Georgia Composite Medical Board as well as the International Society of Aesthetic Plastic Surgery and Brazilian Society of Plastic Surgery. Dr. Miotto is also certified by the National Board of Medical Examiners.

 

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

Welcome to the Cool Club with CoolSculpting®

We all feel a little self-conscious when it’s time to bring out our summer bodies. But, if you’re dealing with stubborn pockets of fat that just won’t respond to diet or exercise, there’s good news. Through an FDA approved procedure called CoolSculpting®, we can remove the unwanted fat and have you swimsuit ready in a matter of weeks. There are no needles, special diets or supplements — and since it’s a non-surgical procedure, no downtime.

Am I a good candidate?

If you’ve been able to achieve and maintain a healthy weight, but have targeted areas of fat that won’t respond to diet and exercise, CoolSculpting could be ideal for you. Since it’s a noninvasive, outpatient technique, you can avoid the risks, cost and downtime associated with surgery.

Once the fat cells in those trouble areas are exposed to extreme cold through the CoolSculpting procedure, a process of natural removal is triggered. Gradually, the thickness of the fat layer is reduced, and treated cells are gone for good.

It’s important to remember though, that CoolSculpting removes fat cells present at the time of the procedure — it does not prevent new ones from forming. Talk with your doctor if your weight tends to fluctuate.

CoolSculpting is also best suited for younger patients with firm skin.

How does CoolSculpting work?

During the CoolSculpting procedure, a noninvasive applicator delivers precisely controlled cooling to the treatment area. The procedure targets underlying fat, leaving surface skin and other surrounding tissue unaffected. You will likely see results in as soon as three weeks following treatment, with the most dramatic results visible after one to three months.

What parts of my body can you treat?

CoolSculpting is best for small or moderate, stubborn trouble-areas, including your:

  • Belly
  • Love handles
  • Bra roll
  • Inner and outer thighs
  • Upper arms
  • Double chin
  • Under buttock (banana roll)

Is it safe?

CoolSculpting is clinically proven to be a safe and effective treatment. During treatment, you can sit or lie comfortably and read, work on your laptop or even nap. We perform the treatments in our medical spa under the supervision of the surgical team at Emory Aesthetic Center.

Join the Cool Club!

To celebrate our achievement of 1,000 treatments performed at Emory Aesthetic Center, we’re offering our patients the opportunity to join the Cool Club. Join us on Thursday, May 17 from 6-7 p.m. at the Emory Aesthetic Center Spa to:

  • Learn more about CoolSculpting with a representative from Allergen (makers of the CoolScuplting medical device)
  • Tour our medical spa
  • Watch a live demonstration of a patient having the CoolSculpting procedure

Our licensed aestheticians will be on hand to guide you through the evening, answer any questions you may have and schedule an individualized, private consultation for you. Each person that RSVPs to the event and is a Brilliant Distinctions reward member will receive a $200 rebate for six cycles or more.

RSVP today by calling 404-778-6879 or e-mail jessica.graber@emoryhealthcare.org.

Emory Aesthetic Center

Learn more about CoolSculpting and how the Emory Aesthetic Center can create a customized treatment plan that will help you achieve dramatic results with this non-surgical procedure.

Or if you have different cosmetic needs, schedule a complimentary consultation today. We offer a wide range of body procedures to help you look and feel great. Our expert physicians will work with you during your consultation to determine treatment options that are right for you, and that will help you bring out your very best.

Request an appointment

or call us at 404-778-6880.

The Top Cosmetic Procedures for Men

Everyone — men and women alike — would like to look their best. So, it should come as no surprise, that men get cosmetic procedures too. In fact, the American Society of Plastic Surgeons’ (ASAPS) annual statistics show that more than 1.3 million cosmetic procedures were performed on men in 2016 alone.

What Cosmetic Procedure is Right for You?

There’s no shortage of options when it comes to enhancing your appearance. Cosmetic procedures include surgical and nonsurgical techniques. The procedure that’s best for you depends on your desired results, your budget and the time you have available to recover. If you’re considering a cosmetic procedure, talk to an experienced cosmetic surgeon to learn what options are best for you.

Nonsurgical Cosmetic Procedures for Men

Men want to look youthful and vital too. So, what better place to start than the face? Facial rejuvenation with botulinum toxin injections (Botox) and hyaluronic acid injections (Juvederm, Restylane) top the list for the most popular nonsurgical procedures for men. Skincare treatments, such as facials, photorejuvenation (IPL) and chemical peels, are also on the rise.

Sometimes a combination of nonsurgical treatments can give impressive results, without the downtime. For example, a liquid facelift, which is usually a combination of injectables and dermal fillers, can give a mini-facelift effect without the expense or recovery time that comes with surgical options.

Top 5 Cosmetic Surgery Procedures for Men

According to the American Society for Aesthetic Plastic Surgery, the current top five surgical cosmetic procedures for men are:

Liposuction

Liposuction removes pockets of stubborn fat. It’s not meant to be a weight loss procedure. Instead, it sculpts the body by removing areas of fat that don’t respond to normal weight loss efforts, such as diet and exercise. Common areas that men choose to have liposuction performed are their love handles, chest, lower-back and under their chin.

Gynecomastia Surgery

Gynecomastia is male breast reduction. Sometimes, due to hormone issues, weight gain or aging, men develop excess breast tissue. In some cases, it can be removed with liposuction alone. Other times, the skin also needs to be removed, recontoured and tightened for a smoother and more masculine appearance.

Eyelid Surgery

Eyelid surgery, also called Blepharoplasty, can give a more rested, alert and youthful look. Surgery can be performed on the top eyelids to treat drooping, on the bottom eyelids to address under-eye bags, or on both. Some men choose to have eyelid surgery performed in combination with other procedures, such as a brow lift or a facelift, for more dramatic results.

Rhinoplasty

A commonly used term for rhinoplasty is “nose job.” This procedure is used to reshape the nose and bring it into balance with your other facial features. Not only can rhinoplasty improve your appearance, it can also help improve your breathing, reduce snoring and treat sleep apnea.

Facelift

Facelifts can be used to address many signs of aging, including wrinkles, sagging skin, changes to facial contour and facial volume loss. There are so many options with a facelift that give results ranging from subtle to dramatic. Many men choose to have the skin on their neck tightened as well.

Choosing a Cosmetic Surgeon

Think cosmetic surgery may be for you? The first and most important step is to find the right cosmetic surgeon. Obviously, you want someone with experience that you can trust. Take time to do your homework because your results will only be as good as your surgeon. Check out our blog on Tips to Help Choose a Qualified Cosmetic Surgeon.

Emory Aesthetic Center

Emory Aesthetic Center cosmetic surgeons are experienced in specialized cosmetic procedures for men. If you’re ready to look your best, schedule a complimentary consultation 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.

 

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or call us at 404-778-6880.

Your Body Contouring Questions Answered: Get Your Body Summer Ready

With the official start of Spring and warmer weather, we have replaced those scarves, gloves, and sweaters with tank tops, shorts and, yes, very soon, we’ll be pulling out our swimsuits. Although donning a swimsuit can be a source of stress for some, it doesn’t have to be.

During our live chat on Tuesday, March 20th, hosted by Emory Aesthetic Center’s plastic surgeon, Dr. Felmont Eaves, we answered questions about body contouring options to help shape your body for the summer season. Dr. Eaves discussed both surgical and non-surgical procedures – including liposuction, tummy tucks, and Coolsculpting®.

Below are just highlights from the chat. You can also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

Is there an alternative body contouring method that does not include surgery?

Dr. Eaves: Yes, the most common non-surgical body contouring technique is cryolipolysis, most commonly known by the brand name CoolSculpting®. This procedure uses the freezing of fat. In some patients, it can provide excellent results without downtime. Other patients will do better with liposuction or another procedure. Your physician should be able to help you figure out which is best for you.

What is the difference between laser liposuction and regular liposuction?

Dr. Eaves: There are many different types of liposuction. The original type, which we call Suction Assisted Lipectomy (SAL), uses a hollow tube with holes in the end connected to a suction tube to remove the fat. We still use that very commonly. Sometimes doctors want to use an energy source to help break up the fat. This can be a laser, ultrasound, vibrating tip, or water jet. While companies hype that their machine is better, in general, they all can give excellent results, and I don’t feel that any one technology is superior to another from the patient’s perspective.

What type of breast implant gives the most natural result?

Dr. Eaves: There is currently a lot of hype about breast implant styles in breast augmentation. In terms of the fill material, silicone gel feels and looks more natural. In terms of the shape of the implant, most women do very well with round implants, which when standing will assume a tear-drop shape. In some cases, special shaped implants might have benefited, but I believe that this is in the minority of cases.

Is it possible to have fat taken from my belly and injected into my buttocks or breasts?

Dr. Eaves: It most certainly is. We term this autologous fat grafting or AFG. This is very common for the enhancement of buttock volume, especially since there are no FDA approved buttock implants available in the United States. Fat grafting to the breast is certainly done, but here, it is most often done as an adjunct to other procedures to provide small areas of fill. Breast augmentation with fat grafting alone is a challenge as it is difficult to get significant changes in volume without multiple surgical procedures.

What is the recovery time for liposuction? And when will I be able to wear a 2-piece after the procedure?

Dr. Eaves: When I talk about recovery time, I always like to talk about recovery “to what point?”. In a typical liposuction patient, you should be able to be up and walking in the house later that day. Typically you would be off of pain medications in 2-3 days and would be able to drive. Many patients can return to work in a week or less. In terms of wearing a 2-piece suit and feeling comfortable, that will vary depending on how quickly the swelling goes down. Typically after three weeks we really start to see the swelling go down, but it may take 2-3 months until your feeling really good about the results. Even then, the results will likely continue to improve and the last bits of swelling will fade in an additional 3 months or so.

What if I do not qualify for the surgical procedure? Do you have any recommendations to lose the excess skin around the love handles?

Dr. Eaves: As in the previous question, CoolSculpting® might be able to help you reduce the fat, but neither CoolSculpting® nor liposuction significantly tightens the skin. If you want to tighten the skin, it does require a surgery. Some companies state that they can shrink skin, but to me, most of the results look really questionable.

What options are there to get rid of stretch marks?

Dr. Eaves: Stretch marks are hard to remove, and in general there are no great treatments to remove them. There is an exception, however, when the stretch marks are below the belly button. In that case a tummy tuck (abdominoplasty) can remove most – and on occasional all – of the stretch marks.

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Or call us at 404-778-6880.

How to Get Natural Looking Results with Your Cosmetic Procedure

We’re all guilty of it — flipping through magazines or even old pictures of our twenty-year-old selves, thinking “I want to look like THAT!” Unfortunately, that’s how some people approach cosmetic surgery, and the results are less than ideal or not what was expected.

The goal of plastic surgery is to look like the best version of yourself. Not the model in the magazine, and not the teenage version of yourself. But the freshest, most vital version of the person you look at in the mirror each day. So how can you get the most natural, beautiful results that cosmetic procedures have to offer?

Start Early and Start Small

The adage, “An ounce of prevention is worth a pound of cure,” definitely applies to cosmetic procedures. The best way to avoid looking over-done is to start with small, subtle interventions early on to delay certain telltale signs of aging.

For example, you can start Botox© (injectables) treatments when lines first begin to form between your eyes or on your forehead. Botox and other injectables work by stopping muscles from making repetitive motions that create lines. When we treat these muscles with Botox, the lines fade and may even disappear completely, or at least not deepen as quickly as they otherwise would. The earlier you begin Botox treatment, the longer you can go between treatments. While Botox results typically last three to four months, they may last up to six months for very faint lines.

Other early signs of aging can include subtle loss of volume in the middle portion of your face — the area just center of the cheekbones. Loss of volume here causes shadows to form under your eyes and deepens the folds around your mouth, commonly called marionette lines. Fillers, such as Juvederm©, Restylane© or Voluma©, are injected to improve contour in these areas. They work by temporarily improving volume, but they also tend to cause your body to produce collagen. Starting to use these products in your late 30s or 40s will increase the amount of collagen in these areas, which slows down the normal aging process in a very subtle way.

Have Realistic Expectations

When it comes to surgery, many patients will pull on their jawline or eyelids to demonstrate the amount of extra skin they have, and say: “This is what I want gone!” But remember, the goal is to get a result that looks like a better, more rested version of yourself; not to remove all extra skin. Your underlying bone structure and the texture and tone of your skin need to be considered when determining what will make you look your best. Sometimes looking natural means accepting a little line here or a little extra skin there.

Listen to the Experts

So how do you know what will look best? This is where your surgeon comes in. When I perform a consultation, I often have the patient look in a mirror and show me what they think their results will look like. I show them how certain areas may have more or less change than they’re anticipating, based on their anatomy. I also explain how the addition of dermal fillers or Botox can be incorporated to further enhance their results.

When you’re ready to begin cosmetic procedures, your first step should be finding a qualified and experienced cosmetic surgeon who you trust. Your cosmetic surgeon should not only have excellent credentials but should also be someone who listens to your goals, explains the types of procedures you may benefit from and guide you toward the best and most natural results.

Emory Aesthetic Center

Emory Aesthetic Center excels at providing natural results using a variety of surgical and nonsurgical cosmetic procedures. Schedule your complimentary consultation today.

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.

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or call us at 404-778-6880.

Tips to Help Choose a Qualified Cosmetic Surgeon

Twenty-five or thirty years ago, choosing a cosmetic surgeon was a much simpler task. At that time, cosmetic surgical procedures were primarily offered by plastic surgeons, and there were fewer non-invasive procedures being offered. Having fewer choices made doing your homework a whole lot easier.

Fast forward to 2018:

  • Nonsurgical treatment options have increased exponentially
  • The qualifications of the people administering these treatments are widespread
  • Surgical techniques and equipment have increased ten-fold
  • You can’t turn on your TV or computer without seeing an ad for a cosmetic procedure

As if all this didn’t complicate things enough, there’s one more element that should give you pause—there are no laws restricting what type of procedures a doctor can do based on their training. That means it’s legal for an emergency room doctor, who has never performed a surgical residency, to do a facelift or body contouring surgery. Scary, right?

So, how can you make sure you’re choosing the best professional to perform your cosmetic procedure? Finding the right person is vitally important. You want someone who is well trained, experienced and who can give you great results . . . safely.

Six Things to Look for in a Cosmetic Surgeon

When choosing a plastic surgeon, there’s more to consider than just a medical degree.

Training

Think about what type of training each doctor has had and if they’re working within their scope of training. For example, a plastic surgeon doing a tummy tuck makes a whole lot more sense than an OB/GYN.

Would you rather have a surgeon who’s been trained how to take on the most challenging situations that can arise during surgery, or one who took a few weekend courses? Residency training in a surgical specialty is a long and rigorous process. An ACGME (Accreditation Council for Graduate Medical Education) plastic surgery residency takes a minimum of six to seven years to complete, and many surgeons do additional fellowship training beyond that.

Board Certification

It may surprise you to hear that not all certifications are legit. Basically, any person or organization can create a board and advertise it. So how do you know which ones to trust? The American Board of Plastic Surgery and the American Board of Otolaryngology are two trustworthy organizations. They are both parts of the highly-regarded American Board of Medical Specialties, which requires members to have completed a credentialed, multi-year residency program in that specialty.

Privileges in Certified Centers

Certified centers can only allow surgeons who meet specific training and credentialing use their facility. Beware of any doctor that works only in non-certified centers, hospitals or offices.

Academic Medical Centers

Working for an academic medical center is not a must— there are many great surgeons who are in private practice—but it is a bonus. Academic medical centers offer another level of screening. They rigorously assess individuals before appointing them to the faculty of a medical school where they train medical students and residents. If a doctor has a full-time appointment to a medical school faculty, you can be confident they meet stringent training and testing requirements.

Validated Patient Reviews

Be suspicious of open platform review sites where anyone—a patient or not—can go on and create a review. Sometimes a surgeon’s competitors make up bad reviews to hurt the practice. Other times, a practice may populate the site with their own great reviews to drive up their ratings. Look for validated online platforms, where only actual patients of that doctor can submit reviews. Obviously, you’re looking for mostly positive feedback, but even the best doctor can get an occasional negative review.

Personal Referrals

Word of mouth is the best form of advertising. A referral from a trusted doctor or friend is a great place to start. If the same name keeps popping up from multiple trusted sources, you’re definitely on the right track.

Three Things to Check … With Caution

Things like training and certifications can be verified through impartial sources, making them invaluable to your research. There are other ways to gather additional insight into surgeons, but they require a little more investigation . . . and caution on your part.

Their Website

A practice’s website can be an important source of information and a good place to do some basic research. But keep in mind they are designed to put the practice’s best foot forward. Just because they say they’re a world-renowned expert, doesn’t make it true. Go ahead and check out their site, but be sure to do your own investigation.

“Best” or “Top” Doctor Lists

Some of these lists are legitimate. But others are popularity contests or merely advertisements that include anybody who’s willing to send in money. The credible ones typically list only physicians that have been nominated by other physicians, like Castle Connolly Top Docs.

Before and After Pictures

Of course, you’ll want to see a sample “before and after pictures” from your potential plastic surgeon, but remember that things aren’t always as they seem. Surgeons will always show you their very best results. But what does the average result look like? Also, beware of shady professionals who use fraudulent photos that aren’t even their own work.

Bottom Line

Choosing the right surgeon is the single most important step in your cosmetic surgery journey. After you’ve checked out their qualifications, look for a physician you can easily talk to, who makes you feel confident and who seems to truly care about you and your needs.

Emory Aesthetic Center is staffed with qualified, expert cosmetic surgeons who are ready to give you the results you want. Schedule a complimentary consultation today.

About Felmont Eaves III, M.D., F.A.C.S.

Felmont F. Eaves III, M.D., F.A.C.S., leads the Emory Aesthetic Center as Medical Director. He is double board-certified by the American Board of Surgery and the American Board of Plastic Surgery.

Dr. Eaves’ leadership is apparent in his impressive accumulation of distinctions. He serves as Director of the American Board of Plastic Surgery, the board that certifies plastic surgeons nationally. Previously, he served as President of the American Society for Aesthetic Plastic Surgery; he is currently a Trustee.

Request an appointment

or call us at 404-778-6880.

What is a Liquid Facelift?

A facelift without surgery? A “liquid facelift” may sound like a dream, but it’s a real. Simply put, it’s a nonsurgical facelift. So, if you’re bothered by signs of aging, but aren’t quite ready to make the jump to cosmetic surgery, this may be your answer.

How Injections and Fillers Can Give You a Whole New Look

As you age, your skin loses elasticity and volume. This can cause sagging skin, hollowed eyes, and wrinkles. With the availability of injectables and dermal fillers, surgery is no longer the only option for combating these common signs of aging.

Injectables

Repetitive movements, like smiling or furrowing your brow, eventually create wrinkles. Injectables are used to relax and limit the movement of specific facial muscles that are responsible for wrinkles. Injectibles are commonly used to temporarily soften or eliminate lines and wrinkles on the forehead and around the eyes and mouth. The added bonus is they also prevent deeper lines and wrinkles from forming. You can typically expect results to last three to four months.

How Do Injectables Work?

Injectables use a safe form of botulinum toxin to reduce the appearance of certain facial wrinkles. Botox® is the most well-known brand of botulinum toxin. The toxin is injected directly into small muscle groups of your face to stop the normal chemical transmission between nerves and muscles; causing temporary paralysis of the targeted muscles and limiting the repetitive movements that cause problems. Your body metabolizes the toxins and your nerves regain their ability to transmit chemical signals within a few months. Most patients who get injections consistently over time find they need treatment less often because their muscles adjust to having fewer contractions.

Dermal Fillers

It’s common to lose volume in your lips, in the folds between your lips and nose, in your cheeks and under your eyes as you age. Dermal fillers can be used to get rid of marionette lines (deep lines that run from your mouth to your chin), restore your jawline, plump your lips and more. Results typically last between six months and one year.

How Do Dermal Fillers Work?

Fillers are injectable gel treatments that temporarily add volume and fill in wrinkles caused by volume loss. There are several different brands and formulas of fillers available. A qualified cosmetic surgeon can help determine which is best for you. The most common type of dermal filler is the hyaluronic acid (HA) filler, but other formulas produce excellent results as well.

Hyaluronic acid fillers are made from a chemical structure found in our bodies, which means there is less chance for an allergic reaction. This filler offers a lot of flexibility to manipulate the thickness, volume, and longevity of its effects. Another benefit of HA fillers is they can be dissolved with an injection of enzyme filler, which means it’s completely reversible if you aren’t happy with the results.

Is a Liquid Facelift Right for Me?

Liquid facelifts are a great option for people with early signs of aging. If you have minimal wrinkles and/or volume loss, and you’re okay with temporary results, the liquid facelift may be right for you. It’s a good way to get immediate, long-lasting results with no downtime.

If you have moderate to severe wrinkles and/or volume loss, a surgical facelift is your better option. There is no question that a surgical facelift can reverse all of the outlined changes above, and for most patients, remains the best option for treatment of the aging face. Surgeons often choose to use a combination of surgical and nonsurgical techniques to provide the best results.

To find out what’s right for you, consult with an expert cosmetic surgeon who is experienced in both surgical and nonsurgical procedures.

Emory Aesthetic Center

Emory Aesthetic Center cosmetic surgeons will help you decide which procedures will give you the results you’re looking for. Schedule your free consultation today.

About Foad Nahai, MD, F.A.C.S

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

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

Request an appointment

or call us at 404-778-6880.

Treatment Options to Get Rid of a Double Chin

Double chins go by many names, and some of them sound pretty funny. Whether you call it a turkey neck, wattle or something else, one thing is certain—there’s nothing fun about having one.

So first of all, let’s start with ‘what is a double chin’, really? Primarily, it means that there are fatty deposits in the central area of the neck starting on the underside of the jaw bone going downward. Generally the fat is just in the middle of the neck, but sometimes it goes more widely from side to side. Because the fat pushes the skin outward, it creates a change in the normally sharp angle between the underside of the chin and the neck when looking from the side. Typically, it looks worse when someone is looking down, or bending their neck downward.

In order to address a double chin, it means we need to reduce the fat in this area. Today, there are more options than ever before when it comes to treating and minimizing a double chin. At the Emory Aesthetic Center, our cosmetic surgeons will work closely with you to understand your options, and help you decide if a surgical or non-surgical approach is best for you.

Treatment Options

Understanding what causes your double chin is important in helping your surgeon determine the treatment approach for you. The status of the skin has a huge effect on what treatment will work best. There are surgical and non-surgical approaches that can remove fat from your neck, or when needed, tighten your skin.

Fat Removal

If you have a full neck, your weight is relatively good and your skin is youthful and elastic, we may only need to remove fat (not skin). Once the fat is removed, your skin will redistribute into the angle of the neck and chin, helping tighten your skin even more.

There are several different surgical and non-surgical options to consider since skin does not need to be removed. Those procedures include liposuction, cyrolipolysis (CoolSculpting) and deoxycholic acid injections (Kybella).

The primary surgical option is liposuction, which can be done under local or general anesthesia. Liposuction takes only a single treatment, and most patients recover quickly. There may be mild swelling for 1-2 weeks and possibly some bruising.

Non-surgical options include CoolSculpting, which freezes fat in the targeted area, and Kybella injections. Both of these can reduce the fat under the chin, but they may take several sessions to get the same result that might be achieved in one treatment with liposuction.

Neck Lift

If excess skin is causing or adding to the appearance of a double chin, then simply removing fat won’t slim your neck. Instead, it will also be necessary to tighten the skin around your neck so that it will look smooth and well contoured.

A neck lift is usually the best treatment option in this case. This procedure will remove fat, but it also treats underlying bands (which may be related to muscles that need to be tightened) and excess skin, therefore creating a smooth, more youthful appearance. The results can be dramatic and can give many years of improvement.

Neck lifts are often combined with a lower facelift, as patients with neck laxity typically have looseness in this area as well that cause sagging jowls.

Emory Aesthetic Center

Emory Aesthetic Center offers a wide range of non-surgical and surgical procedures to address a double chin. Our expert surgeons will assess your specific needs and discuss options that will give you the best result. Contact us today and we can help you find the solution that’s right for you.

About Felmont Eaves III, M.D., F.A.C.S.

Felmont F. Eaves III, M.D., F.A.C.S., leads the Emory Aesthetic Center as Medical Director. He is double board-certified by the American Board of Surgery and the American Board of Plastic Surgery.

Dr. Eaves’ leadership is apparent in his impressive accumulation of distinctions. He serves as Director of the American Board of Plastic Surgery, the board that certifies plastic surgeons nationally. Previously, he served as President of the American Society for Aesthetic Plastic Surgery; he is currently a Trustee.

Request an appointment

or call us at 404-778-6880.