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Breast Lift vs. Breast Implants: Which Do I Need?

You may know that you’re not happy with the appearance of your breasts, but do you know exactly what you need to get the results you want? How do you know whether you need a breast lift (mastopexy) or breast implants (breast augmentation)?

Fortunately, there are a few simple steps you can use to determine which procedure, or procedures, is right for you. The first step is having a clear picture of what you want. The second, and perhaps most important step, is choosing a plastic surgeon you can trust, and communicating that picture effectively.

Aesthetics of the Breast

There are many factors that can affect the aesthetics of the breast. Here are a few that are important for your cosmetic surgeon to consider, and for you to understand, before making a decision about your treatment plan:

Skin vs. Volume

Think of your breast as being composed of two parts: an “envelope,” which is the skin that covers the breast and the “filling,” which is the fat and tissue that creates the volume within the envelope. A well-shaped breast has a good match between the size of the envelope and the volume of the filling.

Nipple Location

A good way to determine if the skin envelope is too big is to look at the position of the nipple compared to the fold underneath the breast (called the infra-mammary fold). Normally, if there is a good match between the breast envelope and volume, the nipple will be positioned above the level of the fold. As the skin envelope gets bigger, the nipple droops lower.

When Breast Implants Are Enough

If the skin envelope is relatively normal (not stretched out much by weight fluctuations or pregnancy) and the breast volume is relatively low, then adding volume will create a good envelope-to-volume match. In this case, a breast implant alone can give a great result.

When a Breast Lift Is Needed

If the envelope is significantly stretched out but the volume is good, a breast lift is needed. Removing the excess skin will create a nice envelope-to-volume match.

When Both Implants and a Lift Are Needed

If the skin envelope is too big and the volume is smaller than you want, combining a breast implant with a breast lift will give you the best results.   

Some women think if they get large enough implants, they won’t need a lift. Trying to avoid a breast lift by getting large implants is a mistake. Implants that are too big weigh down the breasts and stretch out the skin. Often, this calls for a second surgery to replace the implants with smaller ones, as well as a breast lift to return the breasts to their proper position.

Emory Aesthetic Center

If you’re considering a breast lift or implants, come see one of our expert cosmetic surgeons to discuss your options. Schedule a complimentary consultation with the Emory Aesthetic Center to find out what procedure, or combination of procedures, is right for you.

Request an appointment

or call us at 404-778-6880.

Planning Your Cosmetic Surgery in Time for the Holidays

Holiday Plastic SurgeryHoliday gatherings, office parties and catching up with old friends are all a part of what makes the holidays so much fun. But if you’re not feeling good about how you look, these activities can also be a part of what makes the season stressful. You may be thinking, “I don’t feel older, why do I look it?” Or maybe you’re simply dreading all of the photo opportunities with friends and family.

Whatever your specific situation, if you feel your outward appearance doesn’t reflect how great you feel on the inside, maybe it’s time to consider a cosmetic procedure.

Will I Be Fully Recovered Before the Festivities Begin?

If you’re thinking about having a cosmetic procedure, talk to a cosmetic surgeon to discuss your options. Be sure you’re clear about the results you want and the timeframe you’re working within. Ask specifically about when any bruising or swelling will be gone and how long it will take to see the full results of the procedure.

Here are some ideas of what’s possible depending on your timing:

Two Months Before

If you have at least eight weeks before your event, there’s plenty of time for a lower-face and neck lift. So, if you’ve been looking in the mirror and tugging at jowls, excess neck skin or pooching around your eyes, stop wondering what you could look like and take the first step by scheduling a consultation with a qualified cosmetic surgeon.

Three to Four Weeks Before

If you have three to four weeks before your big event, you can give your eyes a major boost. Get rid of bags around your eyes or heaviness around the upper and lower lids. Cosmetic eyelid procedures make a big difference in your appearance, and you get results fast. Sometimes, they can even be done in the surgeon’s office using local anesthetic.

Two Weeks Before

Only two weeks until your family holiday photo? There’s still plenty you can do to look your best. Injectables and dermal fillers offer a big bang for your buck. Injectables, like Botox©, are great for smoothing forehead creases, crow’s feet and frown lines and they can help lift your brows. Fillers smooth out wrinkles and facial creases and work to restore volume under your eyes, across your cheeks or along your jawline.

One Week Before

So, it snuck up on you and your office holiday party is only one week away? Still no need panic. Nonsurgical cosmetic procedures like facial peels and microdermabrasion will have you looking radiant.   

Emory Aesthetic Center

Spending time with family and friends should be rejuvenating—let us help. Emory Aesthetic Center is experienced in the full-range of surgical and nonsurgical cosmetic procedures. We even offer skin treatments at our luxurious spa. Schedule your complimentary consultation today and then sit back while we find ways to connect your inner beauty with your outer glow.

Request an appointment

or call us at 404-778-6880.

Which Type of Liposuction Is Best?

types of liposuctionLiposuction is a cosmetic procedure to remove excess fat from specific areas of your body. Everyone is different, and it can be difficult to know which liposuction technique is appropriate for you.

Liposuction may be right for you if you:

  • Are at or near your desired weight
  • Have good skin elasticity
  • Have certain areas that are out of proportion with the rest of your body, and are not improved with diet and exercise

Types of Liposuction Procedures

While everyone has heard of liposuction, many may not know there are actually several different techniques available to help you achieve your desired results.

Regardless of technique, in most cases, the fat is prepared for removal by inflating it with a balanced saltwater solution that often contains lidocaine for pain relief and epinephrine to minimize bruising. This instillation of fluid is referred to as the tumescent preparation of fat.

Suction-Assisted Liposuction

While the preparation for fat removal is fairly standard (as described above), the technique for removing the fat can vary.  The most common type of liposuction involves using negative pressure to remove excess fat from an anatomic area.

After the fat is filled with tumescent fluid, the surgeon uses a thin tube (cannula) that is connected to a suction device. The fat is broken up and removed when the surgeon repeatedly passes the tip of the cannula through the fat. Most of the time, the fat is discarded. However, if you’d like to augment volume in other areas of your body, your surgeon may use it.

A new technology, called power-assisted liposuction, uses a mechanically enhanced cannula for easier passage and more thorough removal of unwanted fat.

Laser and Ultrasonic Assisted Liposuction

Some surgeons prefer to pretreat fat with a laser or ultrasonic device. There are many varieties of these devices on the market, but they all have the same method of treatment. Electromagnetic energy, by laser or ultrasound, is delivered to the targeted fat cells. The energy is converted to heat that breaks down the fatty tissue prior to aspiration, or removal of fat. Though not scientifically proven, some believe that breaking up the fat in this way allows for a better result because there is a more thorough removal of fat and by the tightening of connective tissue including the skin.

Your surgeon can usually perform most liposuction procedures while you are awake, using local anesthetics to numb the area. However, your surgeon can decide if more sedation is needed.

In some instances, patients may be put to sleep completely in the operating room. These decisions are made based on your surgeon’s judgment.

A Nonsurgical Way to Reduce Fat: Coolsculpting®

Coolsculpting is a nonsurgical way to “freeze off the fat.” A special pad is applied to the targeted area to freeze fat beneath the skin, without affecting the skin itself. Once the fat has been frozen and crystallized from the treatment, your body slowly destroys and discards the unwanted fat cells. Most patients start to see changes within three weeks, seeing final results within one to three months. It usually takes two or more treatment sessions to achieve results similar to liposuction.

How to Choose the Right Procedure

If you’re feeling confused by all these options, there’s good news — it’s actually as simple as choosing the right cosmetic surgeon. Ultimately, your results depend on finding an expert surgeon who is skilled in different liposuction techniques and understands what results you want that leads to the most favorable outcome. So, do your homework. Check credentials. Ask to see before and after pictures from their previous liposuction patients. And just as importantly, make sure the two of you communicate clearly.

Emory Aesthetic Center

Emory Aesthetic Center offers a variety of fat-removing procedures. If you’re interested in liposuction, schedule your complimentary consultation and experience the Emory difference today.

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

Choosing a Cosmetic Surgery Center

View of Emory Aesthetic Center Building EntranceWhy Choose Emory Aesthetic Center? If you’ve been thinking about cosmetic surgery, you probably have a lot of questions like “Why choose Emory Aesthetic Center.” “How do I find the right doctor for me?” “How do I know it will be safe?” “What kind of procedure do I need?” Then, like most people, you’ll likely turn to the internet for answers. But is the information accurate? Who and what can you believe?

Emory Healthcare: A Name You Can Trust

Emory Healthcare is the region’s most comprehensive academic healthcare system. It’s home to highly-regarded doctors who conduct innovative research and are ranked among the top for patient care. But is Emory the right place for cosmetic surgery? Absolutely. With an aesthetic center dedicated solely to surgical and nonsurgical cosmetic procedures, how could you go wrong?

Specialized Cosmetic Surgery Team

Cosmetic surgery is what we do. When you choose Emory Aesthetic Center you get a cosmetic surgery team filled with innovators in the field. Many of our expert surgeons teach nationally and internationally and have served as leaders in regional, national and international societies. Collectively, our team has also published hundreds of contributions in journals and books about how to perform cosmetic procedures — safely.

In addition to top-notch surgeons, our entire staff — including anesthesiologists, nurse anesthetists, nurses, technicians and more — works together to provide the best care in a center that meets the highest standards of credentialing.

Wide-Array of Surgical and Nonsurgical Cosmetic Procedures

How can you know if the procedure being recommended is the best choice for you? There’s a saying, “If the only tool you have is a hammer, the whole world looks like a nail.” That’s the problem with going to a center that has limited offerings. You will only be offered the choices they are able to provide.

Body contouring is an excellent example of why it’s important to go to a center that can offer a variety of procedures. Let’s say you want to improve the look of your abdominal area. There are several surgical and nonsurgical options for different situations:

  • Coolsculpting® can reduce small amounts of localized fat deposits, without surgery.
  • Liposuction may be needed if there is a higher percentage of fat to be removed.
  • Abdominoplasty (tummy tuck) is needed to remove significant excess skin from the tummy.
  • A body lift may be needed to tighten and firm the abdomen, thighs, and buttocks of a patient who has lost a significant amount of weight.
  • Or a combination of the procedures above may be required to give the best results.

At Emory Aesthetic Center, we’re continually studying, teaching and publishing about cosmetic procedures, so we’re always on top of the newest developments. We offer the entire spectrum of surgical and nonsurgical cosmetic procedures, including cosmetic surgery, skin care, facial rejuvenation and body contouring. Our familiarity with the full-variety of techniques available enables us to guide you toward the procedure that fits you best.

Luxurious Atmosphere

At Emory Aesthetic Center, you’ll get the best of both worlds — clinical excellence and a luxurious experience. You won’t feel like you’re in a hospital. Our center is quiet and elegant and stands remote from the main campus. Our entire staff is focused on ensuring you have a great experience. Whether you’re here for a skin treatment in our Spa or surgical treatment in the operating room, we’re ready to give you the experience of a lifetime.

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


Choose Emory Aesthetic Center

Emory Aesthetic Center is the right choice for your cosmetic procedure. But don’t take our word for it, schedule your complimentary consultation and experience the Emory difference today.

10/3/17 Facial Rejuvenation Live Chat Transcript

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

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

Live Chat Transcript

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

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

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

Oct 3, 12:00 PM
EmoryHealthcare: Please note that all questions are moderated before appearing in the stream, so you may not see yours appear right away, but we will do our best to answer all your questions today.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Emory Aesthetic Center

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

or call 404-778-6880.


About Dr. Zubowicz

Doctor ZubowiczDr. Vincent Zubowicz, Clinical Professor of Surgery at Emory University, is a renowned leader in the Atlanta medical community where he has practiced for over thirty-five years. He is triple board-certified by the National Board of Medical Examiners, the American Board of Surgery, and the American Board of Plastic Surgery.

Dr. Zubowicz is not only a leader in Plastic, Reconstructive, and Maxillofacial Surgery, but also a leader in patient communication. He is one of the Top 50 Doctors on RealSelf, the nation’s premier online communication resource for patients, where he serves on the national media committee. As an advocate for open patient communication, Dr. Zubowicz has written over 18,000 individual answers to patients seeking insights on both surgical and non-surgical procedures. Dr. Zubowicz is a prevailing voice of medical expertise for the Atlanta media, most recently appearing on CNN to discuss the selection and safety of free-standing aesthetic surgery centers.

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

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

Abdominoplasty Procedure – Recovery and Results

revised tummy tuck imageAn abdominoplasty procedure (tummy tuck) yields dramatic results. Unlike liposuction, abdominoplasty doesn’t just remove fat from your tummy, it also removes excess skin and repairs loose muscles—making a significant improvement to a person’s appearance and self-confidence. That’s why it’s always been a popular cosmetic surgery choice.

Reasons for considering a tummy tuck vary widely. Often, the need for an abdominoplasty procedure is due to life changes that can affect the shape of your midriff, such as childbirth, significant weight loss or aging. But there’s also a small percentage of patients who haven’t experienced any of these life changes and are still unhappy with stubborn fat in their abdominal area that doesn’t improve with diet and exercise.

Regardless of your reason, deciding on an abdominoplasty procedure is now an easier choice than ever. While tummy tucks used to come with a long, difficult recovery (causing some to shy away from the procedure), recent surgical advancements have made that a thing of the past—and tummy tucks are increasing in popularity. In fact, according to the American Society of Plastic Surgeons, more than 130,000 are performed every year.

Improved techniques for less pain and quicker recovery

Breakthroughs in surgical techniques and pain management have significantly improved the recovery experience of abdominoplasty patients:

Progressive tension sutures (PTS)

Progressive tension sutures are probably the biggest game-changer. PTS is a deep suturing technique that eliminates the need for postoperative drains. Before PTS, patients had tubes (drains) that came through their incision to the outside of their body for up to three weeks. The drains required daily care and were certainly not comfortable or conducive to daily activities.

New pain control methods

New methods of pain control, like pain pumps and long-lasting injections of local anesthetic, make it easier to get comfortable and to move around much sooner following surgery. They also reduce or eliminate the need for oral medications that can cause unpleasant side effects like constipation.

Are you a good candidate for an abdominoplasty procedure?

Ensure you’re a good candidate for an abdominoplasty procedure by keeping yourself healthy and in good physical condition. You must be in good physical shape to tolerate the surgery—it will also serve you well as far as your recovery. Here are some other considerations:

  • Are you a smoker? If so, you should consider quitting. Smoking will slow down the healing process and increase your risk of serious complications during and after surgery.
  • Is your weight stable? If not, you should first work on achieving a healthy weight and maintaining it over time. Aside from helping you enjoy a speedier recovery, being at a healthy weight will ensure the best results. It’s also important you’re able to keep your weight off as your results will be affected by weight gain.
  • Are you finished having children? If not, your results from the procedure will be affected by future pregnancies.

What you can expect during abdominoplasty recovery

Everybody’s different, and that means no two people will heal the exact same way. However, most people who have a tummy tuck can expect to be able to:

  • Drive within a week of surgery
  • Return to work within three weeks
  • Engage in light exercise, like walking just a few days post-surgery

It may take a few months for all your swelling to dissipate, but most of it will be gone within the first few weeks. Your scar will continue to improve for at least a year.

Emory Aesthetic Center

If you’re ready for a change and a tummy tuck seems right for you, contact the Emory Aesthetic Center to schedule a complimentary consultation with one our expert cosmetic surgeons.

Request an appointment
Or call us at 404-778-6880 to schedule your personal consultation.

Upper Body Lift: Getting Rid of Love Handles and Back Rolls

Upper Back LiftIn the world of body contouring, most of the focus over the years has been on the tummy and breasts. This makes sense since these areas tend to change the most as we age. But recently, people have been noticing the issues affecting the back of their bodies as well. I’m sure you’ve heard about lower body lifts and buttock enhancement, but are you aware of one of the most powerful and dramatic body contouring techniques available — the upper body lift?

What causes back rolls and bulges?

Due to age, weight fluctuations or genetics, many people develop laxity (sagging or loose skin) in their upper body. Sometimes the laxity occurs between the bottom of the breasts and the upper tummy, but it tends to be most obvious on the back. This laxity (and some associated fatty deposits) leads to those annoying back rolls near and under the shoulder blades. It also contributes to the “bra roll” that can be present in both men and women.

How can I get a sleek upper body?

Liposuction has been the primary strategy used to treat bulges, rolls and love handles. While liposuction makes a significant difference in the fullness of the rolls, it often does not fully address the underlying skin laxity. So, even after the rolls are improved, the skin may hang over or bulge out from under the bra. That’s where upper body lifts come in.

Upper body lifts make dramatic improvements in the back and side of the upper body. Over the past 20 years, plastic surgeons have become more aware and skilled at upper body lifts, primarily due to the growing numbers of people who’ve lost large amounts of weight either through bariatric surgery procedures or diet and exercise. People who’ve experienced massive weight loss can have profound laxity in their back, sides and breast area. However, upper body lifts are not just for patients with massive weight loss. There’s a growing number of people who are a healthy weight that have similar complaints.

How does an upper body lift work?

An incision is made across the back, connecting around the sides to go under the breasts. This allows a large amount of loose skin to be removed. Removing the excess skin gets rid of rolls on the mid-back and side “bra-roll” areas and can also lift rolls that may extend all the way to the love handles. Because the skin of the back is thick and strong, these incisions tend to heal well. In fact, it’s usually an easier recovery than a tummy tuck or lower body lift.

What about scarring?

If you’re worried about big, ugly scars, don’t be. Skilled plastic surgeons can usually position scars in the least noticeable places.

Women

Upper body lift scars can be positioned in the mid-back, where a bathing suit or bra strap will cover it.  Often, women combine upper body lifts with breast lifts or tummy tucks. For the breast lift, the scar from the upper body lift can extend underneath the breast.

Men

For men who are concerned about having a scar on their back, it’s possible to position the scar along the side of the chest, going down from the underarm. This produces significant improvement in both the bra roll and back areas, although perhaps not as much as with an upper body lift where the scar goes across the back.

Emory Aesthetic Center

If you’re frustrated with back rolls or love handles, schedule a complimentary upper body lift consultation with the expert physicians at the Emory Aesthetic Center.

Make an appointment

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

Request an appointment

Enhancing Your Lips: Lip Fillers or Lip Augmentation

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

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

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

Injectable dermal fillers for lip augmentation

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

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

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

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

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

Fat transfer for lip augmentation

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

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

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

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

Is it time for lip augmentation?

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

Make an appointment

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

Schedule and appointment

 

 

How Do I Choose a Plastic Surgeon?

Choosing the right plastic surgeon is the most crucial step in getting the results you want. Do you know who’s trained to do your surgery?You may be surprised to learn that any doctor with a medical license can legally perform cosmetic (aesthetic) surgery. They aren’t legally required to have any specialized training in that area. So, if you’re considering cosmetic surgery, you need to do your homework to find the plastic surgeon who’s best qualified to perform your procedure. It only makes sense to choose someone who’s highly trained and experienced. But how can you know who’s the best doctor for the job?

Who’s Trained in Cosmetic Surgery?

The specialists listed below are trained in cosmetic surgery. It’s a good idea to get familiar with what specific procedures each specialist is trained to perform.

Medical specialists who receive cosmetic surgery training include:

  • Dermatologic surgeons – trained for surgery of the skin
  • Ophthalmologists/oculoplastic surgeons – trained for surgery around the eyes
  • Otolaryngologists/facial plastic surgeons – trained for surgery on the face and neck
  • Plastic surgeons – trained for surgery in all areas of the face and body

What Type of Certification Should I Look for in a Plastic Surgeon?

Surgeons trained in the United States receive certification from the American Board of Medical Specialties (ABMS). Look for a surgeon who is certified by the American Board of Plastic Surgery, the American Board of Cosmetic Surgery or other reputable professional board.

ABMS board certification means the surgeon has:

  • Met training standards in a valid training program
  • Passed a rigorous written examination
  • Passed oral examinations, including presentation of actual cases they’ve performed

What If They’re Not American Board Certified?

While looking for a board-certified plastic surgeon is a great place to start, there are a couple of special circumstances to consider.

New surgeons. It takes time to go through the board certification process. Newly practicing surgeons may be “board eligible,” meaning they’ve completed the appropriate training. If their training program focused on the procedure you’re interested in, they may be a good fit for you.

Internationally-trained surgeons. Surgeons trained internationally may be excellently trained and experienced, but they’re not eligible for certification by an ABMS board. This doesn’t mean that you shouldn’t choose them. In fact, internationally trained surgeons are often recruited by medical schools because of their special skills and expertise.

What Else Should I Consider When Choosing a Plastic Surgeon?

When interviewing plastic surgeons, make sure you check the status of their medical license, verify their board certification and ensure they operate in a certified facility

You should meet with each possible candidate and make sure you feel comfortable with the surgeon, his or her team and their facilities.

Be sure to ask:

  • What specialties are you trained in?
  • Where did you receive your training?
  • What experience do you have performing the procedure(s) I’m considering?

Are You Looking for a Qualified Plastic Surgeon?

Emory Aesthetic Center has a skilled team of board-certified cosmetic surgeons  who offer extensive experience in a variety of procedures.

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Or call us at 404-778-6880 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.

What to Think About When Considering a Facelift

lovely250x250Despite the popularity of noninvasive treatments such as Botox and dermal fillers, facelifts still make up a sizeable portion of a cosmetic practice. The longer lasting results and improvement in neck tightening are only some of the reasons a facelift is still a more highly satisfactory procedure. If you are considering a facelift, or in the beginning stages of researching it, there are many questions that you may have. Below are answers to some of the more common questions to help you as you begin your decision making process.

How long is the procedure and what is recovery like?

Facelifts come in many iterations. A “mini-lift” may only take 1.5 – 2 hours to perform, yet a standard lower face and neck lift may take up to 3 hours or more. Additional time may be necessary if other procedures are added, such as blepharoplasty (eyelid lift) or forehead lift. Recovery usually takes about 10-14 days, although after that time you may still experience swelling in the facial and neck tissues and some redness around the incisions. I caution patients to avoid scheduling important family or business events within the first 6 weeks, especially if photographs are to be taken.

How do I know if I’m a good candidate for a facelift?

Many patients have the misconception that you are a candidate for a facelift based on age alone. This is far from the only criteria that may steer your cosmetic surgeon towards a recommendation for a facelift. If you have looseness in the jawline and neck areas, a favorable anatomy that would allow a significant improvement with tightening, and have no contraindications to a procedure under general anesthesia, your surgeon may recommend a facelift. There are other issues to take into account as well, such as skin texture and a history of poor scarring. A consultation with a board certified cosmetic surgeon is important so that you can discuss all the factors involved in candidacy.

Can’t I just have a mini-facelift?

Please see one of our earlier blogs What is a Mini-Facelift? for a more in depth discussion, but mini-facelifts are appropriate for a small subset of facelift patients: mainly those who have little to no excess skin in the neck and only very early signs of looseness around the jawline. Because the surgery and recovery are not significantly different between a facelift and mini-facelift, the most important factor to consider is really what your anatomy dictates will give you the best result, not the length of the incision itself.

What if I want to lose weight-should I do it before or after?

If you are planning on losing 10 or more pounds, it would be best to undergo your surgery after your weight loss. This is because looseness in the tissues can develop again after surgery if there is significant loss of weight. This can be disappointing to both patient and surgeon. You also do not want to gain significant weight after a facelift, so I advise patients to be at a stable weight regardless, prior to undergoing surgery.

What are the risks of a facelift?

Common expected side effects include bruising, swelling and stiffness in the neck and shoulders for a few days and up to a week. True risks include infection, bleeding under the skin of the cheek or neck, nerve damage (temporary or permanent), and poor scarring. These risks are rare, in most cases less than 2%, but they can occur. The best way to manage this is to feel comfortable with your surgeon prior to any procedure so you know they will stand by you in case there is a problem.

Will a facelift take the place of fillers?

The short answer is no. Dermal fillers are helpful for volume loss and deeper folds or lines in many cases. A facelift is helpful to reposition loose tissues in the neck and lower face. The two can be quite complementary. Just as fillers cannot take the place of facelifts, facelifts are not mutually exclusive of fillers. The combination can improve the contours of the face quite well using each technique’s individual areas of strength.

Ultimately, the decision to undergo any type of cosmetic elective facial surgery is a big one that requires homework and possibly multiple visits to multiple surgeons to find one that suits you best. A consultation that addresses your concerns, rather than your surgeons concerns, will likely leave you with the most information to make an educated decision.

If you are considering facelift surgery to rejuvenate and improve your appearance, 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. 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.