Posts Tagged ‘CoolSculpting’

Bathing Suit Ready for Summer – Join Our Body Contouring Live Chat

With warmer temperature, it’s time to start replacing those scarves, gloves and sweaters with tank tops, shorts and, yes, swimsuits. Although donning a swimsuit can be a source of stress for some women, it doesn’t have to be. To help get your body ready for the swimsuit season, join Emory Aesthetic Center plastic surgeon, Dr. Gabriele Miotto, on Tuesday, March 28, 2017 at 12:00 p.m. EST as she discusses body contouring solutions to help improve the shape of your body and tighten excess or loose skin.

Dr. Miotto will walk you through both non-surgical and surgical options – including CoolSculpting, liposuction and tummy tucks.

If you are feeling that you aren’t as ready as you want to be for the upcoming swimsuit season, you won’t want to miss this chat. Register today!

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About Dr. Miotto

Dr. MiottoDr. Miotto is constantly exploring cutting edge technologies to provide the best available options to her patients. She has published and presented on aesthetic plastic surgery in many national and international meetings. Her main interests include facial rejuvenation, eyelid surgery, rhinoplasty, aesthetic breast surgery and fat grafting.

After completing medical school under a full academic scholarship at the prestigious Federal University of Rio Grande do Sul, Dr. Miotto trained at the Hospital de Clinicas and at Santa Casa in Porto Alegre, Brazil. She also received additional training at Emory University and completed a fellowship in Aesthetic and Oculoplastic Surgery with Dr. Clinton McCord and Dr. Foad Nahai at Paces Plastic Surgery in Atlanta. She is a “Membro Titular” of the Brazilian Society of Plastic Surgery, the highest level of credentialing for board-certified plastic surgeons in Brazil.

Dr. Miotto is committed to providing excellent care to her patients. She has a passion for restoring and enhancing beauty through surgical and non-surgical cosmetic procedures of the face and body.

Cosmetic Surgery in your 20s, 30s, 40s and Beyond

Emory Aesthetic Center helps you determine which cosmetic surgery procedures will give you the best results  in your 20s, 30s, 40s and beyond.Twenty years ago, cosmetic surgery wasn’t generally considered unless you were in your late 40s or had a significant “problem” you wanted to correct. Today, many people — as young as their early 20s — choose to enhance their appearance and maintain their youthful look during every stage of life. We’ve stopped seeing cosmetic surgery as something that happens at a specific point in time, but more as a continuum of care. And being proactive can certainly produce benefits.

With so many aesthetic procedures to choose from, how do you know what’s appropriate at different ages or stages of life?

Cosmetic Surgery In Your 20s & 30s

Face

During your early 20s, you may get treatment for acne. As you progress through your 30s, you might start to think about non-surgical cosmetic treatments — like Botox® — to treat fine lines and fillers to reduce deeper creases.

Breasts

In your younger years, you may choose either breast augmentation or breast reduction, depending on how your breasts developed. Also, if you’re unhappy with the changes in your breasts after pregnancy and nursing, a breast lift can be an option.

Body Contouring

In your 20s and 30s, liposuction or non-invasive body contouring such as Coolsculpting® are the most commonly used techniques. However, after pregnancy or significant weight loss, you may need a more involved procedure.

Cosmetic Surgery in Your 40s and Beyond

Face

In your late 30s or 40s, you might want to address creases and fine lines using non-surgical cosmetic procedures — like fillers and injectables. Often, by your 50s or 60s, you’ve experienced enough aging changes to make cosmetic facial rejuvenation surgery the treatment of choice. Face lifts, neck lifts, eyelid tucks, brow lifts and fat grafts are commonly chosen procedures.

Breasts

Many women notice their breasts begin to droop as they age. If sagging breasts bother you, you might choose a breast lift. If you feel your breasts have gotten too large, you may want a breast reduction.

Body Contouring

Aging, pregnancy and weight fluctuations typically cause your skin to sag. At this stage, you may need a procedure, such as a tummy tuck, to reduce fat and tighten your skin. As you continue to age — or if you’ve lost a significant amount of weight — you may want to consider a body lift .

Emory Aesthetic Center

No matter where you are in life’s journey, there may be cosmetic procedures that will bring you joy and self-confidence. The highly-skilled team at Emory Aesthetic Center can help you decide which procedures, and at what time in your life, will give you the best results to meet your goals.

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

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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Your Body Contouring Questions Answered: Getting Ready for Swimsuit Season

swimsuit-chat-260x200-emailAs we kick-off the summer months and have officially reached bathing suit season, it is natural that many of us take a look in the mirror and think about how we might change our body. In addition to keeping a healthy diet and exercising regularly, there are now more choices than ever in how we might achieve our goals. But with so many choices, both surgical and non-surgical options, choosing what body contouring procedure is best for you can be difficult.

During our live chat on Tuesday, March 22nd, hosted by Emory Aesthetic Center’s plastic surgeon, Dr. Felmont Eaves, we answered your questions around body contouring options to help shape your body for summer and tighten excess or loose skin. Dr. Eaves discussed both surgical and non-surgical procedures – including liposuction, tummy tucks, and thigh lifts.

Below are just a few highlights from the chat. A full list of questions and answers can be found on our chat transcript. You can also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

Question: How do you get rid of a stomach belly fat?

Dr. Eaves: If diet and exercise don’t get you what you want, then there are three main ways to address belly fat, non-surgical fat reduction, liposuction, or abdominoplasty. Which one is best for a patient depends on their individual circumstances.

For instance, non-surgical treatments like Coolsculping® work best in patients with smaller amounts of fat and youthful, elastic skin. Liposuction works best in similar patients, however is more aggressive in terms of fat removal. The tummy tuck is the “king” of tummy contouring – it can tighten muscles, reduce fat, and tighten skin. Tummy tucks are more common in patients that have had pregnancies or who are a bit older and have developed some skin laxity.

Question: I have 2 weeks until I have to be in a bathing suit. What are some quick fixes that can be done with belly and thigh bulges?

Dr. Eaves: That doesn’t give much time! I’m afraid that neither surgery nor non-surgical fat removal would work and get you ready in such a short period of time.
One thought, however. We often think about concentrating on getting our bodies (or faces) ready for a big event. However to get your body where you want, it really takes a sustained, consistent approach. Crash diets and hours in the gym for short periods of time doesn’t really get you anywhere . . . a good, healthy, balanced and sustainable diet coupled with a reasonable exercise routine that you can stick with is the key. Of course surgery can help a lot, but the patient gets the very best results when they get their weight and health to a good place.

Question: Is there such a thing as a “mini” tummy tuck which does not have to go all the way across the abdomen?

Dr. Eaves: Not only is there the mini-tummy tuck, but some patients are candidates for tummy tucks with even shorter scars – the endoscopic tummy tuck. However before you get excited about these options, be aware than only a very small percentage of patients are candidates for these procedures. In order to be a candidate, you need to have good, elastic skin and relatively small amounts (or not) excess fat.

These procedures are ideally suited for patients who have experienced some spreading of the muscles of the abdomen from pregnancy, which we call a diastasis recti. If you have any significant amount of loose skin, or more significant fatty deposits, you are unlikely to get a good result with a limited scar approach. That being said, we now use techniques to help the scar appear better, such as special sutures that take the tension off of the skin. There sutures also eliminate the need to have surgical drains with a tummy tuck, which is a big plus.

Question: I need help with both my tummy and my breasts. Can I have both surgeries at the same time?

Dr. Eaves: Not only can you treat both the tummy and the breasts at the same time, but this is a very common procedure. For the tummy, most often this involves a tummy tuck due to the effects of the pregnancy. What we might do in the breasts depends on how the breasts recovered after pregnancy and maybe breast feeding. For instance, if the breast lost volume but didn’t become saggy (we call that “ptosis”), then a breast augmentation is a great option.

If you like the size of the breasts but they have become too droopy, then you would likely want a mastopexy, or breast lift, but without implants. It is also quite common to do both breast augmentation with implants and a lift. If you have a consultation with a plastic surgeon, he/she can help you sort through these options and see which is best for you.

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

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

Get Ready for Swimsuit Season! Join our Live Chat on Body Contouring

swimsuit-chat-260x200-emailSpring is here, therefore, swim suit season is just around the corner. To help get your body ready for the warmer weather, join Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, on Tuesday, March 22, 2016 at 12:00 p.m. EST as he discusses body contouring solutions to help improve your shape and tighten excess or loose skin. Dr. Eaves will answer all of your questions and walk you through both non-surgical and surgical body contouring options – including CoolSculpting®, liposuction and tummy tucks.

If you have been wondering if a cosmetic body contouring procedure is right for you, you won’t want to miss this chat.

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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.

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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.

Liposuction versus CoolSculpting®: Which is Right for You?

Lipo vs CoolSculptingLiposuction and CoolSculpting® are two very different procedures that are designed to reduce unwanted fatty deposits. So with both procedures producing the same outcome in the end, how are you to decide which is best for you? Like so many things in cosmetic medicine, it depends . . .Let me break down the differences between the two so that you can make the best decision for you.

Liposuction was developed in the 1980’s and has been around a lot longer than CoolSculping. There are now many types of liposuction including Suction Assisted Lipectomy (SAL) – the original technique but still a great one; Ultrasound Assisted Liposuction (UAL) that uses sound waves to break up the fat, Power Assisted Liposuction (PAL) that uses vibration, Laser Assisted Liposuction (LAL) that uses laser energy, and Fluid Assisted Liposuction (FAL) that works like a water jet. Despite the different approaches, all of these techniques can work well, and none is clearly superior over the other, despite marketing claims to the contrary.

Liposuction is a surgical procedure and can be performed under local anesthesia, under sedation, or with full general anesthesia. The type of anesthesia you will need depends on the area(s) to be treated and the amount of fat that needs to be removed. In general, the more areas that you treat, the more sedation or full general anesthesia you will need. The incisions for liposuction are small, typically less than 1/4 inch, so there isn’t much scarring. There is, however, a recovery period that lasts for a few weeks – bruising and swelling are most common. Patients can usually resume light exercise after a few days.

As opposed to liposuction, CoolSculpting® is a non-invasive procedure that doesn’t require anesthesia at all. The CoolSculpting system includes a disposable gel pad that is placed over the treatment area. A cooling head is then placed over the gel pad and suction is activated. The machine has a base that cools the liquid flowing through the headpiece and pulls the fatty area into the head, therefore, freezing the fat. After an hour or so (or two hours for a non-suction treatment type) the cooling head is removed and the frozen area is massaged briefly. Although there can be some discomfort when the tissue is first pulled into the cooling head, this becomes numb once the cooling starts and the massage doesn’t hurt. Like liposuction, it takes a few weeks to see the final result, and although there really isn’t much pain, like liposuction, the treated area can feel a little tender for a while.

Liposuction is the more aggressive treatment of the two, allowing more fat to be removed in a single session. Because CoolSculpting removes less fat per treatment, patients may need several sessions of CoolSculpting to get their optimal result.

Patients who are thinking about other cosmetic surgical procedures may be better candidates for liposuction than CoolSculpting since they would already be under aesthesia. In addition, the combination of liposuction with an excisional procedure (think tummy tuck with liposuction) is very powerful and can deliver dramatic results. Another example of when liposuction is preferable is when a patient might want to add volume to an area and they want to do so with their own fat. Liposuction can be used to harvest fat for fat transfer to another site. Liposuction is often preferred when there are many body areas that the patient wants treated, as these can be done all at one time, rather than over many different sessions with CoolSculpting.

CoolSculpting can be a great option for smaller fatty deposits. It is also a great choice for patients that are keen to avoid surgery, either for personal preference or because of health issues that may increase the risk of surgery.

Patients always wonder which is more cost effective – liposuction or CoolSculpting. This is another it depends situation. If a patient is treating a single small area that will probably be effectively treated with two sessions, then CoolSculping makes a lot of sense and may be cheaper. However if there are multiple sites to treat, and some of these will need three or more CoolSculpting sessions to get full resolution, then liposuction may be the less expensive of the two.

In the long run the choice of which is best for you depends on you – how you feel about it, what issues are the most important, and how aggressive you want to be in removing the fat. If avoiding surgery is super important to you, and you’ll accept less dramatic results in order to do so, then CoolSculping might be your best option. On the other hand, if you’d rather get as much fat off as possible, and would rather do this in one session instead of several, then liposuction may be your best bet. Let the board certified cosmetic surgeons at the Emory Aesthetic Center help you figure out what approach is best for you.

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About Dr. Eaves

Felmont Eaves, MDDr. 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.

Takeaways from Dr. Eaves’ Body Contouring – Getting Ready for Summer Live Chat

Body ContouringThank you to everyone who joined us for the Body Contouring – Getting Ready for Summer live chat hosted by Emory Aesthetic Center surgeon, Dr. Felmont Eaves. Dr. Eaves discussed body contouring options to help shape the body for summer and tighten excess or loose skin. He described both surgical and non-surgical procedures – including liposuction, tummy tucks, arm and thigh lifts.

We were thrilled with the number of people who registered and were able to participate in the chat. The response was so great that we had a few questions we were not able to answer so we will answer them below for your reference.

If you missed this informative chat, be sure to check out the full list of questions and answers located on our chat transcript. You may also visit the Emory Aesthetic Center website for more information on therapies and solutions to get your body ready for the summer.

Question: What are new procedures for arm lifts?

Felmont Eaves, MDDr. Eaves: Arm lifts continue to evolve as we are doing more of them all the time. Arm lifts can be categorized into short scar techniques, full length techniques, and minimally invasive techniques. The short scar technique leaves a scar that is limited to the axilla (arm pit) and can help looseness in the upper part of the arm closest to the shoulder. But this technique isn’t as effective if the looseness goes far down the arm. In this case a full-length arm lift is recommended, although this does leave a long scar on the inside of the arm. For some patients, if skin laxity of the arms isn’t severe, liposuction alone may give a very nice result with a tiny scar. While there are some companies advertising significant arm tightening with non-invasive procedures, I haven’t seen impressive results with these yet.

Question: I have a normal BMI. How drastic can I expect the results of CoolSculpting to be?

Felmont Eaves, MDDr. Eaves: CoolSculping can certainly make some nice changes, but the results tend to be more subtle than that achieved by liposuction (or excisional surgery). However in patients that have excellent skin elasticity and limited fat deposits, it can do a great job of addressing what you want. It really takes an examination by someone who is familiar with all types of body contouring techniques (non-invasive, liposuction, and excisional surgery) to help you figure out which is best for you.

Question: I have a scar on my stomach from a childhood surgery. Can you fix this?

Felmont Eaves, MDDr. Eaves: That’s a good question. If you are talking about making a scar looking better, then yes, a scar revision can help. Even further, if you have a scar in the lower part of your stomach (below your belly button), that scar might be totally removed with a tummy tuck (although you’ll get a new tummy tuck scar – but it will be better positioned and hidden within the panty or bathing suit area).

Question: Can you get a 6-pack look with a tummy tuck?

Felmont Eaves, MDDr. Eaves: It is possible, but not usually. Having a real “6-pack” requires two things – well developed abdominal muscles (specifically the two muscles in the middle, known as the rectus abdominus muscles) and a very low body fat percentage. When we perform a tummy tuck, we thin out the fatty layers of the abdomen, however it is important to keep the thickness of the tissues in harmony with surrounding areas of the body, otherwise it may look odd. A tummy tuck won’t build up the abdominal muscles.

 

 

 

Coolsculpting® – The Nonsurgical Way to Remove Fat: How Does It Work?

coolsculpt atlantaWith the holidays coming to end, we can start to think about the arrival of warmer weather. It’s almost time to shed those winter layers, and trade in scarves and hats for shorts and bandeaus. But when losing layers, we may notice some unwelcome bulges we’ve gained along the way.

Coolsculpting®, a noninvasive procedure to “freeze the fat”, may be just the solution to address muffin tops, love handles and saddlebags on the thighs. A nonsurgical way to remove fat? Too good to be true, right? Let’s explore how Coolscupting® works and some frequently asked questions about the procedure.

What is Coolsculpting® and how does it work?

Coolsculpting® is an FDA approved procedure that safely delivers precisely controlled cooling to an area of the body. It targets the fat cells underneath the skin being treated. The fat cells are more vulnerable to cold and crystallize (freeze) leaving the other tissues in the area unharmed. Over the next several weeks to months, your body eliminates these dead cells, leaving a more sculpted you.

Will the fat come back?

To answer that question, we need to distinguish weight loss from fat reduction. When you lose weight, your fat cells get smaller, although they remain the same in number. With weight gain, the cells get larger. Coolsculpting actually reduces the number of fat cells in the treated area. If the cells are gone, they cannot get bigger.

Are there side effects that I should be aware of?

During the procedure, you may experience deep pulling, tugging, numbness and discomfort. Following the procedure, typical side effects include temporary numbness, redness, swelling, bruising, firmness, tingling, stinging and pain. You should not have the procedure if you suffer from cryoglobinemia or paroxysmal cold hemoglobinuria. The treatment is not for obesity.

What is the downtime like?

Because CoolSculpting® is completely nonsurgical, you can typically return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often patients return to work after the CoolSculpting® session is over.

If you are ready for swim suit season but have trouble areas that have not responded to diet and exercise, CoolSculpting® may be for you. Come meet with one of our cosmetic physicians and aestheticians at the Emory Aesthetic Center for a complimentary consultation and say goodbye to stubborn fat.

CoolSculpting Special

For those who have made the resolution to lose weight or tone your body this new year, the Emory Aesthetic Center is offering a promotion discount of 20% off a package of 3 or more CoolSculpting® treatments. Learn more.

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About Dr. Anderson

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

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

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

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

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CoolSculpting – A Non-Surgical Solution to Removing Stubborn Fat

cool-sculp2tHave you heard the logo “Freeze the Fat!”? If you have, you may know that it is in reference to CoolSculpting, a non-surgical treatment to remove fat from trouble spots on your body like love handles, muffin tops and the dreaded tummy pooch. First, let me tell you, it works! And second, we offer the treatment here at the Emory Aesthetic Center. Before you decide if this is the right treatment for you, let me answer some questions that I am frequently asked by my patients.

How does it actually work? CoolSculpting uses a fat freezing technology to safely and effectively kill unwanted fat cells. The FDA-approved procedure provides targeted cooling to your fat cells in the chosen trouble area. Just the fat cells are damaged without harming surrounding skin or soft tissue. During the weeks after your procedure, your body will naturally remove the damaged fat cells, leaving you slimmer. The great thing about the procedure, besides the eventual outcome, is that no anesthetic is needed, and no incisions are made. And you can return to normal activities right after your treatment.

Can anyone have it done anywhere on their body? CoolSculpting is not for everyone. Ideal candidates should have discrete bulges of fat. Obese individuals are not typically good candidates, and CoolSculpting is not a weight loss procedure. The anatomic regions that the device is able to treat most effectively include the abdomen, flanks (love handles), and back (below the bra strap area). Arms and inner thighs can be treated in select cases. The Emory Aesthetic Center just introduced a new hand piece that can treat other areas like the outer thighs.

How many treatments will I need? Depending on the amount of excess tissue to be reduced, one or more treatments per area may be necessary. Many patients are satisfied after one treatment. The process begins with a consultation with one of our physicians. During this appointment, your areas of concern will be evaluated for their appropriateness for treatment. CoolSculpting does not remove the same degree of fat as liposuction so this evaluation will ensure your expectations can be met. You will also meet with an aesthetician at the Emory Aesthetic Center Spa to further define a treatment plan.

What can I expect during the procedure? CoolSculpting treatments are performed in the Emory Aesthetic Center Spa without sedation, pain medications, anesthesia or numbing cream. To initiate the treatment, a protective gel pad is applied and then the device is positioned on your targeted area of concern. There is minimal discomfort as the vacuum applicator is applied and cooled. A typical session to treat a single area on both sides takes 1 to 2 hours. The Emory Aesthetic Center Spa has two CoolSculpting machines to reduce your treatment time. Patients are encouraged to bring a book, computer, or other activity to pass the time during a treatment.

Are there any side effects after the treatment? Some patients experience redness, tingling, and numbness. Bruising of the treated area is not uncommon after the procedure. This resolves over a period of days to weeks like any other bruise. There are no special instructions or limitations of activity after a CoolSculpting treatment and often patients return to work or other activity after the session is over.

How soon after treatment will I begin seeing the results? You will start to see changes as quickly as three weeks after your treatment and will experience the most dramatic improvement after one to three months. Even at that point, your body is still flushing fat cells and will continue to do so for up to four to six months. If additional treatments are recommended to facilitate your transformation, these are typically spaced three months apart.

If you have trouble areas that have not responded to diet and exercise, CoolSculpting may be right for you. Come meet with one of our physicians at the Emory Aesthetic Center for an evaluation and say goodbye to that stubborn fat.

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