Posts Tagged ‘plastic surgeon’

Improve the Appearance of Your Neck With or Without Surgery

Weakened muscles and sagging skin under your chin, otherwise known as “turkey neck,” is one of the most common complaints I hear from patients. The neck is an area that often changes significantly with age — starting as early as your 40s. Despite weight loss and good skincare routines, many men and women are unhappy with the appearance of their neck and are determined to find a way to improve it.

Treating aesthetic neck issues

Aging in the neck takes on multiple forms, and each may require different treatments. Every person is anatomically and texturally unique, so what works for your friend may not work for you. It’s important to have an in-depth discussion with a reputable cosmetic surgeon to determine what solution is right for you.

Prevention is key

Prevention is the best cure. Good skincare in your 20s and 30s can certainly impact the appearance of your neck in later years. Consistently using sunscreen, avoiding tanning and regularly using Retin-A (tretinoin) on your face and neck can increase collagen production, tighten skin and remove sun damage.

Excess fat

There are several options available to treat excess fat under your chin, including:

Liposuction. Fat is removed through a small incision just large enough to accommodate an instrument narrower than a pencil. With the fat cells removed, your skin bounces back to make up for the lack of tissue. This works best in your 30s and 40s because in your 40s, your skin begins to lose its elasticity.

Nonsurgical Injections. Specific chemical agents, such as Kybella© can be injected to remove fat cells. Not everyone is a good candidate for this treatment though. The only way to know if this option is right for you is to talk to a board-certified facial plastic surgeon who can advise you based on your age, skin type and specific anatomic considerations.

Loose skin

Loose skin is the most challenging aspect of rejuvenation. For decades, we’ve been searching for the ideal tool for nonsurgical skin tightening — but so far nothing matches the long-term results of surgery.

Neck lift. Surgical neck lifting (or face lifting) is the most predictable, safest and longest-studied form of neck rejuvenation. If you’re older than 45 and you have loose skin, excess fat, or looseness or prominence of the bands of muscles in your neck, a neck lift may be the right option for you.

Through a small incision just beneath your chin, liposuction can be performed to lift the skin and contour the area under your neck. Then, the skin of your neck is lifted through incisions behind your ears and just into your hairline, and the underlying muscle is tightened. This allows the skin to be re-draped and excess skin to be removed.

The goal of plastic surgery is to turn the clock back a few years, not stop it. After a neck lift, you’ll continue to age and regain some looseness over the course of three to five years. However, you’ll always look better after having undergone a lift than if you had not.

Damaged skin

Many people overlook the skin texture of their neck. Sun damage accumulated over years can be treated with methods such as peels and light laser treatments. These can be performed in a medical spa under the guidance of a medical aesthetician or doctor. They require little downtime and are less expensive than other treatments, especially when started early.

If you have a lot of sun damage, a heavier laser treatment may be needed to kick-start significant improvement. Fractionated CO2 laser treatments can be performed under local anesthetic to improve sun damage, stimulate collagen and smooth (maybe even somewhat tighten) your skin over time. It will not give the same tightening results as surgery, but in cases where sun damage is the true culprit, it can make a significant improvement.

Emory Aesthetic Center

If you’re ready to turn back time and improve the appearance of your neck, come talk to the expert cosmetic surgeons at Emory Aesthetic Center.

Ask the Doctor: Breast Augmentation Surgery & Recovery

Breast AugmentationOK ladies, if you’re reading this blog, most likely, you have been thinking about or at one point have thought about breast surgery. Maybe you’ve even seen a physician for consultation. And maybe the only thing stopping you from having your breast surgery is the concern about your recovery. Let me review what to expect after breast augmentation surgery to help you decide if it is the right time for you.

Breast augmentation surgery is a very popular procedure, and one of the reasons for that is the fast recovery time. The procedure takes about an hour to perform under general anesthesia. It is considered an outpatient procedure because it does not require you to stay overnight in the hospital. Immediately after surgery, you may have some nausea as the anesthesia wears off, but you are treated with medications to prevent this from becoming a major issue. You will not be discharged from the facility until you are feeling well enough to leave and your pain is under control.

These days breast augmentation can be done in a variety of ways, and each of these techniques can affect the necessary recovery. Augmentation can be done with either implants or fat retrieved by liposuction. Implants can be placed above the muscle (sub glandular) or below the muscle (sub pectoral). Having the implants placed below the muscle typically has the longest recovery time, though usually only by a few days. What works well for some of my patients is having surgery on a Thursday or a Friday, and then taking the following week off of work to recover.

As you consider your recovery, it is a good idea to take into account your job requirements or your daily routine. If you have a very physical job, more than a week may be needed for recovery. Similarly, if you are running around after small children, extra hands to help will be appreciated for a longer duration.

As far as returning to exercise, it is reasonable to take walks or ride a bike about a week after surgery. I would wait at least 2 weeks to begin any rigorous exercise routine. You will likely still be sore and won’t want to do it anyhow.

Finally, I caution you not to go out and buy new super pretty bras immediately after surgery. It will be tempting, trust me. After surgery, we provide a supportive bra for comfort. There will be weeks of swelling, and your final breast size will generally result 4-6weeks after surgery. Your physician can guide you during the recovery period as to when it would be a good time to invest in nice ones. What to do with all your gently worn bras that no longer fit? Consider donating them to a worthy cause. Visit for information.

I hope this brief review helps in your decision to undergo breast augmentation surgery. If you have additional questions or would like to be evaluated by one of the board-certified cosmetic surgeons at the Emory Aesthetic Center, call us for a complimentary consultation to determine what would be best for you and your desires.

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.