Liposuction is one of the most commonly performed cosmetic surgical procedures in men. The flanks, abdomen, chest and neck appear to be the most commonly treated areas. This procedure is associated with high satisfaction rates when patients are near their ideal body weight.
Liposuction in men has limitations because the fat tends to be more fibrous. In addition, a large amount of the abdominal fat is located within the abdominal cavity where it can’t be reached by a liposuction canula. These characteristics can limit the amount of fat that can be removed with this procedure. Men generally have thicker skin than women and as a result, skin sag is less likely to occur in this group.
Wednesday, May 15, 2013
Breast augmentation has extremely high satisfaction rates, but occasionally, rippling can occur following this procedure. This can occur with either saline or silicone breast implants.
Several factors have been associated with rippling following breast augmentation. These include saline implants, large implants, thin, soft tissue, and placement of implants on top of the muscle.
The soft tissue characteristics of patients are extremely important. Patients with minimal breast tissue and thin subcutaneous tissue are much more likely to develop rippling than those with thicker, soft tissue. A large amount of breast tissue relative to implant size minimizes the potential for rippling. Larger implants, saline implants, and placement on top of the muscle are all associated with a higher incidence of rippling.
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Tuesday, May 7, 2013
Facial aging affects the entire face, but nowhere is it more noticeable than in the area around the eyes. The eyes are truly the window to our souls and tell everyone how we are feeling. Aging of the soft tissue in this area not only makes us look older, but can change how we are perceived. Excess eyelid skin can make us look tired and less energetic, while brow descent can make us look serious and even angry. For these reasons, Blepharoplasty and Browlift are commonly requested cosmetic procedures.
The big question is: When and why do we choose each of these alternatives? Patients with aging of the eyebrow and eyelid complex may have several things going on simultaneously. With aging, we develop redundant eyelid skin with prominent fat pads. This is typically one of the earliest signs of facial aging. As time goes on, our brows start to drop as well—this is typically associated with transverse forehead wrinkles and vertical frown lines as we subconsciously compensate for our brow descent. At first, it would seem that this is a relatively simple problem; all you need to do is fix each of the individual components of the aging process. In reality, however, it’s much more complicated because the soft tissue of the brow interacts with the soft tissue of the eyelids. For example, lifting the brow is frequently accompanied by a decrease in eyelid skin laxity.
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Tuesday, April 30, 2013
It’s not uncommon for women to become pregnant following breast augmentation surgery. In the vast majority of these patients, the presence of breast implants does not affect their breast tissue. This is even more so when the breast implants are placed beneath the pectoralis muscle.
It’s important to remember that pregnancy impacts the breast with or without breast implants. These changes vary from patient to patient following breast augmentation and pregnancy. Some patients are minimally impacted, while others note sag of their native breast tissue, loss of breast volume, and stretch marks. These changes are probably not related to the breast implants, but are instead related to the natural biological tendencies of the breast tissue. In other words, loss of breast volume, sag, and stretch marks would occur, even if breast implants weren’t present.
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Tuesday, April 23, 2013
Every patient has the potential to develop loose skin following liposuction surgery. It’s therefore important that this topic be part of the preoperative discussion and informed consent process.
The potential to develop loose skin varies from patient to patient. This determination is based on physical examination alone. Some patients have excellent skin tone with minimal laxity and aren’t likely to have difficulty with skin sag. These patients are often younger and are close to their ideal body weight. In this group, liposuction is an excellent treatment option with high satisfaction rates.
There are also patients who are clearly at risk for developing skin sag. This group is often older and their skin has more laxity. They have experienced greater fluctuations in their weight and frequently have had multiple pregnancies.
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Tuesday, April 16, 2013
Travel of any type following cosmetic surgery can potentially complicate the postoperative course. In most cases, patients have recovered sufficiently to travel in about two weeks following surgery.
Air travel often involves prolonged periods of immobilization and because of this, patients may be at risk for the development of blood clots in their extremities. These blood clots, known as DVTs, can potentially represent a life-threatening phenomenon when they occur.
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Tuesday, April 9, 2013
Pregnancy and subsequent breast-feeding can have a dramatic impact on the size and shape of a woman’s breasts. During pregnancy, the breasts increase in size in response to a changing hormonal environment. This phenomena is further accentuated by breast-feeding, as the glanduler tissue enlarges during lactation. To accommodate this increased breast volume, the skin envelope has to stretch as well. Once the process of lactation is completed, the glanduler tissue shrinks, and the breast decreases in size. This loss of volume is often accompanied by the development of breast sag because of decreased breast volume in the presence of stretched skin.
The response of the breast to pregnancy varies from patient to patient, and depends on a variety of factors. These include the starting size of the breast, the length of time spent breast- feeding, and the biologic tendency for the breast skin to stretch during pregnancy.
Depending upon the degree of sag that is present, a multitude of surgical options exist to treat this problem. Every patient’s anatomic starting point and aesthetic goals may be different, and because of this, treatment plans need to be individualized.
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