A Comprehensive Three-Dimensional Rejuvenation Center

Monthly Archives: August 2015

Most commonly requested plastic surgery for men in my practice

In my practice the majority of my consultations and surgeries are on women. But over the past few years I have seen an increased demand of men requesting surgeries as well. Some of this may be related to baby boomers who have taken good care of themselves and desire to look as good as they feel. Other men don’t want their wives to look better than they do after they have been undergoing facial rejuvenation procedures so they request surgery as well.

1. Blepharoplasty: Eyelid rejuvenation
Just as women often show signs of aging around the eyes so do men. The phrase “the eyes are the window to the soul” may well be a true but I would also add the statement the “eyelids are the window treatments through which you see the soul.” Loose hanging furrowed skin, lateral brows that hang over the upper eyelids, and bulging fat pads below the eyelids with accentuated tear troughs put forth the image of fatigue and loss of vitality often resulting in friends and colleges asking if you are tired and are you getting enough sleep. Fortunately surgery to restore the upper eyelids to a crisp appearance with correction of any eyelid droop can be a game changer. The lower lids can be rejuvenated by removing excess fat with reposition this tissue over the cheek to eliminate the tear trough combined with skin and muscle tightening provide a fresh and vibrant appearance. This can be an important not only in social situations but also how a person is viewed in the workplace.

2. Neck lifts
Do you look in the mirror and say to yourself I hate this turkey neck? Is buying dress shirts getting more difficult to find that are comfortable with ties? Despite not gaining weight do you look heavier in the face? If the answer to all these questions is yes a consultation for a neck lift may well be a beneficial idea that is not just for vanity. Ideally a man should have a strong jaw line and a crisp chin neck junction. Having hanging skin with or without fat excess that obscures the jaw line certainly can put forth the image of premature aging of the individual beyond his chronologic age. A neck lift can be a valuable tool to restore your appearance and convey youth and energy without changing your overall appearance or giving an odd appearance. The surgery is very predictable in the hands of a board certified plastic surgeon and is an outpatient procedure with very little pain. Most people can be comfortable in social situation in two weeks.

3. Rhinoplasty (Nose surgery to reshape the appearance)
Proportionality is everything. If you are unhappy with the shape of the nose or how it blends with the rest of the face then request a plastic surgeon to perform a facial analysis of you. If the nose seems big maybe the lower face is out of place such as a small lower jaw or chin. Often times I will perform a chin augmentation with a rhinoplasty to provide a harmonious facial appearance. Nose surgery requires finesse and a keen understanding of the anatomy of the many subunits of the nose. The key is to provide shape without feminizing the male nose. This is also a rather easy surgery to recover from and the patient can return to work within a week usually.

4. Chin augmentation with or without an implant.
As mentioned above the facial subunits should all be proportionate to each other. If the lower jaw projection is limited by lack of growth it can portray a weaker jaw with less of a masculine appearance. By using the correct judgement a plastic surgeon can provide an enhanced projection with the combination of either an implant or repositioning of the bone in combination with liposuction of the jaw line to create a sculpted jaw which projects strength.

5. Liposuction of the abdomen and flanks
If you look in the mirror and the phrase “dad bod “screams out… liposuction maybe something to entertain. An important fact to remember is liposuction with its many variations is a contouring tool not a weight loss technique. I strongly encourage anyone who is considering body contouring should first consider diet and exercise first. If after some toning in the gym and normalized weight you are still unhappy with the shape of your body then liposuction may be a reasonable adjunct to improve the appearance. The abdominal area can be shaped as well as the flanks reduced to provide a sleeker frame. It’s a safe surgery that is easily recovered from and normally patients can return to work in a day or two. Final results take between six weeks and two months to observe the full effect of the reshaping.

6. Gynecomastia repair (Man boobs correction)
If you have excess fat and skin of the breast which can also affect the size and shape of the nipple-areolar complex this can project a very feminizing effect of the male chest. In my experience I have been very happy with the results of the combination of VASER liposuction (ultrasound assisted liposuction) with direct excision of any sub-areolar glandular elements with or without areolar reduction to achieve a masculine chest. This can be a very disturbing condition for a man of any age particularly in the teenage years. We see a bimodal distribution of people seeking treatment; those of the teenage years and men in their late forties and fifties who are seeking help to restore the loss of tone of the chest area.

Plastic surgery has continued to evolve in its perception ever since its creation after World War I. Aesthetic surgery was once viewed as taboo or something to hide because it was perceived to be too self-indulgent, now has become more common place and in the minds of many its presence is look upon as main stream. I think this evolution of societie’s views is related to the strong work of The American Society of Plastic Surgery, and the American Society of Aesthetic Plastic Surgery to ensure that board certified plastic surgeon are well trained and perform safe and predictable surgeries that patients seek and desire with excellent outcomes. Also our population is living longer with better quality of life and people are remaining active and engaged and wish to look as good as they feel and are no longer shy about requesting procedure to keep them looking their best.

Common Questions patients have about post-bariatric body lift procedures

1. Will a lower body lift fix all my problems that concern me after massive weight loss?
The surgery of the lower body lift is a constellation of several procedures rolled into a single anesthesia event. It amalgamates an abdominoplasty with a lateral thigh lift, a lower flank-plasty, and buttock augmentation with the patient’s tissue derived from the flanks to give a shapelier appearance that is not flat and amorphous. Many people who have experienced the loss of over one hundred pounds have many areas troubling to the patient beyond the mid and lower torso. These individuals have redundant hanging skin of the arms and medial thighs, significant aesthetic deformities of the breast, and often premature aging of the neck and face. These above mentioned areas are addressed with additional procedures performed separately such as a breast lift with or without a brachioplasty (arm lift), medial thigh lifts, and face- neck lifts. Patients also typically inquire about the order of the procedures and I often state I prefer to perform the lower body lift first to establish the “Keystone “ area of the torso and then I can better make aesthetic judgements about the breasts and thighs with respect to the shapelier proportion of the new torso.

2. Will I spend the night in the hospital after the lower body lift?
Although the lower body lift with all its components takes about 7.5 hours of anesthesia time, The Lucas Center of Plastic Surgery’s protocol is for an outpatient surgery status. People seem amazed at this concept. My explanation is a hospital is for sick patients who require monitoring of unstable vital signs, severe pain requiring IV pain management, the inability to take oral consumption of fluids and nutrients, or the requirement of IV antibiotics. After this very significant surgery we have done very thorough evaluation of what is required to make a patient comfortable, safe and recover in an expedited manner. First of all the surgery utilizes a technique supplemented with tumescent anesthesia which provides local anesthesia with a blood vessel constrictor (epinephrine) which results in a very limited amount of blood loss eliminating any risk of unstable vital signs postoperatively. We also ensure adequate pain management with the combination of a long acting local anesthesia pump to control pain along with narcotic analgesia. There are no limitations on what you can or can’t eat afterwards. At home pain medications can be dispensed as needed, as compared to a busy hospital when your pain control may be limited by the availability of the nursing staff. Home limits the risk of hospital acquired infections which can occur on the nursing floors. Lastly one of the biggest safety measures is the prevention of deep venous thrombosis and pulmonary emboli. Early ambulation even the night of surgery is one of the most important factors along with chemo-prophylaxsiswith Lovenox which can be easily administered at home. In the hospital ambulation is once again limited by the nursing staff availability and can result in almost no mobilization the night of surgery or beyond. In conclusion home is the best place to be after this operation.

3. What are the things patients will be responsible for after surgery?
A patient will wake up in a compression garment that helps to limit swelling and support the abdomen. Four drains will be placed during surgery to reduce fluid collections on the abdomen, flanks and lateral thighs. This will require some care to encourage fluid drainage and the patient or the care giver must measure the output to determine when the drains can be removed. All incisions are closed deeply with resorb able sutures with a layer of a glue –like substance over top so no incisional care is required for two weeks. The patient may shower the first post-operative day. The most comfortable position to rest is in a reclined position to reduce the tension on the abdominal closure.

4. When can I resume normal activities and exercise?
This is a very significant operation which can result in a whole new lease on life by liberating the patient of the imprisonment of the excess hanging skin of the torso. However this comes at a cost of being quite sore and requires subsistence living for about two weeks. After this time many of the inflammatory chemical released by the body as a result of surgical trauma have cleared and most people begin to feel significantly better and are able to resume a more normal life. To feel completely normal it takes around six weeks which is also the time frame to return to regular exercise.

5. What are lifestyle loans? Can they be utilized to finance these procedures?
Lifestyle loans are now becoming more popular and several institutions such as Credit Unions and banks in Knoxville, Tennessee offer loans for cosmetic surgery procedures up to $10,000 with rates as low as 9.20% APR for up to forty eight months. This is substantially more attractive than other popular finance plans to help finance larger procedures such as body contouring after bariatric surgery. Please contact your local bank or credit union for more details.