Tag Archives: aesthetic plastic surgery

The Lucas Center Announces TLC Rewards Program to begin 3-1-2016

We are pleased to present our new TLC Loyalty Rewards Program. This program lets you earn TLC Reward Points that can be redeemed for any of our products and services.*

HOW DOES THE LOYALTY REWARDS PROGRAM WORK?

For each $1 spent on ancillary services and products, you will earn 1 Point. You can earn bonus points during promotions advertised in our emails, Facebook page or special events. Be on the lookout for these promotions and accumulate your Points faster. For a complete listing of point opportunities, please see our list below.

How can I earn points?

  • 1 TLC Point for every $1 spent on products, injectables and peels
  • 500 bonus TLC Points for scheduling cosmetic surgery
  • 500 bonus TLC Points for referring friends and family members who have cosmetic surgery or ancillary procedures (make sure the person you refer has your references you so we can add your points as required).
  • 500 bonus Points for purchasing gift certificates for friends and family valued at $400 and up
  • 100 bonus Points for attending our bi-annual events (Spring and Holiday)
  • TLC Points for special promotions will vary and will be specified with each special.
  • A minimum of 1000 TLC Points are required to redeem your rewards.
POINTS REWARD
1,000 $50.00
1,500 $75.00
2,000 $100.00
2,500 $125.00
3,500 $175.00

Remember to bring your card with you to our office so we can credit or redeem your points. Simply hand it to us any time you make a purchase. TLC Rewards do not expire and are not transferrable. TLC Reward cannot include any retroactive transactions and must be accumulated as a result of new purchases.

*Points are not redeemable for cash, may not be used for outstanding balances, and are accrued on pre-tax amounts. If a product is returned, any points accrued will be deducted. Points are not redeemable for gift card purchases. Points are not earned on dollar amounts for cosmetic surgery procedures. Points are not earned on any insurance procedures. The Lucas Center may, at its discretion, terminate or change the TLC Rewards Loyalty Program.

TLC Rewards

Are your upper arms fit for spring?

It’s winter in East Tennessee, but I’m already looking forward to sunny blue skies with spring blossoms floating through warm breezes. Gone will be the heavy coats and long sleeves, replaced by sleeveless clothes and bare arms. If you’re self-conscious about your upper-arm contour, then spring might not be your favorite season. No worries. Board-certified plastic surgeons like me are at your disposal to give you the confidence to be comfortable in your own skin and bare it all. No more hiding your arms when the temperature rises.

A successful arm-contouring plan depends your specific anatomy. What’s your skin quality and quantity? Is there excess flesh with thin deflated tissue and inelastic skin? Or do you have reasonable skin quality with some increased adipose tissue and a thicker arm contour? Your personal medical history is important as well. Have you gained and lost significant weight or undergone bariatric weight-loss surgery? Do you have a history of large amounts of sun exposure with subsequent sun damage leading to a crepe paper-like skin tone?

The algorithm for management of the unacceptable upper-arm appearance starts with the question of excess skin. Particularly if there is thin deflated skin that is present the full length of the upper arm, a vertical brachioplasty is required. The advantage of this procedure is the ability to remove a great deal of excess skin along with aggressive liposuction to create a wonderful tight contour. The disadvantage is the vertical scar that runs in the posterior medial aspect of the upper arm. Generally speaking, the scar is not visible when someone is facing you or behind you with your arms in repose. The scar can be exposed when the upper arm is extended away from the center of the body.

I can say with great certainty that patients who have undergone massive weight loss, with or without bariatric surgery, would choose the scar over the skin excess any day. Of course, there can be shades of grey in terms of skin excess and laxity. Milder forms may be treated with judicious VASER-assisted lipectomy followed by a modified horizontal brachioplasty, in which the excess tissue is resected and advanced within the axilla (arm pit). Scars are only visible when the arms are elevated with a sleeveless shirt.

If there’s no skin excess and the overlying skin is of good quality and there is contour excess related to an increased volume of fat in the upper arm, the VASER-assisted suction lipectomy is an excellent choice for sculpting the arms to a new contour. The manipulation of the dermis with the cannulas used to remove the fat via small openings in the skin placed in hidden areas of the arm leads to skin re-draping and shrinking. This redistribution creates firmer skin coverage of the arm leading to a nicer sculpted appearance.

What about Cool Sculpting (Cryolipolysis)? My answer is if there is only a very limited amount of excess fat and already tight skin it may work.

However, there is no mechanism with cryolipolysis to induce inflammatory reactions leading to collagen production within the dermis, which causes skin tightening unlike liposuction or micro-needling. My advice is to save your money for the real deal. Radio frequency may have a role in skin tightening, but the results don’t warrant the investment in the expensive equipment, which certainly is passed down to the consumer.

The key to a good result or the avoidance of a disappointing outcome is good clinical experience by a knowledgeable board-certified plastic surgeon with the correct judgment to know which technique to employ to maximize results. Buyer beware when entering the multitude of medispas that exist today without competent medical supervision. Recently in the Atlanta area, an emergency room physician untrained in plastic surgery was performing liposuction in an office without hospital credentials and created injuries to the diaphragm and liver leading to the deaths of two patients. Vetting your physician before undergoing surgery can prevent tragedies like this.

Look as good as you feel in 2016

So you work out, eat smartly and watch your calorie consumption but your face looks tired, and you look older than you feel. Trust me, you’re not alone. The good news is something can be done that is predictable and sustainable to make you look and feel better about your face.

The key to success is a thoughtful facial analysis, which evaluates your bone structure, muscle activity, soft tissue volume, skin quality and the position of your forehead, brows, eyelids, cheeks and neck. I approach a patient’s face much like an engineer with a sculptor’s artistic eye. I create a problem set followed by a detailed treatment plan, tailored to each of my patient’s wishes and financial parameters.

Treatment plans often include skin quality improvement with techniques such as serial chemical peels and micro-needling. Please see previous blogs on these therapies on my website. If excessive muscle activity leads to a harsh appearing forehead and brows, muscle modulation with Botox can be an excellent approach.

Looking at the upper third of the face, I evaluate brow position with respect to the bony orbital rim and its relationship with the upper and lower eyelids. On women you want the brow to be above the orbital rim with the outer third being elevated compared to the inner 2/3 of the brow. Heavy hanging brows make the eye aperture appear small and tired.

Another important factor in evaluating the upper eyelids is eyelid ptosis (the muscle mechanism which elevates and maintains resting tone of the upper lids). Eyelid ptosis must be addressed with the blepharoplasty to prevent a tired sleepy appearance despite correcting the fat pads and excess skin.

The lower eyelids must be evaluated carefully in comparison to the bony anatomy surrounding the eye and the supporting structure of the lateral canthus, which anchors the eyelids to the lateral bony orbit. Great care must be taken if you have a prominent eye compared to your cheeks and have deficient lower eyelid vertical skin coverage. Weak lateral canthi can result in disastrous results with excessive eye exposure leading to pain and visual disturbance.

Finally, the lower eyelid cheek junction must be inspected. A large tear trough and bulging fat pads can detract from a youthful appearance. Taking out too much fat can result in a hollow eyelid, which can actually create an even older appearance. Current techniques include judicious removal of some of the fat and then actually transposing the fat pad down onto the cheek mass obscuring the demarcation and giving volume to the cheek and avoiding a hollow look.

The midface is all about volume. As we age, the cheek fat pad shrinks in size leading to the face falling with accentuation of the nasolabial folds. In most cases midface restoration can be corrected with volume-added techniques of either fat or filler agents making tissue repositioning in this area less important. A non-invasive injection of Voluma can be a great treatment option.

The lower facial third and neck are evaluated with regard to the jaw line, chin neck angle, and the draping of the soft tissues including the skin and neck muscles. Younger people with good skin quality may well be treated with liposuction alone to achieve a pleasing neck line. If the lower jaw is small with respect to the rest of the face, a chin implant or chin repositioning may help your neck appearance, in addition to liposuction to improve results and create harmony with the lower facial third compared to the rest of the face.

Older skin, with bands of the platysma muscle showing through, is less compliant and is best treated with a neck lift procedure. This surgery includes fat equilibration, neck muscle tightening and soft tissue repositioning and stabilization around the ears.

Facial rejuvenation is not painful, although swelling and bruising will occur. After the dust settles, results can be natural and youthful in appearance with long-lasting results that will boost your confidence beyond any wardrobe or hair makeover.

Look as good as you feel in 2016. Happy New Year!