Post-operative care after surgery helps patients achieve their optimal results. The mainstays of the first week of surgical recovery are skin care, rest, ice, elevation, preventing bruising and controlling swelling. As patients enter the second week of recovery our efforts switch to focus on contour and scar management and massage. Specific recommendations are tailored to each surgery and patient needs.
Elevation and Icing
Surgical recovery usually begins with elevation and icing. To make icing the face easier, we recommend the TheraPearl Reusable Hot & Cold Therapy Face or Eye Mask. These masks utilize gel beads to better focus the cooling effect of the mask. Elevation of the head can be achieved by sleeping on a couple of pillows, however, the Brentwood Home Zuma Therapeutic Foam Bed Wedge Pillow makes it easier and more comfortable to maintain the elevation in any sleeping position.
To help with pain control and better skin hydration during the healing process we all recommend the Restore and Repair line from Ageless Millennial Aesthetics. The Restore and Repair line of skin care creams and serums includes the CBD and hyaluronic acid-infused CBD Restorative Cream and the Triple Peptide Repair Serum. This combination helps provide the hydration and essential building blocks the skin needs to recover after surgery.
Bruising and Swelling
In addition to icing and elevation, for all surgeries we recommend, most patients take anti-bruising supplements, such as Boiron Arnica Montana and Bruizex (Bromelain), starting before surgery and continuing for about a month after surgery. These supplements help to prevent and resolve bruising after surgery.(more…)
Fullness of the neck due to excess neck fat can be treated with both invasive and non-invasive strategies. Reduction of this fat can give better definition to the jaw like and neck and make patients look younger and more fit.
Kybella is a non-invasive injection that has been recently approved by the FDA to help improve the appearance of fullness associated with the submental fat of the neck in adults. Young adults, with a moderate amount of excess fat and good skin tone are usually good candidates.
During a office based Kybella treatment, the neck is first cleaned and numbed with topical lidocaine. A pattern is drawn on the neck and the product is injected into the fat of the central neck – dissolving the fat. The body then absorbs the fat over several weeks. There is swelling that occurs and may be bruising and some numbness in the area during this time. The injections are usually done once every six weeks and it usually it usually takes at least two treatments to achieve the desired improvement. (more…)
The decision to do a breast augmentation without lift versus a breast augmentation with a breast lift, however, is less based on patient preference and more dictated the saginess, the nipple position, and the ratio between the breast volume and the amount of excess skin that is present.
How Ptotic Are My Breasts?
The gold-standard method of assessing the need for a breast lift is the “pencil test.” Standing in front of a mirror, lift the breast and lay a pencil in the fold under the breast and allow the breast to settle over the pencil. Look at the position of the nipple in relation to the pencil.
The lower the nipples and breast are below the pencil and the more excess skin you have, the greater the chance you will need a breast lift and the more of a breast lift you will need. If your nipple and a majority of your breast are at or above the pencil (Normal), you will likely get a great result from a breast augmentation alone. Larger implants can shift this equation slightly for patients that have borderline ptosis (Grade 1).(more…)
What Causes Hollow Cheeks
The aging, hollow face is typified by soft tissue decent and volume loss. These stigmata of growing older are manifest by the development of nasolabial folds, marionette lines, and jowls combined with a sunken mid-face and hollow cheeks.
In recent years, DeLuca Plastic Surgery has looked past skin tightening as the solution for all of these complaints and has recognized the role that volume loss contributes to the appearance of aging, hollow cheeks. This volume loss occurs as the soft tissue (and even bone) of the face resorbs over time as we get older or secondary to weight loss. To combat these changes we utilize a variety of techniques including several types of non-invasive facial fillers, fat transfer, and facial implants.
Projection of the cheeks and mid-face is due to the interaction of the bones of the face and the overlying skin and soft tissue. Facial implants are used to add a more substantial foundation to hollow cheeks by adding projection to the bones of the face in patients that have experienced significant resorption as they age or who have always lacked projection. Skeletal implants are powerful tools to modify the framework of the face and can produce dramatic results. In our practice, these implants are often combined with soft tissue augmentation, such as fat transfer, to treat hollow cheeks – restoring harmony and symmetry.
There has always been a fascination with the posterior of women, however, over the last few years plastics surgeons have seen the demand for the Brazilian Butt Lift to skyrocket. This new found focus has still not eclipsed breast augmentation or liposuction as the procedure of choice, however, the influence of celebrities such as Kim Kardashian and Nicki Manaj have caused demand to surge 58% over the last year.
Dr. David Tauber and DeLuca Plastic Surgery have seen requests for buttock augmentation increase year over year during he same time period. In response to this demand we have recently began offering our patients the world famous Brazilian Butt Lift.(more…)
Women seek labiaplasty for many reasons ranging from discomfort with intercourse and pinching in tight clothing to purely cosmetic reasons. According to the American Society for Aesthetic Plastic Surgery there has been a significant increase in the number of these tissue reduction and restructuring procedures — an astonishing 48 percent rise in 2014 from 2013. Workout gear is becoming tighter and women are becoming more self conscious about how they look in lycra enhanced tight clothing.
Although there are variations in technique and equipment used, labiaplasty most often involves reducing the size of one or both of the labia minora through one of two basic techniques. Both techniques attempt to preserve the nerves to the skin within the mucosa instead of simply removing it. In addition, both techniques can be extended to reduce some of the excess clitoral hood. (more…)
Aging eyes are characterized by the development of wrinkles, fine lines, drooping skin, midface hollowing, and eyelid bags. These changes make patients look tired and angry. The bulging of the lower eyelids occurs as the tissue wall (orbital septum) that holds the fat in the orbit begins to weaken and stretch. Traditional blepharoplasty attempts to address this bulge by reducing the fat.
This approach to treating the aging eyes reduces the bulge, however, it can produce two unwanted effects. The first is an unmasking of midface hollowing that was masked by the fullness of the bulging lower eyelids. The second occurs as the face continues to age. Over time, the orbital fat begins to lose volume. This produces hollowing around the eyes. If the fat is reduced during a blepharoplasty, this hollowing is accelerated. This leaves the patient with a skeletal look that is difficult to correct.
DeLuca Plastic Surgery would like to congratulate Dr. David Tauber on the publishing of the book, Clinical Diagnosis in Plastic Surgery.
Clinical Diagnosis in Plastic Surgery systematically presents a collection of entities, syndromes, and diseases that are diagnosed and treated by plastic surgeons, hand surgeons, otolaryngologists, oral surgeons, and dermatologists.
The goal is to document an extensive array of signs and visual clues that are critical to the diagnostic process, thereby enhancing the clinician’s ability to identify relevant diagnostic features and make correct diagnoses. Skill in recognizing deformities and disease processes by observation is of vital importance in plastic surgery, which is very much a visual surgical specialty. In drawing together key diagnostic signs, this book will spare readers the onerous task of searching through endless resources, books, and websites.
A helpful appendix details the various classification systems used in the book with the aid of appropriate diagrams. Clinical Diagnosis in Plastic Surgery is intended for students, residents, practicing physicians, and surgeons in all of the affiliated fields of plastic surgery. (more…)