DeLuca Plastic Surgery are experts in Wide-Awake-Surgery–performed under local anesthesia right here in our office! That means less downtime, no nausea, and a much less stressful procedure! With local anesthesia, you’ll be comfortable, relaxed, and awake for the whole procedure!(more…)
As COVID19 continues to rear its ugly head, it’s understandable if you have concerns about where in public you want to go. At DeLuca Plastic Surgery, we hear you loud and clear. We’re committed to providing you the optimal level of service, satisfaction, and care. That’s why we’re proud to offer virtual consultations!
Safe, secure, and similar to our traditional consultation process, virtual consultations are a perfect way to get the personalized private cosmetic consultation you’re looking for without the worry and hassle of having to leave the house.
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…)
There are multiple types of facelifts; determining which procedure is right for you can be difficult. We want to help our patients make the right choices concerning their personal appearance, so we’re going to help you select a procedure that will benefit you the most. Specifically, let’s examine the differences between a Mid Facelift and a Mini Lift. These two techniques are somewhat similar, so distinguishing which one is for you will be dependent on factors unique to each individual.(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…)
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…)
Botox is an injectable used to lessen the movement of specific muscle of the face in an effort to target wrinkles created by the contraction of facial muscle groups. The areas that are treated most often include the forehead, the area between the eyebrows, and the crows feet (on the side of the eyes). The goal is to soften these tell-tale stigmata of aging without leaving the face looking flat and emotionless. This can be a difficult needle to thread. If done correctly, however, Botox can make the face look younger, raise the eyebrows, and make the eyes look more open.
Botox is injected using a very fine needle into the affected areas. Most patients experience little discomfort and by the time they return home or to the office any redness or swelling has disappeared. The affect begins to be noticed over the next week and lasts for about 3-6 months until the effect, again, slowly fades out.
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…)
Question – Will High Profile breast implants give me natural looking breasts vs Moderate or Moderate Plus?
I am 5’4″ 125lbs, 31″ ribcage, 34C (wanting at least a DD) and my breast measures 13cm wide. I told my PS I wanted large, very nice looking (not high and ball-looking) breasts. He told me he will use a smooth, round, High Profile, 500cc silicone implant and it will look “very nice” with a “nice downward slope”. Everywhere on the internet says that high profiles don’t give a really nice natural look, and that moderate profiles do. Will high profile breast implants give me large, full, and natural-looking breasts with nice cleavage?
Answer – Although I use Moderate Plus or Moderate Profile prosthesis in the vast majority of cases, given your base width dimension of 13.0cm and your wanting a 500cc implant, a High Profile implant would be appropriate.
In answer to your question, it is not so much the size of the prosthesis that results in a ‘natural’ or ‘unnatural’ look but rather the surgical technique used in relationship to the pre-operative breast appearance.
If, on examination, your nipple to inframammary fold distance is 5.0cm – 6.0cm (meaning that the fold does not need to be lowered excessively), then a high profile implant can be placed in a position that provides adequate inferior/lower pole projection and avoids creating an overly round upper half of the breast (i.e. the “high, ball-looking” and ‘unnatural’ look you don’t like).
That said, there are many women who like the look of round, projecting breasts with upper pole fullness (high cleavage) – neither look is ‘right’ or ‘wrong’ so to speak, they’re just different. Every plastic surgeon has a certain aesthetic style they prefer (re: some aim for the most natural looking shape and size possible while other find the ‘high and round’ look more attractive), but at the end of the day, if the patient is clear about the way they want their breast to look after surgery, it’s my job as their surgeon to achieve it (within reason of course).
Before diving into a few specific recommendations given the measurements you provided, here are my general thoughts on each of the 3 Mentor breast implant profile types: