Dr. J. David Holcomb, M.D. believes in a balanced and natural approach to facial sculpting and rejuvenation using the patient's own tissues where possible along with advanced laser techniques that he developed for sculpting the face and neck
Facelift
Dr. Holcomb offers several Facelift options, each designed to meet the specific needs of an individual patient. Before deciding on a procedure, a consultation appointment will be required. This provides time for the surgeon to review each patient's medical history, perform a thorough facial evaluation, and learn about the patient's goals for surgery.
Blepharoplasty
Eyelid Surgery, also known as a Blepharoplasty, is a minor surgical procedure designed to remove excess, lax skin and bulging fat pads on the upper or lower eyelids. As the first signs of aging are often noticed in the eye area, the eyelid lift can be used to dramatically improve the appearance while turning back the hands of time. A Blepharoplasty can brighten the eyes, refresh the face, and take away the tired, puffy look.
Brow Lift
The Brow Lift is a surgical procedure designed to open up the eye area, reducing or eliminating the tired, angry look that comes from a drawn, creased forehead. Sometimes referred to as a Forehead Lift, the procedure lifts the brow and removes excess tissue/weight from the upper eyelids.
Cheek Implants
True volume loss may also accompany age-related fat redistribution resulting in cheeks that look sunken or flat, even giving the appearance of an unhealthy look in some. Cheek augmentation is a plastic surgery procedure designed to enhance the look and proportion of the cheeks through the use of an implant. Cheek implants can add prominence to the cheekbones and balance the facial features.
Fat Transfer (Lipografting)
Facial volume changes over time. Most of us gradually lose soft tissue volume in the temples, tear trough areas, cheeks, lips and soft tissues around the mouth. In addition, some of our existing youthful soft tissue volume naturally falls downward over time – both in the midface and at the jawline – leading to gradual development of nasolabial (smile) folds and jowls.
Lip Lift
Patients concerned about loss of lip volume and/or inward rotation of the line that surrounds the red parts of the lip may benefit from lip enhancement procedures such as lip augmentation, lip advancement, sub nasal lift, and corner lift.
Neck Contouring / Lifting
As people age or experience fluctuations in their weight, the neck can become heavy and ill-defined. Early findings of slight fullness under the chin (submentum) and/or mild skin laxity in this area may progress to greater heaviness and skin laxity. Depending on the severity the condition may be described as a double chin or a turkey neck. As the severity of submental fullness and neck skin laxity increases the youthful well-defined sharp jaw neck angle (cervicomental angle) becomes less well-defined. Neck Contouring or Neck Lift can provide a dramatic improvement in the definition between neck and chin.
Otoplasty
The Otoplasty is a surgical procedure designed to improve the shape of the ear. Problems with development of the ear may include over development of the Conchal Bowl Cartilage (a 'cup ear'), a failed development of the anti-helical fold (a 'lop ear'), or ears that unusually protrude from the head. Patients experiencing these or other issues of the ear may find great benefit from the Otoplasty procedure.
Rhinoplasty
The Rhinoplasty is a surgical procedure designed to improve aesthetic and functional concerns of the nose. The problems experienced may be present from birth, or may be due a nasal injury. Aesthetic issues can include dorsal fullness (hump on bridge of nose), asymmetry (example: crooked nasal bridge and/or tip), excessive width or the nasal bones, excessively narrow middle nasal vault, wide or bulbous nasal tip, drooping nasal tip and overly wide or narrow nostrils to name a few. Functional problems experienced may include chronic congestion or stuffiness, as well as the inability to breathe through one or both sides of the nose.
Facial Plastic Surgery Center
Facial Plastic Surgery Center
The decision to undergo facial plastic surgery can be an emotional one. Fortunately, with the right assistance, it can also be a wonderful experience that will bring a whole new level of self-confidence to your life. While many plastic surgeons work on all parts of the body, Dr. Holcomb specializes in aesthetic procedures and surgery of the nose and face, as well as cosmetic laser treatments for your skin. This focus should not be overlooked in importance when it comes to surgical and laser therapy of the intricate anatomy of the face. From understanding your best options to explaining each procedure and its benefits, Dr. Holcomb has the experience and expertise to safely restore the youthful, vibrant look you've been searching for.
Breast Surgery in Sarasota
Breast Augmentation
Breast augmentation is a surgical procedure to enhance the size and shape of a woman's breasts.
By inserting an implant behind each breast, Dr. Kreithen is able to increase a woman's bust line by one or more bra cup sizes.
During your consultation, Dr. Kreithen will spend time listening to your wishes and then evaluate your frame and allow you to try on special implant sizers to help you find the most natural implants for your body type.
If you're considering breast augmentation, when it can help, how it's performed, and what results you can expect.
A Breast Augmentation procedure, also known as Mammoplasty
Is a surgical procedure designed to provide women lacking in form, volume, or symmetry of the chest an improved, aesthetically pleasing figure. A Breast Augmentation can provide a proportionate figure, and create a restored silhouette on women of any age.
There are many reasons to choose breast augmentation
To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
To correct a reduction in breast volume after pregnancy.
To balance a difference in breast size.
As a reconstructive technique following breast surgery.
Breast Lift (Mastopexy)
Breast lift is a surgical procedure intended to correct a drooping bust line, raise and reshape sagging breasts.
Over the years, factors such as pregnancy, nursing, excessive weight loss or gain and the force of gravity cause a woman's breasts to lose their natural elasticity. Breasts may lose their shape and firmness and begin to sag or hang. During the procedure, excess skin and tissue are trimmed away and the bust line is tightened and lifted. Breast Lift can also reduce the size of the areola, the darker skin surrounding the nipple. If your breasts are small or have lost volume–for example, after pregnancy–breast implants inserted in conjunction with a breast lift can increase both their firmness and their size.
Everybody is unique, and scars from a breast lift vary depending upon technique.
This is why Dr. Kreithen treats each one of his Sarasota cosmetic surgery patients with individual attention. He will help you determine the appropriate breast lift technique for the most natural-looking result.
If you're considering breast lift, when it can help, how it's performed, and what results you can expect.
As a woman ages, her breasts may begin to sag. The effects of normal aging and gravity are made worse by pregnancy, weight loss, and genetics. The Breast Lift, also known as a Mastopexy, is a surgical procedure designed to lift the breasts, making them look increasingly healthy and more proportionate to the body. A Breast Lift is often combined with other procedures such as a Breast Augmentation (to provide fullness in the upper portion of the breast).
Breast Reduction
Breast reduction
Breast reduction is a surgical procedure in which excess fat, glandular tissue, and skin are removed, resulting in smaller, lighter, and firmer breasts that are more proportionate to the rest of the body. Breast reduction can also reduce the size of the areola, the darker skin surrounding the nipple. Breast reduction may be performed for physical relief alone or for cosmetic improvement as well.
Large, pendulous breasts may cause a woman to experience various medical problems as a result of the excessive weight of the breast tissue.
Problems with posture, back and neck pain, skin irritation, and breathing are common with this condition. Bra straps often leave painful indentations on the shoulders. Many women, particularly younger women, feel self-conscious and embarrassed if they have uncommonly large breasts. Breast reduction can help reduce the weight of the breast allowing you to feel more confident and comfortable to do activities you enjoy.
If you're considering breast reduction, on the procedure–when it can help, how it's performed, and what results you can expect.
A Breast Reduction is a surgical procedure designed to reduce the sagging and heaviness of large breast.
Reducing the chest in size, making the breasts more proportionate to the body, and lifting them to a higher position on the chest, the Breast Reduction can provide satisfactory results for women of any age. A Breast Reduction can provide ladies struggling with a large chest dramatic, aesthetically pleasing results, as well as immediate relief from neck, back, or shoulder pain.
Male Breast Reduction (Gynecomastia)
Male breast overdevelopment, known medically as "gynecomastia," is a very common condition affecting an estimated 40 to 60 percent of all men to some degree.
Though certain drugs and medical conditions have been linked with gynecomastia, there is no known cause in most cases.
For men who feel self-conscious about their appearance, breast-reduction surgery can help.
The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.
Sometimes, the excess breast tissue will resolve on its own, but at other times, the enlarged breast tissue will remain, even with diet and exercise.
When this occurs, surgical intervention may be required to improve the look and contour of the breasts. A Male Breast Reduction can be performed to appropriately contour and reshape the chest. The results from a breast reduction can be permanent, as long as a healthy weight is maintained and the trigger has been eliminated.
If you're considering male breast reduction, when it can help, how it's performed, and what results you can expect.
Breast Reconstruction
Breast Reconstruction
In addition to cosmetic breast surgery, Dr. Kreithen specializes in breast reconstruction, helping those who have undergone mastectomies or women born with congenital breast deformities recover a natural shape and appearance. Dr. Kreithen uses his technical skill and compassion to individualize each woman's unique circumstances to bring about the best possible result for each patient.
If you're considering breast reconstruction, when it can help, how it's performed, and what results you can expect.
After cancer, one or both breasts may no longer look appealing, maybe they have even been removed.
This can be a very serious blow to a woman's self-confidence and femininity. Clothing does not fit the same, swimwear shows off the deformity of the chest, and intimate relationships become uncomfortable. Dr. Joshua Kreithen understands the difficulty in this situation and are proud to offer our patients Breast Reconstruction services.
Liposuction
Fat deposits can be stubborn and persistent.
They can endure even the healthiest diets and most stringent exercise routines, causing many people to feel frustrated and helpless. Liposuction is the surgical "vacuuming" of fat from beneath the surface of the skin. It is a good method to correct body contour problems and irregularities, targeting pockets of fat that remained unaffected by weight loss.
Liposuction can help sculpt the body by removing unwanted fat from specific areas, including the abdomen, hips, buttocks, thighs, knees, upper arms, chin, cheeks and neck.
Although no type of liposuction is a substitute for dieting and exercise, liposuction can remove stubborn areas of fat that don't respond to traditional weight-loss methods.
Liposuction is designed to remove unwanted deposits of excess fat in areas such as the thighs, lower back, stomach, chin, and arms.
The fat removing technique, also referred to as body contouring, can improve the appearance by eliminating a distorted shape and asymmetrical figures.
If you're considering liposuction
click here for more information on the procedure–when it can help, how it's performed, and what results you can expect Click here to see liposuction before & after photos
Tummy Tuck (Abdominoplasty)
Generally referred to as a "tummy tuck," abdominoplasty removes excess fat and skin from the abdomen.
The procedure also helps to flatten the abdomen by tightening the surrounding muscles. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Older individuals whose skin has lost some of its elasticity and are overweight can also benefit.
If you are in generally good physical condition but are concerned about abdominal fat deposits and loose skin that do not respond to diet and exercise
abdominoplasty can potentially reduce or even eliminate a protruding abdomen. As a result, you will look slimmer, fitter, and altogether healthier. If you're considering abdominoplasty, click here for more information on the procedure–when it can help, how it's performed, and what results you can expect.
The Tummy Tuck, also known as an Abdominoplasty, is a surgical procedure designed to correct a loose, sagging, or protruding abdomen.
This may be brought on through a dramatic weight loss, pregnancy, or simply the aging process; all of which can cause the stomach muscles to weaken. As this happens, the mid-section will experience a loss of tone and elasticity. Diet and exercise alone cannot correct these physical changes.
Mommy Makeover
Mommy makeover surgery is a unique combination of body contouring procedures that can be customized to serve each patient's aesthetic goals.
It is often utilized to restore pre-pregnancy body contours and address physical changes women experience following pregnancy. Having a child affects most women's body shape, muscle tone, skin elasticity and fat distribution. While such changes may be improved through dieting and exercise, for some women the best treatment option is a mommy makeover procedure, which can address multiple aesthetic concerns at one time.
The best candidates for mommy makeover surgery are women who are unsatisfied with their body contours following childbearing.
Dr. Kreithen, a body contouring specialist in Sarasota / Bradenton, can utilize the mommy makeover surgery to restore pre-pregnancy contours by treating an array of aesthetic concerns. Although it is natural to gain weight during pregnancy, most of this weight is stored as fat tissue, affecting the shape of the breasts, abdomen, hips, buttocks, lower back and thighs. More Info
Dramatic weight loss is often accompanied by areas of loose skin and isolated pockets of fatty tissue that don't respond to diet or exercise.
"Lift" procedures involve the tightening of loose skin through a combination of fat extraction, removal of excess skin and tissue, and gentle stretching of the remaining skin.
The purpose of a lift is to target specific areas of the body where loose skin has collected and begun to sag.
The total lower body lift provides a comprehensive solution to these problem areas, bringing your appearance into alignment with your healthy new lifestyle.
The lower body lift helps to return form and shape to the body after a considerable decrease in weight and can be used effectively as a Post-Bariatric procedure.
It removes excess skin and fat from the abdomen, hips and lower back, lifts the buttocks and outer thighs and tightens the underlying muscles of the abdominal wall. (It is frequently combined with liposuction, so you are also encouraged to view the information on liposuction.)
The Body Lift procedure is designed to remove the excess fat and loose skin along the midsection and buttocks.
The surgeon will not only tighten the tissues, Dr. Kreithen will sculpt the abdomen and provide improved contour to the hips and buttocks. The appearance will be improved and skin tone rejuvenated; a natural looking form will be created.
Mommy Makeover - Procedures
The most common procedures combined during a mommy makeover include:
Liposuction
SmartLipo & Renuvion
Tummy tuck
Breast augmentation (silicone/saline implants)
Breast reduction
Breast lift
Thigh lift
Body lift
Lower Body Lift
Arm Lift
Brachioplasty
also known as an arm lift, is a surgical procedure to remove skin and fat from the upper arm, reducing skin redundancy that makes clothing fit improperly or makes you feel uncomfortable in short sleeves or sleeveless tops.
The combined effects of aging, gravity, fluctuations in weight, and a loss of skin elasticity all contribute to a loss of tone in the arms as we age.
Brachioplasty surgery can markedly improve the appearance of your arms and may be ideal for those who are self-conscious about drooping upper arms.
The Upper Arm Lift, also known as a Brachioplasty, is a surgical procedure specifically designed to eliminate the soft, sagging, and unappealing excess tissue of the upper arm.
Through the procedure, the upper arm can have a tight, contoured appearance once again. The results from a Brachioplasty can be long lasting, but patients need to commit to maintaining a healthy weight and regular exercise. As the aging process continues though, some amount of tissue change is expected.
Thigh Lift
A thigh lift is a surgical procedure to remove skin and fat from the thighs to tighten the skin and improve the contour of the legs.
The combined effects of aging, gravity, fluctuations in weight, and a loss of skin elasticity all contribute to loss of tone in the thighs as we age. The thigh lift is designed to tone the thighs and tighten the buttocks and can markedly improve the appearance of your legs. A thigh lift may also be performed in combination with another type of surgery, for instance in combination with an arm lift.
Not every person is a candidate for every kind of lift.
Before undergoing a lift, you will have a thorough private consultation and evaluation with Dr. Kreithen. He will honestly and openly educate you about your options and help you to establish reasonable expectations and goals.
Following lift procedures, many patients experience an immediate improvement in their selfesteem and discover a greater Self-Confidence.
In addition, many also find greater access to different clothing styles and fashions and are less self-conscious at the gym, around the pool, or at the beach.
Laser Procedures
Both Dr. J. David Holcomb, M.D. (AccuLift™, Laser Assisted Facelift) and Dr. Joshua Kreithen, M.D. frequently integrate laser technologies into their respective surgical areas of expertise. Dr. Holcomb is honored to have some of his before and after patient photos chosen for inclusion in the widely distributed Sciton brochure. He has achieved great results with procedures like MicrolaserPeel, ProFractional Resurfacing, and Deep Resurfacing with Countour TRL.
Co-developed by Dr Holcomb the AccuLift procedure is designed to refresh and rejuvenate the face via sculpting the cheeks, jawline, neck and submentum (area under the chin). The minimally invasive procedure uses a small laser fiber inserted under the skin to reduce excess fatty tissue deposits and promote skin tightening. The AccuLift may be a standalone procedure or it may be combined with other procedures such as facelift (laser assisted facelift), laser skin resurfacing or soft tissue augmentation (e.g. filler injections where volume is place in areas that are hollow).
eC02 Ablative Fractional Laser
The eCO2 Ablative Fractional laser is a state-of-the-art laser system designed to rejuvenate dull, lax skin of the face and neck. While improving the damaged outer layers of skin, the laser will also stimulate collagen production and promote skin tightening.
Fractional Laser Therapies
Dr. Holcomb & Dr. Kreithen offer three different laser therapies in our office, all designed to treat the individual needs and goals of each patient: the eCO2 Fractional Laser, the Mosaic Fractional Laser, and the ProFractional XC Laser.
HALO Hybrid Fractional Laser
Get Radiant, Younger Looking Skin. HALO can deliver the results you want without the downtime you expect. The HALO hybrid fractional laser delivers both ablative and a new non-ablative wavelength (1470 nm) in an innovative fashion to provide results more typical of ablative lasers but with downtime that is intermediate or more typical of non-ablative lasers.
Laser Skin Resurfacing
Laser Skin Resurfacing can effectively rejuvenate the skin by reducing facial wrinkles and unwanted dark pigment and by creating a fresh, new surface. By stimulating the body's own collagen production and remodeling, the skin will continue to gradually improve over many months following Laser Skin Resurfacing.
ProFractional Ablative Laser
The ProFractional Ablative Fractional laser is a state-of-the-art laser system designed to rejuvenate dull, coarse skin of the face and neck. While improving the damaged outer layers of skin, the laser will also stimulate collagen production.
Holcomb Kreithen Plastic Surgery and MedSpa is among the most comprehensive in Florida with many options for minimally invasive and non-surgical contouring of the face and body, state-of-the-art laser and skin care centers and an Aesthetic and Wellness Medicine specialist to help patients refine their appearance and optimize their inner physical well being.