Conveniently located to serve the areas of Marin, San Francisco and Napa.
Cosmetic & Reconstructive Surgery
To meet with one of our board-certified surgeons, you can request a consultation online, or call (415) 886-0777 to schedule an appointment.
Women and men considering plastic surgery in Novato, San Rafael, Fairfax, Mill Valley, and other Marin County communities know there are many practices to choose from in the area.
Still, people from throughout the Bay Area choose Plastic Surgery Specialists in Greenbrae for the quality care and remarkable results they provide.
What are the most important qualities to look for in a surgeon when considering cosmetic or reconstructive plastic surgery?
Experience is at the top, especially performing the procedure that you want. You want a plastic surgeon who gets consistently excellent results that you can see in before-and-after photos. Choosing a surgeon who listens to your wishes, while also providing expertise in creating a surgical plan, is critical. And it's essential that the surgeon is certified by the American Board of Plastic Surgery.
At Plastic Surgery Specialists, Dr. Poulos, Dr. Douglas and Dr. Hvistendahl specialize in cosmetic breast surgery, body contouring, and facial rejuvenation.
Their patients get the benefit of nearly 50 years of combined experience, an exceptionally qualified staff, and an on-site, state-of-the-art surgical suite. Reconstructive plastic surgery is an integral part of our practice. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl all have extensive experience in a range of these procedures and understand the delicate relationship between form and function that is the hallmark of reconstructive surgery.
Body
If the shape you're in doesn't match the image you'd like to present to the world, our body contouring surgeons in Marin County at Plastic Surgery Specialists perform a range of procedures in our state-of-the-art surgery center. Liposuction and tummy tuck surgery are popular options for San Francisco Bay Area residents, and they are just a couple of the many options we offer. Age and genetics can undermine good intentions, healthy eating habits, and regular exercise, and the way fat gets distributed on the body is often out of a person's control. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl can help patients take control and get the figure they've been working toward. Discover why patients visit our center of excellence for surgical and non-surgical body contouring procedures, coming from San Francisco, Napa, Santa Rosa, and beyond. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
After Weight Loss Body Contouring
Complete Your Body Transformation
Body contouring procedures are the sure, surgical way to sculpt your form when sagging skin throws a wet towel over your weight loss celebration. Weight loss with the Gastric Balloon has transformed your life for the better, with one annoying caveat: loose and sagging skin on both body and face. Beating obesity has cleared you of a whole host of health risks. And fitting into sizes you haven't been able to wear for a long time is definitely a boost for the ego. But when you look in the mirror, you see the cape of loose skin that hangs from your body. Until you do something about it, you may feel your transformation journey is not yet complete. Plastic Surgery Specialists (PSS) perform a number of body contouring procedures following massive weight loss. We serve the San Francisco Bay Area with premium aesthetic services. Contact us to discuss how we'll give your look a lift. Call 415-384-9787. For your convenience, PSS now offers Virtual Consultations. Start your transformation journey from the comfort of your own home with our skilled and experienced Plastic Surgery Specialists!
What Is Body Contouring After Weight Loss?
If you have undergone a transformational weight loss of 100 pounds or more, your journey may only be half over. After losing a lot of weight you still may have loose, heavy folds of skin left as an unpleasant reminder of your former self.[1] PSS can remove the extra skin and improve the shape and tone of your whole body. There are several types of cosmetic surgery to help you gain a trimmer, firmer shape. Post-Weight Loss Body Contouring Procedures - Tummy Tuck, Body Lift, Arm Lift , Liposuction.
Tummy Tuck (Abdominoplasty)
Tummy Tuck is a body contouring procedure to remove loose skin at the abdomen. This procedure also surgically tightens the abdominal wall, because it is the underlying structure that has been stretched, and no amount of strengthening can fix the problem. Transformational weight loss can leave your belly skin looking like a deflated balloon. Once your skin is overstretched, it doesn't bounce back. Excisional surgery like abdominoplasty, to fix the abdominal wall structure and remove excess skin is the surest way to get the most gratifying results.
Full Body Lift
Many post-weight loss patients require a comprehensive approach to their sagging skin. A Full Body Lift is all-inclusive contouring from your knees to your shoulders. Be sure to discuss your full range of skin-tightening options with the doctors at Plastic Surgery Specialists. Many of our facial rejuvenation and body contouring procedures work well together; we can easily perform them all at once or in a sequence.
Arm Lift
Go sleeveless in the summertime. You've earned it. An Arm Lift will restore your right to bare arms. The procedure aims to flatter your guns by trimming your skin to hug your biceps. Batwings, begone! An arm lift will eliminate the cape of skin that hangs, bat-like, from your upper arms.
Liposuction
It is likely that your facial rejuvenation or body contouring procedures will involve a little Liposuction. We use a vacuum-powered cannula to reduce stubborn pockets of fat from around the neck and body. For your doctor, it is another potent instrument to sculpt your silhouette. We may deploy a couple of controlled injections of Kybella for more delicate fat removal around your face and chin. Kybella is a synthetic form of deoxycholic acid that melts fat like butter on contact.
About Post-Weight Loss Facial Rejuvenation
Dramatic weight fluctuations can overextend your skin's natural elasticity. Many people who have conquered obesity often find a new challenge confronting them at the threshold of true transformation: rolls of saggy skin that hang like a shroud from your body. Dermal collagen naturally degrades as we get older. Collagen is a structural protein that gives skin its supple, springy responsiveness when we are young. So your post-weight loss, stretched skin also adds to signs of aging. If you look in the mirror and see wrinkles, deep creases and a skin laxity, you may want to consider a facial rejuvenation procedure to help match your newly rejuvenated, slimmer body with your face. Our MedSpa often becomes a part of a true rejuvenation for the skin on the face. The doctors surgically tighten the skin and underlying structure, but the collagen and elastin-boosting procedures offered in the MedSPa are key components to a truly transformative facelift. We include a laser treatment with all of our facelift procedures because of the superior results. Reasons To Consider a Facelift - Double chin, Nasolabial folds (marionette lines), Jowls, Worry lines, Turkey neck. Curious about our other procedures? Check out our blog for the inside scoop on all we do at PSS.
Facelift (Rhytidectomy)
Our Facelift is an excisional surgery that tightens loose skin and muscles in the face. Rhytidectomy contours your visage, tightens your profile and reigns in the troublesome turkey neck that sends you web-surfing for turtleneck sweaters on sale. A full facelift is actually a combination of several contouring procedures that our doctors customize to the individual. Your full facelift is as unique as you are. It encompasses a possible mix of target areas that are calibrated according to your personal aesthetic objective.[2] Forehead lift, Eyelid surgery, Mid facelift, Lower facelift.
Neck Lift
A Neck Lift tapers the skin along your elegant jawline to bring your profile into focus. Bulbous, jowls that hang like a veil from your receding chin have ruined your selfies for long enough. The doctors at PSS will take away your turkey neck and grant you the countenance of a regal swan.
What Does Body Contouring Cost in the San Francisco Bay Area?
Your bespoke, aesthetic self-improvement plan is tailored to you. At your personal consultation, we will assess your case and hear your story. Our safe, state-of-the-art surgical center is conveniently located in the San Francisco Bay Area, in lovely Greenbrae, California. Our office offers with cutting edge technology and highly experienced staff. Plastic Surgery Specialists is a partnership between Dr. Stanley G. Poulos, Dr. Yngvar A. Hvistendahl and Dr. Trent D. Douglas. Our doctors have decades of experience and work as a team on larger procedures to ensure the safest outcomes and world-class results. We are leaders in the field. Our team at PSS work together to help you complete your journey and achieve your aesthetic dreams. At your personal consultation, we will work with you to create your customized treatment plan and quote you a cost estimate. Financing options are available, so your dreams are within your reach. Join the PSS Beauty Club and take part in our Brilliant Distinctions program for exclusive savings opportunities.
Does insurance cover body contouring after weight loss?
Insurance may cover a portion of your body contouring procedure. It depends on the extent of your symptoms and how exactly they may affect your overall health. As a rule, insurance does not cover cosmetic procedures. However, some insurance companies will cover body contouring surgery if you have issues with rashes or sores related to excess skin.
Facelift (Rhytidectomy)
Our Facelift is an excisional surgery that tightens loose skin and muscles in the face. Rhytidectomy contours your visage, tightens your profile and reigns in the troublesome turkey neck that sends you web-surfing for turtleneck sweaters on sale. A full facelift is actually a combination of several contouring procedures that our doctors customize to the individual. Your full facelift is as unique as you are. It encompasses a possible mix of target areas that are calibrated according to your personal aesthetic objective.[2] Forehead lift, Eyelid surgery, Mid facelift, Lower facelift.
QuickLift
If you only need a little lift, QuickLift may be for you. QuickLift is a mini facelift with fewer incisions and a shorter recovery time. Its overall results are subtler, but its most dramatic changes are targeted at the lower face and jawline.
Brow Lift & Blepharoplasty
Our Brow Lift (or forehead lift) is a favorite with professors and politicians. The procedure tightens the skin at the forehead. It will open eyes by lifting the skin above. A Brow lift corrects wrinkles on the forehead and helps droopy eyes (often paired with a blepharoplasty) to fully reveal your eyes again and prevent the heavy, "tired eyes" look. A forehead lift allows you to more easily exude a sharp and lively energy that's undoubtedly "with it."
Eyelid Surgery
Eyelid Surgery (blepharoplasty) is often paired with our brow lift to enliven your ocular area. Droopy eyelids can bunch up and muffle the unquenchable twinkle in your eyes. Don't stifle your smoldering peepers. Whatever tomorrow brings, you can rest assured you'll be there with open arms and open eyes because you had blepharoplasty at Plastic Surgery Specialists.
FAQ
Does body contouring leave scars?
The extent of your scars will vary depending on your procedure. For example, a full body lift will result in greater scars than liposuction. Your most apparent scars will begin to fade after the first six months of your recovery when the swelling from your procedure has gone down. You should see your scars noticeably improving all the time. They will fade to virtually nothing in six months to one year.
Is body contouring permanent?
The results of your post-weight loss body contouring procedures are long-lasting. In abdominoplasty, for instance, your surgeon skillfully trims away loose skin to flatter your body's natural contours. If you avoid major fluctuations in weight, then you will enjoy the benefits of the procedure for many years to come. Skin laxity, however, is a natural result of the aging process. So, as the years go on, loss of elasticity can continue.
Arm Lift
My wife had the right to bare arms"-said Barack Obama of his wife Michele Obama's strong sculpted arms. An arm lift gives you the confidence to bare arms, reducing or eliminating the underarm jiggle. The procedure surgically removes excess skin that is impossible to get rid of through any amount of exercise.
What is an Arm Lift?
An Arm Lift (or Brachioplasty) removes loose, sagging skin on the inner part of the upper arm. An Arm Lift can create more attractive arm contours in better proportion to the rest of the body. Sagging arm skin that doesn't respond to normal exercise can be one of the first signs of aging. Both thin and heavier men and women are candidates for an Arm Lift. In Marin County, the board-certified surgeons at Plastic Surgery Specialists also see younger people who have loose skin under the arm resulting from significant weight loss and even hereditary conditions.
Best Candidates
Brachioplasty surgery should be reserved for those who are unable to tone their upper arms through regular exercise; exercise can tone muscles, but not sagging skin. Patients who have minimal excess upper arm fat and no excess skin may find Liposuction a more effective treatment to meet their goals. Many Arm Lift candidates have undergone significant weight loss. Others are experiencing arm skin sagging as a result of aging. Aging causes inevitable changes in the body that you cannot control, such as sagging or drooping skin. Those who desire Arm Lift surgery should have a relatively stable body weight that is within, or at least not significantly beyond, the normal range for their height and body structure. All Brachioplasty procedure candidates should be in reasonably good health before surgery.
Consultation
At your private consultation with one of our board certified surgeons, you will share your concerns about your arms and your desired goals. Your doctor will perform an examination to determine if you are a good candidate for a Brachioplasty procedure. If you are, your doctor will assess which type of Arm Lift will give you optimal results. At this time you will receive an individualized preparation list as well as postoperative care instructions. Pricing and quotes can also be discussed at this time.
Preparation
There are some preliminary steps to complete before your Arm Lift surgery. You will be required to get certain medical tests and examinations completed. Stop smoking a couple weeks prior to your surgery, and you should avoid any herbal medications and anti-inflammatory drugs as these increase bleeding. Certain foods such as fruits and lean meat aid in speeding up recovery time; ask your surgeon for a list of these foods so you can stock up for the length of your recovery. The night before surgery you will be asked to take a shower with antibacterial soap. You should have all of your prescriptions filled prior so you have your medications immediately post-surgery. Do not bring any clothing to wear after surgery that you have to pull over your head; you want something that you can wrap around yourself and not need to lift your arms high. Arrange for a friend or family member to drive you home as you will be unable to yourself. It is recommended to have someone stay overnight with you to aid you at least during the first night of recovery.
The Procedure
For patients who have excess skin located near the armpit, a successful Arm Lift can be effected through an incision right in the armpit, rendering Brachioplasty scars virtually unnoticeable, especially as they begin to fade. For patients who exhibit a lot of excess skin on the upper arm, as can be the case for those who have undergone massive weight loss, tissue must be removed through an incision running from the elbow through the armpit. Your surgeon will take extra care to ensure resulting scars will be as hidden as possible. In some circumstances, it may also be necessary to extend the incision to an area at the side of the chest. Although there will always be a scar in the armpit, the scar on the inner aspect of the arm itself will vary from a few inches below the axilla to the entire length of the brachium depending on the degree of excess skin. More complex arm procedures can mean Brachioplasty scars, which fade over time. In some cases Liposuction may be done concurrently to reduce the arm size prior to tightening the skin. During a consultation in our 6,000 square foot medical center in Marin County, our patients can discuss with an Arm Lift surgery specialist which surgery option suits their needs best.
Post Arm Lift Recovery
You arms will be wrapped in bandages and/or a compression garment to reduce any swelling. Patients may be required to wear a small drain tubes for excess fluid, and if so you will be given specific instructions on how to care for them. Some numbness in the arms the first couple of weeks is normal and will subside. Do not take a shower the week after surgery or until told otherwise, sponge baths are okay until then. You will be prescribed antibiotics, pain medication and/or anti-nausea medication; take these as instructed. Bandages and drain tubes will be removed within a week and patients can return to work or normal activities within 3 to 7 days at your follow-up appointment. Refrain from strenuous activities and heavy lifting for at least 4-6 weeks. Visitors who searched for Arm Lift may also want to search Liposuction in San Francisco. If you are considering an Arm Lift and live in Novato, Mill Valley, or another area of Marin County, please schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777 and one of our friendly staff will help you begin your arm enhancing journey.
Results
The results are seen immediately after surgery, but best results can be seen in about 3 months, depending on the specific patient. Arm Lift surgery will create slim, contoured arms for many years to come, but gaining weight can alter the results. It is important to carry on a healthy lifestyle of exercising and eating well to ensure your results last. It should be noted, an Arm Lift cannot prevent against loss of skin elasticity due to aging. The definition people see in their arms from their procedure instills a new-found confidence as men and women feel more comfortable wearing clothing that shows of their arms.
Cost
The cost of Brachioplasty depends on the degree of your procedure. Undergoing additional body work or facial surgery at the same time will alter the cost of your surgery. You can receive a more accurate quote during your private consultation with one of our board-certified surgeons after they assess your specific case.
Types of Arm Lifts
During your private consultation with one of our board certified surgeons, they will assess which of the below techniques will benefit you most and give you optimal results. An Arm Lift procedure takes 1 to 2 hours to complete and is usually performed with local or general anesthesia on an outpatient basis. The procedure can be paired with Liposuction if there are fat deposits that need to be addressed as well.
Standard Brachioplasty
A Standard Brachioplasty involves an incision made from the elbow to the top of the armpit located on the back side of the arm. Excess skin and fat are appropriately removed and the skin is then redraped and tightened. The incision is closed with sutures. The scar will not be visible from the front and will diminish overtime. If desired, the incision can be made on the inner arm so the scar is not visible from behind, but may be seen from the front. Speak with your surgeon to see which will be the better option for you.
Mini Brachioplasty
A Mini Brachioplasty is ideal for those who only have a minimal amount of sagging underarm skin. The smaller incision is made in the axilla (armpit) or the top portion of the arm and the scar is hidden in the underarm area. This procedure is only meant for limited skin removal and tightening.
Extended Brachioplasty
The Extended Brachioplasty, also referred to as an L-shaped Brachioplasty, involves an incision that runs from the elbow, along the arm, ending at the bottom of the armpit. This allows for underarm skin and skin on the side of the chest to be tightened as well.
FAQs
What is the main trade off of an Arm Lift?
The scar often extends from the elbow to the armpit, which can sometimes be up to 6 inches in length. The scar is not apparent on the outer part of the arms but can be visible for many months after the surgery when the arms are elevated. In severe laxity the excision can include the lax skin to the lateral breast.
How long until I can use my arms for normal activities?
Most patients can resume limited activities in one to two weeks and full use of arms at about one month.
What is a Mini Brachioplasty?
In cases of minimal laxity the incision may be limited to the armpit area. Most of the hair bearing skin of the axilla is removed and the scar is limited to the axilla area. This results in a shorter scar but does not work for severe laxity.
How do I know what type of Arm Lift I need?
During your consultation your doctor will perform an examination and determine which of the techniques we perform will give you optimal results.
Why Doesn't Working Out Help Tighten My Arms and Prevent the Jiggle?
At a certain point because of aging, genetics, weight loss and other factors, under-arm jiggle cannot be solved without removing excess skin and fat. It is unfortunately one of the first places aging becomes obvious.
Brazilian Butt Lift
Do you wish you could fill out your jeans with a cute derriere? Have things sagged in the back a bit? The allure of a well shaped buttocks has long been a part of the aesthetic ideal but one has to look no farther than American TV to see that the curves long coveted are all the rage in the US. When implants were the only option for a permanent surgical change, interest was limited by fear of complications from a foreign body. Recently however, another option has rekindled interest. Enter the Brazilian Butt Lift. With this procedure the shape, size and firmness of the buttock can be altered using only repositioning of your own fat. It is essentially liposuction of fat from places where you don't need it, and transplanting it to the buttock. This procedure brings the added bonus of enhanced contour of the overall figure. For those who might not have enough fat to transfer, there are some exciting new options. We can offer a technique that uses the highly effective Sculptra™ filler to create lift and smooth the buttocks.
What is the Brazilian Butt Lift?
The surgery is actually a transplant of your own adipose (fat) tissue from one area of the body to the butt. Liposuction is used to remove excess fat from abdomen, flanks, back or thighs which is then prepared to allow injection into the buttock region to optimize body contour. Sculpting the soft tissues immediately surrounding the buttock defines the added fullness of the transplantation. It's all about the curves.
Pros and Cons of the Brazilian Butt Lift
At Plastic Surgery Specialists our Board Certified surgeons feel this procedure is a safer and more predictable option over implants for buttock enhancement. The results look and feel natural because they are. In addition the ability to shape other areas of the body concurrently with no addition to healing time is a plus. The downside is that not everyone who lacks buttock contour has enough donor fat to be a good candidate. In addition the degree to which the transplanted fat remains over time can not be predicted 100%; but with careful technique great lasting results can be achieved.
Consultation
Brazilian Butt Lift consultation with our experienced surgeons at our Bay Area location will determine if you are a good candidate, and how your figure can best be sculpted as this procedure must definitely be tailored to each individual. Realistic expectations of improvement will be presented.
Additional Procedures
For some individuals, additional procedures other than liposuction may be considered concurrently. These include breast augmentation or lift, abdominoplasty or tummy tuck, and fat transfer to other areas such as the face. The first goal in every procedure is to be safe. The general health and motivation of each individual must be taken into account in designing the best surgery.
Costs
Due to the highly customized approach of this surgery an estimate of costs prior to consultation is very difficult. However at PSS consultation an exact quotation of all costs including those of our accredited surgery center, our team of Board Certified anesthesiologists, and all post op care will be included in one fee and 0 interest financing is available. Please feel free to contact our Marin County office today to request your Brazilian Butt Lift consultation.
Cellulaze
Hot weather means time to show some skin; however, some may be reluctant to grab those short shorts from the back of the closet or sport a bikini because of their cellulite. Hesitate no more. Introducing Cellulaze! A revolutionary cellulite removal treatment that gets rid of skin dimples.
What Is Cellulite?
Adiposis edematosa, or cellulite, is a skin condition where connective fibers pull down on the skin and created a dimpled appearance. This occurs when fat deposits grow in size and push skin outward, but the underlying connective fibers to not stretch with the skin. Because of this, depressed areas appear on the skin from the pulling of the connective fibers, giving a "cottage cheese" or "orange peel" look to the skin. Cellulite is often caused by hormones, genetics, slow metabolism, lack of physical activity, and/or thickness of skin. Cellulite can also worsen with age as the body produces less and less estrogen, and poor circulation which can lead to a decrease in collagen production. It is often believed that only larger women get cellulite, when in fact women of all shapes and sizes can get cellulite. Yes, the more fat you have the more stress in placed on connective fibers which creates more noticeable cellulite, but even the leanest of woman can have cellulite depressions that diet or working out cannot get rid of. Extensive exercise can diminish the appearance of cellulite, but it will never get rid of it since it is caused by an underlying condition.
What Is Cellulaze?
The treatment results in an improvement in most cases that was not possible before the introduction of Cellulaze. Cellulaze body contouring, available for our Marin, Napa, and Sonoma County patients, is the first and only cellulite laser treatment that is backed by extensive clinical data showing results lasting up to a year. The device's 1,440nm laser fiber has a triple effect on damaged skin: detaching the fibrous bands beneath the skin that cause depressions, removing the pouch of skin that surrounds the area, and finally heating the subdermal layer to cause increased collagen production. The treatment is often done in one sitting with visible improvement appearing within days.
Areas Treated
Cellfina cellulite removal treatment is FDA approved to get rid of cellulite on the: Buttocks, Upper thighs, Lower thighs.
How Cellulaze Works
Cellfina is a small handheld device which uses a 1,440nm laser fiber to break the connective tissue bands that contribute to cellulite and heat the subdermal layer of skin to increase production of collagen and smooth the skin. This is done with just a few microscopic incision in the skin for the cannula to reach the connective fibers. The Cellulaze laser fiber then releases the fibrous bands pulling on the skin, while simultaneously treating the skin to make it firm and smooth. This process can be compared to the stretching of a rubber band, and when it gets released it goes back to its relaxed state.
Cellulaze vs. "Cellulite Removing" Creams & Serums
Some creams on the market claim to get rid of cellulite, which is impossible. No creams have been tested and proven to get rid of cellulite. Retinol has been tested to temporarily relieve cellulite depressions, but this only masks the symptom. A good comparison is spreading frosting over a lumpy cake; this briefly masks the issue. Caffeine and green tea products also have little evidence backing up their claims. The only way to actually get rid of cellulite is to address the connective fibers which no topical cream can accomplish, prescription or over-the-counter.
Best Candidates
Cellulaze is a treatment for patients with a specific skin condition called cellulite. Cellulite is a condition that plagues a very high percentage of women. It is only present in women since women's connective fiber pattern runs vertically, while men's connective fiber pattern lies flat over the muscle, so they cannot pull down on the skin unlike the vertical fibers. Cellulite is a specific condition characterized by contracted fibrous septae causing bunching and dimpling of the skin with protruding pockets that create a "cottage cheese" appearance. It is different from lax skin, which requires an excisional procedure to correct. Some patients may be candidates for Smartlipo™ as well, which is usually done in a separate stage.
Consultation
During your one-on-one consultation with one of our PSS Cellulaze specialists, you will have the opportunity to explain your aesthetic concerns and your desired outcome. Your surgeon will perform a detailed examination of the problem areas while you are in a standing position with your muscles relaxed so he can examine each depression precisely and accurately. This examination is important in order for your surgeon to be able to assess the perfect personalized treatment plan for your specific condition and treatment areas. Please mention past surgeries and medical history as this may alter the treatment plan.The procedure will be explained fully so you are aware of each step of the process; we want to make sure you are comfortable with your decision. The only preparation needed before your Cellulaze treatment at Plastic Surgery Specialists is discontinuing herbal supplements and anti-inflammatory medications 2 weeks before your procedure date. Any further personalized instructions given to you for your specific case should be followed to ensure optimal results.
The Procedure
Your surgeon first marks a patient's skin on the areas to be treated. Then the surgeon injects a local anesthetic and wetting solution to the cellulite and inserts the 1,440 nm laser fiber. The high points are lasered away while the unique side-cutting laser removes the contracted fibrous bands responsible for the cellulite. Finally, the subdermal region is treated for increased collagen production. Cellulaze treatments can release up to 25 cellulite dimples in a single session. No suctioning of the lasered area is required. The procedure usually takes about 1-2 hours with minimal to no discomfort and bruising. Gauze pads are then placed on the treatment area after the procedure with a compression garment or bandaging.
Recovery
After a Cellulaze cellulite treatment in Marin County, there is some drainage of residual fluid for 24 hours, followed by a rapid return to normal activities. Initial improvement may be noted in 1 to 4 weeks, with increased collagen thickening providing enhanced results after about 3 to 4 months. Compression garments may be worn for comfort, and most patients return to work within a few days depending on the size of the treated area. Patients interested in Cellulaze may also consider liposuction or other body contouring procedures. If you are considering Cellulaze and live in Greenbrae, Larkspur, Corte Madera, Mill Valley, Santa Rosa, San Rafael, Novato or surrounding areas, please schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777 or schedule a consultation online.
Cost
The cost of your Cellulaze treatment is dependent on your specific case, how many areas are treated, and the size of the treatment areas. Additional body contouring or procedures will change the price as well. For a personalized quote, please schedule a consultation online or give us a call at (415) 886-0777 and begin your journey to beautifully smooth skin.
Cellulite can be classified into 3 different categories:
Level 1
Anatomical changes are detected by microscopic examination, but there are no clinical symptoms.
Level 2
Anatomical changes are detected by microscopic examination and in low temperatures on those with pasty skin.
Level 3
Level 2 symptoms accompanied by visible roughness.
FAQs
What are the side effects?
Mild bruising, discomfort, numbness, and swelling, all of which resolve within 2 to 3 months.
Can it be done under local anesthesia?
Yes, a major benefit is the ability to safely and effectively treat cellulite under local anesthesia with a quick recovery.
Can the procedure be repeated for different areas?
Yes. It is often best to limit the time of treatment to 1 to 2 hours. If there are multiple areas of concern, they can be addressed later to allow for a quick return to normal activities.
Will Cellulaze completely erase my cellulite?
In studies, 93% of patients have shown significant improvement. Complete resolution of such a complex problem will not occur in every case.
Full Body Lift
The body lift is a procedure that circumferentially removes excess skin from the mid torso (extended tummy tuck) that typically presents after significant weight loss. We now have a PSS Weight Loss Program that can help with the journey to a healthier you, including our fitness coach, nutrition and workout support, and more. Losing this amount of weight is an incredible achievement for your health and your self-confidence, but often the skin cannot contract sufficiently after the weight loss so your "skin suit" simply doesn't fit anymore and has to be altered. After all that hard work, you want to show off a tighter, sculpted figure. The sagging skin can drape under the arms, around the abdomen, thighs, and neck, impacting your figure and body shape. Sagging skin can be a frustrating development after you've come so far to achieve your body weight goals. The body lift may be combined with breast or arm skin excision in one procedure, to effectively reshape your body to show the underlying new shape. This procedure should not be considered as an alternative to weight loss or healthy living. In fact, only those who are already working towards a healthy lifestyle are considered as ideal candidates for a body lift.
What is a Body Lift?
Body Lift is a term that refers to procedures that lift and tighten the abdomen, inner and outer thigh, and in some cases, medial thigh and buttock concurrently. In other words, the body lift addresses all areas from the bottom of the breast to the mid-thigh with a combination of skin tightening, and fat removal or repositioning falls under the umbrella term of body contouring. San Francisco Bay Area residents who choose Plastic Surgery Specialists in Marin County often modify the procedure to include an Arm Lift or Breast Reduction. Liposuction may be included as part of the surgery to further the results of the body lift. Liposuction is also used for fat transfer to the buttock or face, to balance out areas that have sagged due to fat loss. Fat loss in the face is not always a good thing for a youthful appearance!
Skin Elasticity
Skin elasticity is a term used to describe your skin's ability to bounce back to its original shape after being pulled or tugged. Loss of elasticity comes with aging, reduction of collagen, and the change in your body's shape due to significant shifts in weight. Each person's skin's elasticity will vary depending on their genetics, age and lifestyle factors, such as environmental hazards, smoking, poor eating habits, lack of sleep and stress. Studies have also shown that those who are overexposed to the sun experience greater weathering and degradation to the elasticity of their skin. When it comes to relatively sudden and significant changes in body weight, the skin often can't keep up, which results in sagging skin. Typically in these cases, a body lift is by far the most effective method for dealing with the massive amounts of sagging skin.
Good Candidates
If you've recently lost a lot of weight and hope to rid yourself of excess skin around the midsection and elsewhere, you are probably a good candidate for a body lift procedure. In our Greenbrae surgical center, our board-certified surgeons can sculpt and shape the most common problem areas on the body, creating a toned and fit-looking physique. They should be in good health and feel committed to maintaining a healthy lifestyle post-surgery. To determine a patient's candidacy, please contact our office and schedule a private consultation with one of our talented physicians, Dr. Hvistendahl, Dr. Douglas or Dr. Poulos. Candidates for Body Lift surgery should have completed their weight loss program and attained a stable weight.
Preparing for the Procedure
To ensure the best results, you will follow some steps in the weeks leading up to the procedure. Our team of highly trained staff will guide you and make recommendations. Generally speaking, if you are a smoker, you will be asked to stop three weeks before the procedure. Also, if you are taking any anti-inflammatory medication, you should stop at least two weeks before. All of these steps will be discussed during your consultation.
The Procedure
Because a body lift surgery can address several different areas, the necessary steps for the procedure will differ widely from one individual to another. The body lift surgery usually begins with an incision to the treatment area. The excess skin on each region will be removed, and the incisions will then be closed using thin sutures. After the procedure is complete, each area is wrapped in a compression garment, and the patient is taken to our recovery area where excellent nursing staff monitors the patient for several hours before being able to return home.
Recovery
Body lift surgery can take four to seven hours and is performed under general anesthesia. Our team approach can significantly reduce the number of hours under anesthesia because we have two doctors in the operating room working as a team. The results are visible almost immediately, though it may take well over a year for the full outcome to become evident. Patients who are searching for information on body lifts may also be interested in liposuction or a Tummy Tuck. If you are considering body contouring surgery and live in Mill Valley, San Rafael, or another area of Marin County, please schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
Schedule Your Consultation
One of the most critical aspects of any cosmetic procedure is your consultation. Choosing doctor with the experience and expertise, as well as someone you feel comfortable with, can ensure that you have the best experience and are satisfied with the results. Together Dr. Hvistendahl, Dr. Douglas and Dr. Poulos have over four decades of experience with more than forty thousand successful procedures under their belts.
Body Lift Techniques
A body lift is a combination of surgeries that can be performed as a comprehensive procedure to treat skin laxity on either the upper or lower body. A body lift can include three or more surgical procedures depending on your particular case. Combined surgeries performed within the body lift offer specific results. Techniques listed below articulate how and why each procedure is done:
Upper Body Procedures
Arm Lift
Also known as the brachioplasty, this technique designed to remove sagging underarm skin, sometimes referred to as a "bat wings." This procedure typically involves removing the excess skin under the arms with an incision under the backside of the arms near the armpits.
Breast Lift
A surgical procedure that removes excess skin and reshapes the breast mound to a more anatomically youthful position. There are many techniques used for a breast lift depending on the amount of sagging and the shape of an individual's breasts. Usually, excess skin is removed from the lower half, and the nipple-areola complex is adjusted for a proportionate, lifted appearance.
Back Lift
A back lift corrects excess skin on the upper portion of the back, also known as bra rolls. This concern can prevent clothes from fitting correctly or can hinder your overall body contour due to the look of "back rolls." The excess skin is removed and joined to provide a slimmer, more contoured back.
Lower Body Procedures
Tummy Tuck
Also known as an abdominoplasty, a tummy tuck removes excess skin around the waist and abdomen. Incisions are made along the lower abdomen, from hip to hip, and the abdominal muscles tightened. The excess skin is removed, and the remaining skin will be joined to provide a flat, sculpted midsection.
Thigh Lift
A thigh lift removes sagging, excess skin from around the inner and outer thighs. Incisions can be made along the inner thighs or outer thighs to remove excess skin. The skin is then lifted upwards and tightened for a more contoured, toned appearance. Any scars that remain will continue to fade and can be hidden under a majority of clothing.
Butt Lift
A butt lift is a surgical procedure that removes excess skin from the buttocks to provide you with a more youthful behind. The surgeon makes an incision at the top of the buttocks to near the hip area. The doctor will then remove the excess skin and lift the remaining skin upwards, securing the buttocks to a more lifted position. Each of the above methods is also further customizable according to the individual's body type and goals. Overall, there are four steps to the procedure. First, patients are placed under general anesthesia to ensure their safety and comfort. Second, incisions are made near the areas to be treated. The size, shape, and location of the incisions depend on the type of lift being performed. Third, the excess skin is removed, and sutures are used to close the incisions and secure the skin in its more youthful placement. Finally, you return home and to start your recovery.
FAQs
Who Is a Candidate for A Lower Body Lift?
Patients who have had significant changes in body size, such as massive weight loss from bariatric surgery are excellent candidates. Typically these patients have an envelope of skin that no longer fits their body size. Therefore, it is necessary to tailor this "skin suit" to a size that matches the new body appearance. By extending the scar from the tummy tuck circumferentially to the crease just above the buttock, the entire waistline, buttock, and lateral thigh can be lifted in one procedure. In some cases, an additional incision is made in the inguinal crease, and the medial thigh is lifted, as well.
What Is the Recovery Like from A Body Lift?
As would be expected, the more surgery required, the longer the recovery. However, the increased recovery period is primarily limited to the first week as it is difficult to be comfortable with the incisions on the front and back of the body. If this surgery is contemplated, it is very important to have assistance at home for the first several days following the surgery.
Is Body Lift Surgery Sometimes Combined with Breast or Facial Surgery as The Laxity Appears Common to All Areas?
In many cases, surgery in all areas is required to achieve an optimal balance in body contour. Your doctor can determine the best way to safely stage the operation in order to achieve the best result. This can be better determined during the initial consultation.
What Is a Body Lift and Why Do You Need One?
A body lift is a procedure that circumferentially removes excess skin from the mid-torso (extended tummy tuck) that typically presents after significant weight loss. It often includes additional areas affected by weight loss, like the thighs, back and arms.
Labiaplasty
As interesting as it may sound, a lot of women are not happy with the appearance of their labia minora, or "inner lips." Also, not many women are aware that there is a designated cosmetic plastic surgery procedure designed specifically for vaginal enhancement. Labiaplasty is a surgery designed to reduce enlarged labia minoras and make them neat in appearance, lying nicely inside the labia majora. This procedure actually has one of the highest patient satisfaction rates out of cosmetic enhancement procedures. Feel free to request a consultation today and see how labiaplasty can help improve quality of life both physically and emotionally.
What is Labiaplasty?
Labiaplasty, or labioplasty, is a cosmetic reconstructive surgery performed on the labia minora to reduce or enhance its appearance. Labia hypertrophy is a condition where the labia minora projects outward beyond the labia majora; this can result from puberty or present from birth. Generally there is no medical necessity to reconstruct an enlarged labia; however, it can be terribly bothersome both emotionally and physically. Bikinis and fitted pants are not top choices for women with labia hypertrophy as they can create irritation caused by friction, and the visibility can cause significant embarrassment. Labiaplasty is specially designed to address the aesthetics of the vaginal area and restore feminine confidence. It can also be used as a reparative surgery to restore a labia that has torn due to childbirth or injury.
Labiaplasty Candidates
Candidates for labiaplasty surgery are women in good health who have experienced pain or irritation from labia hypertrophy, whose labia minora has torn from childbirth, or those that are unsatisfied with the appearance of their labia minora. There is no age restriction to undergo the surgery, but it is most commonly performed on women between the ages of 20 and 40 years old.
Consultation
At your initial labiaplasty consultation at Plastic Surgery Specialists, you will explain the emotional or physical discomfort you experience caused by labia hypertrophy. An examination will be performed to determine if you are a suitable candidate for labiaplasty, and if so, the correct technique will be chosen. From this technique, a custom tailored surgical plan will be created in order to provide you with the best results possible. Questions and inquiries concerning preparation, recovery, the procedure itself, results you can expect, and price will all be answered at this time. Each case is different so results vary, but before and after photos are available for those who wish to get an idea of potential outcomes.
The Procedure
The technique chosen will dictate procedure length, which can range from 30 minutes to 2 hours. Labiaplasty can be performed with either local or general anesthesia depending on the patient's preference and surgeon recommendation. Markings are made on the areas of the labia and/or clitoris that are to be excised. The surgeon will remove labia tissue based on the technique chosen during the consultation, while making sure to leave enough tissue for proper functionality; functionality and patient health are more important than aesthetics. With that said, the surgeon will excise enough tissue so the labia minora lies neatly in the labia majora and functionality is preserved. Absorbable sutures are used to close the incision so they do not need to be removed at a later date. A follow-up appointment will however be scheduled to assess your recovery and healing progress.
After Your Procedure
Dr. Poulos, Dr. Douglas and Dr. Hvistendahl of Marin are experts at labiaplasty surgery and do everything in the power to deliver excellent, lasting results. Tenderness and swelling are normal occurances post labiaplasty surgery and will subside in several days, but ice pack applications and pain medication can help reduce any discomfort in the meantime. Patients can walk immediately following their surgery, but it is recommended that they take a few days off work to rest. Sitting can irritate the incision site, so lying down is advised for those recovery days. Loose fitting clothing is necessary during the recovery period; the transition to fitted pants shouldn't be rushed. Patients are able to shower the day after surgery with a gentle soap, but it is important to make sure not to tug or pull on the stitches. Please stay away from pools, jacuzzis, and baths until instructed otherwise. A cream will be given to you to for application for at least three days to keep the incision sites lubricated. Do not use tampons or engage in sexual activities for the first two months following surgery; these could cause the incision sites to tear. Side effects after labiaplasty surgery are rare, but can include pain, bleeding, or change in sensation. If the incision sites are properly taken care of they should heal wonderfully. If not, there is the possibility that the incision sites can harden or tear, requiring an additional labia surgery.
Cost
Labiaplasty procedures are wide-ranging in cost as they are completely customizable. Each individual patient will undergo a procedure tailored to their specific case, providing them with their desired result. An estimation of cost will be given based on that customization.
Reasons to Undergo Labiaplasty Surgery
It is typically not medically necessary to undergo labia surgery, but some women may opt to get a labiaplasty if they experience physical and/or emotional discomfort caused by hypertrophy, or the condition of an enlarged labia minora. The following are some of the reasons women seek labiaplasty surgery:
Unable to wear fitted pants because of friction and irritation.
Embarrassment caused when wearing a bikini because enlarged labia minora is visible through the bottoms or the excess folds stick out from the bottoms.
Stretching or tearing occurring from childbirth.
Discomfort experienced with physical activities such as riding a bike or running.
Feminine hygeine is a concern.
Shy away from intimate encounters because of self-consciousness.
Liposuction
What is Liposuction?
Liposuction (or Lipoplasty) removes fat from between the skin and the underlying muscle through a suctioning process. Ultrasonic Liposuction procedures are performed by our by our board-certified plastic surgeons in Marin County usingour state-of-the-art surgery center for the purpose of eliminating stubborn excess fat in specific regions of the body. These can include the face (Facial Liposuction or Chin Liposuction), neck, abdomen, buttocks, hips and thighs, and other areas as well. However, Liposuction is not appropriate to address general weight problems. Liposuction procedures are best used to correct area-specific weight issues that have not responded well to diet and exercise. It is a great way to reduce pockets of fat in specific areas.
Best Candidates
The best candidates for Ultrasonic Liposuction are men and women who are in good health and have reasonable expectations. Reducing one's weight as much as possible before a Liposuction procedure can be instrumental in achieving an optimal result. People taking medications or who have medical conditions will want to go over their medical histories especially carefully with their surgeon in advance of Liposuction to make sure that they are not likely to have an increased risk of complications. Patients who would rather avoid surgery may be candidates for CoolSculpting®, a non-invasive body contouring option. Liposuction may be a stand-alone procedure or it may be used in combination with other body contouring operations such as Tummy Tuck or Body Lift. If your skin lacks sufficient elasticity, procedures to remove loose and sagging skin may be necessary in order to achieve a sculpted more refined and smooth appearance once the excess fat has been removed. PSS has introduced the exciting new intraoperative skin-tightening device called Renuvion. The procedure uses rapid heating of collagen fibers to improve both skin laxity and turgor. It has been shown to contract the skin and build collagen, making it an ideal treatment in conjunction with Liposuction.
The Procedure
Liposuction is usually performed with local or general anesthesia on an outpatient basis, though there may be circumstances where it is better for the patient to spend the night. Fat is removed by Liposuction surgeons from specific regions of the body through a narrow tube (called a cannula) inserted into a tiny incision only a few millimeters in length. Modern technology has provided methods for emulsifying fat before it is suctioned out. This means Ultrasonic Liposuction causes less discomfort and minimal blood loss.
Post Lipoplasty Procedure
Depending on the amount of fat removed and its location, you will likely have some discomfort and bruising and even some pain following your Liposuction procedure. If necessary, you may need a drainage tube to channel fluid away from the incision. Wearing a special elastic compression garment will help to minimize tenderness. Scarring should be minimal, because the incisions are so small. Plastic Surgery Specialists will make sure that you leave with instructions that will help to ensure your comfort and also alert you to the onset of any infections or other complications. It will take one to two weeks before you can expect to see results. For more information on Liposuction, please visit our 3D Education Center. Visitors who searched for Liposuction may also be interested in Tummy Tuck, Body Lift, Arm Lift, or Mommy Makeover. If you are considering liposuction and live in cities such as Greenbrae, Larkspur, Corte Madera, Mill Valley, Santa Rosa, and San Rafael please schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
FAQ
The number of liposuction techniques now available can sometimes be confusing for patients. That's why it's normal for patients to have many questions about liposuction. In Marin County, we offer ultrasound and laser liposuction, along with traditional liposuction, to meet each patient's unique needs. The surgeons at Plastic Surgery Specialists have answered just about every question imaginable about liposuction. In the San Francisco Bay Area, Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are trusted authorities on this procedure, and they are happy to share their knowledge with you by providing answers to the questions they hear most frequently.
What can I expect from my liposuction results?
Our surgeons can make a reasonable determination at your examination as to what your expected results will be. Patients with good, elastic skin tone and localized fatty deposits typically get most satisfying results. In other words, someone who is 100 pounds overweight with fat evenly distributed throughout their body presents a very difficult, if not impossible sculpting task. Liposuction shouldn't be considered a weight-loss procedure. Localized fat deposits in the hips, tummy, or thighs are easily contoured. The second factor influencing the result is the elasticity of the skin. Liposuction alone doesn't tighten skin; we must rely on the skin's inherent elasticity to shrink to the new contour. Liposuction also doesn't remove cellulite or skin irregularities, which is why we may combine liposuction with skin tightening treatments.
How long does the surgery take and what is the recovery period like?
Recovery time depends on the number of areas treated and the amount of fat removed. If you undergo extensive liposuction, it's important to have assistance at home for several days following the surgery. You may be asked to wear an elastic garment to help minimize swelling and enhance comfort during your recovery. Some discomfort and heavy bruising is common, but it will resolve gradually during the first week or 2 after surgery. Local anesthetic used during liposuction, followed up by anti-inflammatory medicine following the operation, minimizes the recovery time for most people.
What is LipoSelection®?
LipoSelection, developed by VASER®, melts fatty deposits using ultrasound technology that doesn't damage surrounding blood vessels or nerves. That allows our surgeons to remove fat with less discomfort and bruising than often occurs with traditional liposuction techniques. VASER liposuction is the most common technique we use at our office. For smaller areas of localized fat, especially on the face and neck, we offer Smartlipo®.
What is the tumescent technique?
Tumescent liposuction is considered the traditional technique. Tumescent refers to the fluid, which is infused into the treatment area prior to suctioning. Tumescent fluid is a salt water solution containing epinephrine, which makes the fat easier to extract and shrinks up the blood vessels. This minimizes the blood loss that occurs with the procedure and allows larger amounts of fat to be removed while minimizing potential complications.
What are the main risks associated with liposuction?
Every surgery has some degree of risk, but the option of local anesthesia and techniques which minimize blood loss significantly reduce the risks associated with liposuction. When we perform liposuction, we are trying not only to remove fat, but to do it with a smooth contour of the treated skin. If the pre-existing skin elasticity is poor or liposuction is aggressively performed the resulting contours may not be even. Our doctors discuss the expected contours which could be achieved with your individual procedure.
Will the fat that is suctioned out come back?
No, the removed fat will not come back. However, if you gain weight, the fat likely will appear in an area surrounding treated areas. Maintaining a stable weight following surgery is the key to getting the best results.
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Arm Liposuction
Do you feel self-conscious when wearing sleeveless dresses, or are frustrated by the jiggle under your arm? A toned, healthy person can develop frustrating arm fat and jiggle, exacerbated by the aging process. We tend to lose muscle as we age, and gain fat deposits in unfortunate places. Arm liposuction is a safe, effective method of eliminating stubborn fat and achieving a slim, smooth arm contour. Fat on the arms does not always respond to diet and exercise. Arm liposuction is a very effective solution for eliminating targeted fat deposits, and can be precisely controlled to achieve a younger-looking contour. You can once again look forward to sleeveless summer months without feeling self-conscious. The downtime and appearance of scars is usually minimal. Arm lipo can be combined with an arm lift when skin laxity is a concern. The doctor will examine your arms and recommend the best course of action for your desired results. Schedule a complimentary private consultation at Plastic Surgery Specialists to learn more about the benefits of arm liposuction today.
About Arm Liposuction
Arm Liposuction is a minimally-invasive, FDA-approved fat elimination surgery. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl custom-tailor every arm liposuction procedure to address the unique needs of the patient. Their advanced arm liposuction techniques deliver superior results, reduce recovery times, and look natural. Incisions are small and easily concealed. You can regain confidence and feel good about your defined, shapely arms. Arm liposuction at Plastic Surgery Specialists is far more than just a way to address difficult-to-lose fat: arm liposuction is an arm sculpting solution. PSS also offers Emsculpt for post-surgery muscle development. Please read further about Emsculpt here. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl achieve beautiful arm liposuction results with traditional tumescent liposuction, but also offer advanced techniques like ultrasound or laser liposuction. Their skill and years of experience enable them to deliver their patient's ideal arm contours, every time, with arm liposuction. The liposuction technique that you receive will depend on your personal preference, the needs of your case, and your surgeon's recommendation.
Liposuction & Arm Lift
Do your arms flap or jiggle when you move them? Your arm issues may be a result of loose skin, in addition to stubborn fat. Skin laxity is a common issue that occurs with age or after major weight loss. Patients who have a mild case of skin laxity often restore their skin tone with the help of ultrasound or laser technology. We can advise patients post-surgery what non-surgical device will be most effective for skin laxity. Whether it is ultrasound, light, or radio frequency technology, minor skin laxity can be helped by various modalities. If you have a moderate or severe case of skin laxity, you are a good candidate for the benefits of arm lift. The arm lift is a skin-removal procedure designed to eliminate loose, sagging skin from the arms and achieve smooth, tight contours. Many patients combine arm liposuction with arm lift to accomplish their ideal arm rejuvenation. Renuvion is a helium-based skin tightening technology we can use during surgery to sub-dermally tighten the skin and stimulate collagen. Results have been quite impressive.
Candidates
Fat that does not respond to diet and exercise can be frustrating. Age frequently makes weight loss even harder. If the fat on your arms refuses to shrink, no matter how much you work out and eat right, you are a good candidate for arm liposuction. Arm liposuction is not a weight-loss procedure. It is a body contouring solution intended to help overall healthy individuals address specific pockets of subcutaneous fat. If you have loose skin on your arms, you are a good candidate to combine arm liposuction with arm lift surgery. Patients with healthy skin laxity and stubborn arm fat may also be interested in CoolSculpting, a convenient, non-invasive fat elimination treatment. CoolSculpting offers applicators that are perfect for addressing unwanted fat on the arms. CoolSculpting relies on the science of fat-freezing to safely trigger fat cell breakdown. The treatment is over in 45 minutes, with no downtime. The body breaks down and eliminates the fat over a number of weeks following the treatment. Patients see a reduction in the size of their arms within six weeks of CoolSculpting. Results continue to improve for up to six months. A single CoolSculpting session will eliminate fat by up to 25%. Typically Coolsculpting requires at least two treatments for optimal results. If you are frustrated by the fat on your arms and do not want to undergo a surgical procedure, CoolSculpting is an effective way to reduce arm fat without any downtime, keeping in mind the procedure will not tighten the skin. The fat elimination treatment that is right for you will depend on how quickly you would like to see results, how dramatic a change you want to make, and your doctor's professional recommendation.
Consultation
Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will meet privately with you to determine if arm liposuction is right for you. They will discuss the changes you would like to make to your arms and answer any questions you have about tumescent liposuction, laser, or ultrasound liposuction. They will also assess your medical history and medication use to make sure your arm-contouring procedure is appropriate for you. Based on their examination of your case, they will work with you to create a treatment plan that will best achieve your desired look. If you still have questions after your consultation, please do not hesitate to contact Plastic Surgery Specialists.
Preparation
Patients may be asked to discontinue the use of certain medications prior to your surgery date. Due to the after-effects of anesthesia, patients are advised to arrange for a friend or family member to drive them to and from their arm liposuction surgery. We recommend asking this person to stay with you overnight for the first night of your recovery. This will guarantee you have the most comfortable start to your recovery possible. Consider buying easy-to-prepare meals ahead of time and arranging for help with children or pets to avoid placing any strain on your arms. Every patient will receive personalized instructions to help them prepare for the arm liposuction procedure.
Results
You will notice that your arms are slimmer immediately after your arm liposuction. There will be bruising and swelling in the treated area, but these conditions are normal and will subside within the first week. Patients are able to return to work in less than a week after arm liposuction. Your recovery timeline will depend on your personal healing rate and the physical demands of your job. Patients will receive instructions to help them control any post-procedure discomfort. Post-procedure swelling will continue to subside for up to three to six months following arm liposuction. As swelling subsides, your arms will reveal the new, slimmer shape post-surgery. Within six weeks to three months, you will see the final contours of your arms emerge. Your arms will be slimmer, your skin will be tighter, and you'll look forward to wearing short sleeves again.
Arm Liposuction Cost
The price of arm liposuction depends on the details of the patient's personalized treatment plan. The liposuction technique, anesthesia method, and amount of fat that will be addressed all play a role in procedure pricing. Once you have finalized your arm liposuction surgical plan with Dr. Poulos, Dr. Douglas or Dr. Hvistendahl, you will receive an appropriate cost estimate.
What are the Benefits of Arm Liposuction?
Arm liposuction remains one of the top-recommended methods of addressing unwanted fat on the arms. Men and women choose arm liposuction because:
It achieves long-lasting fat elimination
It can be nearly impossible to eliminate arm jiggle without surgery
The procedure puts minimal strain on the arms
Patients are often back to work within a week
The treatment is completely customized to achieve desired results
Arms become smooth and sleek
The procedure can achieve a toned, athletic look
It improves arm contours to help restore confidence and a healthy self-image
Liposuction Techniques
The liposuction technique you receive will depend on a number of factors, including the amount of fat you would like to address, your desired outcomes, and Dr. Poulos', Dr. Douglas' or Dr. Hvistendahl's professional recommendation after their assessment of your case. Local and general anesthesia are available to keep patients completelycomfortable during their arm liposuction. Patients have the option of receiving arm liposuction with traditional tumescent liposuction, ultrasound liposuction, or laser liposuction. Each technique offers its own benefits to the procedure and results.
Traditional Liposuction
Traditional Liposuction is performed using a slim cannula, tumescent fluid, and a small number of well-placed, tiny incisions. The tumescent fluid is first injected into the appropriate area of the arms and given time to take effect. Tumescent fluid is a mixture of saline, adrenaline, and lidocaine. The fat cells absorb the fluid and become enlarged. The enlarged fat cells are easier to target and gently extract from the body. Tumescent fluid has the added benefit of constricting blood vessels in the area. Patients experience reduced post-procedure bruising and swelling as a result. Once the tumescent fluid has taken effect, your surgeon inserts a slim cannula through a small incision. Incisions are made in places where they will be easily concealed, such as the underarm. Your surgeon uses the cannula to gently dislodge and suction out unwanted fat deposits from the arms. Once the desired contour has been achieved, incisions will be closed with fine sutures.
Ultrasound Liposuction
Ultrasound liposuction eliminates fat from the arms with the assistance of sound waves. In order to perform ultrasound liposuction, your surgeon will first inject tumescent fluid into the treatment area. Once the arms are prepared, Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will use a cannula with an ultrasound device in the tip to target and emulsify fat deposits. The cannula will then safely suction the fat from the body. The ultrasound has the benefit of tightening tissue in the area. The result is tighter skin and a slimmer, smoother arm contour. Ultrasound liposuction has proven particularly successful at achieving a toned, muscular look of the arms.
Laser Liposuction
Laser liposuction applies targeted thermal energy to melt fat deposits for easy extraction. Once the tumescent fluid has taken effect, your surgeon will use a slim cannula containing a laser microfiber to melt stubborn fat deposits. The melted fat is gently suctioned from the arms. The heat from the use of the laser will additionally constrict tissue and cauterize bleeding in the area. Skin becomes tighter to achieve a dramatic improvement in the contours of the arm.
You are a good candidate for arm liposuction if you:
Have resistant fat on your arms
Are at a stable weight
Are in good health
Are a non-smoker
Have healthy skin laxity
Have an optimistic but realistic expectation of procedure outcomes
Liposuction and Renuvion
Even small amounts of fat can cover up muscle definition and resist exercise and dieting. At Plastic Surgery Specialists (PSS), we offer a treatment that will remove this fat and help you achieve a sculpted, slim body. Liposuction is often used to reduce small, local fat stores. You can combine lipo with Renuvion, a minimally invasive treatment, to truly maximize your results. Renuvion is an excellent skin tightening treatment to combine with lipo to ensure fast recovery and smooth, firm results. With lipo and renuvion, superior the best fat reduction techniques are combined with precision radiofrequency technology to provide smoother body sculpting results. At PSS, our highly-qualified doctors have more than 75 years of combined experience to help you sculpt your body and provide you with beautiful, natural results. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl have been known as leaders in the field of aesthetic surgery for years. At PSS, you are in good hands!
About Liposuction Combined with Renuvion
If you are struggling with reducing particular areas of fat, liposuction surgery may be an excellent solution for you. Liposuction is a popular fat removal technique that was developed in the 1960s. This method uses small incisions to access the fat deposits. A thin tube (called a cannula) topped with an aspirator (a suction device) is used to remove fat and help sculpt your body. This technique has greatly evolved since the sixties. Today, there are many technological improvements that let liposuction reduce your fat in less time with less downtime. Liposuction is a minimally invasive procedure that allows doctors to add additional treatments too. Renuvion is a CO2 laser skin resurfacing device that implements both radio frequency (RF) energy and plasma to produce skin tightening results that helps reduce fat further and enhance muscle definition and skin tautness. The procedure emits RF energy alongside helium to the treatment area. The procedure will keep your skin at a comfortable temperature while improving skin laxity and boosting collagen levels. Collagen is a protein found in the skin that is responsible for keeping skin firm and thick. A boost in this protein will help revitalize your skin and restore a smoother, even texture. Renuvion can be used in combination with liposuction surgery to achieve better results than either treatment can achieve on its own. The combination of Renuvion and liposuction achieves a superior result because it both sculpts the body and tightens skin, resulting in a better shape with improved skin texture and tightness. The use of this technology will reduce blood loss and help shorten recovery time. For truly transforming results, you can combine Renuvion with lipo or apply it to another area to create a comprehensive improvement in your appearance. Renuvion can be used to tighten sagging skin on the neck, abdomen, back, arms, or legs. You can effectively and quickly improve your surgical procedure and results with Renuvion!
Candidates
If you have been exercising but are having a hard time reducing fat along with your abdomen, thighs or flanks, you may consider looking into liposuction. There are many advantages to combining liposuction and Renuvion. The primary benefit is that Renuvion will shorten your recovery period and help improve the quality of your skin. Renuvion is a nonsurgical skin tightening treatment that will enhance your results. Renuvion can improve your surgery as well as enhance your liposuction results. Renuvion can be applied to the treatment area after it has healed to help reduce more fat and improve muscle definition.
Preparation
Prior to your surgery, you will need to obtain medications and any other necessary products for your recovery. You may need to arrange for a friend or family member to drop you off and pick you up from the procedure appointment. On the morning of your appointment, dress comfortably and arrive a few minutes early to ensure you have a peaceful morning. For your best results, follow your doctor's instructions leading up to the surgery date.
Procedure
When you arrive at your procedure, the surgical team will greet you and prepare your treatment area for surgery. They will clean the predetermined area and mark where the incision will be applied. These marks will help guide your doctor through the surgery. Once completed, your predetermined anesthesia will be applied.Once you are comfortable, your doctor will gently apply incisions with the Renuvion device, through which your preferred choice of liposuction will be implemented to reduce the stubborn fat.The overall procedure may vary from two to five hours depending on the area(s) treated.
Recovery & Results
Following the procedure, your treatment area will be swollen and bandaged. A compression garment will help set your new contours. The swelling will decrease in the following days and medication will help control any discomfort. A follow-up appointment will help your doctor monitor your results and make sure you are recovering well. Your results will take a few months to set in and will provide transformational improvements. Once the area is completed, Renuvion can be applied to help restructure the subdermal layers of your skin, reducing more fat and toning your skin. The results achieved with liposuction and Renuvion will be long-lasting and, with a healthy lifestyle, will remain consistent for years!
Cost of Liposuction and Renuvion
The pricing of each liposuction and Renuvion procedure will vary based on the extent of improvement desired. We will customize each treatment to address your concerns and flatter your unique anatomy. For your best skin tightening and slimming procedure, schedule a consultation with us today at (415) 886-0777.
Liposuction Options
At PSS we offer a full selection of the most advanced liposuction technologies that will produce your ideal results.
Smartlipo
This lipo method will help minimize bruising and swelling for a quick turn-around. SmartLipo is a laser-assisted liposuction procedure that uses laser energy to emulsify fat and restructure the skin. The SmartLipo system's lasers will act similarly to Renuvion's to minimize blood loss and tighten treated skin. SmartLipo allows for strategic fat removal and significant, localized body contouring. A small laser fiber will be inserted into the treatment area, the doctor will use it to effectively target fat cells and emulsify them. The fat will be removed from your body and the remaining tissue will be sculpted to provide natural contours. Show off your results a few days after your treatment!
Vaser Hi-Def Lipo
Vaser Hi-Def Lipo is an ultrasound assisted treatment. VASER stands for Vibration Amplification of Sound Energy at Resonance. Ultrasound waves will target fat cells to delicately dislodge them from surrounding tissues. This procedure is combined with a tumescent fluid to produce an effective, quick procedure that also provides a fast recovery period. Tumescent fluid is made of saline, epinephrine, and an antihistamine. This fluid combination helps to firm and swell the treatment area. The epinephrine will contract blood vessels, helping to reduce blood loss and bruising while the antihistamine works to locally numb the area. When the ultrasound probe is inserted into the treatment area, the sound waves will the air bubbles present in the tumescent fluid. These bubbles will fluctuate, helping to gently dislodge fat cells. Vaser Hi-Def lipo is a minimally-invasive treatment that will quickly sculpt your body without more than a few days of downtime. Using Renuvion with these methods will reduce your recovery period and have you showing off your new curves in no time!
Speak with Marin County's Body Contouring Experts
In your personal meeting with one of our highly trained doctors, you will get the opportunity to share your concerns and how you would like to improve your appearance. The doctor will listen and ask about your general health, past procedures, medications, and allergies. They will also examine the area you are concerned about, take photographs and chart measurements to create an accurate plan for the procedure. Together, you and the doctor will create a treatment plan that addresses your concerns and works to achieve your best results. The doctor and surgical team will walk you through the steps of a liposuction and Renuvion procedure, informing you of the potential risks and expected outcome. They will also tell you how to best plan for the procedure and your recovery. This is a great time to ask lots of questions so you can gain a realistic expectation of your experience. Some of these questions we suggest you begin with asking are:
How long will my procedure be?
How many days should I take off from work?
What is the length of the full recovery period?
Will there be much discomfort following the procedure?
When can I expect my final results?
Thigh Liposuction
Different body types have different problem areas. Often those areas don't respond to overall weight changes and it is difficult to make significant progress on these trouble spots. Many times, weight loss can make your face appear too thin while not changing the appearance of the saddlebag area. At Plastic Surgery Specialists, our doctors are experts in body contouring. With a customized treatment plan, liposuction and can help you get results that will make you confident in yoga pants, your favorite jeans, or a bikini. Prices for liposuction depend on the amount of reduction and overall complexity of the treatment areas. We have great financing options available. The only way to precisely target fat areas is with liposuction. This procedure can beautifully slim down your legs and tighten the thigh area, so pants fit better, shorts feel better, and a swimsuit is actually fun to wear! We offer a range of liposuction tools and techniques to improve the contour of your thighs and give you confidence to look and feel your best. Sexy, sculpted thighs are easier than ever to obtain with liposuction, and we can help you get there.
About Thigh Liposuction
Liposuction was introduced decades ago to help men and women get rid of stubborn fat. This technology has since been advanced and can now treat areas all over the body such as the arms, back, abdomen, face, thighs, and buttocks. Liposuction can also be used to reduce fat in the male chest (Gynecomastia), helping to contour the area and create a more masculine physique. Thigh liposuction has been growing in popularity. This safe body sculpting technique is a great way to get rid of stubborn fat. Liposuction is an ideal solution for men and women who are active and within a reasonable weight range. Lipo techniques are used to reduce subcutaneous fat. This fat is very stubborn and difficult to get rid of with dieting and exercise. Working out can only do so much. Each person has a set number of fat cells in their body by the time they hit adulthood. These cells will not change in number but will fluctuate in size based on your lifestyle. Thigh liposuction will permanently remove fat cells in your legs to achieve the slender thighs you've always wanted. It's important to take note that liposuction is not a weight loss procedure. Rather, lipoplasty will help contour your legs, removing the fat just below your skin that is so difficult to reduce. Whether you are trying to slim down your inner thighs or debulk stubborn outer thigh fat, we treat areas that are bothersome and recreate a smooth contoured look.
Benefits
Liposuction is not as invasive as many other surgeries because it stays just below the surface of your skin. There is a fair amount of swelling from the procedure, and the body needs time to reabsorb the liquid used to help remove fat cells. Bruising will occur because some blood vessels are affected. You will be able to enjoy a quick recovery and enjoy your results shortly after treatment! The primary advantage of thigh liposuction is the impressive end result.
Candidates
Thigh lipo surgery is a great option for healthy men and women who are tired of not seeing improvement in their legs no matter the workout or diet they are trying. Liposuction will help you achieve an inner thigh gap or slim down saddlebags. In fact, inner thigh liposuction is growing in popularity as women seek to obtain the highly sought-after thigh gap. Liposuction of the inner thigh area is simple, and will impact your whole appearance. Liposuction will help contour your legs and can restore a balanced overall look for your body. The results are impressive and permanent, with maintenance of a healthy diet and exercise program. Please examine the thigh liposuction before and after photos to see the impressive results our surgeons can accomplish.
Personal Consultation
You will have the opportunity to meet one-on-one with our highly accomplished, skilled surgeons for a private consultation. In this consultation, you will be encouraged to voice concerns and ask a lot of questions. Some of our patients find it helpful to write down their questions and bring them to their meeting. Your health will be discussed so that any adjustments can be made. We want you to have a healthy, safe treatment and will take steps to ensure your best treatment is achieved. If thigh liposuction is pursued, we will hand-tailor a treatment plan that takes your body, health, and lifestyle into consideration.
Preparation
We want you to have your best treatment and will set you up for healthy, positive surgery and recovery. You will need to fill prescriptions and arrange for rides to and from your appointment. As for a few days off from work and adjust medications prior to the procedure so you aren't taking anything that will affect the surgery and recovery. The morning of your appointment, take a shower and dress in loose-fitting, comfortable clothes.
Procedure
Liposuction is done on an outpatient basis and often takes between one to two hours. When you arrive, your thighs will be cleaned and marked for surgery. Tumescent fluid and anesthesia will be administered and the surgeon will begin after a few minutes. The preferred method of liposuction will be used and your thighs will be artfully sculpted. Our surgeons have an eye for detail and will work to improve the proportions of your legs and keep them in balance with the rest of your body. Once the ideal aesthetic has been achieved, incisions will be closed and bandaged.
Recovery
Pain medication can be used to control any discomfort. Taking brief walks and elevating your legs should help alleviate the swelling. A compression garment will be needed for a few weeks to control swelling and help your legs take on their new shape. Most patients are able to return to regular activities and work within a few days. Strenuous activities and rigorous workouts can be returned to in a couple of weeks. Everyone will experience a different recovery timeline. It will be important to take your time and make sure to take it easy for the first few weeks after surgery. Please reach out to our office if you have any new questions or concerns, we are here to assist you. Your incisions will be tender and may itch. Be careful of your incisions and do not apply pressure, bump, or scratch them.
Results
Thinner thighs will be noticeable when the swelling subsides. These results will get better as your legs adjust to their new contours. Thigh liposuction reaps long-term results. As with all treatments, we encourage our patients to maintain a healthy lifestyle and practice good skin care. These efforts will help your outcome last years!
Complementary Procedures
Cellulite treatment is the frosting on the cake! After thigh liposuction, you can undergo cellulite treatment to maximize your results. At PSS we are pleased to offer cutting-edge treatments like Cellulaze. Cellulaze uses laser technology to restructure fibrous band under the skin that causes the dimpled skin surface. The fat in the area will be redistributed and collagen levels will be improved to help bring out long-term benefits. Cellulaze will help smooth out dimpled areas and smooth the contours to help take years off the look of your legs.
Liposuction Cost
We often combine fat transfer with Liposuction so the patient can benefit from fat injections to an area of the face that could benefit because of volume loss. Our office team will help create a treatment plan that is best for you, and a cost breakdown will be reviewed in your personal consultation to ensure you know exactly what is included and what your ideal treatment will cost. To learn more about liposuction and how it will give you the more slender thighs you've always wanted, give us a call at (415) 886-0777 to schedule your personal consultation. The cost of your surgery will vary based on the type of liposuction implemented, the amount of fat being removed, and whether an additional treatments are needed.
Types of Liposuction
The surgeons at our office are trained in ultrasound and laser liposuction techniques. Through extensive research, we have found that these liposuction methods provide our patients with their best surgery and outcome. With less invasive surgery, your recovery will be shorter and more comfortable, allowing you to enjoy and show off your results sooner! Both VASER and SmartLipo will produce localized skin tightening but cannot be used to treat skin irregularities like cellulite. Our surgeons will help you determine which lipo technique will help you achieve your best outcome!
Tumescent Liposuction
This technique has drastically improved liposuction surgeries. Tumescent fluid is a saline solution that contains epinephrine. Tumescent fluid is administered with local anesthesia. Implementing tumescent fluid will benefit your surgery in several ways. The epinephrine in the solution will work to constrict blood vessels, limiting the amount of blood lost in surgery and shortening your recovery. The saline in the solution will help swell the treatment area, for easier removal of the fat, allowing our surgeons to work with more precision and sculpt your body beautifully. Lastly, the local anesthesia will help cut down costs and help ease your initial recovery. You won't experience the side effects of general anesthesia and will be able to up and around quickly.
VASER Hi-Def
VASER stands for Vibration Amplification of Sound Energy at Resonance and this revolutionary technique uses ultrasound to transform our patient's bodies. Before fat cells are suctioned from the body with a cannula, they will be emulsified with soundwaves. This emulsification process will help us sculpt the body and remove large amounts of fat swiftly. In this surgery, the sound waves will cause the air bubbles present in the tumescent fluid to fluctuate. This rapid change in size will help to gently detach fat cells from surrounding tissues. The result is a less aggressive form of surgery that will cause minimal trauma to the tissues in the treatment area.
SmartLipo
This form of liposuction implements laser technology to allow our surgeons a high level of precision. Laser liposuction is a new treatment to be offered at PSS and is helping our patients achieve attractive, toned thighs. Similar to VASER, SmartLipo will emulsify fat cells which are then quickly removed from the body. In a procedure, a small laser fiber is inserted through a tiny incision. The laser fiber is used to target fatty deposits. The laser will contract your skin and boost collagen levels. Collagen is the scaffold that keeps your skin thick and healthy. Improvements in skin quality will help your outcome be smooth and contoured, perfect for sculpting the thighs! The heat of the laser not only melts stubborn cells, but it will also improve the quality of your skin.
FAQ
Does liposuction work on thighs?
Yes. Liposuction is a great treatment to slim down thighs and gets rid of any stubborn fat. You shouldn't feel embarrassed to wear shorts or skirts. Liposuction will gently contour your thighs and bring about your ideal results. Contact us today to learn more about liposuction!
What is the recovery time for liposuction on thighs?
The recovery time for liposuction on thighs is a few weeks for soreness and bruising to dissipate. The full results of your new shape can be seen at six months. Keep in mind patients recovery does vary, and each person will have a unique recovery period. It is important to take your time and not push yourself. Sleep when you need to and eat when your body is hungry. Relaxing and focusing on your comfort will help your recovery go well.
How dangerous is liposuction?
When performed by a board-certified surgeon, this is not a dangerous procedure. All of our surgeons are board-certified and have been helping patients achieve their ideal bodies with liposuction for a long time. Prior to your surgery, you will attend a consultation in which your health is assessed. Liposuction will not be pursued if the treatment is deemed unhealthy.
Does thigh liposuction get rid of cellulite?
No. Liposuction will get rid of targeted fat deposits but will not get rid of cellulite. We offer other services that can be performed after you have recovered from your liposuction procedure. Our selection of nonsurgical skin-tighening devices can improve the appearance of cellulite over time. It is important to know that a series of treatments is required to attain the best result. Accent Prime and Venus Legacy are energy devices that stimulate the production of collagen through heat and ultrasound waves. These treatments can complement liposuction to give you results you'll be thrilled with.
Mommy Makeover
Do you love your kids and know your body does not look the same after having them? As giving as you are as a mother, there comes a time when you can do something for you. That is, reclaim your pre-baby (or babies) body. After childbirth and breastfeeding, many mothers have a difficult time restoring their pre-baby shape. The problem arises from not only stretched skin but perhaps an abdominal wall that has become too stretched to regain its shape. You cannot fix this problem with sit-ups, unfortunately. At Plastic Surgery Specialists, we understand that mothers tend to take care of everyone else. It has to be your decision to take care of you. We help you with that decision by detailing what a Mommy Makeover entails, and the recovery and results you can expect. You can attain the body that you desire and can correct regions areas of the body that have been affected by pregnancy and breastfeeding. To learn more about this popular combination of customized procedures, please contact our office today and schedule a consultation. The Mommy Makeover procedure pricing depends on a number of factors and the doctors always want to see you before making recommendations. After listening carefully to your chief concerns, they can outline a detailed plan and set realistic expectations for your goals. Care credit and other financing option information is available here. Virtual consultations are available to make connecting with our board-certified plastic surgeons easier than ever.
What is a Mommy Makeover?
Many women manage to lose most of the excess weight they gain during pregnancy only to find that they are left with sagging skin and excess fat in places where they don't want them. Most women once resigned themselves to living with new, less-attractive body shapes after having families. Thanks to state-of-the-art technologies, women now have the option of returning to their pre-pregnancy figure or making it even better than before through Mommy Makeover cosmetic surgery. The Marin County board-certified surgeons at Plastic Surgery Specialists enjoy a reputation as best-in-the-bay providers of this customized procedure, with many years of experience and expertise, to make you feel comfortable and confident. A Mommy Makeover improves the specific areas of the body that are most commonly affected by childbirth. It typically includes Breast Lift or Breast Augmentation, Tummy Tuck, and Liposuction. Women interested in Mommy Makeover surgery, who visit us from Greenbrae, Larkspur, Corte Madera, Mill Valley, Santa Rosa, San Rafael and other surrounding cities appreciate our surgeons' extensive experience and beautiful, natural-looking results.
Best Candidates for a Mommy Makeover
An ideal candidate for a Mommy Makeover has stopped breastfeeding and isn't planning to have additional children. You should be in good health and have support at home to help you through the recovery process. Plastic Surgery Specialists begins working early with Mommy Makeover candidates, educating them about the entire process, and then making themselves available to address questions and concerns throughout recovery. In spite of the light-hearted nature of the name, the Mommy Makeover is real surgery and requires due diligence. Candidates must understand both the tradeoffs and potential risks and be prepared for recovery.
The Procedure
Liposuction is offered to remove any post-pregnancy abdominal fat from between the skin and the underlying muscle. The purpose of the Tummy Tuck is to improve abdominal and mid-torso contours by eliminating excess skin and fat and tightening the abdominal muscle girdle. Because both of these procedures focus on abdominal fat, it may or may not be necessary in every case to perform both. That is one of several decisions to be made between patient and surgeons based on the patient's specific needs and goals. Breast Augmentation is offered as part of the Mommy Makeover procedure as well to improve the shape of deflated breasts with implants. A Breast Lift can raise and reshape sagging breasts and is often combined with implants for an ideal shape. Again, both may or may not be necessary to achieve aesthetic goals.
Recovery
Your recovery depends on the specific procedures performed. If you've had breast augmentation, a tummy tuck, and liposuction, we recommend allowing 2 to 4 weeks for recovery. The surgery itself can take 4 to 6 hours, and in some cases, the patient may opt for an overnight stay at the surgical facility. Plan to have someone help with all activities of daily living for several days after your procedure. Most moms are used to being a caretaker, but it isn't possible to resume this role immediately. We want you to be up and around the day after the surgery and gradually resume normal activities, such as driving, after a week to 10 days. Exercise and other strenuous activities can be gradually resumed 2 to 4 weeks after your surgery. It's important to remember that it can take several months or even a year for residual swelling to disappear entirely and scars to mature.
Cost
The cost of a Mommy Makeover will vary depending on the particular case and the procedures chosen. During the initial consultation, patients will work one-on-one with a physician to create a treatment plan that is tailored to their exact needs. Once a treatment plan has been established, our staff will be able to provide the patient with an accurate Mommy Makeover quote. To obtain a custom quote, please contact Plastic Surgery Specialists today and request a consultation!
Mommy Makeover Procedure Options
Breast Augmentation
Read More at: https://www.psspecialists.com/cosmetic-surgery/breast/breast-augmentation/.
Tummy Tuck
Read More at: https://www.psspecialists.com/cosmetic-surgery/body/tummy-tuck/.
Breast Lift
Read More at: https://www.psspecialists.com/cosmetic-surgery/breast/breast-lift/.
Liposuction
Read More at: https://www.psspecialists.com/cosmetic-surgery/body/liposuction/.
FAQ
Mommy Makeover differs from one patient to another. Many people ask, "How long does it take to perform a Mommy Makeover?" Just as the specifics of the surgery depend on how many areas of the body are focused on, the Mommy Makeover can vary in the time it takes to complete. Four to six hours is an average according to our board-certified surgeons. Recovery time is usually two to three weeks. Visitors who searched for Mommy Makeover may also be interested in Breast Lift, Tummy Tuck, and Liposuction. For more information about the procedures involved in the Mommy Makeover, including Breast Lift and Tummy Tuck, please visit our 3-D Education Center. We have an excellent array of before and after images on our website for your review. Women from Napa, Marin, or Sonoma County who are considering a Mommy Makeover are invited to schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777. Some women are surprised to learn that we can combine different plastic surgery procedures during a single operation, often called a Mommy Makeover. In Marin County, we specialize in Mommy Makeover operations and see patients from San Francisco to Santa Rosa who travels to our clinic based on the reputation our surgeons have earned over the years.
What Are The Procedures Commonly Considered In Mommy Makeover Surgery?
Breast implants or breast lift, tummy tuck, and liposuction.The most common breast deformity seen after pregnancy is what we call the deflation effect. This is a result of the expansion and contraction of breast volume during pregnancies. The skin may be stretched, and breast tissue lost, leading to an "empty sac" appearance. In some cases, restoring volume with an implant completely corrects this problem. For others, breast uplift or reduction may be required. For many patients, a breast lift with implants solves the problem of the deflated look, and creates a younger profile.Also, there are changes in abdominal contour after pregnancy. Stretching of the abdominal muscle girdle leads to unnatural protrusion of the lower abdomen, often bordering on a hernia. Stretched skin creates multiple marks or striae and laxity of tissue around the belly button. Finally, there may be a tendency to carry extra weight in the mid-torso especially in the abdomen and hips. This type of body contour surgery is much like sculpting. An artist would not create a perfectly formed breast and match it with an aged or deformed lower torso. Optimum reconstruction, therefore, requires addressing these problems concurrently. As experts in the individual surgeries involved, we can determine which combination of the procedures will achieve the best results.
Can Women Who Don't Have Children Benefit From A Mommy Makeover?
Absolutely. Although the various procedures generally performed during a Mommy Makeover address specific areas of the body impacted by pregnancy and breastfeeding, the same issues often occur as a natural part of aging. By combining cosmetic breast surgery, a tummy tuck, and liposuction, you can have a more youthful shape. A Mommy Makeover isn't only for young moms, either. Some of our patients have referred their moms to us for similar procedures. Many of our older patients did not have the time or financial resources to do something for themselves earlier in life. Facial rejuvenation with or without body contouring is often the primary focus for more mature women.
Is Undergoing A Multi-Procedure Operation Safe?
Patient safety is the most important consideration regarding any surgery. More extensive procedures require more operative time. Although there may not be a significant difference between a 2-hour surgery and a 3-hour surgery, longer procedures can increase risk. By working as a 2-surgeon team with specially trained assistants, we decrease operating time by half. We can safely complete the surgery for patients who are in good overall health.
Do I Need To Be At My Ideal Weight Before Considering Surgery?
The most important thing is to be at a stable weight. Many patients have difficulty reaching their pre-pregnancy weight and feel defeated. If our patient is too heavy for the procedure, we now offer a Health and Wellness program so you can slim down before the surgery. Also, by signing up for the Health and Wellness program you get the benefit of learning life-changing habits and many additional health benefits associated with losing weight. Surgery will get you to your goal, and you will see dramatic results. We support you post-surgery to help you continue your journey to a healthy lifestyle.
My Husband Tells Me I Need To Workout More and My Post-Pregancy Changes Will Go Away. Is This True?
Returning to your pre-pregnancy exercise is essential. It's healthy and can help you lose much of the weight gained during pregnancy. However, there are anatomic changes that no amount of exercise can correct. These are related stretched abdominal muscles and skin. Sagging, deflated breasts are not going to become high and tight with exercise, and an abdominal hernia is not going to repair itself. When spouses understand that these anatomic changes can't be corrected with exercise, they are very supportive of other options. We often joke that if childbearing did to men's bodies what it does to women's, our practice would be mostly male.
How Do I Decide If I Am A Candidate For Mommy Makeover and Who My Doctor Should Be?
In spite of the light-hearted nature of the name, this is real surgery and requires due diligence. You must understand what the tradeoffs and potential risks of your surgery are and be appropriately prepared for recovery. In order to be an expert in this surgery, the surgeon first must be an expert in each of the individual procedures involved. In most cases, this requires a board certified plastic surgeon with years of experience and a focus on this area. Drs Hvistendahl, Dr. Douglas and Poulos have so many hours, and years (45 plus combined years!) of experience in these procedures, you can have ultimate confidence in the outcome. With these more extensive procedures, we bring in a team of surgeons and a supportive staff to reduce time on the table and make surgery the most comfortable and safe procedure possible.
Latest Mommy Makeover Posts From Our Blog
Do I Need a Mommy Makeover?
The term "Mommy Makeover" can mean many things, and in this blog, we are going to break down the term and discuss several different procedures that can be customized to your individual needs.
5 Plastic Surgery Myths: Fact vs. Fiction
The term "Mommy Makeover" can mean many things, and in this blog, we are going to break down the term and discuss several different procedures that can be customized to your individual needs. Read More at: https://www.psspecialists.com/facelift/5-plastic-surgery-myths-fact-vs-fiction/.
Breast Enhancement Options for Mothers
The options available to women who are considering a Mommy Makeover at our Marin County practice can be overwhelming. Nearly all Mommy Makeovers, which combine several procedures into one operation, involve some sort of breast. Read More at: https://www.psspecialists.com/breast-augmentation/breast-enhancement-for-moms/.
SmartLipo
Stubborn fat deposits can affect our overall body image and self-esteem, especially when hours at the gym are not producing noticeable results. While PSS offers CoolSculpting as a non surgical option for fat loss, liposuction is targeted and removes 100% of the fat in the area treated. It is usually the next step one considers when natural weight loss efforts have proven ineffective. PSS is proud to offer SmartLipo, the new and improved version of traditional liposuction; it literally melts fat away. This minimally invasive procedure requires limited downtime and provides amazing results. To learn more about how this advanced technology can work for you, please contact our office and schedule a consultation with either Dr. Poulos, Dr. Douglas or Dr. Hvistendahl today!
What Is SmartLipo?
SmartLipo is an advanced version of traditional fat reduction methods. This popular procedure uses state of the art technology, making it one of the most effective minimally invasive body contouring procedures on the market today. The advanced procedure uses 3 different lasers to melt deep and superficial fat deposits and tighten skin at the same time. Because the technology uses heat to melt the fat, this procedure minimizing bruising that can occur with traditional liposuction. SmartLipo is best used to target and treat smaller areas of unwanted fat. The procedure is performed by inserting tiny laser fibers into the area of concern through small incisions in the skin. These incisions are very small, leaving minimal scarring which will continue to fade and become imperceptible over time. SmartLipo can be performed under local anesthesia because it is a quick and very comfortable procedure. The recovery stage can be as short as a few days, depending on your body's ability to heal. Here at Plastic Surgery Specialists, we like to use SmartLipo as a minimally invasive alternative to traditional liposuction in Marin County.
Best Candidates for SmartLipo
The best candidates for a SmartLipo procedure are men and women who have small areas of localized excess fat that are not responsive to working out or a healthy diet. To undergo this treatment, it is important that you are in good health, maintain a stable weight, and have realistic expectations of the procedure outcomes. SmartLipo and other body contouring procedures are not a substitute for a healthy diet or exercise but should be used when all weight loss methods have been unsuccessful. The procedure provides the best results for patients who are within 30 lbs of their goal weight, depending on the area of concern. In general, the same standards for liposuction will apply, in that success depends on the elasticity of the surrounding skin and the patient's ability to maintain the area's new contour. We include at least one session with Venus Legacy after your procedure, to stimulate blood flow and healing to the area, create new collagen and tighten skin. If you have a large amount of excess skin, additional procedure(s) may be required to provide your desired results. During your consultation with either Dr. Poulos, Dr. Douglas or Dr. Hvistendahl, you will be given the best treatment recommendations for your particular concerns.
SmartLipo Vs. CoolSculpting
Depending on your particular goals, we offer both minimally invasive and non-invasive fat reducing treatments. If you are looking to avoid surgery completely, we offer patients CoolSculpting, a non-invasive treatment that destroys 20-25% fat cells through freezing. This procedure is performed by placing the CoolSculpting applicator on top of the skin. The technology works by pulling the fat close to the cooling pad through suction, like that of a vacuum. Fat is more sensitive to high and low temperatures which allows the fatty cells to be targeted without causing harm to any of the surrounding tissue. The cells will freeze and die, eventually leaving the body through the natural elimination process. The results of this treatment are not seen immediately; however, as time goes on the results will become more apparent. This non-invasive treatment is a very effective way to reduce fat in multiple areas of the body such as the tummy, chin, arms, bra roll, thighs and knees..In comparison, SmartLipo is our minimally invasive option that uses controlled heating rather than freezing. If you are looking to treat a small to midsized area of the body and want results instantly, SmartLipo is the ideal treatment. You may be unsure which treatment to choose or which one is best for you. There is not one treatment that is better than the other, it simply depends on what you are looking to achieve, your anatomy, and how soon you would like to see results. During your consultation, one of our board-certified doctors will discuss your options and recommend the best treatment option for your particular concerns.
Consultation
During your initial consultation with either Dr. Poulos, Dr. Douglas or Dr. Hvistendahl, you will be asked about your particular concerns and aesthetic goals. The doctor will then review your medical history and medications currently being taken to determine if SmartLipo will be a safe treatment option for you. The doctor will conduct a physical examination to identify your particular concerns and determine your candidacy for this procedure. If they find you to be a good candidate, you and the doctor will work together to build a treatment plan tailored to your exact needs. You will be given an individualized procedure quote, and if deemed fit by the doctor you will have the option to schedule your SmartLipo procedure. Depending on your particular goals, we offer both minimally invasive and non-invasive fat reducing treatments. If you are looking to avoid surgery completely, we offer our patients CoolSculpting, a non-invasive treatment that destroys fat cells through freezing. This procedure is performed by placing the CoolSculpting applicator on top of the skin. The technology works by pulling the fat close to the cooling temperature through suction, like that of a vacuum. Fat is more sensitive to high and low temperatures which allows the fatty cells to be targeted without causing harm to any of the surrounding tissue. The cells will freeze and die, eventually leaving the body through the natural elimination process. The results of this treatment are not instant; however, as time goes on the results will become more apparen
The Procedure
First, the surgeon marks the treatment areas on the patient's skin. Then, the anesthesiologist injects the areas with a local anesthetic and a tumescent solution to minimize bleeding and enhance the emulsification process. Different laser wavelengths are used in the superficial and deep fat layers to emulsify the fat and help tighten the skin. The surgeon uses small surgical tubes called cannulas to suction the fat. Usually, the procedure takes about 1 to 2 hours and patients are discharged shortly after surgery. Our experienced Bay Area team combines an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.
Recovery and Results
After surgery, most patients wear a compression garment for 1 to 3 weeks. SmartLipo usually affords less bruising and a quicker recovery, especially if no general anesthesia is involved. Depending on the size of the treatment area, patients can often return to normal activities or work in just a few days. Results continue to improve for several months as the skin contracts and contours are enhanced. Patients interested in SmartLipo may also consider traditional liposuction, tummy tuck surgery, or a Mommy Makeover. If you are considering SmartLipo or liposuction and live in Sonoma, Napa, Novato, Mill Valley or surrounding areas, please schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
Treatment Areas
SmartLipo is also very effective at treating the chin, neck, thighs, buttocks, knees, calves, and ankles. During your consultation, your options and treatment areas will be discussed in greater detail. SmartLipo can be used on multiple areas of the body, providing effective treatment for troublesome fat in even those "hard to reach" areas. The most common areas that can be treated with SmartLipo are listed below:
Arms
As we age, our upper arms can begin to sag and look flabby. SmartLipo uses laser technology to remove the fat deposits within the upper arms and create the appearance of a lift without a highly invasive surgical procedure or the scarring that comes with it. If severe skin sagging is a concern, an arm lift can also be performed for dramatically contoured, slimmer arms.
Male Chest
Fat can begin to accumulate in the chest and skin may start to sag. Gynecomastia is a condition that frustrates men who are otherwise fit and trim. This condition occurs for a number of reasons, but reducing male "breasts" is a very satisfying procedure for men who struggle with fat deposits in the chest area. SmartLipo can be used to remove these deposits and provide a more masculine physique. As an added bonus, this treatment also provides skin tightening benefits that will help to reduce skin laxity on the chest.
Abdomen
SmartLipo is a safe and effective alternative to traditional abdominal liposuction. Through the use of laser technology, fat throughout the abdomen is melted and then suctioned, leaving a defined attractive contour. This treatment is especially beneficial if you have mild to moderate midsection skin sagging but do not have enough excess skin to need a tummy tuck.
Back
Back rolls, otherwise known as bra rolls, can be very troublesome and unflattering in clothing. This particular area can be hard to treat through diet and exercise alone; a cosmetic procedure is often needed. SmartLipo can target this problem area in a very effective manner without the need for lengthy surgery.
Flanks
Love handles are a very common place for both women and men to store fat. The fat in this region can seem impossible to remove through diet and exercise alone. With SmartLipo, you can trim and contour your waist in no time.
Smartlipo FAQs
Can the Fat Come Back After Smartlipo?
Yes, although perhaps not to the treated area. We recommend that patients stay close to their preoperative weight for best results. Weight loss can sometimes enhance the result of Smartlipo, however.
What Determines the Success of The Procedure?
Other than the artistic skill of your surgeon, the most important factor is the elasticity of the skin. If we remove fat, the surrounding skin must be able to contract or loose skin will be a tradeoff for the smaller volume. Your surgeon will discuss your anatomy and the expected results.
What Areas of The Body Can Be Treated with Smartlipo?
The most common treatment areas are discussed in detail above. However, this treatment can also be used to treat small fat deposits are the central neck and jowls, localized areas of the tummy where there is not a lot of skin laxity, hip rolls, and arms, as well as localized deposits on the inner or outer thighs.
Are There Any Procedures that Can Speed up The Recovery Process?
Post-surgery treatments with the Venus Legacy™ device, available in our practice, can in many cases speed the recovery process. Additionally, Venus Legacy tightens the skin and stimulates collagen to improve and laxity.
Skin Renuvion
Can you tighten skin after Liposuction to truly achieve a beautiful smooth contour? Is it possible to use subdermal heat to tighten skin from underneath for more effective treatment and results? The answer now is yes. Revolutionary skin tightening technology uses plasma energy for long-term results.The quality of your skin is often the most revealing sign of aging. At Plastic Surgery Specialists, we've searched for the most effective method to rebuild collagen and renew youthful skin texture. Renuvion is a new procedure which uses ionized gas to improve both skin laxity and turgor by rapidly heating and shrinking collagen. This proprietary balance of helium and RF energy, Renuvion has been described as ideal for medical procedures where precision and control are key to an effective treatment. Since it was discovered to have a distinct effect on tissue contraction, we've embraced the technology.
Renuvion is used in two ways; as a resurfacing technique for the face and other areas
that have skin damage, and subcutaneously (under the skin) to tighten beneath the skin, usually in conjunction with a Liposuction procedure. Renuvion offers real benefits during Liposuction to tighten skin when fat is removed, preventing the look of lax or loose skin after surgery. The results are remarkable and reproducible. Plastic Surgery Specialists is the first practice in the North Bay to offer Renuvion treatment.
Skin Renewal Inside and Out
Renuvion has variable applications:
Renuvion for the face:
Topically applied, Renuvion causes deep resurfacing of the facial skin which treats significant wrinkles, laxity and dyschromia. The typical recovery after this treatment is a minimum of 2 weeks.
Renuvion for the body:
This is a subdermal procedure. Doctors use this novel technology to apply energy beneath the skin, causing a contraction effect that's gentle on tissue. The effect of the treatment may continue to improve over time and doctors often report that the contraction effect is noticeable immediately after the procedure. This can be done alone or in combination with liposuction for fat reduction. Subdermal application of Renuvion is useful for skin laxity of the abdomen, back, arms, legs and neck.
Deep Resurfacing for Real Results
For 30 years, CO2 laser resurfacing has been the gold standard to improve the quality of your skin and reduce facial wrinkles. Renuvion cosmetic technology is the result of extensive scientific research and clinical development. Renuvion uses a gentle waveform to convert helium, an inert gas, into a cold atmospheric plasma. Helium is used because it can be converted to a plasma with very little energy. The result is energy that's able to provide unique heating with near instantaneous tissue cooling. Resurfacing with Renuvion provides results as good if not better than traditional CO2 facial resurfacing.
Demonstrated Efficacy
J-Plasma energy has been shown to be safe and effective in numerous surgical procedures where precise delivery of energy coupled with minimal thermal spread to adjacent tissue is beneficial. In cosmetic procedures, this allows for controlled coagulation of tissue.
Surgical Impact with Minimally-Invasive Procedures
Offering a long-awaited alternative to more invasive procedures, Renuvion provides dramatic results with lower risk and recovery time than more invasive surgery.
Tummy Tuck
What is a Tummy Tuck?
Are you frustrated with your shape when you stand sideways in the mirror? Sucking in your mid-section not working to achieve a flat tummy? And situps are not helping, no matter how many you do? An over-stretched muscle wall, often after pregnancy, is not possible to tighten with your core workout. The abdominal wall muscles need to be stitched and placed back into normal anatomic alignment. The stretched-out skin needs to be surgically removed and tightened. Enter the Tummy Tuck! Plastic Surgery Specialists offers a deep and broad base of experience in all aspects of body contouring, and our practice is known for our expertise and consistently excellent results with the Tummy Tuck procedure. This procedure is often combined with Liposuction and Breast Augmentation for a true Mommy Makeover. OK Marin Moms – are you ready to get back to your pre-baby shape with a customized Mommy Makeover at PSS? We pride ourselves in offering the most cutting edge treatment for our patients, which is why we are excited to offer a drain-free option for our tummy tuck procedures. During an abdominoplasty, excess skin and fat are removed to create a smoother, firmer stomach area. After surgery, fluid can build up between tissue layers, causing a delay in the healing process. Drains are typically placed postoperatively as a means of preventing this fluid accumulation. By using TissuGlu® Surgical Adhesive in our tummy tucks, we can remove the need for burdensome drains and the stress they can cause during recovery. Additionally, we offer a new pain management injection called Exparel that provides pain relief for up to 3 days, so that there is less need for other pain medications and their subsequent side effects. The Tummy Tuck has evolved over the years to become one of the most popular and successful plastic surgery procedures available today. PSS surgeons performed this procedure countless times and avail patients of every option to maximize safety and comfort. Our experienced team of surgeons combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.
Best Candidates
Candidates for a Tummy Tuck should be healthy and reasonably fit. Men and women seeking Tummy Tucks after a significant weight loss should be committed to keeping the weight off in order to produce the best results. If you are interested in a drain-free tummy tuck with TissuGlu®, we encourage you to schedule a consultation with our surgeons to determine if a drain-free procedure is right for you.
Consultation
At Plastic Surgery Specialists, we will describe to you in detail the entire process of the Tummy Tuck, as well as how to care for yourself after the procedure. Steps to take and medications to avoid during the weeks leading up to your surgery will be explained as well. In order to give you the best results possible, you should explain all areas you may wish to enhance or improve. One of our accredited PSS surgeons will complete a full examination to assess what the best options will be for you. Questions and concerns will be happily address during your consultation. Our goal at Plastic Surgery Specialists is to make you feel as comfortable as possible throughout your entire procedure process, from the first phone call to your last postoperative visit.
Recovery
The length of recovery time varies from patient to patient. Body type, age, and how your specific body reacts to surgery are all determining factors. For all patients, it is important to get enough rest so your body can fully heal, giving you the best results. Our staff at PSS will give you a recovery schedule to ensure your healing process is as quick and smooth as possible.For more information on how the Tummy Tuck is performed, please visit our 3D Education Center.
A note about TissuGlu
TissuGlu® patients experience a better quality of life during recovery compared to drains. A clinical study proved that patients who used TissuGlu returned to a normal work schedule approximately 3 days sooner than those with drains. Although you might feel eager to resume heavy activity following your tummy tuck with TissuGlu, please remember you just had a major surgery and your body will need time to heal. Be sure to carefully follow your surgeon's recovery instructions.
Procedures
Tummy Tuck procedures vary depending on what you want accomplished. The length of your surgery will be dependent on the procedures you receive, whether abdomen related or including other parts of the body as well. It also depends on how much tissue and skin needs to be removed. In certain cases, patients will have the option of a local anesthetic or a general anesthetic.
Mini Tummy Tuck
During a Mini Tummy Tuck, an incision is made above the pubic line; the skin and fat layers that lie above the abdominal wall are then separated and lifted to expose the abdominal muscles of the lower abdomen. The skin is then pulled back down and the excess is removed. The skin above the belly button is not tightened nor is the umbilicus reconstructed. The upper abdominal muscles are not tightened. It may result in a shorter scar but your anatomy will determine if it is an option for you.
Full Tummy Tuck
The Full Tummy Tuck works with the abdomen above the navel as well as below. This requires creating a second incision around the belly button, so that when the skin and muscles are tightened a new belly button will be created. The Tummy Tuck procedure is often combined with other procedures. Women may wish to include Breast Augmentation or breast lift as part of a Mommy Makeover.
High-Tension Tummy Tuck
If you desire the "corset" look, a High-Tension Tummy Tuck can accomplish this. Much like the Mini and Full Tummy Tuck, this procedure tightens the muscles vertically and removes excess skin. The muscles are then tightened horizontally as well. The high-tension horizontal tightening cinches the waist, creating a more defined, contoured waistline.
Male Tummy Tuck
When a male gets a Tummy Tuck he undergoes the High-Tension Tummy Tuck, but the horizontal tightening is much less than women would receive. The muscles are not pulled together, only tightened.
Alternatives
Liposuction
Liposuction removes fat that lies between the skin and the muscle by means of suctioning. This is geared more towards patients who have specific pockets of fat that have not diminished through diet or exercise. This procedure is not meant to solve extensive weight issues. In order to be a candidate for Liposuction, patients must have reasonable skin elasticity to allow retraction or else skin excision is still necessary.
SmartLipo
Smartlipo is a minimally invasive technique that decreases body fat through the use of 3 different lasers. This process melts away fat deposits and tightens skin with little bruising and zero scarring. Candidates for SmartLipo should have ideal skin elasticity. Recovery time for this procedure is a little as a few short days for the ideal candidate.
Vaser Lipo
Much like SmartLipo, Vaser Lipo is a procedure where the fat is melted by ultrasound prior to its removal. This process does not affect nerves or blood vessels. This procedure lessens the amount of bruising or any discomfort. Quick recovery is possible for the ideal candidate. This is the most popular alternative procedure performed at Plastic Surgery Specialists.
Body Lift
Body Lift is ideal for patients who have lost a substantial amount of weight and have a large excess amount of skin. This procedure is much like a Tummy Tuck, but it additionally tends to the surrounding areas of the abdomen including the back, thighs, and buttock. This process involves both the removal of fat and tightening of the skin. Some patients who receive Body Contouring may opt to include other procedures such as breast surgery or an Arm Lift.
FAQs
Our mission at Plastic Surgery Specialists is to give our patients the information they need to make educated decisions about what procedures will produce the most satisfying outcome. Patients who want a trimmer abdominal area, for example, are often unsure whether they need Liposuction or a Tummy Tuck. Our Marin County plastic surgeons are known for their body contouring results and use their experience and expertise to help patients make the best choices. Below, they provide answers to many of the most common questions they hear about Tummy Tuck at their Greenbrae practice.
Can scars resulting from a C-section or Hysterectomy be corrected during a Tummy Tuck?
Yes. Indented, widened, or raised C-section or hysterectomy scars are very common. The scar itself can easily be corrected at the time of the Tummy Tuck.
Is a Tummy Tuck scar visible?
An incision is required to remove loose abdominal skin. In most cases, incisions are made where the resulting scar is hidden in the bikini area of the body. It can take up to 2 years for the scar to fade and shrink.
Can I go home after a Tummy Tuck?
Most patients can safely return home within hours after surgery if they have adequate home care. If you do not, we will gladly make arrangements for you at home or at an overnight facility.
Can other procedures be combined with a Tummy Tuck?
Yes. Almost all Abdominoplasty procedures benefit from Liposuction at the same time, often including hips or thighs. Additionally, many women who have had children want cosmetic breast surgery. This combination of procedures is commonly referred to as a Mommy Makeover.
What is the main risk or trade off of a Tummy Tuck?
An incision is required to remove the loose abdominal skin, resulting in a scar. In most cases, the scar will be minimally visible and can be hidden in the bikini area of the body. Full maturation (fading size and color of the scar) can take up to 2 years. Temporary healing problems such as swelling, firmness, numbness, fluid collection, or drainage are usually short lived. Due to the fact that the abdominal muscles usually need to be tightened, there may be a period of abdominal cramping or tightness, which may limit normal activities.
What determines how long the scar will be?
The skin's condition is the most important factor. In most cases, all of the skin between the belly button and pubic area is removed. The belly button is reconstructed at a new position and the surgery results in dramatic changes to the abdomen's contour. If loose skin is limited to the lower abdomen, there is a smaller excision with a minimal scar. However, loose skin on the lower back and tummy requires what's called a Circumferential Abdominoplasty, or Body Lift. Again, the scar is hidden within the bikini area, but the tissue on the waist, back, and even buttocks can be tightened at the same time if desired.
Vaser Hi-Def LipoSculpture
We all strive for looking and feeling great, but the fact is unless you are genetically gifted or have 10% body fat, definition probably eludes you. For many people, in order to achieve definition in one area they end up looking gaunt in other areas, such as their face. Now, at PSS we have the ability to truly sculpt areas you've worked hard on to achieve the shape and definition that is impossible through diet and exercise. Much like an artist sculpts a statuette, at Plastic Surgery Specialists we have the ability to sculpt your body. Through the use of advanced cutting edge technology, Vaser Hi-Def LipoSculpture allows surgeons to contour your body to reveal beautiful definition.
What is Vaser Hi-Def LipoSculpture?
Vaser Hi-Def LipoSculpture is liposuction that suctions out localized fat deposits from various parts of the body. The differentiating factor between Vaser Lipo and traditional Liposuction is the preliminary step taken to break down the fat: ultrasound frequencies. The acronym Vaser stands for Vibration Amplification of Sound Energy at Resonance. The vibrations emitted cause expansion and contraction of air bubbles located in tumescent fluid which is ejected from the Vaser Lipo instrument. These air bubbles collapse and safely break up adipose tissue. Adipose tissue consists of fat, nerves, blood vessels and connective tissue. Through this process, the fat is separated from the nerves and blood vessels, allowing the separated fat cells to be suctioned with ease and leaving surrounding tissue intact and undisturbed.
Am I A Candidate for Vaser Hi-Def Lipo?
The ideal candidates for Vaser Hi-Def Lipo are men and women who have decent muscle tone, but struggle with fat deposits that do not respond to diet or exercise. You should be in good health, close to your ideal weight, and a non-smoker. It is necessary to have realistic expectations of what this procedure can accomplish. Vaser Lipo is meant to contour and sculpt small problem areas. It is not meant to act as a substitute for a healthy lifestyle. Exercising and eating well should be continued as an extended part of the procedure to ensure long lasting results.
Consultation
During a private consultation with one of our board certified plastic surgeons, you will explain concerns you have with specific fat deposits on your body. You should also make mention of any medical conditions or past procedures you've undergone. Your surgeon will complete an examination to assess your specific case and see if Vaser Hi-Def LipoSculpture can benefit you. If deemed a good candidate, a personalized procedure plan will be drawn up to give you optimal results. You will be shown before & after pictures of patients with similar body types and treatment areas to give you an idea of possible results. Results do vary between patients, but this will help you gain an idea of your potential outcome. Your surgeon will go over the entire Vaser Hi-Def LipoSculpture process in detail so you are fully aware of each step.
Preparing for Vaser Hi-Def Lipo
At your private consultation your surgeon will give you preparation tasks to complete. Your surgeon may prescribe you medications to take prior to your procedure, and make mention of any routine medications you are currently taking as he might adjust your intake. Cease smoking and drinking alcohol 3 weeks before your procedure.Avoid anti-inflammatory medications and herbal supplements for this time period as well as these increase the amount of bleeding. You should drink plenty of water the weeks leading up to your procedure. You will need a friend or family member to drive you home from your procedure. And if you feel the slightest bit under the weather before your procedure date, please inform the office immediately.
Procedure Information
Depending on how many areas you are having treated, a Vaser Lipo session can vary widely in the time needed and size of treatment area. Most of the time stitches are not needed, but if required, scarring is minimal and fades overtime. Because of this, people feel more comfortable undergoing a Vaser Lipo treatment on areas of the body that are typically exposed, like the arms and legs. The treatment areas will be marked by your surgeon, and a tiny incision is made for the entrance of the thin hollow tube, or cannula. Tumescent fluid is then injected to separate the fat cells from the structural tissue. The ultrasound frequencies cause the separation and liquefaction of the fat cells, and they are then suctioned out with ease. During this process, the skin will retract and smooth the treatment area. The sensation associated with Vaser Hi-Def LipoSculpture has been equated to slight pressure. After the procedure your skin may be slightly pink and feel warm, but this will go away in a few hours. The treatment areas may be a bit sore; this is normal and will subside with time. Most patients are able to go to work and return to normal activities within a few weeks, but this depends on the extent of your procedure. Although a rarity, there are some potential side effects associated with Vaser Lipo, just like any other procedure. These may include swelling, some discomfort, infection (if treatment areas are not well taken care of during recovery), and blood clots (if patients do not ambulate often enough.) These will be discussed openly and in detail during your consultation so you are made fully aware of all aspects of this procedure and what it entails. At PSS we encourage an open line of communication, so please share any concerns or questions you may have; we will gladly address them all. If you are interested in this state-of-the-art body sculpting technique, please schedule a consultation and we can assess if you are a good candidate for Vaser Hi-Def LipoSculpture.
How to Maintain Lasting Results
It is important to de-stress, as stress causes blood pressure to rise, hindering blood flow to the treatment areas. Strenuous activities should be avoided for a couple weeks up to a month. Results are theoretically permanent since the fat cells in the treatment areas are destroyed. Adult fat cells do not regrow; however, neighboring fat cells do have the ability to expand. Working out and eating well is crucial to maintaining lasting results; keeping the surrounding fat cells minimized will keep Vaser Lipo results visible for years. Drink a lot of water post-op to help in healing and reduce swelling. You will finally be able to look in the mirror without the feeling of frustration; maintain a healthy lifestyle and your newly sculpted body will stay sculpted for years to come.
Cost
The cost of your Vaser Lipo procedure will depend on the extent of your individual case and the amount of areas treated. The cost will vary if you opt to receive additional procedures in conjunction with Vaser Lipo. You can receive a more accurate quote during a consultation at Plastic Surgery Specialists.
Traditional Lipo vs. Vaser Hi-Def Lipo
In summary, Vaser Hi-Def LipoSculpture is a more precise method of body. sculpting in comparison to traditional Liposuction, and truly sculpts your shape: where fat is taken away in one area, it may be used in other areas to create a better balance of shape and form. (Often used in breast area, pecs, butt, or even face area.) If you've been thinking about plastic surgery for those stubborn fat deposits that don't respond to diet and exercise, Vaser Lipo is an excellent choice. It can truly define your physique.
Traditional Lipo
Removes fat by manually pulling and tearing it from the skin
Blood loss is a risk associated with traditional Lipo
Rippling of the skin can occur from the harsh removal of fat from the skin
Need several days to a week of downtime for recovery
Bruising is often apparent
Large incision
Vaser Hi-Def Lipo
Removes fat with more easily through the use of ultrasound technology
According to the Aesthetic Surgery Journal Study, blood loss is 7 ½ times less with Vaser Lipo as opposed to traditional Lipo
There is no rippling effect and skin is actually smoothed by the process due to the advanced laser technology stimulating skin elasticity
Similar to traditional Liposuction, but less destruction of tissue due to ultrasound
Typically less bruising than traditional lipo
Tiny incision
Benefits of Vaser Hi-Def Lipo
Vaser Lipo's advanced technology allows for the ultrasound frequency to differentiate between fat cells and surrounding tissue
Meaning no damage to nerves or blood vessels.
Gives athletic-like muscle tone and definition to the treated areas
Fat taken from one area can be used to augment other areas, including breast, pectoral area, and face
Vaser Lipo can be used on most of the body
Cutting edge technology allows for precision and artful craft to carefully sculpt the treated areas
The numerous shaping tools allows for treatments to be individualized to each patient's specific desires
Quickly see the results of body contouring through revealed definition and smoothed skin
Most patients only need one treatment
Areas that Can Be Treated
Vaser Hi-Def LipoSculpture can be used to contour the:
Neck
Arms
Axilla
Breasts
Chest
Abdomen
Back
Waist
Hips/Flanks
Thighs
Knees
Calves
Ankles
Breast
For women who hunch over to conceal overly large breasts or who wear clothes to hide breasts that are too small, cosmetic breast enhancement surgery can be life-changing. In Marin County, our board-certified plastic surgeons specialize in breast reduction, breast lift, and breast augmentation procedures. We see patients from throughout the San Francisco Bay Area at our Greenbrae center for cosmetic surgery, including male breast reduction procedures. We offer a range of solutions to address these concerns and can also bring new hope to those women who desire breast reconstruction following mastectomy. Learn why patients visit our center of excellence for cosmetic breast surgery from Napa, Santa Rosa, and beyond. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
Nipple Correction
Even the smallest imperfection can create real insecurities. If you are unhappy with the way you look, it can affect how you feel. An inverted nipple can damage your self-esteem and cause you to shy away from intimacy. You may also avoid scenarios such as beach vacations and locker rooms, due to discomfort with your appearance. Nipples traditionally protrude outward. Others, however, may poke inward or sit flat along the surface of the areola (the dark skin around a nipple). If a nipple is severely malformed, it could make one's clothing feel irritable or uncomfortable. If you need nipple correction surgery, the experts at Plastic Surgery Specialists (PSS) can help. Located in scenic Greenbrae, California, PSS proudly serves Napa Valley, Santa Rosa, San Francisco, and the entire Bay Area. To learn how we can address your aesthetic concerns and amplify your confidence, contact us at your earliest convenience. A nipple correction procedure in the Bay Area may be just what the doctor ordered. The medical professionals at Plastic Surgery Specialists can create more traditional-looking areolas by allowing nipples to protrude naturally.
The Benefits of Nipple Correction
Inverted nipples can cause. Discomfort; Insecurity; Difficulty breastfeeding; Avoidance of intimacy
Conversely, the benefits of nipple correction surgery include
A relaxed feel; Better fitting clothes; A flattering look; Increased confidence
By boosting your confidence, nipple correction surgery can also lower your inhibitions.
When you shed your insecurities, it may free you up to connect with others on a more intimate level.
To experience the many benefits of nipple correction for yourself, please contact Plastic Surgery Specialists in Greenbrae, California.
Candidates for Nipple Correction
Ideal candidates for corrective surgery include healthy individuals residing in or visiting the Bay Area. If you want to reverse an inverted or malformed nipple, then you could be eligible for a transformative procedure at Plastic Surgery Specialists. If you are a young mother who has had difficulty breastfeeding in the past, you may also benefit from nipple correction. Plastic Surgery Specialists (PSS) can liberate your milk ducts, increasing your ability to nurse your next child. Please tell your PSS representative if you are pregnant or plan to become pregnant in the near future. We can determine if nipple correction is right for you and coordinate our efforts with your biological clock. Nipple correction surgery is also a viable option for men. Guys who have inverted or malformed nipples can solve a problem that may have bothered them since childhood. Put your insecurities in the past and let Plastic Surgery Specialists improve your future!
Personal Consultation in the Bay Area
Plastic Surgery Specialists is a proud member of the greater San Francisco community. Our blog is a nerve center of information and communication. We relish the opportunity to convey our expertise to you, and now we would love to hear your feedback. Schedule an individualized consultation at our Greenbrae office and let us know how we can bring your ideal self to life. Please be prepared to discuss your medical history so that we can make informed decisions about the best strategies for you. The knowledgeable, friendly staff at Plastic Surgery Specialists will assess your needs, listen to your goals, and answer any questions you may have along the way. To get a glimpse of our past patients' overwhelming levels of satisfaction, please read our rave reviews. We are humbled by their kind words and we are eager to provide you with the same world-class service.
Preparation for Nipple Correction
You are unique, so the preparation for your procedure will be tailored to your needs. During your consultation period, Plastic Surgery Specialists will provide you with detailed instructions to prepare you for the specifics of your upcoming surgery. These directions will be based on your health records and cosmetic goals. Preparation for Nipple Correction You should quit smoking at least two weeks before any surgical procedure. Tobacco products restrict your circulation and general wellbeing. You may also be advised to stop taking aspirin and certain supplements that affect blood flow. We want you to be able to enjoy your aesthetic journey, so we ask that you closely follow the preparation instructions provided by your Plastic Surgery Specialists team.
Recovering from Nipple Correction
Rest is essential to recovery. Before your procedure, create a place to relax in your home so you are prepared to rest once you return from surgery. You may be advised to sleep at an incline and avoid pressing anything against your chest. To promote optimal circulation, consider gentle walks around the neighborhood in the days following your procedure. Avoid strenuous activity during the recuperation period. Please wear loose bras and/or shirts for two weeks after your surgery. Allow the nipples to find their natural, new shape without irritating them.
Remarkable Results
You will immediately notice the first wave of benefits from your nipple correction procedure. As the swelling subsides, your aesthetic improvements will appear. Over the next six weeks, the full results of your nipple correction surgery will continue to take shape. As your underlying tissue heals, your nipple protrusion can flourish, unhindered.
Cost of Nipple Correction in the Bay Area
Plastic Surgery Specialists provides the best care at a fair price. We often run specials to help you afford the appearance you have always desired. If you need help with financing, we are eager to accommodate your budget. For any questions or concerns you may have about nipple correction surgery pricing, please call (415) 886-0777 and one of our attentive staff members will be happy to assist you.
The Nipple Correction Procedure
Shortened lactiferous (milk) ducts are the root cause of most nipple inversions. That is why your surgical staff at PSS will ask about your lactation goals. Do you plan to nurse a child in the future? If so, then preserving the milk ducts is an important factor in your nipple correction procedure. The extent of your nipple inversion is also an important feature of our approach to its correction. Your surgeon will assess your anatomy before the procedure to determine the best technique, and we will discuss our findings with you in great detail and answer any questions. Minor nipple inversion requires different work than more severe inversion. Here are some of the main techniques that we may use to address your aesthetic and wellness needs.
Parachute Flap Method
Plastic Surgery Specialists may be able to preserve your milk ducts' functionality by simply stretching the fibers pulling back at your nipple. Once the muscles are sufficiently relaxed, the nipple should protrude naturally. Your surgeon will then suture along the base of the nipple to give it sustained support. The parachute flap technique has little to no impact on the breastfeeding process. The only potential drawback to this method is that it may not be permanent. The ducts may invert, effectively reversing the benefits of your nipple correction procedure.
Detached Duct Method
If lactation is not an important factor in your decision process, then Plastic Surgery Specialists can detach the milk ducts responsible for pulling back your nipples. This technique will fully release the nipple from the muscles that invert it. The detached duct method is long-lasting; there is almost no chance that your nipple will become inverted once the ducts are divided. As your surgeon concludes the procedure, he or she will carefully affix your newly protruded nipple back in place.
Special Situations
When a nipple is inverted to an extreme degree, the telescope method may be necessary.[1] Your surgeon will make a small incision around the perimeter of the nipple and gently draw the tissue outward. This process is akin to extending the lens of a telescope, hence the name. The surgeon will manually protrude the nipple and then tighten it around the base. The specific nature of your procedure will depend on your desired outcome and unique anatomy. Plastic Surgery Specialists may opt to craft dermal flaps to "prop up" a nipple.[2] By creating two small triangles of skin, your surgeon presses these down to the base of your nipple, pushing it up with the support of your own tissue. These triangular flaps may come from your areola or beneath the surface of the skin, leaving virtually no scar.[3]
FAQ
Is nipple correction safe?
Yes, Plastic Surgery Specialists prioritize your safety and wellbeing. We will administer anesthesia to facilitate your comfort and care throughout the nipple correction surgery. Our surgeons are board-certified and well-versed in the cosmetic techniques you require to bring your goals to life.
How long is a nipple correction surgery?
Procedures may vary, but most nipple corrections have a duration of 30-120 minutes. The amazing results, however, may last for years or even decades.
References
1
Shiau, J., Chin, C., Lin, M., Hsiao, C. (2011). Correction of Severely Inverted Nipple with Telescope Method. Innovative Techniques. 35(6)1137–1142. DOI: https://doi.org/10.1007/s00266-011-9739-3
2
Kim, DY., Jeong, EC., Eo, SR., Kim, KS., Lee, SY., Cho, BH. (2003). Correction of Inverted Nipple: An Alternative Method Using Two Triangular Areolar Dermal Flaps. Annals of Plastic Surgery. 51(6)636-640. doi: 10.1097/01.sap.0000095722.82954.82
3
Min, K., Park, S., Heo, C., Minn, K. (2010). Scar-Free Technique for Inverted-Nipple Correction. Aesthetic Plastic Surgery. 34(1)116–119. DOI: https://doi.org/10.1007/s00266-009-9436-7
Procedures We Offer
Plastic Surgery Specialists is proud to offer men and women both expertise and artistry in performing every kind of cosmetic surgery on the breasts. Our surgeons are particularly gratified to be very active in breast reconstruction and to regularly serve as an integral part of response teams that include oncology specialists and general surgeons.
Breast Augmentation
This is a highly individualized procedure whereby breast implants are used to increase breast volume or and change the shape of the breasts. The VECTRA® 3D imaging system we use allows patients to explore options — not on models but on their own image — to achieve specific results. New technologies, including injections with your own body fat, mean smaller and less conspicuous incisions and faster recovery times.
Breast Lift
This procedure lifts breasts into a more youthful position and reshapes the breast tissue without increasing the breast size. As with breast augmentation, our 3D imaging ensures that lifting and reshaping is specific to each patient's needs. Breast lift results are long-lasting for patients who maintain a healthy lifestyle and avoid significant weight fluctuations.
Breast Reduction
By removing fat, glandular tissue, and skin, our surgeons create smaller, firmer, and lighter breasts. Not only does breast reduction provide the opportunity for patients to have breasts that are in proportion to their overall body size, it can also eliminate neck and back pain and other problems associated with overly large breasts.
Implant Revision
Correcting complications associated with breast implants can mean removing, repositioning, or replacing existing implants. Many revision patients simply want to exchange their older implants and have experienced no complications.
Male Breast Reduction
Our surgeons specialize in male breast reduction surgery to treat gynecomastia, the abnormal overdevelopment of mammary glands in men. Whether due to heredity or a medical condition, gynecomastia can undermine self-esteem. The male breast reduction procedure, which removes excess fatty tissue and tightens skin, is an appropriate and increasingly popular treatment.
Breast Augmentation
Are you uncomfortable or dissatisfied with shape or size of your breasts? Do you want to look forward to bikini season instead of dreading it? There are many reasons you may not be satisfied with the look of your breasts, but size generally makes the top of that list. Another factor may be breasts have become smaller with age, combined with age-related sagging, which multiplies the effects of fat and volume loss in the breast. Breast augmentation can provide fantastic contoured results and an increase in self-esteem for women who feel that their breast size is too small. Discover why patients visit our specialists for breast augmentation from San Francisco, Sonoma, Napa, Santa Rosa, and beyond. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
What is Breast Augmentation?
The goal of breast augmentation is to enhance and improve breast contours. Breast augmentation at Plastic Surgery Specialists in Marin County is highly individualized to complement your unique body type and augmentation goals. Our specialists bring to the procedure the artistry required to help you choose the right size and shape implants for your body. Plastic Surgery Specialists was one of the first practices to offer Allergan Natrelle® 410 and Sientra® breast implants in Marin County. Also known as "gummy bear" implants, these implants feature a teardrop shape and form-stable cohesive silicone gel. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are proud to offer the latest options for patients seeking beautiful, natural-looking breasts at our center of excellence.
Good Breast Augmentation Candidates
Healthy women wishing to enhance the size and shape of their breasts are potential candidates for breast augmentation. The procedure is ideal for women who have lost breast volume due to pregnancy or weight loss. Candidates should be healthy enough to have surgery and understand that there is always a risk of complications that could require additional surgery in the future, potentially to remove or replace implants in a revisionary procedure. Candidates for natural breast augmentation using their own fat rather than implants should understand that this process, while carrying lower risk, is generally best for women who want a more subtle change. Fat transfer is not recommended if the patient is looking for a more dramatic change in breast size.
Consultation
You will be able to ask any questions and voice concerns about breast augmentation surgery, and explore all the different options offered by Plastic Surgery Specialists to achieve the full, voluptuous breasts you've been dreaming about. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl will be happy to discuss the specifics of cost for your individualized surgery and will describe exactly what you can expect from your results and the procedure itself. In order to discuss the details of your desired breast augmentation procedure, call to schedule a consultation visit with Dr. Poulos, Dr. Douglas or Dr. Hvistendahl at our Marin County facility.
Before Your Procedure
In preparation for a breast augmentation surgery, Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will outline which particular steps you need to take to ensure your own safety and a beautiful outcome. This may include undergoing a medical examination, altering any medications, (including ibuprofen and aspirin) or supplements you may be taking, and avoiding smoking. You will also need to make arrangements in advance for the recovery period so that you can rest, and heal completely after the operation.
The Procedure
Traditional breast augmentation is a relatively simple plastic surgery procedure with only a few steps. It does, however, call for preparation. First, it is important to decide which breast implants are right for you. There are 3 main types of breast implants: saline, silicone, and gummy bear. After choosing your breast implant, you and your surgeon can determine the best incision placement for you. Choices include inframammary, transaxillary, or periareolar incisions. Each incision type is made in an inconspicuous area that can be easily hidden. During the procedure, your surgeon inserts your implant through the incision and closes it with sutures. Natural breast augmentation collects fat for the augmentation from your body via liposuction. This procedure offers the added benefit of improving contours in the area of the body (stomach, hips, or thighs) from which the fat is removed. The fat cells are enriched and then injected into the breasts. This procedure takes longer, but many appreciate the natural look and feel that results, as well as the slimming effects of liposuction.
After Breast Augmentation
At our Marin County surgical center, breast augmentation using implants usually requires general anesthesia and takes 1 to 2 hours to complete. After you go home, you'll need to take it easy for a few days. Most patients can return to work or non-vigorous activities in 3-4 days. You can see results of both implants and fat transfer right away. Costs can vary for each individual, but we are proud to offer affordable plastic surgery for all our patients from Greenbrae, Larkspur, Corte Madera, Mill Valley, Santa Rosa, San Rafael, and other nearby communities. For more information on how breast augmentation is performed, please visit our Education Center. You can also learn about common complementary procedures, including breast lift and Mommy Makeover surgeries.
Cost
In the San Francisco Bay area, breast augmentation costs vary based on a number of factors. Due to the highly customizable nature of breast augmentation procedures, the price range can be very wide. This will be based on whether you choose implantation or fat transfer, as well as the results you are looking for and other such surgical aspects. During your consultation, you will have the opportunity to discuss cost factors with our patient coordinator and get a quote for the cost of your procedure. Keep in mind financing options are readily available to make your dream come true. Plastic Surgery Specialists is known for their fair pricing and affordability while providing the highest standard of care, which is why they continue to be the premier practice in the North Bay.
What Implants Should I Get?
Silicone or saline? Round or tear drop? Conservative B or voluptuous DD? Breast augmentation involves an array of options pertaining to your implants. Below are some of the choices you will make with the help and guidance of either Dr. Poulos, Dr. Douglas or Dr. Hvistendahl to customize your breast augmentation to your exact desires. We offer the VECTRA® 3D imaging system to take an accurate 3-D image of the breasts from 180 degrees. This helps tremendously in visualizing what size and shape might be the best for your figure.
VECTRA® 3D imaging ensures:
Clear Expectations are achieved using a 3D image of the patient's body and 3D models of saline and gel implants. Accurate measurements of the breasts are recorded, helping your surgeon choose the appropriate implants for your body.
Composition
Plastic Surgery Specialists offers silicone, saline, and gummy bear implants. Saline implants are filled with a sterile saline solution after the shell is inserted into the breast. Silicone implants are a semi-solid mass made of silicone gel that mimics the natural feel of a breast. Gummy bear implants are also made of silicone, but the composition is thicker than a traditional silicone implant, much like the consistency of a gummy bear.
Size
There is a very wide range of implant sizes patients are able to choose from, ranging from 100cc to 900cc. Once again, Plastic Surgery Specialists offers breast augmentation patients the advantage of our state-of-the-art VECTRA® 3D imaging system, which allows women to see images of how they will look with implants even before they decide to have the surgery.
Shape
Women have the ability to choose whether they would like their implants to be round or tear drop shaped, which will change the appearance of the breasts. Round implants offer a full, pronounced bust while tear drop implants offer a more subtle enhancement as they mimic the natural slope of a breast.
FAQs
As exciting as it is to get breast implants, it's important to understand the procedure and know what to expect before undergoing breast augmentation. In Marin County, just north of San Francisco, our board-certified plastic surgeons specialize in cosmetic breast enhancement. Here, they provide answers to some of the questions they hear most frequently, in hopes it will help you to prepare for your breast augmentation. Women from cities like Fairfax, Belvedere, Santa Rosa, and Napa trust Dr. Poulos, Dr. Douglas and Dr. Hvistendahl as the leading breast enhancement surgeons in the North Bay Area.
What size implant should I have?
Choosing the size of implants is probably the most personal choice you'll make when considering breast augmentation. At the same time, our surgeons' expertise and experience is a valuable asset in helping guide your choice. Choosing an implant suitable for your tissue characteristics is the most important factor. A patient with paper-thin skin and no soft tissue coverage cannot tolerate the same sized implants as someone with a C-cup breast and elastic skin. We'll discuss your preferred cup size and explain how it's converted to an implant volume. Before-and-after pictures of real patients are a great way to narrow your choices and help us understand your expectations. We'll take the time to help you choose what is right for you.
What's the best way to see what I would look like with breast implants?
Our Greenbrae clinic is one of the few practices to offer the VECTRA® 3D imaging system, which allows patients to preview what their breasts may look like with implants of different shapes and sizes. This can be even more helpful than traditional implant sizers, which only give you an idea of size, rather than what your actual breasts will look like.
Do you offer natural breast augmentation?
Some women want to enhance their breast size without breast implants. Those patients can benefit from fat transfer breast augmentation, a procedure which involves taking fat tissue from one area of your body, purifying and enriching it, and then re-injecting it into your breasts. We use liposuction to harvest the fat, which is also an attractive feature of natural breast augmentation for many patients. Suitable candidates for fat transfer breast augmentation desire only a modest increase in breast size — not more than 1 cup size.
Are there potential problems after getting breast implants?
Every elective surgical and non-surgical procedure carries some risk. The most common issue with breast implants is the tendency of the body to form scar tissue around the implant. We call this scar tissue a capsule, and the thickening process a capsular contracture. Research shows that modern implants remain soft in more than 90% of women who get breast augmentation. Even those who develop some capsular contracture do not require revision surgery in most cases. However, somewhere around 3 to 5% of patients will develop significant firmness. The vast majority of these can be corrected by secondary operation, which removes the scar tissue and replaces the implants.
Is there any relationship between implants and breast cancer?
With extremely rare exceptions, there is no relationship between implants and cancer. Rarely, a leaking silicone implant can result in a lump which could be confused for breast mass. That being said 1 out of every 8-9 women may develop breast cancer in her lifetime.Studies have shown that patients who developed breast cancer with implants usually present at an earlier stage because they are used to frequent examinations and mammograms.
Breast Lift
What are your choices when you aren't happy with your bustline, and can't wear clothes you want to because of sagging breasts? A breast lift is a procedure will restore a perkier position for your breasts. Our surgeons specialize in breast lifts, often combined with augmentation, and have many years of experience in creating a natural, beautiful result.
What is a Breast Lift?
A breast lift, or mastopexy, lifts and reshapes sagging breasts for a perkier, more youthful appearance. It's common for breasts to sag or droop as the result of pregnancy, breastfeeding, weight fluctuations, aging, or heredity. Breast lift surgery does not enhance the size of the breasts, but rather it lifts and reshapes them. A breast lift is often performed in conjunction with breast augmentation or a Mommy Makeover to further enhance results. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl offer the latest surgical techniques to restore their patients' breasts and their confidence. Discover why patients visit our center of excellence for breast lift surgery from San Francisco, Napa, Santa Rosa, and beyond. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
Consultation
During your private consultation with one of our breast lift specialists, Dr. Poulos, Dr. Douglas or Dr. Hvistendahl, you will have the opportunity to share your aesthetic dislikes with the positioning of your breasts. The doctor will then perform a detailed examination to determine which breast lift technique is best for you and your desired outcome. He will explain each technique in full detail so you are able to make an informed decision with your surgeon's guidance. Questions are highly encouraged; an open line of communication between patient and surgeon is key to providing and receiving optimal results. Pricing quotes will be given at this time, as well as preoperative and postoperative instructions.
Preparation
Complete specific medical tests and evaluations assigned by your surgeon. Refrain from smoking, drinking alcohol, and taking anti-inflammatory medications 3 weeks prior to your procedure. Pick up all prescriptions so you have them readily available. Arrange postoperative transportation since you cannot drive yourself. We recommend having this person stay overnight with you to help with your first night of recovery. Individual instructions may be given for your specific case.
The Procedure
Mastopexy surgery is performed under general anesthesia on an outpatient basis. Depending on the extent of your specific case and whether you opt to undergo additional procedures, mastopexy takes approximately 2 to 3 hours. During a mastopexy, our surgeons remove excess skin and tighten remaining skin, improving the overall shape of the breasts and lifting them into a more youthful position. Minor, moderate, and severe sagging each require corresponding lifting methods. The Periareolar Lift and Circumareolar Lift are minimally invasive and require only small incisions above or around the areola respectively. The Vertical Lift is slightly more invasive and requires an incision that extends around the top of the areola and down the breast midline. The Anchor technique requires an anchor-shaped incision around the top of the areola and across the lower portion of the breast. While more invasive, the Anchor technique has the greatest lift potential.
Recovery
After your procedure is complete, your surgeon applies dressings and bandages to the incision sites. You will wear a support bra to minimize swelling by preventing fluid buildup and to support your breasts as they heal. A small, thin tube may be necessary to drain any excess blood or fluid collecting after the procedure. Bandages and any tubing can be removed after a couple of days. Stitches may stay in place for a week or 2. For further details on how breast lift surgery is performed, please visit our Education Center. You can also learn about common complementary procedures, including breast augmentation, breast reduction, and Mommy Makeover surgeries. Although you may feel well enough to return to work after a week, you should avoid strenuous activity for 3 or 4 weeks. You will be able to see the results of your breast lift procedure within a few months following surgery. Your breasts will look and feel youthful again. Incision scars will fade over time, usually in about a year. Mastopexy results can be long-lasting for those who watch their weight and maintain a healthy lifestyle.
Cost
The cost of your breast lift varies with the specifics of each individual's procedure. Factors include whether you are combining your breast lift with any other procedures, which surgical techniques are used, and so on. Our team will discuss a detailed plan and quote with you during your consultation. We are also happy to provide health care financing options that help all our patients meet their cosmetic goals on their terms.
Good Candidates
At our Marin County practice in Greenbrae, a breast lift procedure is appropriate for any woman in good health, and concerned about sagging breasts, clinically known as ptosis. Sagging can occur in one or both breasts, and is typically due to aging, genetics, pregnancy, or significant weight loss. The nipples can be reduced in size and/or repositioned to be aesthetically proportionate to the newly lifted breasts. If you plan to have children in the future, you may want to wait to have mastopexy surgery, as your body will undergo many changes throughout and following pregnancy. Ptosis, or sagging, can be categorized into different grades:
Grade 1 – Mild ptosis:
The areola is at the level of the inframammary fold (natural crease of the breast) but breast tissue still hangs below.
Grade 2 – Moderate ptosis:
The areola is below the inframammary fold but is above the lowest point of the breast.
Grade 3 – Severe ptosis:
The areola is below the inframammary fold and is either at the lowest point of the breast or points down towards the ground.
Pseudoptosis
The areola is at or above the inframammary fold, but the lower portion of the breast sits below the fold.
Breast Lift Techniques
There are 4 different techniques that our surgeons at PSS use; the one used for you will depend on your specific case and the outcome your desire.
Periareolar Lift
The Periareolar Lift is a technique used for women who only have minimal sagging to address. Your surgeon will make a half-circle incision around the top of your areola to lift the breast. This technique leaves the least amount of scarring since it utilizes the smallest incision of the 4 techniques and it naturally blends in with the border between the breast and the areola. Typically, this incision is used when the lift is paired with breast augmentation.
Circumareolar Lift
The Circumareolar Lift, otherwise known as the Donut Lift, utilizes a circular incision around the entire border of the areola. This too is designed for women with minimal sagging, but in addition to lifting the breast, this technique gives the surgeon the opportunity to reduce the size of the areola as well. The Circumareolar Lift can be paired with breast augmentation or breast reduction if you desire more aesthetic change.
Vertical Lift
The Vertical Lift is also referred to as the Lollipop Lift since the incision used is much like the shape of a lollipop. The first incision is made around the circumference of the areola, followed by an incision that runs from the base of the areola to the base of the breast. This technique provides a more substantial lift than the 2 aforementioned techniques. The additional incision allows your surgeon to remove more skin and tissue, reshaping the breasts to appear more lifted and perky.
Anchor Lift
The Anchor Lift is designed specifically for women with significant sagging. This technique utilizes 3 incision; the first and second incision are the same as the Vertical Lift, but an additional third incision is made along the natural crease of the breast. The anchor pattern allows your surgeon to remove even more tissue and skin as necessary, lifting your breasts to a more youthful position. This technique will leave the most scarring, but they will fade overtime with consistent care and are easily covered with a bikini top.
FAQs
How do I know if I need a breast lift or augmentation?
A breast lift addresses sagging only and not size, so is best for women who are happy with the size of their breasts. A breast augmentation increases the size of the breasts and does not correct sagging. Many women, particularly those who have had children or lost a lot of weight, find that they can benefit from both procedures. Our surgeons have many years of experience combining these 2 approaches into a single procedure that both lifts and enlarges the breasts.
Will I have noticeable scars?
No matter which incision your surgeon uses, he employs precise techniques to keep your scar as small and fine as possible. We provide you with detailed aftercare instructions to ensure that your incisions heal quickly and beautifully, and we can also recommend products and services to help fade your scars. The vast majority of our patients say that within a year, their scars have faded to the point of being nearly invisible.
How long will my results last?
The results of a breast lift can last many years. Of course, aging does cause our skin to become more lax over time, and no procedure can completely halt that process. However, you can maintain your results for decades if you don't change weight significantly.
Will I still be able to breastfeed after a breast lift?
Although we can use an incision that bypasses the ducts and glands involved in breast-feeding, we usually recommend that our patients finish having children before undergoing a breast lift because the changes of pregnancy may affect the cosmetic results. We are happy to discuss your family plans with you during your consultation, and work out a timeline that meets all your goals.
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Read More at: https://www.psspecialists.com/breast-augmentation/insider-tips-on-breast-surgery/.
Breast Reduction
Do you have back problems, rashes or limit your activity because of overly large breasts? Are your breasts limiting your lifestyle, to your dismay? Know this; breast reduction is a highly successful procedure used to fix this problem. Breast reduction is a procedure that removes fat, glandular tissue, and skin from the breasts, making them smaller, firmer, and lighter. The goal of breast reduction surgery in Marin County at Plastic Surgery Specialists is to lessen the size and weight of the breasts so you are more comfortable and your breasts are in better proportion with the rest of your body. Uncomfortably large breasts can cause pain and back problems, so it's common for Dr. Poulos, Dr. Douglas and Dr. Hvistendahl to perform this procedure for both physical relief and cosmetic enhancement. Discover why patients visit our center of excellence for breast reduction surgery from San Francisco, Napa, Santa Rosa, and beyond. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
Good Candidates
You may be a good candidate for breast reduction if you have breasts that are disproportionately large for your body (or one breast that is noticeably larger than the other), causing hunching, neck and back pain, or skin irritation either in the form of rashes beneath the breasts or indentations on the shoulders from bra straps. If the size and weight of your breasts is restricting your physical activity, contac one of our specialists in Marin County for a breast reduction consultation. After an examination, our doctors will determine if breast reduction surgery is safe and appropriate for you and your health. If you are over 40 or have a family history of breast cancer, your surgeon will discuss with you the need for a mammogram prior to breast surgery at Plastic Surgery Specialists. Because breast reduction surgery is often necessary to maintain good health, some insurance companies cover the procedure. Our staff can work with you to determine whether you qualify.
The Procedure
Breast reduction techniques vary depending on the size and shape of the breasts. Common methods include an inverted T-shaped incision, a vertical incision, a free nipple graft, and liposuction. One of our surgeons makes incisions along pre-marked lines and removes excess skin. The nipples and areolas remain attached to their blood and nerve supply but are generally raised into a more youthful position. We use dissolvable internal sutures to help maintain the breast shape and reduce tension on the skin during healing.
After Your Procedure
Breast reduction surgery requires general anesthesia and usually takes between 2 and 5 hours. Surgical drain tubes may be needed, along with dressings and an elastic bandage or surgical bra. Swelling subsides over time. Patients can manage any pain with medications. Drains and bandages can be removed a day or 2 after the procedure, with external sutures removed in 1 to 2 weeks. Heavy lifting should be avoided for about a month. Breast reduction provides patients with the opportunity not only to improve their health and appearance but to participate more fully in life. For more information on breast reduction, please visit our Education Center. You can also learn about common complementary procedures, including breast lift surgery and breast reduction for men.
FAQs
Will my insurance cover a breast reduction operation?
Insurance companies vary greatly in their willingness to pay for breast reduction surgery, as it does cross over into the field of aesthetic surgery. Some carriers require removal of a certain volume of tissue, and some require weight loss, physical therapy, and so on prior to authorizing an operation. We will be happy to write a letter to your insurance carrier on your behalf. Our patient coordinator will discuss with you our standard fees and to what degree your insurance reimbursement may offset them.
Does breast reduction usually alleviate back and neck pain?
In nearly all cases, breast reduction provides significant relief of physical and emotional discomfort. Most patients find that they are able to undertake many physical activities they were previously unable to consider, such as jogging. Our patients also tell us that they enjoy buying smaller bras and more fitted clothing after their breast reduction.
Do you have to remove the nipple to uplift the breast?
In the majority of cases, the nipple remains attached to the underlying breast tissue and is simply reshaped, while the skin is appropriately contoured. Rarely, for patients with very large breasts, removal and replacement of the nipple as a free graft may be the best and safest procedure.
What size will I be after the operation?
As with breast augmentation, there are various sizes that may be appropriate for each individual. In general, we wish to reshape the breast to a size that is in harmony with the rest of your body. Some patients go dramatically smaller, while others choose a more modest reduction. It is important that you communicate your goals to your surgeon.
How long will the surgery take and what is the recovery like?
Most Breast Reductions require about 3 hours of surgery. Today, most patients are able to leave the surgical facility and return home after the procedure. Recovery usually requires approximately a week before returning to most normal activities and 2-3 weeks before beginning vigorous exercise.
Is it possible to have a tummy tuck or liposuction at the same time?
Yes, many patients we see are interested in consultation due to our expertise in Mommy Makeover surgery. In this procedure, we often address a combination of breast, abdomen, and body concerns that have resulted from pregnancy. In any case, reducing and uplifting the breasts can make a protruding abdomen seem out of proportion. Our goal is to achieve a good body contour with good proportions. Our surgeons often work together in the operating room, which can reduce surgery time and allow for these procedures to be done in a very safe and controlled environment.
Is it possible to do a reduction with liposuction only?
Liposuction, especially ultrasonic liposuction, is certainly a useful tool in some breast reductions. However, it is unusual to perform breast reduction with liposuction alone as the breast usually needs to be lifted to some degree at the same time.
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Insider Tips on Breast Surgery
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Breast Implant Revision
As a center of excellence in breast surgery, our surgeons often see patients from throughout California seeking to improve the results of surgery performed elsewhere. We perform breast implant revision surgery at our Marin County practice typically to correct complications, such as capsular contracture, which might cause implants to shift, harden, or change shape. Not only does this procedure help our patients address complications, but it also offers solutions for patients who would simply like their implants removed or replaced with new ones for the purpose of changing or enhancing their appearance. Our experienced breast surgeons, Dr. Poulos, Dr. Douglas and Dr. Hvistendahl offer the latest breast implants and revision techniques to give our patients beautiful results. Patients from throughout Northern California come to Plastic Surgery Specialists in Marin County for breast implant revision. Women from San Francisco, Napa, Santa Rosa, and beyond trust our surgeons and our reputation as a center of excellence. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
Good Candidates
Candidates for breast revision should bring records indicating their previous breast implant history so that our specialists will know what kind of implants were used and how long ago. As with other patients desiring surgery, they should also be prepared to discuss their medical history generally to be sure they are healthy enough for breast revision surgery. Many breast implant revision candidates have experienced capsular contracture over time, in which scar tissue hardens around their implants in the months or years after their original breast augmentation elsewhere. Others have simply had their implants for many years and are interested in "upgrading" to newer implants, particularly the latest generation of silicone implants known as "gummy bear" implants, which look and feel very natural.
The Procedure
Breast implant revision is a highly individualized procedure. If enough time has passed and pregnancy, weight gain or loss, aging, or other issues have caused your breasts to sag in addition any other implant concerns, our specialists may recommend a breast lift at the same time. If the implant position has shifted, internal sutures may be needed. Because of the number of variables affecting this procedure, it is not possible to determine how many incisions will be needed until the patient consults with our surgeons. For surgeries addressing capsular contracture, it may be possible to work in the area of the original incision scar. More complicated revision cases may require incisions around the areola or vertically from under the areola and following the curve of the breast.
After Your Procedure
During a breast augmentation revision in our Marin County surgery center, we use either local or general anesthesia depending on the complexity of the problems. Likewise, the time each surgery takes depends on the nature of the problem. If a breast lift is included, the revision may take 3 to 4 hours. If implants are merely being changed or removed, it should take less time. Your surgeon can provide a more accurate timetable once he has assessed your specific needs. It generally takes a week to 10 days to be able to return to normal activities following breast revision, although it will take longer before you can resume lifting and more strenuous activity.
FAQs
What are common complications that would require revision?
Aside from capsular contracture, described above, other common complications include rippling (when an implant's edge causes a visible ripple in the skin), and malposition (when the implants are too high, too low, too wide or too close, often due to a problem with the implant pocket). The risk of these complications increases the longer a person has implants, which is why many of our revision patients have had their implants for at least a decade. Our specialists have many years of experience with a wide range of complications and use only the safest techniques during revision surgery.
What are my options after surgery?
You can either remove or replace your implants during revision surgery. Removing them generally involves using surgical techniques such as lifting to reshape the breast tissue and ensure a good cosmetic result. If you'd like to replace your implants, as many of our patients do, your surgery and recovery will be similar to your initial breast augmentation procedure.
What kind of implants can I get?
We offer a range of the most popular options. Plastic Surgery Specialists was one of the first practices to offer Allergan Natrelle® 410 and Sientra® silicone breast implants in Marin County. Many patients who got saline breast implants in years past now frequently elect to trade them in for silicone implants, which have a very natural look and feel. We can recommend a style that fulfills all your cosmetic goals.
How much does revision surgery cost?
Because these procedures are highly customizable, the cost varies widely from person to person. Factors to consider include whether you need new implants or whether other surgical techniques are involved. Our team will outline a detailed plan and quote for you during your consultation, and we offer financing to help fit this procedure into your budget.
What is breast revision surgery?
Initial surgery, especially with implants does not always yield an optimal result. Capsular contracture, implant malposition, or asymmetries may cause an unsatisfactory result. In the vast majority of cases. These problems can be corrected often with a simpler surgery than the original. Capsulectomy is surgery to remove the scar tissue, which may have formed around an implant. Capsulorrhaphy is placement of stitches inside the implant pocket to change the breast shape. Change of the implant may or may not be required.
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Good to Great: Breast Implant Revision
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Fat Transfer Breast Augmentation
Would you like a slight increase your bust but don't want implants? Do you have indentations due to another surgery? When women think of breast augmentation, they typically think of implants. However, not all breast augmentation procedures require implants. For smaller augmentations, transferring fat from one area of the body to your breast is an option you may not be aware of. The double bonus is you contour and shape an area that bothers you while augmenting an area that may be smaller than you'd like. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are highly trained in performing fat transfer procedures, which essentially combine two procedures in one. First, patients undergo liposuction to harvest excess fat from the body, giving patients the opportunity to sculpt and contour their body. Then, the doctors will inject this extra fat tissue into the breasts for natural augmentation. To find out if you would be a good candidate for fat transfer breast augmentation, please contact Plastic Surgery Specialists in Marin County and request a consultation with one of our board certified plastic surgeons.
About Fat Transfer Breast Augmentation
A fat transfer breast augmentation is a more natural alternative to traditional breast augmentation with implants. The procedure uses liposuction to first harvest fat from the patient's body. The fat is typically harvested from 2-3 locations on the body where the patients has excess fat deposits. Some of the most common locations where the fat is harvested from include the arms, back, abdomen, flanks, buttocks, and thighs. However, this may vary depending on the patient's individual case. Then, the fat is purified and enriched to be injected into the patient's breasts. This fat will then take to the new area where it is injected, giving the patient long lasting, natural looking and feeling results.
Good Candidates
Good candidates for a fat transfer breast augmentation are healthy women who wish to augment their breasts without implants. Patients must however only want to increase the size of their bust by one or two cup sizes. If a patient needs to address drooping breasts, or want a more dramatic result, implants or a breast lift may be a more appropriate solution. In order to be considered for fat transfer breast augmentation, patients need enough fat deposits on their body for the fat transfer. Since some of the fat cells will not "take" the doctor has to harvest more than enough fat to be able to account for some cell die-off. Slimmer patients may not be good candidates and may want to consider implants instead. In general, patients should be in good health. This means that they should be nonsmokers and at a stable weight. While patients with slimmer builds may not be good candidates, patients who are obese will not be good candidates either. Patients should already be at or close to their ideal weight. Significant weight fluctuations can affect a patient's results. The best way to find out if you are a candidate for a fat transfer breast augmentation is by meeting with a board certified plastic surgeon like Dr. Poulos, Dr. Douglas or Dr. Hvistendahl. The doctors at Plastic Surgery Specialists will be more than happy to work with you to determine the best procedure to help you achieve your desired results. Contact our Marin County offices today to get started!
Recovery
Following surgery, the liposuction and injection sites will be properly bandaged. The patient will also be outfitted with a surgical bra to help the breasts settle into their final position. They will be able to return home following surgery. However, since they will have received anesthesia, they should make prior arrangements for another adult to drive them home from surgery. They should also make sure that there is another adult with them at home the first night after surgery. Patients should take at least 3-5 days off from work in order to allow their body to properly recover. During this time and for up to three weeks, patients may experience some bruising, bleeding, and discomfort. Patients will be provided with medication to help alleviate any discomfort. Breast augmentation fat transfer patients should plan on coming into our Marin County offices for follow-up examinations at predetermined increments following their procedure.
Results
Not all of the fat cells from the procedure will survive in their newly grafted position. For this reason, the doctors will slightly over-graft the area to make sure that the patient enjoys their final results. Patients will be able to enjoy their final results at approximately the six month mark. Over the course of three to six months, the fat cells will take to the new location. The cells that do not survive will be naturally processed out of the body. In some cases, the patient may require a second fat transfer procedure in order to attain their desired results. Our doctors will schedule follow-up appointments in order to check in with the patient personally and make sure that they are satisfied with their results.
Consultation
At the time of the consultation, the patient will meet personally with one of our board certified plastic surgeons, Dr. Poulos, Dr. Douglas or Dr. Hvistendahl. The doctor will ask the patient about their concerns, why they are interested in a fat transfer breast augmentation, and what they hope to achieve from the procedure. He will also ask the patient about their medical history, any medications they take, and surgeries they've had in the past. Then, Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will conduct a thorough examination to determine whether or not the patient would be a good candidate for a fat transfer breast augmentation. At this time, they will determine if the patient has adequate fat deposits to perform the procedure and meet the patient's goals. Depending on the doctor's findings, they may determine that the patient is better suited for breast implants. In some cases, they may recommend a combination or both implants and fat transfer. After the examination, our staff will be able to provide the patient with an accurate price estimate for the procedure. In order to get started and find out whether or not you would benefit from a fat transfer breast augmentation, please contact our office in Marin County and request a consultation.
Fat Transfer vs. Implants
Traditional breast augmentation surgery uses implants in order to increase the volume of the breasts. The two main types of implants utilized are saline implants and silicone implants.
Saline Implants
Saline implants are filled with sterile salt water so if a saline implant ruptures, it will immediately be visible. This means that patients do not have to worry about silent ruptures or undergoing routine, and costly, MRI scans. However, there is a tradeoff for the safety and security that saline implants provide. Many women find that saline implants do not look or feel as natural as silicone implants. The sterile water that they are filled with does not resemble natural breast tissue.
Silicone Implants
Most women agree that gel-filled silicone implants more closely resemble natural breast tissue. Many years of study have shown no relationship between silicone and autoimmune diseases previously felt to be associated with these implants. Today the majority of implants that are placed are silicone.
Fat Transfer
A fat transfer breast technique solves both of the main problems posed by implants. Since a fat transfer breast augmentation uses fatty tissue from the patient's own body, it will look and feel natural – because it is! This technique makes it extremely safe, though there is a very small chance of infection with any procedure. Rupturing or capsular contraction is a non-issue. Since the fat comes from the patient's own body, there is no chance of the body rejecting the tissue as foreign matter, leading to adverse reactions. Furthermore, there is no need for MRI scans.
Benefits of Fat Transfer Breast Augmentation
Besides enhancing the breasts, fat transfer breast augmentation also provides all the benefits of liposuction. It allows patients to finally get rid of stubborn excess fat deposits that are not responding to diet or exercise. Patients can sculpt their arms, torso, and legs for full-body results.
Looks and feels natural
No risk of rupture or capsular contracture
No chance of allergic reaction
No prominent scarring
Long lasting results
No need for maintenance, including implant replacement or MRI scans
Procedure
A fat transfer breast augmentation is typically performed as an outpatient procedure under general anesthesia. Prior to the surgery date, patients should make arrangements for somebody to pick them up following the procedure, as they will not be able to drive due to the anesthesia. Furthermore, prior to the surgery date, patients should fill and pick up any medications prescribed by Dr. Poulos, Dr. Douglas or Dr. Hvistendahl.
Liposuction
The first step in a fat transfer breast augmentation procedure is to perform liposuction to harvest fat for the injections. Liposuction can be performed anywhere where the patient has excess fat deposits. Some common places where liposuction is performed include the arms, back, abdomen, flanks, and thighs. The doctors will typically perform liposuction on 2-3 locations on the body.
Purification
Prior to being injected, the fat harvested during liposuction needs to be cleaned and purified. Using a centrifuge, the most pure and viable fat will be separated from other components. This will help ensure that the maximum amount of fat possible will survive in the new location.
Injection
Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will then inject the fat into the breasts using special syringes. The fat will be grafted at varying depths and in even increments. Not only does this technique ensure that the most possible fat will survive in the new location, but it also ensures that the breasts acquire a round, proportionate aesthetic. Once the appropriate amount of fat has been injected into the breasts for augmentation, the patient will be taken to a recovery room where they will wake up from anesthesia surrounded by our knowledgeable and attentive staff.
Gynecomastia for Men
Gynecomastia is defined as swelling of breast tissue in boys and men, and occurs in hundreds of thousands of patients in the U.S. each year. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are specialists in treating gynecomastia with a number of surgical options including male breast tissue removal, ultrasonic liposuction, and power assisted liposuction using the SAFELipo technique. Discover why patients travel from all over the Bay area to our Center of Excellence for male breast reduction surgery. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
What is Gynecomastia?
Gynecomastia occurs when the breast tissue in boys and men swells as a result of reduced levels of testosterone and higher levels of estrogen. Over 200,000 cases are reported annually in the U.S., and the fluctuations can be caused by exposure to new medications, puberty, age, and other health issues relating to the body's hormonal balance. Our board-certified surgeons perform male breast reduction surgery to treat gynecomastia at Plastic Surgery Specialists in Marin County. The procedure removes excess fatty tissue and tightens the skin. Gynecomastia is a purely aesthetic concern that usually begins during puberty, although it sometimes occurs in adults who suffer certain medical conditions. It can be embarrassing and stressful for boys and men, who may develop low self-confidence in their bodies.
Pseudogynecomastia vs. Gynecomastia
Gynecomastia occurs when a shift in hormones cause the breast tissue to undergo an excessive amount of growth. In the case of pseudogynecomastia, however, the growth of fat is the underlying issue. Although a small distinction, the underlying cause difference calls for different treatment methods. During a patient consultation Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will conduct an exam of the area to determine whether it is gynecomastia or pseudogynecomastia, which will then dictate the kind of treatment recommended.
What Can Cause Gynecomastia?
Gynecomastia is caused when male hormones like testosterone are lowered, while levels of female hormones such as estrogen rise. This change causes increased growth in the patient's breast tissue, resulting in an appearance similar to female breasts. Though an individual's endocrine system usually regulates hormone levels in the body, a disturbance in the system can lead to higher levels of estrogen and androgens, particularly during puberty. Many cases of gynecomastia in adolescent boys – between the ages of 10 and 13 – resolve themselves in less than two years without patients having to turn to surgical intervention. However, teenagers can be deeply psychologically affected by the condition, and if they are healthy and no longer growing, may still be good candidates for surgery. In adult patients, heightened levels of estrogen and androgens can be caused by a multitude of factors, including a lack of proper nutrition, new medications that may impact the endocrine system, or chronic disease like kidney failure or cystic fibrosis. In some rare cases it may also be brought about through genetic factors.
How to Get Rid of Gynecomastia (Male Breast Reduction Surgery)
Dr. Poulos, Dr. Douglas and Dr. Hvistendahl specialize in male breast reduction surgery as a treatment for gynecomastia. There are various surgical options including mastectomy (either subcutaneous or with the help of liposuction), laser liposuction, and laser lipolysis. Depending on the severity, different surgical solutions are recommended. More pronounced cases an operation to reduce enlarged male breasts will involve the removal of the glandular tissue affected by hormonal imbalance. Many instances can be addressed with liposuction alone; ultrasonic lipo like VASER Hi Def Lipo can be extremely effective in such cases. However, patients often prefer to take additional measures to improve the breast's appearance, like repositioning the nipple, removing excess skin, and tightening the muscle below for a more sculpted look.
Good Candidates
Potential candidates for surgery to correct gynecomastia are healthy teenage boys (once they have stopped growing) or men who feel their condition is impacting their self-esteem. Patients should be old enough to be certain that their condition is not temporary, as is often the case with younger men who still have "baby fat." Men should be at a stable weight that is within the normal range for their height and build. Good skin elasticity is also helpful.
Consultation
Before deciding whether male breast reduction surgery is the right option for you, schedule a consultation with Dr. Poulos, Dr. Douglas or Dr. Hvistendahl to determine which is the correct route. After an exam the doctor will be able to give recommendations as to which surgical procedure, if any, will be most effective for your particular circumstances, as well as discuss any health risks, concerns, alternatives, and costs. You and he will decide on the best course of action together, and a custom tailored preparation, procedure, and recovery plan will be created for you. Be aware that a proper assessment of medical needs by Dr. Poulos, Dr. Douglas or Dr. Hvistendahl requires honesty on the part of the patient. Based on the exam the doctor may require that you receive further evaluation before deciding to undergo a surgical procedure.
Preparing for Your Male Breast Reduction Surgery
After your evaluation with Dr. Poulos, Dr. Douglas or Dr. Hvistendahl, it is possible you will be asked to alter your current medications if they may impact the operation. It is also important that you avoid smoking and anti-inflammatory painkillers like aspirin and ibuprofen, as these thin the blood and may cause higher risk of bleeding during surgery. Certain health supplements and vitamins that may increase risks can also be eliminated; these may include vitamin E or any multi-vitamins containing it, fish oil and Omega 3 supplements. Specifics can be discussed in detail with the doctor during your consultation.
The Procedure
We perform male breast reduction surgery at our state-of-the-art surgical center. The procedure combines fat removal, tissue reduction, and muscle and skin tightening. The surgery is customized for each patient, and in some cases Dr. Poulos, Dr. Douglas or Dr. Hvistendahl may use liposuction to remove excess fat from the breast area. Once the fat is removed, underlying muscle is tightened along with the breast skin to achieve a more sculptured appearance. In some cases it also may be necessary to remove excess skin to get optimal results. In other cases, the size of the areolas — the dark skin surrounding nipples — may need to be reduced, too.
After Your Procedure
Gynecomastia surgery requires general anesthesia and is typically completed within two to four hours. Surgical drain tubes may be needed, along with dressings and an elastic bandage. Swelling gradually subsides and discomfort is managed with pain relief medications. We remove drains and bandages within two days after surgery and external sutures in one to two weeks. Patients should avoid vigorous exercise for a few more weeks, especially exercise of the pectoral muscles. Oftentimes patients are given a compression bandage to help reduce swelling and facilitate healing in the area; these can be worn for several weeks after the procedure.
Cost
The cost of male breast reduction surgery to treat gynecomastia will also be discussed during your consultation with Dr. Poulos, Dr. Douglas or Dr. Hvistendahl as the total will depend on your circumstances and specific procedure. Each treatment is customized to the patient's condition and aesthetic preferences; whether additional steps like skin removal and areola reduction are taken will dictate the total cost of surgery.
FAQs
Is gynecomastia dangerous to my health?
Gynecomastia is not harmful, nor is it painful. However, it is possible that the buildup of excessive breast tissue could be a symptom of a more serious health issue. Dr. Poulos, Dr. Douglas or Dr. Hvistendahl can let you know during a consultation visit whether they recommend further evaluation; gynecomastia itself does not pose a threat to your health.
Can my excessive breast tissue be removed with liposuction alone?
In most cases, gynecomastia can be significantly improved, if not eliminated, with liposuction alone, especially with the use of ultrasonic liposuction (VASER Hi Def Lipo.) The breast can be adequately contoured with this technique. It does require some skin elasticity so it can retract once the excessive tissue is removed. A small incision near the nipple may be required to remove more fibrous breast tissue. If there is significant sagging of the skin or breast size similar to a female breast, it may be necessary to reposition the nipple to achieve the best contour. This could result in additional scarring.
Will my excess breast tissue recur?
In most cases correction of this problem is permanent and natural male contours can be achieved.
How long does the surgery take and what is recovery like?
Surgery varies from 1 to 2 hours. It usually takes 3 or 4 days until normal activities can be resumed. Vigorous activities are OK within 1 to 2 weeks. Bruising in the first few days is a common side effect.
What are the possible problems associated with male breast reduction?
Slight skin irregularities can occur following liposuction or excision for gynecomastia. If there is a significant amount of fibrous breast tissue, an incision could be required in order to remove it. Temporary numbness or hypersensitivity of the breast can occur but usually resolves within weeks.
Latest Male Breast Reduction Posts From Our Blog
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Face
Surgery can't stop the aging process, but it can certainly turn back the clock. Facial plastic surgery in Marin County at Plastic Surgery Specialists can improve the most visible signs of aging by removing excess fat and tightening underlying muscles and the skin of the face and neck. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl can also provide beautiful results in correcting any imperfections a patient was born with, such as noses or ears that need to be reshaped. Discover why patients visit our center of excellence for facial plastic surgery from San Francisco, Napa, Santa Rosa, and beyond. We invite you to request a consultation online, or call us at (415) 886-0777 to schedule an appointment.
Procedures We Offer
As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth, the jawline grows slack and jowly, and folds and fat deposits appear around the neck. There are a lot of options to choose from, ranging from a full facelift to blepharoplasty (eyelid surgery) at our Marin County practice. Here is a menu of the facial rejuvenation options we offer Plastic Surgery Specialists:
Facelift
A facelift is an advanced surgical procedure that lifts and repositions the skin and underlying muscle and tissue. Our specialists use techniques that get natural-looking results without a "windswept" look.
QuickLift
Ideal for busy men and women who aren't ready for a traditional facelift, a QuickLift is a modified facial rejuvenation procedure that targets sagging skin on the middle and lower portions of the face.
Brow Lift
Also called a forehead lift, this procedure is an excellent option for men and women whose sagging brows give them an angry, sad, or tired appearance. It is sometimes combined with eyelid surgery to complete the rejuvenation.
Neck Lift
An aging neck is one of the most common cosmetic concerns of our patients. A neck lift can help improve your profile by tightening the skin and muscles that begin to sag as we age.
Eyelid Surgery
Blepharoplasty, commonly called eyelid surgery, is one of the most popular cosmetic surgeries performed in the nation. It can be done on either the upper or lower eyelids, or both, to give you a more alert and refreshed appearance.
Rhinoplasty
Often called a nose job, rhinoplasty can change the shape or size of your nose, resulting in a more harmonious overall appearance. Patients who have trouble breathing through their noses are also candidates for what's called functional rhinoplasty.
Chin and Cheek Implants
Patients who desire an enhanced profile or higher cheekbones can benefit from implants. An implant is often the choice for men who want a "strong" chin. Implants give your face a striking, contoured appearance that many people find attractive.
Ear Reshaping
Ears that stick out from your head can draw attention away from an otherwise pleasing appearance. Cosmetic ear surgery, called otoplasty, is an option to correct misshaped ears. It can be performed on either children or adults.
Dermal Fillers
Restylane® and JUVÉDERM® products are popular dermal fillers that can help turn back the clock by reducing wrinkles and giving your face a more youthful appearance. Filler injections are a good option for patients who are just beginning to notice signs of aging and aren't ready for cosmetic surgery.
Juvéderm Voluma™ XC
VOLUMA XC is the first filler approved by the FDA to restore volume to the cheeks; it is among the most popular non-surgical procedures at our practice. It's a long-lasting treatment for patients whose cheeks have a sunken appearance.
Facelift
Would you like your face to reflect your youthful spirit? You are as young as you feel, but genetics, sun exposure, stress and even disease can take a toll on your appearance. Facelift surgery was once in the realm of the rich and famous, but today we see patients from all walks of life who are tired of looking… tired. We combine many different technologies, procedures and products to ensure your outcome is beyond your expectations. To benefit from the dedication and expertise of the Plastic Surgery Specialist (PSS) team, please contact our Greenbrae office. We proudly serve the needs of San Francisco, the Bay Area, Northern California and beyond. If you prefer to consult with us remotely, we also offer virtual consultations.
What Is a Facelift?
A Facelift, known clinically as Rhytidectomy, is a surgical procedure designed to improve the look of your face and neck by lifting the skin and repositioning the underlying tissue and muscle that support it. A facelift procedure is often combined with surgery to refresh the eye area (Blepharoplasty). The facelift procedure has come a long way since the "wind tunnel" look, and the experts at Plastic Surgery Specialists are known for their beautiful and natural-looking results. Old techniques addressed sagging by repositioning and tightening only the skin; the foundation of muscle beneath the skin must be repositioned for a longer-lasting, more natural look. Jowls and lax skin under the chin is tightened and truly transform the look of the neck, which can be a telltale indicator of age. A good facelift is one where the question "How does she look so rested?" is asked, and the patient can give a smile and satisfied wink.
What does a 360 degree facelift mean?
It means addressing all aspects of a youthful loIt means addressing all aspects of a youthful looking face. When you decide to refresh your look in a big way, we start with six weeks of preparation. Why? Our surgeons understand how facial surgery starts with the look of the skin. With their years of experience, they've developed a truly thorough, in-depth approach to facial rejuvenation. Six weeks prior to your procedure, you begin a skincare regimen to improve the texture, hydration and pigmentation of the skin. This preparation becomes a foundation to build upon. Next, we combine the facelift surgical procedure with a deep resurfacing to further improve the skin and eliminate fine lines and wrinkles. oking face. When you decide to refresh your look in a big way, we start with six weeks of preparation. Why? Our surgeons understand how facial surgery starts with the look of the skin. With their vast experience, they've developed a truly thorough, in-depth approach to facial rejuvenation. Six weeks prior to your procedure, you begin a skincare regimen to improve the texture, hydration and pigmentation of the skin. This preparation becomes a foundation to build upon. Next, we combine the facelift surgical procedure with a deep resurfacing to further improve the skin and eliminate fine lines and wrinkles. A great example of how critical this step is: consider the area around your mouth. With age, you can develop "smokers lines" around the lips, and a facelift can't improve that area. Untreated, the lip lines will look incongruous with a younger looking face. Our 360 degree approach addresses wrinkles around the mouth along with its surrounding features. The last step as you recover is to offer excellent post-operative care and include products to heal the resurfaced skin quickly and comfortably. In addition, we offer magnet treatments to reduce swelling, improve healing and hasten recovery. A great example of how critical this step becomes is to consider the area around your mouth; with aging you can develop "smokers lines" around the lips, and a facelift can't improve that area. Untreated the lips lines will look incongruous with a younger looking face. The last step as you recover is to offer excellent post-operative care and include products to heal the resurfaced skin quickly and comfortably. In addition, we offer magnet treatments to reduce swelling, improve and hasten healing.
Why Should You Get a Facelift?
If you've lead a healthy life and taken care of your skin with sunscreen, congratulations. None of us, however, escape aging. The startling fact about facial structure is fat and bone loss occur as we age and reduce by as much as 30% the underlying structure of the face by the time you reach your 50s. Volume loss contributes to the appearance of skin laxity and a sunken eyes and cheeks.
Best Candidates
Healthy men and women experiencing sagging skin and jowling are the best candidates for a facelift. Weight should be stable and overall health is checked by our doctors to ensure your safety. A QuickLift is appropriate for those with less severe signs of aging. Facelift surgery is probably the most individualized procedure we offer, because each face is unique and aging appears in different ways depending on a number of factors. To see if you are an ideal candidate for a facelift, schedule a consultation to have a private, one-on-one conversation with one of our board-certified surgeons.
Private Consultation in the Bay Area
At the time of your private consultation, you will speak with one of our board-certified plastic surgeons about your most bothersome areas and your goals. The doctor will thoroughly examine your face and neck, testing skin texture, observing facial contours and outlining best techniques to address your wishes. You will be given a list of preliminary steps to take and tasks to complete prior to your surgery, as well as an explanation of how to care for yourself after your procedure. Any questions or concerns regarding your facelift procedure process will be answered at this time. All pricing inquiries will also be addressed. To get a glimpse of the innovative, compassionate care you will receive from PSS, please visit our blog. Remember to bring photos of your younger self so that the doctor has additional visual information about your aging process for best results.
Healthy Recovery
Each patient is provided with a personalized recovery plan. Typically after a Facelift, it will take about three weeks to return to your normal activities. You will begin to see the results as soon as the swelling and bruising go down. Elevating the face and using ice packs will help reduce swelling. Avoiding anti-inflammatory medications for a specific amount of time determined by your doctor will help alleviate bruising and reduce the risk of bleeding after surgery. Plastic Surgery Specialists uses our Venus radio frequency technology to speed recovery and help dissipate bruising after your procedure. We offer Alastin and SkinMedica products specifically designed to be used post-operatively with skin resurfacing procedures.
Amazing Results
You greet the world with your face every minute of every day. You want that greeting to speak volumes about your attitude and outlook. To enjoy smoother contours, sleeker dimensions, and an overall more youthful appearance, contact Plastic Surgery Specialists. One look at our rave reviews proves how committed we are to patient satisfaction.
Facelift Procedures
Facelift procedures are usually categorized by the area of the face to be addressed whether it is the lower face, mid-face, or both. Achieving facial harmony and balance may require a combination of procedure to obtain the best result. Often, a facelift is combined with a browlift or eyelid lift (blepharoplasty) to elevate a heavy brow or give the eye an awake and refreshed appearance. Facial rejuvenation involves many decisions, and consulting with our experienced surgeons can clarify your needs and provide a forum to discuss concerns about your appearance. Schedule a complimentary consultation to get answers to your questions. Virtual consultations are available to make connecting with us easier than ever. The doctor will determine the overall plan for surgery based on an individual's specific needs and goals. The extent of your treatment(s) will dictate the complexity and length of your surgery. Procedures are usually performed as an outpatient surgery.
Traditional Facelift
Over the years there have been many iterations of the basic facelift surgery. Early procedures focused on tightening the skin by removing excess skin and, although still a part of the modern a Facelift, a more natural-looking technique now focuses on resuspension or repositioning of the superficial muscle layers of the face with its attached subcutaneous fat. The goal of all modern procedures is to create greater lower face definition and upper facial fullness by repositioning the soft tissue layers to its original position. The Traditional Facelift involves a thin incision made from the temples, down in front of the ears, and up behind following the back of the ear until arching over and tapering off in the hairline. If the procedure includes a necklift, the dissection is carried into the neck to allow excess skin to be removed and the neck contour tightened and smoothed. A Facelift can include fat grafting, reshaping underlying muscles, redraping the skin, and removal of excess skin. At Plastic Surgery Specialists, we specialize in facelift procedures and are confident we will give you a youthful, vibrant appearance with tightened, smoother skin and fewer wrinkles.
QuickLift™
The QuickLift™ is a Facelift procedure using a less invasive surgical technique, resulting in less downtime and a quicker return to your usual activities. It is vital to have an in-depth discussion with your PSS surgeon, who can outline the risks and benefits and develop a treatment plan that is customized to your individual features, cosmetic goals, budget, and lifestyle. Everyone's face ages differently and there are many factors to consider; health habits, including smoking have a deleterious effect on the skin and sun damage will speed collagen breakdown and accelerate the formation of fine lines and wrinkles. The underlying facial structure is taken into account, including the amount of fat and bone loss acquired over time. Talking to an experienced plastic surgeon is key to getting thorough answers. The QuickLift involves tightening of the skin on of the face and neck using a minimally invasive technique. With a special suturing technique, small incisions are made along the sideburn and behind the ear, resulting in keeping any minimal scarring.Facial implants for the cheeks or chin can be inserted at the same time as this procedure and add favorably to the final result when recommended by your surgeon.
Neck Lift
Some individuals develop neck laxity without significant loss of upper face fullness, and for these individuals surgery can be limited to the neck or lower face only. This may allow shorter incisions and a faster recovery. This procedure involves the removal of fat as necessary and tightening excess skin around the jawline and neck. Patients who find they need a Neck Lift may have experienced significant weight loss causing exaggerated skin laxity.
Procedures Often Combined with a Facelift
The following list of procedures are often combined with a Facelift to fully address all areas of the face and renew the skin. We include a discount on laser resurfacing in our Facelift quotes because it is such an important part of the final result and satisfaction after surgery. Recovery times may increase with the addition of skin resurfacing but the results are so remarkable, patients often choose "one and done" rather than risk regret after surgery.
Eyelid Surgery
If a patient does not need a whole Facelift but is unhappy with drooping lids and tired-looking eyes, Blepharoplasty or eyelid surgery is a fantastic solution. This procedure focuses on removing the excess skin from either the upper, lower, or both eyelids. Skin is excised and fat contoured to refresh the eyes give a more youthful appearance, getting rid of tired-looking eyes. Eyelid surgery is customized to your individual features and may include skin excision, fat transfer, or redraping lower eyelid fat over the cheek bone to get rid of lower eyelid bag and leave a smooth and youthful undereye appearance.
Brow Lift Surgery
Also known as a Forehead Lift, Brow Lift surgery raises the eyebrows to a more youthful position. This in turn lifts drooping upper eyelids to give your eyes a wider, more awake look. Wrinkles between the brows or on the forehead can be softened with a Brow Lift. This is a minimally invasive procedure that can reverse inevitable signs of aging for a number of years to come. Brows can be temporarily "lifted" with strategic use of Botox if a patient is looking for an alternative to surgery. This is a more subtle improvement and won't address a brow that has lowered significantly due to skin laxity and aging.
Botox
Brows can be temporarily "lifted" with strategic use of Botox Cosmetic if a patient is looking for an alternative to surgery. This is a more subtle improvement and won't address a brow that has lowered significantly due to skin laxity and aging. If you are looking to get rid of facial wrinkles but don't want to undergo a surgical procedure, Botox is a great alternative. Botox is a minimally invasive, FDA-approved treatment that temporarily blocks the nerves connected to specific, wrinkle-causing facial muscles. When specific facial muscles are relaxed, the lines formed by those constant contractions disappear. A great example is the "smile lines" around the eyes. When Botox relaxes those small muscles, the lines around the eyes can be greatly reduced. Botox results are not permanent; you will need additional injections every 3-4 months to maintain results.
Fat Transfer
As we age, we lose fat from certain areas of the face. With today's techniques, your own fat can be collected with Liposuction, prepared and transplanted from one area of the body the face. This procedure will add volume to areas such as the cheek or undereye hollow and has the added benefit of long-lasting results, unlike some injectable fillers. Another benefit is addressing other fat deposits you would like to get rid of while enhancing your face. Our surgeons may in some cases advise the use of facial implants to the cheeks or chin to optimize bony contour.
Laser Skin Resurfacing
It makes little sense to undergo surgery to create a more youthful contour of face and neck and leave an aged or pigmented complexion behind. That's why we at PSS have included a discounted laser procedure in our Facelift or Quicklift package. Laser treatments can remove brown or red spots, fine lines, or treat enlarged pores. Laser Skin Resurfacing at Plastic Surgery Specialists uses state-of-the-art laser treatment to rejuvenate facial skin. This laser has 3 three benefits in one , offering ProFractional, Broad Band Light, and Erbium Micro Laser Peel options. The laser evens skin tone, improves skin texture, treats age spots, broken capillaries, and wrinkles. We will treat each patient with the appropriate laser for their individual skin tone. We recommend an ongoing skin care regime of medical grade products to maintain the results.
FAQ
How Much Does a Facelift Cost in San Francisco?
Your face is unique. Every contour of it deserves focus and differentiation. The price of a facelift is tailored to your specific needs and aesthetic goals. Plastic Surgery Specialists offers various financing options, and we also run occasional specials. Check back often or call (415) 384-9787 to discuss your questions regarding cost.
References
Hamra, S. T. (1992). Composite rhytidectomy. Plastic and Reconstructive Surgery. 90(1):1-13. DOI: 10.1097/00006534-199207000-00001.
Rohrich, R. J., Coberly, D. M., Fagien, S., Stuzin, J. M. (2004). Current Concepts in Aesthetic Upper Blepharoplasty. Plastic and Reconstructive Surgery.
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Quicklift
What is QuickLift™?
QuickLift™ is a "mini surgery" that tightens the skin of the lower face and neck as an alternative to a traditional facelift, giving Marin County patients a fresher and youthful look, while requiring less recovery time of more extensive facial plastic surgery. Unlike other facelift procedures with similar names and other mini facelifts that tighten only the skin, a QuickLift suspends the underlying structures of the lower face, offering men and women the benefit of a younger appearance for years to come. Although the QuickLift™ procedure creates significant aesthetic improvement for most patients, it's important to keep in mind that the normal aging process still resumes after any facial procedure. Lifestyle choices, bone structure, skin type, sun exposure and heredity all play a part in determining how long the desired result will last. However significant improvement for 7-10 years or more may be achieved.
Best Candidates
The QuickLift™ is designed for busy men and women who want to stay ahead of the aging process but don't have the recovery time or inclination to consider a traditional Facelift. Many San Francisco Bay Area residents in this age group lose elasticity in their mid to lower face and develop varying degrees of looseness along the jaw line and beneath the chin. They will want to consult with our board-certified surgeons at Plastic Surgery Specialists to ensure they are in good health and know what to expect from this Mini Facelift. Some people may choose to combine face neck lift with eyelid surgery, laser procedures, or even facial implants.
The Procedure
This specific Facelift procedure addresses sagging skin (and its underlying muscle) on the mid to lower face. While it is conservative when compared to a traditional Facelift, the QuickLift™ still has the capability to take five to ten years off one's appearance because it changes areas that are typically the first to show signs of aging. Inconspicuous incisions are made along the sideburn area and under and behind the earlobe, ensuring minimal scarring (which fades eventually). Repositioning of the deeper tissue layers carrying the facial fat takes all the tension off the skin. This simpler procedure is enough to tighten the jowls, smooth out the skin at the neck, reduce nasolabial folds, and tighten the skin of the cheeks. Other procedures, such as eyelid contouring, laser, fat transfer or even the insertion of Cheek and Chin Implants, can be performed at the same time.
Post QuickLift™ Cosmetic Procedure
The Mini Facelift is an outpatient procedure that usually requires ~ 2 hours depending on the ancillary procedures required for a given individual. The anesthesia can be very light which makes for an easier recovery which is typically quicker than a full facelift, and patients can usually get out and about comfortably after 7-10 days. Visitors who searched for QuickLift™ may also be interested in Facelift or Cheek and Chin Implants. If you've been thinking about getting a Facelift and live in Greenbrae or surrounding areas, please schedule a consultation today with Plastic Surgery Specialists to discuss the QuickLift procedure. You can also contact us at (415) 886-0777.
FAQs
Can QuickLift™ be done under local anesthesia?
Yes and most patients can be back to work or social activities in 7-10 days.
Does QuickLift™ correct neck or brow aging?
For some, correction of lax cheeks and jowls is all that is necessary, but it can be customized to correct neck and brow and include ancillary procedures like laser or fat injection. Still recovery and costs can be a fraction of traditional face lifts. In some cases, it may be able to replace such procedures as brow lift in San Francisco or traditional facelifts.
Brow Lift
What is a Brow Lift?
A Brow Lift (also known as a Forehead Lift or Browplasty) is a plastic surgery procedure that raises the eyebrows to a higher and more aesthetic position. It also improves lateral hoods, the droopy flaps of skin that often hang over the outside corner of the eyes. Horizontal forehead wrinkles and scowl lines between the eyebrows can also be softened with a Brow Lift. Marin County residents often choose a Brow Lift because it is minimally invasive and results in a younger appearance for years to come. People who live throughout Marin County, including Greenbrae, Larkspur, Corte Madera, Mill Valley, Santa Rosa, San Rafael and Novato, can get a forehead lift in our beautiful surgery center equipped with state-of-the-art technology where our board certified plastic surgeons will make sure you get the look you desire.
Best Candidates
Most patients opting for a Brow Lift are between 40 and 50 years old and have brow lines and eyelids that have begun to sag noticeably. They may also have wrinkles or creases along the forehead, causing them to look angry or sad even when they are not. Hereditary conditions can sometimes render people in their 20s and 30s good candidates for Browplasty as well. If you are considering this procedure, you should have a thorough understanding of what it can and cannot accomplish. After a consultation with the team at Plastic Surgery Specialists, some may decide that a Brow Lift is best performed in conjunction with other procedures, such as a Facelift or Eyelid Surgery.
The Procedure
During a Forehead Lift, tiny incisions are made in the hairline around the forehead. From these incisions, the skin and underlying muscle tissue can be loosened and separated from the forehead bone beneath it. The brow can then be lifted to a higher position. During the Brow Lift, the muscles that cause frown lines can actually be severed to remove the frown lines and keep them from coming back.
Post-Brow Lift Procedure
Browplasty may require either local or general anesthesia. Pain medication may be needed afterward along with cold compresses. Bruising and swelling usually abate quickly. Any external stitches can be removed in about a week. Internal sutures incurred during a Browplasty will dissolve in about nine months, giving the muscles and connective tissue time to heal. Results should be apparent very soon after the procedure. For more information on Forehead Lift, please visit our 3D Education Center. Visitors who searched for Brow Lift may also be interested in Facelift or Eyelid Surgery. Schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777
Neck Lift
Have you looked at your phone one day, seen your reflection and thought: what happened to my neck? Our skin around the neck is thin, and subject to laxity as we age. We also tend to forget to treat the neck with the same good skincare that we apply to the face. Sagging skin, jowls, and a false appearance of the double chin are common symptoms that affect the neck and lower facial region. The neck lift allows you to address these signs of aging and regain a youthful, refreshed appearance. At Plastic Surgery Specialists in Marin, led by world-class surgeons Dr. Poulos, Dr. Douglas and Dr. Hvistendahl, we have the experience and expertise to successfully treat facial aging with the neck lift. Plastic Surgery Specialists have earned the coveted title of "Top Marin County Plastic Surgery Center" delivering natural, beautiful results with our state of the art clinic and surgery center. At Plastic Surgery Specialists, we would be thrilled to help you regain your confidence with a renewed jawline and refreshed, youthful appearance.
What is a Neck Lift?
Loose skin and neck banding are usually associated with aging, but hereditary factors can cause even younger men and women to lose definition in their jawline and neck. Significant weight loss can also contribute to sagging or hanging skin, requiring a neck lift. Adult men and women, who are otherwise healthy, may appear older than they are because of this condition. We remove excess skin on the neck and along the jawline with a Neck Lift, restoring a smooth profile and more youthful appearance. Our Greenbrae surgical center is equipped with the latest technology, and our board-certified plastic surgeons have vast experience in achieving beautiful-looking, natural results for our patients with Neck Lift procedures. A Neck Lift (or Platysmaplasty) can tighten sagging skin and reduce excess fat and/or "banding" on the neck.
Skin Laxity
The aging that impacts the face and neck are typically a result of skin laxity and damage. Skin laxity occurs when skin elasticity declines due to age, the damaging effects of sun exposure, decreased volume due to fat loss, and reduction of collagen. Smoking and stress are also known to age the skin. Skin laxity, or loose skin, leads to the development of wrinkles, sunken cheeks, creases, sagging bands of skin, stretched skin and jowls. Youthful, healthy skin is able to bounce back when pulled and easily resist the effects of gravity. Under the chin, along the jawline, and around the neck, skin is particularly vulnerable to the effects of aging and skin laxity. The neck lift is the ideal treatment for addressing lax skin of the lower face and neck.
Our Neck Lift Technique
The neck lift procedure involves incisions placed behind the ears and under the chin to remove excess skin and fat. Once the excess skin has been removed, the physician will lift and tighten the remaining skin to achieve a more youthful, firmer, facial appearance. This is intended to improve the signs of aging that may occur on the neck and jawline. Our neck lift technique targets the symptoms of aging caused by neck laxity, which diminishes facial fullness. More traditional typically addressed sagging skin exclusively, but modern methods focus more on underlying muscle layers that are connected to subcutaneous fat. By addressing these areas, deeper, more natural-looking lifting is achieved.
Good Candidates
Ideal candidates for a neck lift are healthy men and women who are concerned about sagging and drooping skin on the lower face, neck, and jawline. A Neck Lift is often combined with lower Facelift surgery, which works to eliminate sagging skin and muscle and tissue of the cheeks as well, for a more comprehensive anti-aging treatment. Skin laxity that results in a "turkey gobbler" or drooping skin under the skin that creates the impression of a double chin, are also good candidates. During your personal consultation, you can discuss and point out the specific signs of aging that concern you the most.
Preparation
Patients who smoke will be asked to quit at least two weeks prior to surgery and refrain from taking any anti-inflammatory medications so for 2 weeks before the procedure. It is advised that the patient schedules a medical evaluation with their primary doctor before the date of the procedure. Patients won't be able to drive after the procedure and are advised to make travel arrangements on the day of their procedure.
Procedure
Neck Lift surgery typically performed on an outpatient basis and may take as little as one hour under local or general anesthesia. Once the patient is resting comfortably, short, small incisions are made below the ears. Excess skin is removed and liposuction to sculpt away extra fat is performed at this time and incisions are sutured. Depending on the candidate, the surgeon may add a fat transfer to areas of the neck where fat loss has decreased volume. The fat transfer restores areas that can become too thin and helps diminish the look of "banding." Additionally, skin resurfacing with laser treatments add an exceptional level of skin renewal, so that skin is both tightened surgically and with collagen stimulation from laser techniques.
Recovery and Results
Every patient will heal and recover at their own pace. At Plastic Surgery Specialists, we provide each patient with a customized recovery plan tailored to their treatment and their body. Generally, bruising and swelling are commonly experienced. We recommend resting with the head elevated and ice packs to improve healing. Pain and discomfort can be addressed with prescription pain medication. If you have questions and concerns at any point during your recovery, the staff at Plastic Surgery Specialist are always available. In the weeks following your treatment, you will also have a follow-up appointment to assess your recovery and remove your sutures. The results of a neck lift are long-term. Patients who take care to avoid sun exposure and skin-damaging activities such as smoking can experience improvements that last as long as ten years.
Consultation
Contact Plastic Surgery Specialists today to schedule your consultation. Your consultation will be a private conversation with either Dr. Poulos, Dr. Douglas and Dr. Hvistendahl. Together, you will be able to discuss your aesthetic goals and the doctor will make a customized recommendation. Every patient's case is unique and there are no one-size-fits-all types of procedures. We tailor all our treatments in fine detail to the individual patient. For anti-aging treatments such as the neck lift, it is a good idea to bring in photos of your younger self. These photos provide accurate references to produce the most natural-looking results. Any questions about pricing and payment plans can be discussed during your consultation as well.
Cost
The cost of a neck lift depends on the severity of the individual's skin laxity or type of additional procedures that are recommended to the patient. We will provide a detailed quote during the consultation and walk you through the entire process.
Additional Procedures
Neck lifts can produce natural-looking, rejuvenating results for healthy adults from all walks of life, but many patients may desire treatment for additional issues. At Plastic Surgery Specialists, we address each patient's case individually and discuss their concerns in detail during the consultation. The following procedures are commonly performed in conjunction with a neck lift:
Liposuction
For patients with excess fat deposits around the lower face and neck area, liposuction may be their best option. Diet and exercise, although essential to good health, does not achieve targeted weight loss. This results in deposits of fat that can collect under the chin, and around the neck. Liposuction is ideal for targeting and sculpting away deposits of fat that do not respond to diet or exercise.
Facelift
The facelift, or rhytidectomy, is a surgical procedure popularly combined with the neck lift. The a href="/cosmetic-surgery/face/facelift/" facelift addresses aging symptoms of the upper and mid face region such as creases below the eyelids, sagging around the eyes, deep creases along the nose and drooping cheeks. At Plastic Surgery Specialists, we offer a specialized, minimally-invasive a href="/cosmetic-surgery/face/facelift/" facelift technique called the QuickLift. The Quicklift's unique suturing method produces the same level of rejuvenation as a traditional facelift, but with minimal surgical scarring.
Brow Lift
The brow lift, or forehead lift, is a surgical procedure where sagging brows and a drooping forward are treated. Sagging of the eyebrows can create a sleep appearance and even interfere with vision. The brow lift involves removing excess skin along the hairline to raise the brow and forehead.
Non-Surgical Alternatives
Fat deposits under the chin can create the impression of a double chin in individuals who are otherwise at a healthy weight. These fat deposits, called submental fat, may be caused by genetics or aging. For individuals dealing with submental fat, there are Kybella treatments, a non-surgical alternative for fat sculpting.
Kybella
Kybella is one of the newest, advanced injectable treatments and is designed to sculpt submental fat. In general, a Kybella treatment course may involve six sessions spaced about a month apart. The number of injections is dependent on the amount of sculpting desired. The main ingredient in Kybella is called deoxycholic acid. Deoxycholic acid is a naturally-occurring agent in the body that participates in fat tissue breakdown. Kybella injections operate the same way, breaking down fat cells under the chin and allowing the body to gradually remove those destroyed fat cells.
CoolSculpting
CoolSculpting now has a "mini" applicator that can be used for fat under the chin. Careful assessment is needed to make sure this technology is right for you, but it does offer a great alternative to surgery for fat reduction. It will not, however, tighten skin.
Fat Transfer
If you have considered undergoing a facial rejuvenation procedure but don't think you are ready for a Facelift or other form of Facial Plastic Surgery at this time, you might consider Fat Transfer.
San Francisco Bay Area women and men travel to our Greenbrae clinic for fat injections. For many decades, we thought excess skin was the most obvious sign of aging on the face. It is now recognized that an apparent excess of skin is at least in part due to the loss of soft tissue bulk, or fat, from the face. Through Fat Transfer, natural fat may be transferred from other parts of the body (usually from the abdomen, flanks, or thighs) to areas of the face in need of additional volume.
Previous methods of harvesting and injecting fat rendered Fat Transfer results similar to those of other dermal fillers.
Our Marin County practice uses improved instrumentation and techniques to perform Fat Transfer, making the "take" of fat more predictable and the correction longer lasting. Injected fat can be sculpted to restore attractive contours to your cheeks, chin, under-eye area, lips, nasolabial folds, marionette grooves, upper eyelids, and even your hands.
Eyelid Surgery (Blepharoplasty)
What is Eyelid Surgery?
Eyelid Surgery (or Blepharoplasty) can be performed on the upper lids, the lower lids, or both. Blepharoplasty involves removing skin that is hooding the upper eyelid and/or reshaping wrinkles or removing excess fat deposits in the lower lids. Eyelid Surgery helps to give the eyes a younger and more rested appearance. Our board-certified plastic surgeons provide the best possible care to the women and men who visit us for Eyelid Surgery from Marin, Napa, and Sonoma County. Our beautiful surgery center in Marin County, where we perform eyelid surgery, is equipped with state of the art technology and an excellent clinical and professional staff.
Best Candidates
Blepharoplasty is ideal for older individuals who want to bring life back to their faces and get rid of that "tired eyes" look. Loose skin hanging down from the upper lids can sometimes be more than an aesthetic concern too, as it can actually impair vision to some extent. Insurance companies, however, do not usually cover eyelid surgery. Our Greenbrae office staff can help answer your insurance questions. People with puffiness under their eyes may also want to consider Blepharoplasty. Younger people in cities such as Greenbrae, Larkspur, Corte Madera, Mill Valley, Santa Rosa, and San Rafael, who have droopy eyelids as a result of genetic factors are good candidates as well. All those considering Blepharoplasty should be in good health and have reasonable expectations.
The Procedure
To begin Eyelid Surgery, incision guidelines are carefully drawn to ensure that the natural contour of the eye is followed and resulting scars will be as inconspicuous as possible. Reducing excess skin beneath the eyes is performed via tiny incisions on the outside of the lower eyelid. A single incision inside the eyelid can remove fatty deposits in the area called the conjunctiva. An incision in the fold of the upper eyelid can be used to remove excess skin in that area. A small strip of muscle may be removed as well.
Post Eyelid Procedure
The Blepharoplasty procedure is performed with a local or general anesthetic. It can take one to three hours depending on whether or not both lids are being addressed. Protective plastic shields not unlike contact lenses can be used to protect the eyes during this cosmetic eyelid surgery. Cold compresses and pain medication will help to ease any discomfort after the surgery. Absorbable sutures will heal on their own while non-absorbable sutures are usually removed after a week — though you will want to talk to your doctor to determine when activity can be resumed. The results of aesthetic Eyelid Surgery are long lasting. For more information on how Eyelid Surgery is performed, visit our Education Center. We alslo invite you to schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
FAQ
Eyelid surgery is a popular procedure among both men and women because it yields dramatic results without noticeable scars or a lengthy recovery. People seeking eyelid surgery (also called blepharoplasty) travel from throughout the San Francisco Bay Area to our Marin County clinic. Although eyelid surgery is a fairly straightforward operation, Dr. Poulos, Dr. Douglas and Dr. Hvistendahl take the time answer all of their patients' questions. Here, they provide answers to several of the most common ones.
Will eyelid surgery affect my vision?
Eyelid surgery involves the skin of the lid only and should not affect vision. It is important, however, to maintain lubrication of the eyes as this is one of the primary functions of eyelid anatomy. In cases where excessive hooding has impeded vision, patients may experience improved range of vision.
Should I get a brow lift in addition to eyelid surgery?
Aging in the upper face often appears as hooding of upper eyelid skin. As we get older, eyebrows gradually droop, contributing to this appearance as much, and sometimes more, than the upper eyelids' loose skin. For this reason, it is sometimes reasonable to consider a subtle brow lift to slightly elevate the brow along with sculpting of the lid skin. Modern surgical techniques are much more conservative and in our opinion, the results are more beautiful.
Is it possible to soften heavy lines in the forehead caused by frowning and raising the brow?
Yes, there are several options for correction of dynamic wrinkle lines. In fact, BOTOX® Cosmetic injections create a much more rested appearance by minimizing the degree of muscle movement. We are happy to discuss with you the differences between results achieved with surgical versus nonsurgical rejuvenation.
Can I combine a facelift with eyelid surgery?
Eyelid surgery is usually all that's needed for patients who are just beginning to notice signs of aging. However, one of the goals of cosmetic surgery is to get harmonious results that appear natural. Having youthful eyelids in a face that is sagging creates an unnatural appearance. You wouldn't want to have one side of your face appear younger than the other side. Likewise, the upper and lower areas of the face should be balanced.
How much does eyelid surgery cost?
Eyelid surgery costs vary depending on the degree of correction and whether or not complementary procedures are performed. However, Plastic Surgery Specialists offers pricing that is within the reasonable range for the Bay Area. Your surgeon can give you a specific quote at your consultation.
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Rhinoplasty
Introduction
What do you look at in the mirror everyday? Your eyes (windows to the soul), your mouth, your nose? Are you happy with the shape and size of your nose? This featured could be argued the most "fixable." There are surgical techniques that can reshape the nose and truly create an improvement in your look. Since Renaissance times artists have tried to measure beauty in mathematical proportions. These days, studies have proven that symmetry is one of the main elements in the perception of beauty because it displays good health and strong genes. If a person's nose is crooked or oddly sized, this can detract from their entire face, and can adversely affect their lives both professionally and personally. For those who are dissatisfied with the size, shape, or proportions of their nose, rhinoplasty offers a surgical solution. Because of its tremendous success rates, rhinoplasty is popular amongst everyone from Hollywood starlets, to athletes, to stay-at-home moms. It is the second most common elective surgery other than liposuction. Whether your nose is too large, wide, or crooked, rhinoplasty can successfully change its size and symmetry, adding or taking away just the right amount to balance out the face. For some people, injuries leave their noses crooked and out of alignment with their faces. For other people, congenital disorders such as a cleft lip and palate make rhinoplasty a necessity to achieve normal breathing, shape, and contour of the nose. If rhinoplasty is done well it not only changes the way people physically look and feel, it also changes the way they feel about themselves mentally and emotionally. Our surgeons listen carefully to keep an open communication with their patients from the consultation stage, to the healing phase, of surgery which proves time and again to produce successful outcomes and satisfied patients.
What Is Rhinoplasty?
Rhinoplasty is a series of surgical techniques used alone or in combination to correct various nasal imbalances, or impaired breathing caused by structural defects of the nose. The main goal of the surgery is to achieve better alignment of the nose in proportion to a patient's face and to improve functionality. The initial surgery begins with a small incision inside the nostrils, which separates the bone and tissue. At this stage a number of different methods are available to reshape the cartilage in the nose. Whether shaving, cutting, or trimming, your doctor will have deciphered his exact approach during the consultation stage. The surgical plan will then be executed and the final result will help you to achieve the look you envisioned. Depending on the technical approach your doctor uses, rhinoplasty can be categorized as either open or closed. In an open rhinoplasy, the surgeon makes an additional small incision into the fleshy, outer part of the septum. With closed rhinoplasty the surgeon performs small incisions within the nose and does not cut the septum. During the consultation the doctor performs an analysis of your nasal tip, examining the skin thickness. This will determine whether your case requires the open or closed technique.
Candidates for Rhinoplasty
Rhinoplasty can correct numerous nasal problems, whether you are suffering physically, emotionally, or both as a result of your nose shape. Using state-of-the-art technology, our surgeons can demonstrate the results that you will get from various surgical techniques. This allows them to understand what you want, and to determine the best surgical approach. The best candidates for surgery generally meet a few basic criteria. To see the best result, surgeons recommend that your face be fully grown. This guarantees that the surgery results will last and won't become misplaced as your face grows and changes. Additionally, you must be physically healthy; no signs of disease or pre-existing illnesses can be present for a surgeon to operate on a patient to have the surgery. Smoking is not allowed, as it puts the surgery and recovery at risk. You also need to have a realistic idea of what the surgery can accomplish. A positive outlook and realistic outlook, with clear communication with your doctor will help achieve a great experience and successful result. the process, and your communication with your doctor, making the entire experience more enjoyable.
What to expect during a consultation
During your consultation, one of our skilled surgeons will listen to your concerns and aesthetic goals. The doctor will then perform a thorough examination of your nose, both from the outside and inside, noting the structures of the upper, middle, and lower sections of the nose. The doctor will also take measurements of your nasal angles and the physical characteristics of the bony and soft tissue. These tests help the doctor to decide a surgical plan and bring you one step closer to your physical ideal. Once the doctor has decided what techniques will best suit your case he will discuss any necessary preparations that must be done before surgery and will answer any questions you might have. The doctor will recommend a complete physical exam, if necessary, to see if you are in good physical condition to have rhinoplasty. This is precautionary but can also be important in reducing the chance of complications. By comparing your nose to your face, a plan is set so that a balanced look is achieved.
Recovery
During the recovery process there are a number of guidelines to follow in order for you to have the fastest recovery possible and the best final result. You will need to designate a person to drive you to and from the surgery. There should also be a person to supervise you for two days following the surgery. Because driving is also prohibited for ten days following the procedure, somebody will need to drive you to and from your follow up appointments as well. When you sleep, your head should be elevated at least 30 degrees, in order to reduce swelling. Pain and discomfort are managed by prescribed pain medication. Ice packs are also helpful to manage swelling and discomfort. Minimal bleeding and some fluid drainage are pretty normal and expected after your surgery. Immediately after the surgery, a splint will be placed around your nose to protect it from any unwanted pressure or accidental movement while it sets. This splint is usually removed after a week's time. Additionally, self-dissolving internal stitches and external stitches will be removed within a week. There may be pain and swelling immediately following the surgery but this will subside after some time. The full results of your surgery may take some time to show. The doctor will instruct you to avoid any strenuous activity or exercise for ten to fourteen days following the procedure. This narrows the chances of additional swelling or bleeding. To make sure the healing process continues as planned, you should also avoid saunas, steam rooms, alcohol, and any sun exposure whatsoever.
Cost
Pricing for a rhinoplasty surgery varies depending on the surgical techniques needed to achieve your cosmetic goals. PSS offers convenient financing options designed to fit a wide range of budgets. During your initial consultation, your Doctor will discuss every detail with you, making sure you are well informed about what techniques are necessary. Then a price quote will be discussed and set for your upcoming surgery.
Issues that can be corrected by Rhinoplasty
A wide or bulbous nasal tip
A bump on the bridge of the nose
A narrow or pinched tip
Nasal tip angle is drooping too far or rotated upwards
Nostrils too flared
Bridge of nose is too wide or flat
Nose is too long, short, crooked or asymmetric
Difficulty breathing
Procedure
After the doctor has decided which surgical approach to take in treating your case, it is helpful to know the various forms of nasal surgery and what conditions they correct. Each technique addresses different nasal conditions, from slight aesthetic changes to improve nasal contours, to complete restructuring.
Primary Rhinoplasty
This surgery improves the contours of the soft tissues of the nose. It is the most popular type of cosmetic surgery other than liposuction. It can either be used to improve the aesthetic look of the nose or can be used to improve functionality and breathing. During this surgery excess bone and cartilage are removed from underneath the skin covering the nose. After the desired shape and angles are achieved, the skin is repositioned over the new framework revealing the new nose. Any difference may be subtle or quite dramatic, depending on what was decided by the surgeon during the consultation.
Revision Rhinoplasty
Many people have difficulty breathing from their nose, or are dissatisfied with the cosmetic appearance of their nose after prior nasal surgery. This is when Revision Rhinoplasty is required. It is the most complicated form or rhinoplasty, as it is corrective. It is designed to repair both form and function of the nose after previous surgeries have been performed. During this surgery the doctor may need to re-break the bone or even add cartilage to the nasal structure from other areas of the body such as the ribs.
Functional Nasal Surgery
This surgery treats nasal conditions and irregularities such as sinusitis, nasal polyps, and chronic sinus issues. Using nasal endoscopes the surgeon restores drainage in the para nasal sinuses and improves ventilation of the nasal cavity. Functional Nasal Surgery can also be used to improve issues with chronic snoring and sleep apnea. Because it is not considered cosmetic and treats nasal issues it is often covered by insurance.
Alternative Treatments
There really aren't any known alternatives to Rhinoplasty for the correction or alteration of the nasal structure. In recent years injectables have been used to correct slight cosmetic flaws in the nose but this is not considered a permanent solution like rhinoplasty. Injectables can be used to fill indentations or areas that are considered to be inadequate in the nasal structure. It is important that temporary fillers are used when filling areas of the nose, as more permanent fillers can lead to complications and infections of the nasal passages.
Chin and Cheek Implants
Chin and Cheek Implants can enhance your appearance by creating a more proportionate facial structure. Facial contouring is accomplished by the strategic placement of silicone implants through tiny incisions. Chin and Cheek Implants are increasingly popular because they require a relatively simple surgery and they produce predictable, long-lasting and highly satisfying results. A healthy, youthful look to a deficient cheek structure that might otherwise make the face look gaunt or as if there is too much heaviness in the lower face is possible using Cheek Implants. Marin County residents also get Chin Implants to improve a "disappearing chin" or a chin that sinks into the neck and has little or no definition. For both sexes, Chin and Cheek Implants offer a more attractive facial structure and an enhanced profile. We offer the expertise of three board certified plastic surgeons, a highly skilled professional staff, and a state of the art surgery center for all our patients who are looking to improve their appearance with plastic surgery.
Best Candidates
Candidates for Cheek Surgery should be healthy men and women who have lost tissue volume in the mid face area or who simply desire a more prominent cheek contour than the one they were born with. Candidates for Chin Implant surgery will have a receding chin or a chin that is not in proportion with their other facial features. All candidates should know that Cheek and Chin Implants come in many shapes and sizes for both men and women. They can be further customized for each individual. Using their state-of-the-art Vectra 3D Imaging technology, Plastic Surgery Specialists can even show you how you will look with different implants, which helps enormously when making decisions about facial structure. Candidates for Chin and Cheek Implants should be in good health and have reasonable expectations.
The Procedure
Cheek Implants are usually inserted through an incision in the mouth, in an area above the gums. They can then be manipulated into the desired position. The tissue layers are closed around them with dissolvable sutures to keep them in place during the procedure. In some instances it may be desirable to insert Check Implants through an incision made in the area of the lower eyelid. A final incision point is sometimes the scalp, in the temple area where any scarring will be covered with hair. For patients for whom Cheek Implants are a component of a more extensive Facelift procedure, there are additional insertion options. Chin Implant procedures also call for implants to be inserted through incisions in the mouth. Once the implant is correctly positioned, it is secured with sutures (and/or tiny screws).
Post Chin and Cheek Implants Procedure
Cheek and Chin Implants surgeries require either local or general anesthesia. They can take under an hour, depending on various circumstances, and are usually performed on an outpatient basis. However, there may be instances when it is best to be monitored overnight. With both Chin Implants and Cheek Implants, tape may be placed on the area of the implant to keep the implant stable should any swelling ensue. Ice may be needed if swelling is considerable. Sutures placed in the mouth usually dissolve in a few weeks. Any external sutures will need to be removed by your doctor at a follow-up visit. Those with oral incisions will want to have a soft diet for a few days. Visitors who searched for Chin Implants or Cheek Surgery may also be interested in Facial Fillers, Botox or Fat Transfer. If you are considering getting chin or cheek implants and live in Novato, Mill Valley or another part of Marin County Schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
FAQs
How does one know if a facelift, brow lift, neck lift, or chin and cheek implants are required?
Again this depends on the artistic vision of the surgeon and the goals of the patient. The test results are achieved and the face has a harmonious balance. One would never correct the right half of the face and not the left. In a similar fashion, correction of the upper face alone, no matter how skillfully done, will remain out of balance with major aging changes in the lower face or neck. The key is selecting the appropriate procedure for the appropriate patient. Modern facial rejuvenation relies less on tightening the skin and more on volume replacement. Once facial balance is restored, the complexion must be addressed. Laser resurfacing can eliminate unsightly blemishes and fine-line wrinkling, which greatly enhances the results of a well done lift.
Will I be able to feel the implant?
Normally the implant will become incorporated in your tissues and cannot be felt.
Ear Reshaping
Ear Reshaping Plastic Surgery (or Otoplasty) is used to correct abnormalities in the ear's structure. Ear abnormalities usually reflect a folding of the ear cartilage that occurs in the uterus. Some abnormalities may be the result of an injury or accident. Otoplasty is performed in Marin County by board-certified plastic surgeons at our beautiful, state-of-the-art surgery center. The procedure can "set back" protruding ears or reduce the size of ears to bring them into proportion with the rest of the face. Also known as Ear Pinning, Ear Reshaping is ideal for patients who have disproportionately large ears and want to make them smaller. Center of Excellence: Over 40,000 procedures performed; Over 40 years of combined experience. Our experienced team of surgeons combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA.
Candidates
Both children and adults can be candidates for Ear Reshaping. Children with protruding ears or ear abnormalities can endure teasing and ridicule, which can in turn result in a lack of self esteem. PSS surgeons, who are Otoplasty specialists in the San Francisco Bay Area, can create a more positive psychological environment for children through Ear Plastic Surgery. Generally Otoplasty is preformed on children aged 5 and up, when the ear cartilage is mature enough for correction. However, there may be instances when it is best to have Otoplasty performed on even younger children. Many adults who did not have the option of Ear Reshaping Surgery when they were younger and have already endured years of embarrassment and self confidence issues will be happy to know that medical and technological advancements have rendered Ear Reshaping Surgery more straightforward than ever. All healthy men and women in Marin County who have protruding ears or ear deformities and want to have Otoplasty are also appropriate candidates for this procedure.
Procedure
The specific methods used in Ear Plastic Surgery can vary based upon the patients' needs and desired outcomes. There are several ways the ear can be reshaped. Cartilage can be cut, or it can be folded and stitched. The procedure usually begins with a small incision at the back of the ear, allowing the Otoplasty specialist to access the region as unobtrusively as possible.
Recovery
Otoplasty can take one to two hours to complete, although certain complexities can require a longer surgery. A topical or general anesthetic is usually recommended to ensure comfort. Some Ear Reshaping may be covered by insurance carriers. It is a good idea to investigate insurance options early on. Otoplasty recovery time can be a week or more. You will have to wear dressings for the first week, and you will be advised about bands that can be worn for sleep. Because the incision site is generally behind the ear, scarring is not very noticeable, but whatever scaring does occur will fade over time. If you or your child are candidates for otoplasty and you live in Mill Valley, Novato, or another part of Marin County, please schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
FAQs
How Is Ear Surgery Performed?
Most prominent ears are due to a combination of cartilage excess, improper formation, or abnormal cartilaginous architecture. Using three small incisions skillfully hidden within the ear, this reshaping can be done by increasing the balance. As discussed with nasal surgery, one does not usually notice well-shaped ears. Ears out of proportion or poorly shaped will draw attention.
What Is Recovery Like After Ear Surgery?
The surgery usually takes less than 2 hours and allows the patient to return to normal activities within 1-2 days. We may ask you to wear a headband at night to assist in minimizing trauma to the newly positioned ears. Some time will be required for resolution of swelling to create natural architecture in the ear anatomy. Plastic Surgery Specialists is known throughout the Bay Area for our excellence and expertise. Choose your area below to get accurate, easy-to-follow directions to our center.Napa & Sonoma Santa Rosa San Francisco East Bay South Bay Palo Alto & the Peninsula.
Reconstructive Surgery
People often ask why our specialty is called "plastic?"
It originates from the greek "plastikos" which means to mold or change. Thus the names for many operations like rhinoplasty or mammaplasty. Nearly all these aesthetic operations had their roots in reconstructive techniques developed after World War I which have been refined over the years.
Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are proud of their extensive training in reconstructive plastic surgery, which complements their expertise in cosmetic surgery.
Traumatic injuries, congenital deformities, post mastectomy breast reconstruction and reconstruction are integral to our practice and we consult on these problems daily.
Plastic Surgery Specialists Gives Back
The surgeons at PSS are proud to make a living using our surgical skills to do something we love.
We realize that not all patients have the financial resources or insurance to afford our reconstructive services. Whenever possible, we arrange free surgical and anesthesia services for patients who otherwise would not be able to afford them. If you know of someone who might qualify, we will be happy to consult and will strive to make this happen.
Breast Reconstruction
Plastic Surgery Specialists is very active in Breast Reconstruction for Breast Cancer patient programs.
We serve as part of a team that includes oncology specialists, oncology surgeons, and reconstructive surgeons. Working together we are able to offer patients every option available, including immediate reconstruction performed at the time of the breast cancer surgery for our San Francisco Bay Area patients. You also have the option of delayed procedures, which may vary from microvascular free flaps to skin expanders or fat transfers.
Today's plastic surgery techniques offer many options for patients wanting to undergo Breast Reconstruction after Mastectomy.
You will want to consult with your reconstruction team early on to decide which alternatives best meet your goals. Some women may want to have Breast Reconstruction Surgery performed at the time the breast or breasts are removed. Others may want to wait. These are not easy decisions to make and certainly patients dealing with serious health issues are not able to give them their full attention. PSS, the Breast Reconstruction Specialist Team, can be instrumental in helping you to decide which options best coincide with your lifestyle. Most insurance companies will cover Breast Reconstruction after Mastectomy.
Surgery Options
Once a patient has decided whether to have immediate or delayed Breast Reconstruction Surgery
She will want to discuss various reconstruction methods with her Breast Reconstruction Specialist and the other members of her oncological team.
One method of Reconstructive Breast Surgery involves using tissue from one's abdomen, back, buttocks or other area of the body, to create what is known as an "autologous flap".
This flap can be used to reconstruct one or both breasts following Mastectomy. Precision microsurgery attaches vessels from the harvested flap to vessels in the breast area, allowing for blood to circulate to the reconstructed breasts. Another breast reconstruction option requires using a Breast Implant, an elastic silicone sac filled with a saline solution or silicone gel. In some circumstances it may be possible to preserve the skin of the breast and position the implant beneath it.
Another option involves inserting a temporary tissue expander under any remaining breast skin.
A saline solution can be added to the expander over a period of weeks so that the skin above it stretches to the size needed for the new breast, at which time the expander can be replaced with a permanent Breast Implant.
PSS also performs Reconstructive Surgery for breast cancer patients wherein the autologous flap and implant are used together.
Some patients opt to take the next step in the reconstruction process and have revision surgery to give the breast a more natural appearance, including procedures to recreate nipples and areolas.
There are many other Breast Reconstructive Surgery options as well, and many that are currently being researched.
You can rest assured that Plastic Surgery Specialists is committed to staying on the cutting edge of Plastic Surgery Breast Reconstruction. This enables us to provide our patients with the advantage not only of our expertise and experience but also an inclusive knowledge of new techniques being developed worldwide.
Performing Reconstructive Surgery for breast cancer patients requires anesthesia and usually takes two to eight hours to complete, depending on which method is employed.
Remaining hospitalized for a week or more will ensure the best possible outcome. Drain tubes are usually removed after a couple of days following Reconstructive Breast Surgery, and any non-dissolving sutures will be removed in a week or two. You will want to wear a support garment to promote healing. Your Breast Reconstruction Specialist will provide you with a detailed recovery plan to meet your unique needs.
Post Bariatric Surgery
Bariatric surgery is a procedure which alters the stomach or digestive tract to minimize caloric intake and often leads to dramatic weight loss of one-hundred pounds or more. Plastic Surgery Specialists is proud to partner with the Laparoscopic Associates of San Francisco, one of the foremost experts in this type of surgery. If you live in or around San Francisco, you can take advantage of Plastic Surgery Specialists's expertise and excellence in this field. Our 6000 square foot medical center in Marin County is also equipped with state-of-the-art technology and we employ a highly skilled professional staff who will attend to your every need.
Post Bariatric Reconstruction Surgery with PSS
Nearly all massive weight loss patients end up having excess skin. Plastic surgery can provide these patients with the procedures they require to achieve the full rewards they deserve following their dramatic life change. We can offer Post Bariatric Reconstruction Surgery patients the benefit of a full program developed to meet their unique needs. Post Bariatric Reconstruction Surgery programs can focus on one surgery addressing several regions of the body (and therefore allowing for one recovery period) or multiple surgeries, each addressing one region of the body, over a period of time.
Best Candidate for Post Bariatric Surgery
Post Bariatric Reconstruction Surgery patients should have attained a stable weight that is appropriate for their bone structure before undergoing Reconstructive Surgery. They should be in good health and have reasonable expectations about Post Bariatric Reconstruction results.
The Procedure
The function of Post Bariatric Surgery is to eliminate the excess skin that most Bariatric Surgery patients experience after they have lost so much weight. However, some patients may still have pockets of fat in certain areas. For this reason Liposuction is a big part of most Post Bariatric Reconstruction Programs. Reconstruction following weight loss can also include Body Lift, Tummy Tuck, Breast Reduction or Breast Lift, Gynecomasty Surgery, Arm Lift, and even Facelift or Neck Lift. This may sound overwhelming, but working with PSS will ensure that you have only the surgeries you need and that the ones that can overlap, such as Tummy Tuck and Body Lift, are preformed as one surgery. How much Reconstruction Surgery you actually require will depend a lot on your age, your skin's elasticity, and other factors. Visitors who searched for Post Bariatric Reconstruction Surgery may also want to search Body Contouring. Schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
FAQs
Do plastic surgeons do this surgery?
Typically these procedures are performed by specially trained general surgeons. Plastic Surgeons become involved in the post bariatric stages after the weight loss has occurred and a stable weight has been achieved. Plastic surgery is then required in order to reshape the body. Weight loss changes can also affect the face and neck, chest, abdomen, back, buttock, and legs.
What type of procedure corrects these changes after weight loss?
In each case a procedure is individually designed to achieve an optimal result. In some cases it may not be possible to correct all areas in one operation. The most important consideration is safety. The benefits of a single-stage procedure must be weighed against the operative time involved. At Plastic Surgery Specialists, we perform these surgeries as a team with two surgeons and two assistants. This allows a much faster operation with fewer complications. It is very common to perform a breast lift with implants, tummy tuck or circumferential body lift and even facial procedures during one operation.
How long is the recovery?
It depends on the procedure, but it is usually one month for the more complicated operations and, of course, at least a year for maturation of the scars. Most patients who have lost a massive amount of weight will require more than one operation to achieve an optimal result, as the skin elasticity is poor and touch ups are the rule than the exception.
Trauma Reconstruction
Laceration Repair Surgery is an essential component of the reconstruction care available at Plastic Surgery Specialists's Marin County surgical center.
Victims of lacerations may be any age, and may experience anything from a superficial contusion requiring a straightforward cosmetic solution to a life-threatening wound demanding the immediate attention of a full surgical team, including plastic surgeons.
Plastic Surgery Specialists partners with area hospitals and surgical teams to provide aesthetic treatments for laceration victims who opt for it.
Part of the job of Laceration Repair Surgery is either to close wounds or oversee their closing so that the best possible suture type and placement can be used to prevent excessive scarring. Because it is the job of emergency room surgeons to focus on vital organs and on stopping the bleeding and preventing any infection that may be result following a serious laceration, not having an attending plastic surgeon can result in unintentional disfiguration in the future. This can be especially detrimental if the laceration is on the face or other exposed area. Reconstructive Plastic Surgery for Life Threatening Accidents may not be the primary concern for most patients at the time of an emergency operation, but once their recovery is underway, knowing specialists are there to minister to their cosmetic needs can bring them a measure of comfort in a difficult time. Many insurance companies will cover Traumatic Reconstructive Plastic Surgery in the San Francisco Bay Area.
There are many types of lacerations to be considered.
Some have straight lines and others are jagged and may require that skin and tissue first be trimmed before Traumatic Reconstructive Plastic Surgery can be fully performed. As with other varieties of reconstructive surgery, Laceration Repair can include grafting healthy skin from another part of the body or even transplanting skin, muscle and sometimes bone to create a flap. A flap can have its own blood supply or, by employing the advanced techniques of microsurgery, blood vessels from the flap can be attached to blood vessels in the new location to create a new blood supply. Tissue expansion can also be used, depending on the region of the laceration.
Recovery time depends on a multitude of factors.
Just as PSS works with multi-disciplinary medical teams to provide the solutions to address the injury, we remain an integral part of the recovery team as well.
Schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
References
1
Staalesen, T., Olsén, M. F., & Elander, A. (2013). Experience of Excess Skin and Desire for Body Contouring Surgery in Post-bariatric Patients. Obesity Surgery, 23(10), 1632–1644. doi: 10.1007/s11695-013-0978-z
2
Grover, N., & D'Souza, A. (2013). Facelift Approach for Parotidectomy. Otolaryngology–Head and Neck Surgery, 148(4), 548-556. doi:10.1177/0194599812475221
3
Moody, B. R., & Weber, P. J. (2005). Blepharoplasty and Brow Lift. Surgery of the Skin, 673-689. doi:10.1016/b978-0-323-02752-6.50047-x
SpaPSS – Non Surgical Treatments
If you're interested in refreshing your appearance but aren't ready for surgery, request a consultation online to meet with one our board-certified plastic surgeons, or call our office at (415) 886-0777 to schedule an appointment.
As injectables, laser technology, and the science of skincare become more and more advanced, non-surgical cosmetic treatments grow increasingly popular.
Busy men and women opt for treatments that require little or no downtime, but still yield excellent results. You optimize your chances of a superior outcome when these treatments are performed by experienced medical professionals under the direction of board-certified plastic surgeons, such as those at Plastic Surgery Specialists. Professional grade skin care products available at our Marin County clinic complete your facial rejuvenation and help maintain the excellent results.
Our Menu of Services
The range of non-surgical services available at Plastic Surgery Specialists in Greenbrae offers a complete solution to your individual cosmetic and skin care needs. San Francisco Bay Area patients who choose our clinic often combine 2 or more treatments during a single appointment to get optimal results.
Body Contouring
Accent Prime
Do you dream of a tighter body or smoother skin in minutes? So do we. We've found a device with advanced technology that can achieve both tighter skin and fat reduction simultaneously. There is no downtime, and even though best results require several sessions, improvement can be seen right away. Accent Prime is an amazing new tool. In one device we can tighten loose skin, improving wrinkles and lax skin on the face, and smooth cellulite while eliminating fat on the body. This FDA-approved, non-invasive device gives patients the ability to look and feel better within weeks. The Plastic Surgery Specialists are pleased to offer the Accent Prime from Alma, one of the worldwide leaders in non-invasive anti-aging technology. The Accent Prime is a customizable platform offering the full complement of modalities for treating face and body with real, measurable results.
Accent Prime
The Accent Prime is a complete skin renewal and body contouring system that works for all skin types. With the Accent Prime, radiofrequency energies are harnessed for gradual, controlled and targeted heating deep in the dermis layer. The energy levels are customizable and focused for tailored treatments of specific issues. The second component of the system is the ultrasound technology, that penetrates more deeply than any other device on the market, to disrupt and kill fat cells, thereby reducing fat deposits. Accent Prime treats the face and body, thanks to the combination of two technologies—RF waves with the highest safe power, and ultrasonic impulses. This enables body contouring by ultrasonic fat melting and radio-frequency thermal tightening of the skin. As a result, it becomes possible to sculpt the body in areas that have previously been hard to treat—for example, around the knees, arms, bra area and abdomen. The dual technology combines the ultrasound fat melting with radio frequency skin tightening for an unbeatable combination and result, with no downtime. Maintenance is necessary once the series is completed to keep skin tightened.
Results
We recommend a treatment course of a minimum of five sessions for ideal results. However, many patients can achieve a good result within a single session. Many patients experience instantaneous improvements, with a noticeable circumferential reduction after their session. Within three to five weeks of treatment, patients will continue to see a significant circumferential reduction and body contouring of the treatment area. The Accent Prime consistently delivers satisfying results to all our patients.
Consultation
During your consultation, the appropriate treatment is recommended to you based on the specifics of your body and goals.Your consultation will be a personalized meeting where you will be able to point out the areas of your body that concern you the most. Together, we will discuss your health background and health-habits before we determine the best course of action. At the end of your consultation, you will come away with a completely customized treatment plan and cost break down tailored to you.At the Plastic Surgery Specialists of Marin County, we offer a number of non-invasive, energy-based anti-aging, rejuvenation, and body sculpting modalities. Your goals are our priority, so we always match the most appropriate treatment that will achieve the best results for your body. There are no one-size-fits-all treatments.
Accent Prime's All-In-One System Includes:
Contact our Marin County office to learn more about Accent Prime, the next-generation anti-aging and skin rejuvenation platform.
Face & Body Contouring
Fat Reduction
Skin Tightening
Cellulite Reduction
Skin Rejuvenation
The Benefits of Accent Prime
If you're looking for a way to slim your figure, lift sagging skin on the face or reduce cellulite without undergoing surgery, be sure to ask about Accent Prime. This treatment has a dual-action system that achieves great results. The Accent Prime system is a patented technology designed to provide profound skin rejuvenating results quickly, conveniently and comfortably. Accent Prime treatments offer a number of benefits such as:
Versatility
With multiple technologies packed into one system, you can achieve fat reduction, skin tightening, wrinkle reduction, and cellulite reduction. The system's hand-held treatment head offer flexibility for treating face, neck, decollete, arms, abdomen and thighs.
Convenience
A single Accent Prime treatment session can be complete in 20 minutes! Many patients are in and out of treatment during their lunch breaks.
Non-surgical
Precision radiofrequency and ultrasound energies do all the work, affecting deep tissues and the subcutaneous fat all without damaging surrounding body structures or requiring a single incision. Receiving an Accent Prime treatment involves no side effects or downtime whatsoever. With Accent Prime, the following areas of the body may be treated for tightening and contouring.
Treatment Areas
Face and Submental
Reduce fine lines, wrinkles and lax skin for a tighter, lifted appearance. Sagging skin under the chin (submental fat) can be reduced and sculpted for treating the appearance of a false double chin or turkey gobbler. The penetrating powers of Accent Prime's ultrasound heating trigger a localized restorative action in your skin. Collagen fibers, essential building blocks to youthful, taut skin, go to work rebuilding your skin for a lifting effect. Skin laxity is restored, giving your skin the ability to resist the effects of gravity and hold a smoother, contoured form.
Arms and Back
Lax skin under the arms creating the appearance of "bing" or "bat wings" can be significantly lifted and tightened for a slimmer, youthful profile. The skin under the arms is notoriously difficult to maintain through healthy habits and are especially vulnerable to the effects of aging. The ultrasound waves tone and lift sagging skin, destroying excess fat and rebuilding skin-firming collagen fibers.
Stomach – Abdominal Area
The stomach and abdominal area, for many of us, is especially problematic because fatty deposits can collect, creating a pooch or flabby belly. Even with regular exercise and healthy dieting, excess fat can remain. Accent Prime achieves significant circumferential, body contouring, skin tightening, and stretch mark reduction. You can reduce your belly fat with a series of 20-minute treatments. Typically collagen-building requires a series of treatments, because the collagen reacts to repeated thermal stimulation and gradually rebuilds the skin's "scaffolding", smoothing out dimples and improving skin texture.
Legs, Thighs, Buttocks
Cellulite and the bumpy, wavy appearance of skin around the thighs and buttocks can be frustrating, because even if we exercise regularly and maintain a healthy weight, the cottage-cheese look remains. Accent prime's ultrasound energies work under the skin to stimulate collagen fibers, thereby restoring a smooth, taut appearance of the thighs and buttocks.
Is Accent Prime right for me?
The Accent Prime treatment is a great option for adults who are in good health, and who wish to lift, tighten and firm areas of the body, and reduce wrinkles in the face and neck. Whether the sagging is due to aging or excess fatty deposits, Accent Prime can achieve results without requiring surgery or downtime. The system's multiple non-invasive modalities are effective for treating all skin types and is gentle enough for sensitive areas such as the face and neck. Schedule your consultation with the Plastic Surgery Specialists to learn more about how this all-in-one treatment can help you achieve your most beautiful self. You may be an ideal candidate for treatment if:
You are experiencing sagging skin around the neck and under the chin
You are struggling to reduce flab and sagging in the abdominal area and flanks.
You have cellulite around the thighs and buttocks
You have "bat wings" or sagging skin under the arms.
Complementary Treatments and Alternatives
CoolSculpting
Another modality we offer is the CoolSculpting, non-invasive body sculpting treatment. CoolSculpting is one of the most advanced body shaping treatments in the world, capable of targeting stubborn deposits of fat on many areas of the body and achieving great results by freezing fat cells! The treatment can take as little as an hour and is performed in-office, non-surgically and requires no downtime after treatment. The CoolSculpting system is ideal for focused fat reduction and is versatile enough to address many areas of the body such as the stomach, buttocks, and thighs.
Platelet Rich Plasma "Vampire Facial"
For comprehensive facial rejuvenation, skin tightening, and skin blemish treatment, the Platelet Rich Plasma "Vampire Facial" is a great option for combination treatments. Both celebrities and beauty experts are talking about how the Vampire Facial achieves great results for anti-aging, anti-wrinkle, and skin brightening. Combining the revitalizing powers of Platelet Rich Plasma serums derived from your own blood sample and the deep-penetrating abilities of microchanneling, the Vampire Facial infuses your skin with essential nutrients and Platelet Rich Plasma that only your own body can provide. This treatment harnesses your body's own natural fountain of youth to address skin laxity, fine lines, wrinkles, and dullness.
How Does Accent Prime Work?
Accent Prime is the most advanced skin tightening and body contouring platforms in the world. The pioneering, dual capabilities of ultrasound heating and radiofrequency set the Accent Prime system apart from all the rest. The system features Alma's patented unipolar technology, which offers three levels (epidermis, dermis, and hypodermis) of penetrating depth. Unipolar technology allows for customized treatment courses that may be tailored according to specific skin concerns and goals.
Cold mode
When set to cold mode, Accent Prime's ultrasound waves achieve selective lipolysis. Selective lipolysis is simply the term for the targeted fat breakdown. The ultrasound waves emitted by the treatment head result in acoustic pressure that breaks down membranes of fat cells. Broken fat cells are then metabolized by the body and removed naturally in the weeks after treatment.
Hot mode
Accent Primes's "hot mode" achieves improved lymphatic drainage and sends your metabolic processes into high gear. Radiofrequency energies stimulate localized collagen production, which is essential to rebuilding skin firmness and reducing laxity. Radiofrequency heating modes are ideal for treating sagging around the face, neck, decollete, arms, and thighs.
The Treatment Experience
Your Accent Prime treatment is performed in our state-of-the-art office while you are awake and resting comfortably. The hand-held treatment head is passed over the treatment area in a gentle, massage-like fashion. There is no pain or discomfort and you can return to your normal, daily activities as soon as the session is complete.
No pain
20 Minutes Per Session, Per Area
Zero Down Time
Reliable Results
All Skin Types Treatable
CoolSculpting
What Is the CoolSculpting Device?
CoolSculpting treatments help our Marin and Napa County patients reduce fat in an innovative non-surgical way. Cleared by the FDA in 2010, the technology used by the CoolSculpting device is called cryolipolysis. This process has been extensively studied and developed by Harvard researchers to freeze and destroy unwanted fat cells while leaving the nearby tissue untouched. Treatment with the CoolSculpting device doesn't require an incision, needles, or anesthesia. After just a single, brief procedure at our center of excellence, the frozen fat cells are effectively destroyed and flushed from the body through its normal metabolic processes. The result is a noticeable fat reduction of about 25% per treatment, which can be repeated. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are proud to offer this effective, non-surgical treatment for our patients. If you are considering a CoolSculpting treatment and live in Greenbrae, San Francisco, Santa Rosa, Novato, or surrounding areas, please request a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
Good Candidates
Good candidates are adult men and women who are not significantly overweight but are still bothered by the presence of excess fat on their abdomens, backs, thighs, knees, arms, bra roll, and chin. And other areas. Because it targets fat that is isolated in these specific areas, the coolsculpting procedure is considered a good liposuction alternative, particularly for those who would rather avoid the downtime associated with surgery*. For patients who are more concerned with cellulite, accent prime may be a better choice*. During your consultation, dr. Poulos, dr. Douglas or dr. Hvistendhal can help you decide which course of action is best for you.
The Procedure
Each CoolSculpting treatment is completely non-invasive, and doesn't require anesthesia. During the procedure, a qualified member of our medical staff leads you to a treatment room, where you'll take a seat in a comfortable chair or bed. Your technician marks the area you'd like to treat and applies the CoolSculpting applicator head. Once it's turned on, the applicator uses suction to draw up the targeted bulge between cooling plates. If you want to target an area that doesn't have a "pinchable" bulge, such as the thighs, your technician may apply a different applicator head that doesn't require suction and simply lies flat against your skin. The device then goes to work freezing the fat. During this time, you may briefly feel a cold sensation that dissipates to numbness as your body adapts. A typical CoolSculpting procedure lasts about an hour for each part of the body that's treated. At Plastic Surgery Specialists, we offer a special version of this procedure called CoolSculpting Plus, the cool way to get hot! A CoolSculpting Plus treatment lets you accomplish 2 aesthetic goals at once by reducing fat and tightening skin. Freeze unwanted fat in your abdomen, hips, or thighs while you tighten skin with the radiofrequency heating in the intervals between fat reduction treatments using Venus Legacy treatment. Our professionals will help you determine whether CoolSculpting Plus is a good option for you.
After Your Procedure
Unlike other more invasive forms of body contouring, a CoolSculpting procedure doesn't require any measurable recovery time or activity restrictions. Although some people experience residual redness, swelling, or soreness following a treatment, these symptoms are temporary and resolve quickly on their own. Most patients return to their typical daily activities, including exercise, immediately after treatment.
FAQs
How long will results last?
The results of your CoolSculpting treatment can last indefinitely by simply maintaining a steady weight. As with other body contouring procedures, patients who continue to eat healthily and get regular exercise after their procedures can enjoy their results for years.
Is the CoolSculpting procedure safe?
Yes. The CoolSculpting device has been extensively studied and uses FDA-cleared technology to safely freeze fat cells. The safety and efficacy of CoolSculpting treatments are well documented, and thousands of people around the world have undergone treatment with no adverse effects.
Is the CoolSculpting device a replacement for liposuction?
No. Although a CoolSculpting procedure can reduce fat, it is not a perfect, equal alternative to liposuction. Liposuction is often appropriate for patients who have more significant body fat. Liposuction can also treat smaller, more targeted areas of the body, such as the neck and chin. Our doctors can help you choose which procedure is best for you.
What kind of results can I expect?
A single CoolSculpting treatment has been shown to reduce body fat by about 25% per treatment in the targeted area and may be repeated at about 60 day intervals. In practice, this means that you'll likely notice an improved, smoother contour. Your clothes may also fit better, and you'll likely feel less self-conscious in swimwear or tight-fitting fashions.
Latest Coolsculpting Posts From Our Blog
The Science of Killing Your Fat
Read More at: https://www.psspecialists.com/coolsculpting/the-science-of-killing-your-fat/.
How Long Do Non-Surgical Procedure Results Actually Last?
Read More at: https://www.psspecialists.com/aging/how-long-do-non-surgical-procedure-results-actually-last/.
Common Cosmetic Procedures Needed After Weight Loss
Read More at: https://www.psspecialists.com/coolsculpting/common-cosmetic-procedures-needed-after-weight-loss/.
Emsculpt
EMSCULPT is a new technology, revolutionary in its ability to create muscle contraction that you simply can't on your own. 30 minutes equals 20,000 sit-ups. If you frustrated with that last bit of fat on your abdomen or lack definition of your buttocks, EmSculpt can help. PSS now offers EMSCULPT treatments to our patients who want to non-surgically create the "six-pack" abdomen, or build the buttocks. This device creates beautifully defined muscles and helps with your performance. EMSCULPT is the gold-standard technology that is FDA-cleared to reduce fat and builds muscle at the same time in a single session. When you don't want to reduce fat in the buttocks area, we can change settings to only build muscle. Get shapelier and stronger in 30 minutes. With EMSCULPT, muscle sculpting and fat reduction have never been easier! Contact us and schedule your consultation today!
What is EMSCULPT?
EMSCULPT is a revolutionary procedure that implements HIFEM technology to build muscle and improve your body's contours. Surgical procedures can reduce fat, but cannot create muscle, and require recovery and time off work. This device allows you to create, in 30 minutes, what you might be able to create in hours and hours at the gym. EMSCULPT is an FDA-cleared technique that will work out your muscles without the need to spend hour after hour at the gym. Following the procedure, your abdominal muscles or buttocks may be sore, but the device has a setting that helps remove the lactic acid build up so most experience very little soreness. Efficiency is something we all long for in our busy lives. Statistically speaking, EMSCULPT creates 16% more muscle and reduces fat by 19%. Not bad for 6 sessions of 30 minutes done at lunchtime. HIFEM stands for High-Intensity Focused Electromagnetic energy and causes your muscles to contract during treatment. The outcome is a toned, sculpted body that is achieved without incisions, injections or scars.
Build and Sculpt Muscle While Reducing Fat
EMSCULPT is a procedure to help healthy men and women lose stubborn fat and build muscle. This stubborn fat is called subcutaneous fat and it is found just under the skin. This fat can be especially difficult to remove because the body stores it as an emergency source of energy. EMSCULPT will help burn off this extra fat and build your muscles. This treatment is revolutionary because of this dualistic approach to sculpting the body. Tried and tested, EMSCULPT has been proven safe and effective. For your body contouring needs, EMSCULPT will help deliver great results without downtime, and help with your fitness goals. Strengthening core and buttocks areas help tremendously in running, cycling, yoga, and more. Relief of back pain has been reported as a lovely side effect, and we know this affects about half the population. Many struggle to strengthen these areas on their own, and often have trouble maintaining the regimen to keep those areas strong. We will soon be able to offer treatment for the biceps and triceps, to tone and shape the arms.
Benefits
EMSCULPT is entirely nonsurgical and can be done in 30 minutes. Not only will this procedure transform the way you appear non-invasively, but it will also provide natural improvements in the contours of your body while making you stronger and more fit.
EMSCULPT Candidates
Ideal candidates for this procedure will be healthy, active men and women who are looking to lose that last bit of fat and gain muscle mass. Many women pursue this treatment because it will slim their waist and contour their butt, making it appear more lifted and round. Many of our male clients receive EMSCULPT to improve the definition of their abs. EMSCULPT your buttocks for a non-surgical bum lift that will leave your butt perky and smooth! Ab sculpting will help you feel confident without your shirt on! If you are interested in a non-surgical bottom lift and achieving defined abdominal muscles, EMSCULPT may be your perfect solution. At PSS, our goal is to help you find the treatment that will give you your ideal body in the most efficient and appropriate method for you and your lifestyle.
PSS: Top Emsculpt Provider Near You
During your private meeting, you will meet with one of our board-certified doctors. They will walk you through the EMSCULPT process and what your results will look like. Most patients are recommended to undergo four treatments to achieve their best outcome. These treatments are spaced out by a couple of days. A treatment package of six sessions is prescribed to achieve the optimal result. Maintenance packages are recommended to retain the strength and shape you've created. We can easily create a monthly payment plan, and this makes it effortless for you to get in, get treated, and schedule your quarterly maintenance treatments. The doctor assisting you will ask about your medical history and current lifestyle. EMSCULPT is ideal for active individuals. Once EMSCULPT has been deemed a good option for you, your treatment will be created. EMSCULPT cannot be used on individuals with metal implants. At PSS we want our patients to be educated and informed about the many aspects of their procedures. We encourage you to write down your questions and bring them to your consultation.
Emsculpt Treatment
During a procedure, the emsculpt applicator will be placed on the area to be treated. The device can treat abdominal muscles, buttocks, arms, thighs and calves. The applicator will be secured and, once you are comfortable, will emit electromagnetic waves. These pulses of energy will contract your muscles at high speeds, causing fat to be broken down and muscle to build quickly. The treatment will take about thirty minutes for each areatreated. The patient sits or lies prone on a comfortable, adjustable treatment table. Patients can read or simply relax during the session, then return to their regular schedule directly afterwards.
Results
Most patients require six treatments to achieve the sculpted, toned outcome they desire. It is important to maintain a healthy lifestyle and strengthening and toning the body with EMSCULPT really encourages that lifestyle. The increased muscle mass and tone will last as long as it is worked, but like all muscle, "Use it or Lose it" is a true axiom. We recommend quarterly treatments to help maintain the muscle and fat loss as you continue with your healthy lifestyle and workouts.
EMSCULPT Treatment Cost in Marin County
The cost of your EMSCULPT procedure will vary based on how many treatments are planned out to give you your best results. If you are interested in the simple, yet significant ways EMSCULPT will improve your appearance, schedule a consultation with us today at (415) 886-0777.
Here are some questions to get you thinking about the treatment:
These questions should get you thinking about the EMSCULPT treatment and what you wish to achieve with the treatment. Before you leave, you and your doctor will plan out your future appointments and they will inform you how to best prepare for the treatment. If you have any more questions that are not addressed in your consultation, please give our office a call so we can assist you!
When will I see my results?
What is needed from me to ensure my best outcome?
Do you have before and after photos of previous EMSCULPT treatments?
What will the treatment feel like?
How many treatments do you suggest for me?
FAQs
Does Emsculpt Last?
Yes! Your EMSCULPT results will last months or longer with continued healthy habits. Maintenance appointments will help keep your results consistent. Another great way to keep your defined abs or lifted booty is to keep an active lifestyle. At PSS, we not only want to give our patients incredible treatments, but we also want to set them on a path of healthy living. We encourage you to work out and use EMSCULPT as a way to jump-start the results you've always wanted to achieve.
Does Emsculpt Hurt?
Emsculpt sessions are not painful, but treatment will feel like an intense workout. People report being able to feel their muscles contract but most patients are able to rest comfortably, read and carry a conversation during the treatment.
How Long Do Emsculpt Results Last?
Your results may last up to six months or longer with proper maintenance. EMSCULPT will help improve these areas and give you the results you desire.
How Much Does Emsculpt Cost?
The cost of your EMSCULPT treatment will be based on the number of treatments you plan on getting. For more specific estimates of EMSCULPT prices, call our office.
Venus Legacy
The Venus Legacy is destined to become one of the most exciting skin tightening and cellulite treatments available.
Why? Because the Venus Legacy is fast, painless (the Venus Legacy treatment actually feels good, most agree) and produces superior results. Venus Legacy is a popular cellulite treatment in San Francisco and has become the latest craze in the media, quickly becoming the preferred treatment for the celebrity crowd. Venus Legacy doesn't replace surgical procedures, of course, but it can make a discernable difference in six to eight sessions (about a week apart) for anyone.
The Venus Legacy, offered in Marin County by Plastic Surgery Specialists, is a non-invasive treatment that combines pulsed magnetic fields and radio frequency to penetrate all three layers of skin—epi
Venus Legacy treatments improve the flow of blood, and encourage the formation of new blood vessels, which in turn stimulate the production of collagen and elastin fibers. The Venus Legacy is appropriate for improving cellulite, tightening skin and reducing the appearance of wrinkles. It can be used all over the body, including face, neck, arms, abdomen, thighs, and buttocks.
Latest Venus Legacy Posts from Our Blog
How Long Do Non-Surgical Procedure Results Actually Last?
Read More at: https://www.psspecialists.com/aging/how-long-do-non-surgical-procedure-results-actually-last/.
3 Top Non-Surgical Procedures
Read More at: https://www.psspecialists.com/coolsculpting/3-top-non-surgical-procedures/.
Vaginal Rejuvenation
At PSS we work hard to bring you new technologies that can make your life richer, more satisfying, happier. Whether it is feeling better about the healthy glow of your skin, or the more svelte shape of your tummy, we love to help you achieve those results with our knowledge and technologies. With that in mind, we've introduced Viveve; a revolutionary treatment to help women with vaginal discomfort, dryness and urinary incontinence. All of these symptoms are related to loss of elasticity of the vaginal tissues which can occur with childbirth, menopause or at times just a consequence of aging. Viveve uses a clinically-proven technology: cryogen-cooled monopolar radiofrequency to deliver gentle heating to build collagen and elasticity, while cooling delicate surface tissue which minimizes any discomfort with the treatment. The procedure is comfortable, 30-minute outpatient treatment performed by our licensed female providers. Currently Viveve technology is used in many countries around the world to benefit the health and well-being women globally, and is now available locally at PSS.
How Viveve Works: A three-for-One treatment to treat laxity, dryness and incontinence.
The Viveve treatment is a respectful, comfortable, 30-minute, in-office treatment.No numbing medication is necessary. The practitioner inserts a treatment tip (the size of a thumb) just inside the vaginal opening. This tip is then circumferentially rotated around the opening of the vagina to deliver just the right delivery of alternating pulses of heating and cooling. Collagen is stimulated with the application of the heat, thereby replenishing the tissue with more elasticity and cushioning. Patient's baseline level of laxity and natural response mechanisms vary, but results typically peak at about 90 days and are still evident at 12 months. Because our skin is constantly aging, we recommend a yearly touch-up, though some patients' benefits will last longer.
How Common is Vaginal Laxity?
Do you experience a decrease in sensation or pain during intimacy? Do you feel airflow in your vagina? Do you have less satisfaction with your partner during intimacy? Vaginal laxity is one of the most common OB/GYN complaints. It is extremely common post-vaginal delivery.
How Common is Vaginal Dryness?
V?Loss of lubrication accompanies loss of thickness and elasticity of the vaginal tissues and further adds to symptoms of pain during intimacy. Stimulating collagen brings elasticity back to the tissue, reducing dryness and discomfort and there is almost uniform report of markedly enhanced sexual satisfaction.
How Common is Incontinence?
Studies show that at least half of older women may have some form of incontinence. Urinary incontinence, or loss of bladder control, is an embarrassing problem for millions of women. It affects your social life, your athletic pursuits, even your ability to travel. The main symptom is urinating unexpectedly, but there are different types of incontinence. If you leak a bit when you laugh, cough, sneeze, jog, or lift something heavy, you may have stress incontinence. This is the most common bladder control problem in younger women. Stress incontinence happens when the muscles and tissues around the opening of the bladder get weak. When there's more pressure against the bladder and this opening doesn't stay closed, leakage happens. Pressure from coughing or laughing may be all it takes for you to leak. There are a few reasons why these muscles can lose strength: They may be stretched by weight gain, a sports injury, or pregnancies and vaginal childbirths.
Options for Fixing Vaginal Laxity and Incontinence
There are alternatives to nonsurgical procedures. A surgical fix carries all the risks of surgery; pain, recovery, downtime and expense. Kegel exercises can help strengthen muscles in the pelvic floor, but cannot affect the skin and tissue around the vagina. Viveve works in a quick, painless 30-minute procedure that allows you to walk out the door and on with your day. It starts rebuilding collagen immediately and typically works in less than 30 days. A small amount of time for a lifetime of enjoyment.
How it works
The Viveve technology is the only one that algorithmically controls the cooling to prevent any tissue damage or discomfort, while effectively sending heat deep into the tissue to promote collagen stimulation. The deep tissue stimulation requires heating at a substantial depth to stimulate collagen renewal. This depth is achieved by radiofrequency combined with superficial cooling to prevent any discomfort or damage to the topmost delicate skin and tissue. Called cryogen-cooled monopolar radiofrequency (CMRF), this technology delivers volumetric heating at precise temperatures to stimulate robust neocollagenesis. Reverse thermal gradient – cools and protects the surface mucosa while enabling significant heating of deep tissue; Capacitive coupling – distributes energy evenly across the treatment tip for uniform heating; Reproducible delivery -parameters and algorithms are preset for controlled heating and cooling; Monopolar energy penetrates 3-5 mm deep into connective tissue.
The Only Treatment Tested in a Large-scale, Multicenter Study
The importance of validated clinical evidence for the Viveve treatment cannot be overstated because often with women's health and wellness there is a lack of serious attention to scientific rigor. The study was randomized, blinded and placebo controlled. Clinical evidence is there. Drs. Poulos, Douglas and Hvistendahl insist on bringing only proven technologies to PSS, to benefit our patients and offer them the best treatment available.
Why Women Want the Viveve Treatment
The treatment is designed for improving women's health and overall quality of life
It is comfortable, discreet and one session
They can FEEL the difference
Visible Vein Treatment – Sclerotherapy
Are you bothered by the appearance of spider veins or varicose veins on your legs? Visible veins just beneath the skin can be an eyesore and are extremely common in otherwise healthy individuals. Discolored, bulging veins can leave you feeling extremely self-conscious about wearing shorts or revealing your legs. You can say goodbye to those visible leg veins, spider veins, and telangiectasias with sclerotherapy, a safe, simple, but effective solution that leaves your skin vein-free. In a little under an hour, you can erase visible veins for good!
What is Sclerotherapy?
Sclerotherapy is a proven treatment that works to erase visible leg veins, spider veins, and varicose veins. The treatment is non-surgical and is performed on an outpatient basis, meaning you will be on your feet and able to go home as soon as the procedure is complete. With this treatment, you can permanently remove specific, visible veins, spider veins, and varicose veins for a natural, healthy, vein-free appearance. Specialized formulations of a saline solution (which is essentially salt water) are injected into the visible veins. The active ingredients in the injection constrict the walls of the vein, effectively shutting them down and triggering the body to absorb them over time. Sclerotherapy is recommended to those who are dissatisfied with the appearance of leg veins, spider veins, or telangiectasias on the face or body. Individuals who experience soreness, swelling or redness in the areas around their visible veins can find relief through sclerotherapy treatment.
Is Sclerotherapy right for me?
If you are in otherwise good health and are bothered by the appearance of spider veins, and visible veins on the legs, face or body, you can benefit from sclerotherapy treatment. Sclerotherapy is highly effective and safe for treating any type of abnormally visible vein. You may be an ideal candidate for sclerotherapy if: You are not currently pregnant or breastfeeding; Have realistic expectations of your treatment; You want to eliminate the appearance of visible veins on your legs, face, or body. Sclerotherapy is a great treatment for removing unsightly veins for adult men and women. It is a straightforward, proven technique that has been in used for nearly 100 years. Today's modern sclerotherapy techniques can deliver vein-eliminating results right before your eyes during treatment! The best way to determine if sclerotherapy is right for you is by scheduling a consultation with our experienced vein-treatment staff at PSS.
Consultation
Each person's body is affected by visible veins in its own way and the best treatment for one person may not produce the same result for another. Consultations are personalized, comprehensive vein examinations that will help you determine a specific treatment plan. Our experienced vein specialists will meet with you one-on-one to discuss your goals. Together, you will go over each step of the sclerotherapy treatment experience, preparation steps, and recovery. You will be able to do point out specific offending varicose veins and a customized treatment plan will be tailored to your body. At the end of the consultation, you'll receive a personalized cost breakdown. Our goal is to provide each patient with a comfortable experience and total confidence in their treatment.
Types of Visible Veins
Most people will come across two types of visible veins, larger varicose or tiny spider veins. Visible veins can appear anywhere on the body but are usually apparent on the legs, nose, neck, and face. Varicose veins are larger, raised blood vessels that are visible through the skin. Spider veins are smaller, sprawling networks of veins that usually red, or purple. Spider veins are commonly found on the nose, chest, or face and are also known as telangiectasia. Overall, visible veins impact about 60% of adult men and women total. Spider veins tend to appear in women more often than in men at a rate of nearly double. With varicose veins, sometimes a throbbing pain or cramping in the legs may occur with larger veins, but typically these are not a danger to your health. The Plastic Surgery Specialists are experts in spider vein treatments and have a partnerships with a varicose vein experts for addressing deeper vein problems.
What causes visible veins?
Risk factors for developing visible veins: Sedentary lifestyle; Aging; Heredity; Obesity; Stress; Hormonal fluctuations during pregnancy, puberty or menopause; Constipation. Over time, the system that delivers the blood supply to our bodies may weaken. Our circulatory system delivers oxygen-rich blood from the lungs to the rest of the bodies. Pushing blood from the heart all the way to the extremities is an intricate system that uses valves to prevent backflow. The valves are especially important for blood flow leaving the legs and extremities that is returning to the heart. When these valves become overworked, blood flow that moves up your legs, for example, may be prone to pooling. The congestion increases vein pressure, which ultimately leads to bulging and twisting that is prevalent with varicose veins. Veins that are closer to the surface of the skin are not as well protected by muscle, which leaves them more vulnerable to become varicose or spidering. Other factors such as pregnancy, obesity, constipation, and a sedentary lifestyle are known risk factors for developing varicose veins. Muscles that are in poor condition and overall poor heart health can lead to weakened blood-pumping action of the circulatory system. Sitting with your legs crossed for long periods of time is also known to worsen the appearance of varicose veins. Working outdoors and too much exposure to the sun can also put you at risk for developing spider veins and varicose veins. Regular exposure to high heat and the sun's ultraviolet rays without adequate sun protection causes the release of harmful free radicals in the skin. Not only does this effect lead to spider vein development, but it also speeds the effect of aging of the skin.
How does Sclerotherapy work?
Sclerotherapy is performed by injecting a "sclerosant" which is a solution mostly made of a specific solution of saltwater. Different concentrations are available depending on the type and size of the vein to be treated. The formulation of saltwater, when injected into veins, breaks down the internal lining of the vein, setting in motion your body's clotting reaction. Eventually, the clotting action closes off the treated vein and your body naturally reabsorbs it.
Your Sclerotherapy Treatment
A sclerotherapy treatment is performed in our state-of-the-art office and each session can be completed within an hour. For treatment of larger varicose veins or widespread networks of spider veins, multiple treatment sessions may be required. Local anesthesia or a topical numbing agent may be used to numb the treatment area and ensure you are comfortable. A small-gauge syringe called a butterfly needle is typically used to inject the salt solution directly into the spider veins. You may notice that the visible veins immediately disappear as they are injected. Some individuals report a tingling or mild itching during injection. To improve blood flow, you may be asked to move your ankles or a light massage may be applied. Each vein will be directly injected with the solution until the desired result is achieved. Even large areas requiring multiple injections can be treated during the same session.
Sclerotherapy Results and Recovery
For smaller vein networks, they can disappear as soon as they are injected, but some redness and bruising can appear. Sclerotherapy is highly effective but some veins may require two or three treatment sessions to completely disappear. Once the session is complete, compression garments or compression stockings must be worn at all times to assist with healing during the first 72 hours. For the first three days, the compression garments only need to be worn during the day. Wearing compression garments after treatment ensures blood does not return to the treated veins and the best results are achieved. You should avoid vigorous exercise for the first three days, but you must walk around for 20 minutes a day to keep blood flowing. Heavy lifting or intense physical exertion should be avoided for at least a week, but you may otherwise get back to your routine as soon as possible. You should not sit for long periods of time for the first three days after treatment. A long plane flight or car ride is not recommended directly after treatment. Veins could take from between 1 to 6 treatments to fully resolve. There will be a follow-up assessment a week after for follow care. Additional treatment sessions are usually scheduled six weeks out from your initial treatment.
How Much is Sclerotherapy?
We will do a thorough assessment of your areas of concern, and come up with a plan. Typically treatment is a single session but, occasionally, veins have to be retreated. You will receive an accurate quote for treatment at the end of your consultation.
Dermal Fillers
Facial Fillers
Some of the most popular facial rejuvenation techniques are dermal fillers, which our marin, Napa, and sonoma county patients use on a regular basis. These simple treatments are safer than surgical procedures and can be done over lunchtime with no downtime. The needle that delivers the filler is so small there is typically little discomfort, especially if topical numbing cream is applied. With a knowledgeable and artistic eye, results can be remarkable, especially to restore volume to the face (called the liquid lift) or plump lips and even reshape the nose. Fillers cost less than surgery, but are not permanent. Depending on the filler, they can last from six months to two years. They are a great alternative for someone who wants to look less gaunt and more youthful but is not ready for surgery. Virtually no downtime is an enormous plus for this solution in the battle against aging. Men and women interested in dermal fillers come to our greenbrae practice from corte madera, mill valley, san rafael, and throughout marin county. Request a consultation with one of our board certified plastic surgeons, or call our office at (415) 886-0777 to schedule an appointment.
Facial Fillers, Including Fat Transfer
It is a cruel irony of aging; as we grow older, we seem to accumulate fat around our middles, but lose it from our face. Think of a youthful face, and you'll most likely picture a face with full, rounded cheeks. That's because fat plays a large part in filling out the skin and keeping our faces looking smooth and supple. Aging also results in a loss of collagen, which our bodies stop producing around age 25. To a lesser degree, our facial appearance is also affected by the loss of muscle and bone that accompanies the aging process. The combination of these factors add up to an overall decrease in facial fullness. More and more doctors and patients are seeking to improve the appearance of an aging face by restoring areas that have lost volume
Dermal Fillers for Facial Rejuvenation
Fillers as a choice for facial rejuvenation techniques make sense for many reasons: Safer than surgical procedures; They can be performed during an office visit; Needles delivering the fillers are so small procedure often done without anesthetic; Little or no recovery time; Significantly less expensive than surgery. The only downside is that the effects of injectable fillers are not as long lasting as a surgical procedure. Men and women interested in dermal fillers come to our Greenbrae practice from Corte Madera, Mill Valley, San Rafael, and throughout Marin County.
Best Candidates
Injectable fillers are especially popular with patients who are just beginning to show the signs of aging. Older patients often find that facial fillers in combination with other procedures (laser resurfacing or Microchanneling with PRP, for example) can dramatically reverse signs of aging with very little downtime. As we age, gravity, and genetic and environmental factors cause the breakdown of the underlying tissue structure responsible for youthful-looking skin. Eventually, folds and wrinkles appear. By injecting fillers into these creased areas, the experts at Plastic Surgery Specialists can soften lines significantly, and restore volume. For example, women and men whose cheeks have sagged and flattened with age are excellent candidates for JUVÉDERM VOLUMA™ XC, a filler designed to restore volume to the cheeks. The lift and volume this filler adds can last between 12 months and 18 months. This is just one example of how different fillers can be used in different areas of the face. Please see the diagram at the top of the page as a quick reference for filler placement, formulation, and duration.
Which Injectable Filler Is Right for You?
There are many injectable fillers available, and our staff at our beautiful, state-of-the-art surgery center in Marin County can help you determine which ones would work best for your needs. Your particular facial concerns will ultimately dictate the choice you and your doctor make together. The soft tissue fillers work not only to smooth out fine lines on the surface of the skin and to fill out deeper lines, but also to augment the lips, which often become thinner with age. Applied properly by skilled our skilled surgeons and aesthetic nurses with complete knowledge of facial anatomy, dermal fillers improve and augment facial structure for beautiful, natural-looking results. A Liquid Facelift is the lifting, plumping, filling, smoothing and/or re-contouring of the face through the use of injectable dermal fillers, such as JUVÉDERM, JUVÉDERM Voluma™ XC, Radiesse, Sculptra or fat transfer. As the workhorses of facial fillers, JUVÉDERM Voluma and Volbella are popular in the San Francisco Bay Area. Skillfully injected by board-certified plastic surgeons, these fillers can minimize lines and add to facial volume, creating a more rested and youthful appearance. The doctors will recommend the filler that best fits your needs for the effect you would like to achieve. For some it may be slightly fuller lips. For others it might be diminishing nasolabial folds, or rebuilding the cheek plane to look less deflated. Please see the diagram below for a quick overview of filler choices and duration of the product. With the exception of Sculptra (a Poly-l-lactic acid base, and Radiesse which acts differently from Hyaluronic acid) all the fillers are formulations of hyaluronic acid. Sculptra and Radiesse work somewhat differently by building collagen from the inside out, and therefore it takes longer to see results.
Filler Choices
Juvéderm Volbella
New Treatment! – Juvederm Volbella. New long-lasting filler for subtle volume & fine lines. Volbella is thin and flexible, allowing a subtle transformation of fullness, and reduction of peri-orbital lines, and more. Contact Us to learn more! Now there is another Juvederm product specially formulated for more subtle, softer improvements for the lip area: Juvederm Volbella. Volbella is a thinner formulation to be used for reduction in fine peri-orbital lines, and a more subtle fullness.
Belotero Balance®
BELOTERO BALANCE® is similar to Volbella in that it is thinner than most other dermal fillers and is often used for very fine lines around the mouth and eyes. The results last about 6 to 9 months.
Radiesse
RADIESSE® is a dermal filler clinically proven to last more than a year and often up to 18 months. It is similar to JUVÉDERM and the choice is best made after consulting with a board-certified plastic surgeon who can assess your specific needs. Feel free to contact our Bay Area office today to see if Radiesse is the right filler for you.
Sculptra® Aesthetic
Sculptra® Aesthetic is a longer-lasting filler that provides subtle but long-term results, and helps gradually replace lost collagen—an underlying cause of facial aging over time. It is made of poly-L-lactic acid and is designed for shallow and deep folds and wrinkles, such as the nasolabial folds. The results are more gradual, but profound. The best part is the appearance of aging seems to stop and reverse itself, and it's hard to pinpoint exactly why the face looks so refreshed. This is a great choice for women who want a more subtle but completely natural-looking transformation to looking rested and younger.
Juvéderm Voluma™ XC
One of the most exciting fillers to come on the market in recent years is JUVÉDERM VOLUMA XC. At our San Francisco Bay Area practice, we are excited to offer this remarkable product to patients who want to restore volume and lift to the mid-face for a younger appearance. VOLUMA XC is the first filler approved specifically for the cheeks and is an excellent alternative to surgical procedures like a facelift. Marin County residents are quickly discovering the benefits of JUVÉDERM VOLUMA XC.
Best Candidates for VOLUMA XC
Plastic surgeons have known for years that the appearance of facial aging is accentuated by the loss of volume in the cheeks. VOLUMA XC is formulated to not only restore smooth, plump cheeks, but to also provide a lifted appearance to the mid-face. As a non-surgical treatment, VOLUMA XC is suitable for virtually anyone whose mid-face area is starting to appear flattened, saggy, or gaunt. Since it is made using hyaluronic acid – a substance found naturally in the body – it does not require allergy pre-testing. When performed by skilled aesthetic surgeons, VOLUMA injections result in a youthful, refreshed appearance.
VOLUMA XC Procedure
At the beginning of the treatment, a special topical numbing cream is used to enhance your comfort. VOLUMA is formulated with a local anesthetic, which means you should be comfortable during and after the injections. The treatment itself takes between 15 and 30 minutes, but may take longer if you choose to add BOTOX® Cosmetic or other dermal fillers to enhance your facial rejuvenation.
After Your VOLUMA XC Procedure
Most of our patients can return to work after the treatment and to their routine daily activities the following day. If you experience any side effects, they are typically mild and include tenderness at the treatment site, swelling, redness and bruising. VOLUMA XC instantly adds volume where it's injected and you'll notice a subtle, lifted appearance right away. The results are clinically proven to last up to 18 months although maintenance treatments with additional Voluma XC at 8-9 months helps keep you looking good and avoids the inflate/deflate appearance of waiting too long to replace filler that has been metabolized by your body and is no longer present.
Juvederm
Many women in Marin County get Juvederm lip Injections to restore fullness, Juvederm can be used successfully to reduce nasolabial folds, improve the lip fullness, reduce hollowness around the eyes, brows and cheekbones, and improve the contour of the jaw and chin. It can also improve depressions that are the result of acne or other skin irritations. The medical team at Plastic Surgery Specialists' beautiful Marin County surgery center will help you decide which product is likely to work best for you.
Best Candidates
Even though the Juvederm family of fillers presents a low risk for allergic reactions, candidates will want to consult with PSS staff before receiving treatment. Likewise, those seeking filler should be aware that the effects of Juvederm are temporary, lasting between 4 -18 months depending on the area treated, the individual filler used, and the rate at which your body metabolizes the filler. Therefore, it is important to recognize that you will need to undergo additional treatments to maintain a youthful appearance. People who frequently get cold sores around their mouths should know that cold sore outbreaks are possible after Juvederm injections. Women who are pregnant or nursing should wait for treatments. Those who bruise extremely easily should let the staff at PSS know in advance; they will be asked to stop using aspirin, anti-inflammatory medications, and asked about a few foods to avoid before receiving treatment.
The Treatment
A Juvederm treatment takes about 15 minutes. However, most people opt to have a topical anesthetic applied to their skin about a half hour before their treatment time, especially for lip injections. Topical numbing cream can both ease discomfort and decrease the chance of bruising. Many patients also enjoy our ProNox system. This minor anesthetic is patient controlled inhaled nitrous-oxide (laughing gas). To ensure safety, each patient receives a new, sterile breathing tube. After treatment you will be able to resume normal activities. You may want to avoid sunlight and any vigorous exercise that day. An ice pack should be sufficient to subdue swelling. Some patients experience temporary redness or lumpiness in the area of the injection.
How long does Juvederm last?
There is great variation among patients but generally 4-6 months. An on going treatment plan of 2-3 injections per year will be required to maintain this results, and PSS offers several Beauty Plans to help patients maintain beauty on a budget with a low monthly payment. Rarely a patient will develop a nodule under the skin, which can be dissolved with an agent called hyaluronidase.
What is the PSS Beauty Plan?
Please check with our Board-Certified Plastic Surgeons to see what can be achieved with this tool in the arsenal of facial volume loss. We offer a unique payment and maintenance plan, called our "Beauty Plan". Plastic Surgery Specialists wants to help you budget and schedule your beautiful self. Sign up for a plan:
We help determine your plan to target your concerns
Plan may include Botox, fillers, laser treatments, skin care, or more
Skincare products delivered to your door when you need them
Reminders are sent when your next treatment is due
Your charges are spread out over 12 months (easier on the budget)
No large bill for for one treatment, no finance fee
Change your plan at any time
Stop at any time
End of year bonuses for being a member
Latest Facial Fillers Posts From Our Blog
How Long Do Non-Surgical Procedure Results Actually Last?
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Restylane / Juvéderm
What are Restylane and JUVÉDERM Used for?
A Liquid Facelift is the lifting, plumping, filling, smoothing and/or re-contouring of the face through the use of injectable dermal fillers, such as JUVÉDERM, JUVÉDERM Voluma™ XC, Restylane, Radiesse, Perlane, Sculptra or fat transfer. As the workhorses of facial fillers, Restylane and JUVÉDERM are popular in the San Francisco Bay Area. Skillfully injected by board-certified plastic surgeons, these fillers can minimize lines and add to facial volume, creating a more rested and youthful appearance. The most recent addition to our menu of fillers is JUVÉDERM VOLUMA™ XC , the only dermal filler approved by the FDA for use to add lift and volume to the cheeks. It is clinically proven to last up to 2 years. It is a cruel irony of aging that as we grow older, we seem to accumulate fat around our middles, but lose it from our faces. Think of a youthful face, and you'll most likely picture a face with full, rounded cheeks. That's because fat plays a large part in filling out the skin and keeping our faces looking smooth and supple. Aging also results in a loss of collagen, which our bodies stop producing around age 25. To a lesser degree, our facial appearance is also affected by the loss of muscle that accompanies the aging process. All of this adds up to an overall decrease in facial fullness. More and more doctors and patients are seeking to improve the appearance of the aging face not through stretching the skin tighter, but filling it from the inside.
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JUVEDERM vs. Restylane
Because they are among the most popular of the vast array of facial fillers available on today's market, "Juvederm vs. Restylane" is always a consideration. They are both low cost, low risk hyaluronic-acid based solutions that can be manipulated so that the right intensity is available for each individual's needs. The differences between them are subtle. Many women in Marin County get Juvederm Lip Injections because some patients feel they get a smoother injection. Others prefer Restylane Lip Injections. Likewise, there are those that prefer Restylane under the eyes, and those that like Juvederm under the eyes. Both products can be used successfully to reduce nasolabial folds, improve the lip fullness, reduce hollowness around the eyes, brows and cheekbones, and improve the contour of the jaw and chin. They can also improve depressions that are the result of acne or other skin irritations. The medical team at Plastic Surgery Specialists' beautiful Marin County surgery center will help you decide which product is likely to work best for you. New Treatment! – Juvederm Volbella: New long-lasting filler for subtle volume & fine lines; Volbella is thin and flexible, allowing a subtle transformation of fullness, and reduction of peri-orbital lines, and more. Contact Us to learn more!
Best Candidates
Even though Restylane and Juvederm Fillers present a low risk potential for allergic reactions, candidates will want to consult with PSS staff before receiving treatment. Likewise, those seeking Juvederm and Restylane Fillers should be aware that the effects of Juvederm and Restylane are temporary, lasting approximately one year — though the exact time differs with each individual; therefore, they will need to undergo additional treatments to maintain their youthful appearance. People who frequently get cold sores around their mouths should know that cold sore outbreaks are possible after Restylane and Juvederm injections. Women who are pregnant or nursing should wait for treatments. Those who bruise extremely easily many want to let PSS know in advance; fillers may not be good for them.
The Treatments
Juvederm and Restylane treatments take only about 15 minutes. However, most people opt to have a topical anesthetic, which can both ease discomfort and decrease the chance of bruising, applied to their skin about a half hour before their treatment time. Once Restylane under eyes or Juvederm Fillers is complete, you will be able to resume normal activities. However, you may want to avoid sunlight and any vigorous exercise that might cause you to sweat. An ice pack should be sufficient to quell any swelling. Some patients experience temporary redness or lumpiness in the area of the injection. Visitors who searched for Liquid Lift or Juvederm/Restylane, may also be interested in Botox, Fat Transfers, and Injectables. Schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
FAQs
What is the difference between Restylane and Juvederm?
Both products have the same active ingredient hyaluronic acid gel. There is a slight difference in t he thickness but overall results are similar.
How long does Restylane/Juvederm last?
There is great variation among patients but generally 4-6 months. An on going treatment plan of 2-3 injections per year will be required to maintain this result.
Can these injections cause nodules?
These have been reported and already potential complication. However, these products require injection at an exact level within the skin. If appropriate levels are maintained, visible or palpable nodules are very rare. In addition, there is an agent called hyaluronidase, which can essentially liquefy and remove injection of this material. In our experience, this is rarely utilized but does have a margin of safety to injections.
Juvéderm Voluma™ XC
One of the most exciting fillers to come on the market in recent years is JUVÉDERM VOLUMA XC. At our San Francisco Bay Area practice, we are excited to offer this remarkable product to patients who want to restore volume and lift to the mid-face for a younger appearance. VOLUMA XC is the first filler approved specifically for the cheeks and is an excellent alternative to surgical procedures like a facelift. Marin County residents are quickly discovering the benefits of JUVÉDERM VOLUMA XC. Learn more about it and other anti-aging options by requesting a consultation online, or call our office at (415) 886-0777 to schedule an appointment.
Best Candidates for VOLUMA XC
Plastic surgeons have known for years that the appearance of facial aging is accentuated by the loss of volume in the cheeks. VOLUMA XC is formulated to not only restore smooth, plump cheeks, but to also provide a lifted appearance to the mid-face. As a non-surgical treatment, VOLUMA XC is suitable for virtually anyone whose mid-face area is starting to appear flattened, saggy, or gaunt. Since it is made using hyaluronic acid – a substance found naturally in the body – it does not require allergy pre-testing. When performed by skilled aesthetic surgeons, VOLUMA injections result in a youthful, refreshed appearance.
VOLUMA XC Procedure
At the beginning of the treatment, a special topical numbing cream is used to enhance your comfort. VOLUMA is formulated with a local anesthetic, which means you should be comfortable during and after the injections. The treatment itself takes between 15 and 30 minutes, but may take longer if you choose to add BOTOX® Cosmetic or other dermal fillers to enhance your facial rejuvenation.
After Your VOLUMA XC Procedure
Most of our patients take the remainder of the day off from work after the treatment and return to their routine daily activities the following day. If you experience any side effects, they are typically mild and include tenderness at the treatment site, swelling, redness and bruising. VOLUMA XC instantly adds volume where it's injected and you'll notice a subtle, lifted appearance right away. The results are clinically proven to last up to 2 years.
Sculptra
Sculptra® Aesthetic is a different kind of filler. Sculptra works subtly and gradually over time to create a more youthful-looking appearance. Unlike hyaluronic acid (HA) fillers, Sculptra helps stimulate your skin's own natural collagen production to restore its inner structure and increase facial volume that has been lost to aging. The treatment involves a series of injections spaced one month apart. Patience is required to see change, but the end results are impressive and very natural. Find out more below.
What is Sculptra?
Sculptra is an FDA approved injection that works to rebuild the collagen levels that the body loses with age. It uses poly-L-lactic acid, which is naturally absorbed into the body. By stimulating natural collagen growth, Sculptra helps correct even the deepest creases and folds and promotes rebuilding lost facial volume. The result is a younger and more radiant looking you.
How Does Sculptra Work?
Collagen is a key structural component of smooth, healthy-looking skin. As you age, your body's collagen production decreases. In fact, you lose about 1% of collagen per year after the age of 20. This is when you may start to notice the formation of wrinkles. Luckily, Sculptra can help reverse this process, even if decades of collagen loss have already occurred. What sets Sculptra apart is that it works to fix the source of wrinkles, not just the wrinkles themselves. Scultra functions at the level of the dermis, the thick layer of skin beneath where wrinkles form along the epidermis, not just topically to repair the cause of aging skin. Additionally, unlike dermal fillers that only last six to nine months, Sculptra can last up to two years. The product is completely biodegradable and utilizes no human or animal DNA. The main ingredient is poly-L-lactic acid, which is very safe and has been used in absorbable sutures for more than 30 years.
Good Candidates
If you want to achieve a younger yet natural-looking aesthetic, then Sculptra may be the right treatment for you. It is particularly effective for patients who wish to minimize the appearance of wrinkles and deep creases around the mouth. Patients should be aware that the process for Sculptra takes a little longer than other dermal fillers so the results reveal themselves more gradually (as you continue to look younger), but they last longer than hyaluronic fillers. Sculptra is not a viable treatment option for patients who are pregnant, breastfeeding, or under the age of 18. You should not take Sculptra if you suffer from keloid formation or hypertrophic scarring. One of our expert injectors at Plastic Surgery Specialists will be happy to assess your candidacy after an initial facial examination.
Your Consultation
During your initial consultation at Plastic Surgery Specialists, you will have the opportunity to discuss your concerns with your current appearance and share your aesthetic goals. Our expert injector will conduct an examination, getting a better sense of your facial anatomy, the current condition of your skin, and overall health. Since Sculptra is made from synthetic materials, there is no need for allergy testing, but it is still a good idea to tell them about any allergies you have. Based on these findings, they will be able to determine the best treatment for your case. If you are a good candidate for Sculptra, we will schedule your first treatment. At this time, we will also go over all pertinent medical information about Sculptra, including how to prepare for your treatments, what to expect during the treatment, and cost. Please feel free to ask any questions. We want you to feel as comfortable as possible in regards to your procedure. Request a consultation today to get started; please mention if you are interested in possibly receiving the injections the same day.
Treatment Process
A full Sculptra procedure usually consists of three to four injections, but depends on how much collagen has been lost. These are scheduled one month apart until desired results are reached. Prior to your treatments, you should avoid alcohol and blood thinners such as aspirin or ibuprofen for three days. Sculptra is a quick outpatient treatment session. The specialist will mark the exact locations where the liquid is going to be injected. It will be injected in a uniform pattern, as to assure even distribution. They may apply a topical anesthetic prior to minimize discomfort throughout the process, although it is not required. Keep in mind that the injection is delivered under the skin, not into it like many other dermal injectables. After the injections have been delivered, they will massage the face in order to assure that the product is distributed evenly. The procedure usually takes about 15 to 30 minutes and requires no downtime afterwards.
Recovery
One of the great things about Sculptra is that there is no recovery period or downtime that keeps you from your daily routine. Nonetheless, be aware that there may be some slight side effects directly after the treatment. These include swelling, sensitivity, bruising, and itching. The side effects should begin to dissipate within 24 hours and completely disappear in less than a week. To minimize these side effects, avoid taking ibuprofen, aspirin, or naproxen for the first two days after the treatment. Use a cold compress to reduce swelling as necessary.
Sculptra Results
Wouldn't it be wonderful to wake up everyday looking younger? That's how it feels with Sculptra. The results appear gradually over the course of a few months, so the procedure won't "give you away" or make it obvious that you've "had work done." You'll start to notice the results of Sculptra a few weeks after your first injection and the results will continue to improve with each new course of treatment. You can expect that the increase in your collagen levels will have an effect on the appearance of smile lines, marionette lines, and chin wrinkles. It may also increase the look of fullness in the cheeks that has disappeared over the years.
Cost
There are various factors that will determine the cost of your Sculptra treatment. It will vary depending on your aesthetic goals and how many visits are necessary to achieve these goals. Sculptra results are not permanent and will require maintenance about every two years if you wish to maintain the results. We will be able to give you an accurate cost estimate after your initial Marin County consultation at Plastic Surgery Specialists.
Benefits of Sculptra
Sculptra is an attractive dermal filler injectable for many patients. Here are just some of the benefits of Sculptra.
Fights wrinkles at the source
Improved skin elasticity
Increased facial volume
Long-lasting, up to two years
Does not contain human, animal, or plant materials
Minimal to no risks or side effects and biocompatible
Gradual results don't make it obvious that you've "had work done"
Effective at combatting deep creases
Non-surgical
Areas That Can Be Treated
Sculptra works at the dermis level of the skin, which is why the results appear gradually. But, once collagen production is increased, you'll start seeing a noticeable difference in the appearance of:
Smile lines
Also called nasolabial folds, these are the deep creases running from the base of the nose to the outer corners of the lips.
Chin wrinkles and "jowls"
Marionette lines
These lines, sometimes called laugh lines, resemble parentheses on both side of the mouth.
Sculptra vs. Other Anti-Aging Practices
Resurfacing
Chemical peels, microdermabrasion, and laser resurfacing are all good options for keeping skin looking healthy and vibrant. These resurfacing treatments work on the skin's surface to help improve the appearance of fine wrinkles, pigmentation, and blemishes. Sculptra works beneath the surface of the skin to help eradicate wrinkles and deep creases where they start to form. While chemical peels and microdermabrasion will offer faster results, the results of Sculptra will last over a year longer. Laser resurfacing can provide permanent skin improvement for some, but may not be suitable for people with darker skin tones because of the risk of discoloration. At Plastic Surgery Specialists, we can help you decide on the right treatment for you.
Injectables
There are many different types of injectables out there offering to takes years off your face. Botox, the most popular, freezes the communication between muscles and nerves to stop wrinkles from forming due to everyday facial movement. Hyaluronic acid fillers, such as Juvéderm or Restylane, inject a naturally occurring sugar already found in the body that helps smooth out wrinkles and creases. Neither Sculptra or other injectables are permanent, but Sculptra offers the longest lasting treatment plan. Sculptra works gradually, offering very natural looking resultsunlike other fillers' immediate results, which can sometimes look "overfilled".
Surgery
Facelifts, fat transfers, and facial implants can all offer extremely long lasting results that help reduce signs of aging. But, surgery isn't for everyone. These invasive surgical procedures typically require sedatives that increase risks of complications. Plus, there is a more significant recovery and healing period than a non-invasive treatment like Sculptra. Find out more about the different anti-aging procedures we offer by visiting our Education Center or make a consultation to speak with a doctor personally to see which is right for you.
Injectable
Botox Cosmetic & Xeomin
How do you reliably banish wrinkles? There are countless benefits of Botox Cosmetic injections, and a rested, youthful appearance through a non-surgical treatment lands at the top. Injections of highly diluted botulinum toxin have become one of the most common aesthetic procedures performed in the country, and Botox is certainly a favorite among our Marin County patients. It's important to remember, though, that cosmetic procedures, including these injections, depend on highly trained practitioners performing the procedures in a safe environment to get the results you want. Contact us today to see why you should get Botox injections from the board-certified doctors at Plastic Surgery Specialists.
The Science Behind Botox
When we smile, frown, squint or make other facial expressions, we are causing our facial muscles to contract. Constantly contracting of muscles creates wrinkles and loss of elasticity of the skin. When Botox is administered to specific muscles in the face, it blocks the nerve signals from activating muscle contractions. This muscle inactivation ultimately leads to the reduction of fine lines and wrinkles. This advanced treatment is relatively comfortable, quick and can provide tremendous results. Botox treatment is not permanent; it does require ongoing injections because the body will break down the Botox over time. Depending on your individual metabolism, treatments are typically needed every three to four months. The injections soften crow's feet, forehead lines, and frown lines that appear on the face as we begin to age. They do this by blocking nerve impulses, which weakens the muscles into which the facial injections are introduced. However, because of their ability to rebalance facial muscles, Botox should be thought of as facial shaping rather than simply wrinkle removal. Although this isn't as well-known, Botox injections are actually approved by the FDA to offset hyperhidrosis, a medical condition that causes excessive (and sometimes unpredictable) sweating. Botox is also approved for the treatment of migraine headaches and other important medical uses. If you've been considering getting XEOMIN or BOTOX and live in Mill Valley, San Rafael, Novato, Corte Madera, Larkspur, or surrounding communities, request a consultation at our Greenbrae office. You can also call us at (415) 886-0777 to have one of our friendly staff members schedule your appointment.
Best Candidate for Injections
Although Botox treatments do provide outstanding results, it is not a surgical facial procedure, and therefore, will not have the same results as, for example, a facelift. The ideal candidates for Botox injections are healthy men and women who are concerned about mild to moderate brow and forehead wrinkles or lines around the eyes. It is asked that patients who are looking into this treatment have reasonable expectations. Patients with severe skin laxity may get greater benefit from a surgical procedure combined with Botox injections. Patients that are not ideal candidates for Botox injections have at least one of the following: If you have any allergies to any ingredients in Botox; If there is a current skin condition or infection at the desired injection site; Pregnant or currently breastfeeding; Have been diagnosed with certain nerve or muscle conditions that can react poorly with Botox.
Where Can Botox be Injected?
Botox is beneficial to different areas of the face. Areas of the face that have mild to severe wrinkles and/or lines can be treated with this anti-aging injectable. The most commonly treated are the forehead, around the outer corners of the eyes, and fine lines that form under the mouth due to smoking. Multiple treatments may be necessary to get desired results depending on the severity of the particular case. Botox can also be injected in the armpits to counteract hyperhidrosis (excess sweating). If you have an expressive face, and the wrinkles to show for it, Botox can soften or eliminate wrinkles that cause you to look tired, anxious, or even angry (those vertical lines between your brows). Botox can provide an overall younger appearance, improving your self-image and rebuilding confidence.
Your Consultation
Our experienced team of surgeons, Dr. Hvistendahl, Dr. Douglas and Dr. Poulos as well as our aesthetic nurses who have been personally trained by them, combine an aesthetic perspective, the ability to listen closely to your needs, and the skills to achieve those desires. This combination of talent is a hallmark of a world-class plastic surgery clinic, located in Marin County, CA. When meeting with your surgeon, you will discuss the areas of concern that you feel need improvement and go over any medical history that is relevant to this treatment. These steps are necessary so that our doctors can ensure that Botox injections are appropriate for you. Many patients combine the injections with facial fillers, such as Juvederm, Voluma, for a complete rejuvenation and younger appearance. Fillers can be used to obtain more volume in the cheeks, under eyes, lips, and/or chin. This treatment allows the doctor to enhance certain features that the patient feels needs improvement, or fill deep creases that Botox cannot address. In the likelihood that your provider considers you a good candidate, it is very common for her/him to perform the injections the same day as the consultation to prevent unnecessary trips back to the office. This will be however based on your candidacy and availability. If you work in Greenbrae, Mill Valley, or other areas close to our practice, your Botox procedure can be done during your lunch hour. If you are interested in knowing more about Botox and its benefits, please feel free to ask our knowledgeable staff who are more than happy to answer all of your questions.
Injections Procedure
Once the doctor or his technicians have prepared the right dosage, he will locate the appropriate injection sites based on your needs and desired outcome. Botox is injected directly into the targeted facial muscles using a very fine needle. Often there will be multiple injections across the area of concern to ensure the reduction of the wrinkles and fine lines. The full treatment takes about 10-15 minutes and can easily be done on a lunch break. While the injections are not terribly painful, a topical anesthetic can be applied to ensure comfort. This will numb the treatment area and decrease your discomfort. Normally numbing is not necessary and the procedure is over very quickly. To achieve the desired results requires experience and a comprehensive understanding of facial muscles and anatomy. PSS prides itself in offering experienced board-certified plastic surgeons and expert aesthetic nurse injectors to consistenly deliver the best possible outcomes.
After Your Injections
Directly after receiving the treatment, patients may experience possible redness, bruising, or very minimal bleeding to the injection site(s). It is beneficial to ice these areas to help with the bruising. The doctor asks patients to refrain from exercise for at least a few hours after the treatment, as it can cause of bruising. Most people return to normal activities right away without missing a beat. In about a week, you'll start seeing the full results as wrinkles and lines begin to fade; minimal results can be seen immediately after the injections. Are you ready to look younger and more rejuvenated? Botox treatments are your next step to rid your face of the wrinkles and lines that add years to your appearance. Build your confidence and look your absolute best by working with one of our experienced doctors or aesthetic nurses who will help take years off your appearance in less time than it takes to get your morning coffee. If you've been considering Botox injections and live in Mill Valley, San Rafael, Novato, Corte Madera, Larkspur, or surrounding communities, request a consultation at our Greenbrae office. You can also call us at (415) 886-0777 to have one of our friendly staff members schedule your appointment with either Dr. Hvistendahl, Dr. Douglas or Dr. Poulos. Both of our physicians together have over 40 years of experience and have performed thousands of cosmetic procedures. This is what makes them some of the most talented and trusted doctors in the area.
Latest Botox Posts From Our Blog
How Long Do Non-Surgical Procedure Results Actually Last?
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Do You Know Your Facts on Botox?
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Jeuveau
The human face is a roadmap of emotions. It conveys joy, sadness, fear, and confusion through its every expression. But over time, this map gets obscured by wrinkles and creases. As the face ages, it has more and more difficulty smoothing the lines that form from past smiles, frowns, and other facial gestures. If you feel your face is conveying an angry expression that you are unaware of, the Jeuveay treatment can erase the scrunched brow or frown lines. Jeuveau can alleviate the stress and strain on the muscles and fine tissue beneath the skin's surface. By relaxing these muscles, Jeuveau reduces the amount of contractions that pull at facial skin. The fewer contractions a muscle makes, the less wrinkles it produces. The experts at Plastic Surgery Specialists (PSS) are aesthetic wizards, and Jeuveau is their latest and greatest magic wand. PSS is conveniently located in Greenbrae, California, and proudly serves San Francisco and the surrounding Bay Area. To learn how Jeuveau can bring serenity and smoothness to your appearance, contact Plastic Surgery Specialists at your earliest convenience.
What Is Jeuveau?
Jeuveau is a neuromodulator, in the same family as Botox. Neuromodulators disrupt the signals from the nerves to the fine muscles to which they are connected. By regulating these neural pathways, Jeuveau limits the number of repetitive contractions that a face will perform. Easing the facial muscles gives one's expression a serene, smooth demeanor. Jeuveau is an FDA approved injectable specifically designed for the treatment of glabellar lines, which are the stubborn creases found between the eyebrows. The skilled medical professionals at Plastic Surgery Specialists can administer the proper dosage of Jeuveau to target upper facial wrinkles. The immobilizing serum will release the network of fine musculature running through the eyebrow region. Jeuveau creates an even plain across the brow, conveying youth and confidence without all the lines to obscure your natural glow.
Jeuveau vs. Botox
In terms of neuromodulators, Jeuveau is the new kid on the beauty block. In fact, it is often nicknamed "Newtox" to those in the cosmetic world. Jeuveau is formulated via a proprietary technique that gives it a unique chemical makeup. Jeuveau is a purified strain of botulinum toxin type A, the same compound that gives Botox its powerful appeal. Since the two neuromodulators have a different formula, they will produce varied results from patient to patient. Because Jeauveau is a relatively recent innovation in the aesthetic realm, it has only been approved for use on glabellar lines. Compare this résumé to Botox, which has a proven track record and a myriad of applications. Botox has proven effective in treating everything from migraines to excessive sweating. While Jeuveau has some catching up to do, its ability to smooth out and erase upper face wrinkles is really raising eyebrows!
The Benefits of a Jeuveau Treatment
Confidence is priceless. When you experience the remarkable benefits of Jeuveau, your face will enjoy a whole new luster. As the worry and wear gradually disappear after a Jeuveau treatment, so will your insecurities. But confidence is the less tangible of Jeuveau's many benefits. You can see noticeable results within seven days of your first procedure, and the effects can last for up to four months! The experts at Plastic Surgery Specialists can help you determine the optimal number of units you will need to produce the results you seek. Book an appointment with one of our specialists and get ready to have your questions answered, your concerns addressed, and your outlook brightened!
Ideal Candidates for Jeuveau
If you are a healthy adult man or woman in the Bay Area, then you may be a perfect candidate for Jeuveau. Please let our attentive staff know if you are pregnant or plan to become pregnant. Also, be prepared to share your medical history, any allergies you may have, and a list of your current medications. We want to make sure that nothing interferes with your journey toward a beautiful new you!
Schedule a Personal Consultation in Greenbrae, CA
When you arrive for your individualized meeting, one of our helpful team members will usher you into a private consultation room. Our staff is well versed in the ways of cosmetic enhancement, but perhaps their greatest skill is listening. We want to hear about your aesthetic goals so that we can strategize a plan to deliver realistic, remarkable results. Our doctors are eager to help you. Dr. Stanley Poulos, Dr. Yngvar Hvistendahl and Dr. Trent Douglas are all board-certified plastic surgeons. Together, they form a triumvirate of care, compassion, and cosmetic brilliance. To get some facetime with one of the best doctors in Northern California, please call (415) 384-9787 at your earliest convenience.
Preparation for Jeuveau Injectables
If you are ready for a Jeuveau injection immediately following your consultation, then so are we! The doctor will determine if you are eligible for Jeuveau and can administer the serum directly. Talk about convenience! Since Jeuveau treatments are minimally invasive, they require no preparation. Please do not wear makeup to your appointment; but if you do, we can clean and prep the area being injected. No worries! If you want to learn more about Plastic Surgery Specialists prior to the date of your Jeuveau treatment, please visit our blog.
The Jeuveau Procedure
In addition to providing gentle cleansing of the injection site, our nurse or doctor may apply numbing cream to ensure the utmost comfort throughout your procedure. Oftentimes injections are done without numbing cream because the discomfort is minimal and resolves almost instantly. Jeuveau is administered through an ultrathin needle, so it leaves only a microscopic dot at the site of each injection. The doctors and nurse are experts on advising the number of units needed of Jeuveau to address your concerns. Jeuveau treatments are performed in the comfort of our relaxing Greenbrae clinic, and you will be provided with an ice pack if necessary to minimize any possible discomfort. The Jeuveau procedure typically takes only 15 minutes. This message bears repeating: it only takes 15 minutes to deliver this muscle-relaxing treatment to the areas of concern.
Rapid Recovery
Just as Jeuveau requires no preparation, it also entails no recovery time. You will be able to resume your normal routine immediately following your injections. For this reason, Jeuveau is considered a "lunchtime" procedure. Enjoy wrinkle-reducing enhancement with time to spare for lunch!
Ravishing Results
The Jeuveau treatment improves facial functionality in complex and profound ways. The neuromodulator reduces the release of acetylcholine in the area where it is injected. This, in turn, affects the delicate behavior of the neuromuscular junctions in the eyebrow region. To put it simply: Jeuveau releases the tension on your facial muscles, allowing a confident calm to envelop your expression.
References
Elliott, W., Chan, J. (2019). PrabotulinumtoxinA-xvfs Injection (Jeuveau). Internal Medicine Alert; Atlanta Vol. 41, Iss. 6. Retrieved from: https: //search.proquest.com/openview/2ccc51bab720e8087e63525562486320/1; Haney B. (2020) Pharmacology of Neurotoxins: Onabotulinum Toxin (Botox®), Abobotulinum Toxin (Dysport®), Incobotulinum Toxin (Xeomin®), and Prabotulinumtoxin-xvfs (Jeuveau™). Aesthetic Procedures: Nurse Practitioner's Guide to Cosmetic Dermatology. pp 83-89. DOI: https: //doi.org/10.1007/978-3-030-19948-7_10.
Complementary Procedures
Easing facial contractions is a great first step in minimizing wrinkles and maximizing aesthetic improvement. There may still be gaps below the surface of the skin, however, due to the natural aging process. As our skin gets older, it has more difficulty regenerating the building blocks of healthy skin, like elastin and collagen. When these elements fade, the skin hangs sallow and saggy.
Dermal Fillers
Dermal fillers can plump these gaps and perk up your facial features. In addition to literally filling the space beneath your skin, these injectables will also promote increased collagen production to keep your skin health on track and making progress for months to come!
Chemical Peel
While you can receive both dermal fillers and neuromodulators during the same appointment, you may want to schedule a separate visit to experience the benefits of a chemical peel. This procedure coats the face with a powerful compound to remove blemishes and inconsistencies along the surface of your skin. Your expression is as unique as your fingerprint. To leave the perfect impression on the world around you, consult with Plastic Surgery Specialists to discuss the combination of treatments that best fit your style.
FAQ
What Does a Jeuveau Treatment Cost in the Bay Area?
The price of a Jeuveau procedure depends on the extent of your treatment area and the number of units you desire. To discuss payment options, cost, and other general inquiries, please call (415) 384-9787 and one of our friendly Plastic Surgery Specialists will help.
Where Can I Get Jeuveau Near San Francisco?
Conveniently located in Greenbrae, California, Plastic Surgery Specialists offer the best cosmetic enhancement solutions in the counties of Marin and San Francisco.
Is Jeuveau Safe?
Yes. Drs. Poulos, Hvistendahl, and Douglas pride themselves on conscientious care and they are happy to bring their expertise to the Bay Area. To learn more about the benefits of Jeuveau, please contact Plastic Surgery Specialists today!
Kybella
Wouldn't it be great if you could melt away fat in areas that are the most obvious? Dissolving fat seems something out of a futuristic movie, but the fact is, the technology and technique exist today. We at PSS are always looking for the innovative procedures that will help you achieve your goals. If you are bothered by your double chin, Kybella is one of those breakthrough products. It has been proven time and again that symmetry is one of the main characteristics of what we consider an attractive face. Facial features such as high cheekbones, full lips, prominent dimples and perfect skin, factor greatly into our criteria for beauty. One of the most important features is the strong, chiseled jawline– a sought after physical trait for both men and women. We see fashion models and Hollywood actors with strong jawlines– it's a feature that almost every attractive person possesses, giving definition to the face and helping to create balance. We all want to look and feel beautiful. With time, pockets of fat can build up under the chin and around the jawline. This area, referred to by doctors as the submental fat compartment, plays a major role in the youthfulness of the neck and adds to the overall attractiveness of the face. That said, people who have excess fat in these areas often suffer from loss of confidence. For these patients, a breakthrough product called Kybella is changing how we treat the 'double chin'. Before addressing solutions, it is important to explore what causes this condition. There are several factors that affect this area with regard to fat build up and aging. Some patients have excess fat under the chin even though they are not overweight. This can be hereditary, and even after weight loss, the stubborn fat can remain. It is common for some people to have diet resistant fat in areas on their hips, abdomen, cheeks and under the chin. These patients differ greatly from those with obesity related fat deposits, because patients suffering from obesity can see an improvement with simple weight loss. Patients who have hereditary fat deposits will see little or no improvement from diet and exercise. Before now, treatment of a 'double chin' involved anesthesia and complicated, often painful techniques. Everything has changed with the recent FDA approval of Kybella. This 'magic' injectable is the very first of its kind to be authorized for use in dissolving under-the-chin fat, which is a very significant step in non-surgical fat removal. Although Kybella hasn't been approved to treat any other areas of the body, its FDA approval for under the chin fat shows that we are not far away from having injectable solutions at our disposal for treatment of ALL stubborn fat. Kybella offers a quick, relatively pain free treatment, with side effects such as swelling and tenderness for a few days. Experts at the University of Texas SouthWestern Medical Center developed Kybella. In over 20 studies they performed, patients reported improvements, both physically and mentally, after treatment. This is great news and is part of the reason why the FDA was willing to approve Kybella, so that others could experience the same positive results with very little pain or downtime, seeing immediate positive changes in their daily lives.
What is Kybella?
Kybella is a non-surgical solution for fat deposits below the chin, technically known as submental fat. Kybella is a formation of deoxycholic acid, which is a molecule produced naturally by the body which helps it to absorb fat. When your doctor or aesthetic nurse performs a series of 2-3 Kybella treatments you can expect that the treated area will not need retreatment. This is due to the fact that Kybella actually degenerates and destroys the cells entirely. After the treatment, these cells cannot accumulate or even store fat, which is what makes it such an effective product. Through a process called cytosis, deoxycholic acid creates an imbalance in the cells, forcing excess water into the fat cells and eventually causing their membranes to burst. After they are destroyed, they are metabolized by the body and flushed out naturally. It is important to know that Kybella, especially on the first treatment, will create significant swelling under the chin that can be sore and swollen for 7-10 days after the injection. The improvement of facial shape and the youthfulness of your neck area aren't the only results you'll experience. Most see an improved self-image, more confidence, and an increase in social behavior. Unlike Botox and other injectables, Kybella results last for years, making it a noteworthy and cost-effective solution for patients who have these unwanted fat deposits.
Candidates
According to studies, 7 out of 10 consumers are bothered by under the chin fat. This does not mean that every person experiencing this condition will have the results they desire from a series of Kybella injections. Doctors report that patients with moderate fat deposits under their chin area see the most significant improvements, while patients with severe fat deposits due to obesity, see only a slight improvement. In fact, patients who have a generalized excess of fat can experience an imbalanced look from Kybella treatments, but this is to be determined by your doctor and results vary.
What to expect during the consultation
The doctor will examine the area under your chin to determine whether you are a candidate for Kybella injections. In some cases, patients with sagging neck skin think that Kybella may be a solution for them. This is not the case and if you have sagging or loss of elasticity in the skin on the neck and below the chin, the doctor will recommend alternative treatments to Kybella, as it is specifically meant for patients with fat deposits under the chin. For patients with loose or sagging skin, Kybella would not have any affect on the skin itself but in combination with other therapies the fat may be reduced and skin elasticity improved. If you have excess chin fat, the doctor will determine whether it is a result of obesity only, in which case, he will inform you about what to expect after your treatment. Keep in mind that you may not see results as dramatic as may be expected if you are obese or significantly overweight. Although there will be some change, it will not be as noticeable as it is for patients who are not obese, but have stubborn fat deposits under their chin.
Procedure & Recovery
At PSS, our aim is always to provide you with the clearest path to your aesthetic goals. Not only do we use cutting edge techniques such as Kybella, but have the experience to determine which is the best option for you. A successful treatment will usually require more than one treatment session. Kybella treatments are given at least one month apart as a rule. Naturally, patients with more severe fat deposits will be recommended more injections than those with moderate fat deposits. During your consultation, one of our trusted surgeons will spend as much time as needed to decide the best procedure to treat your submental fat deposits. After your procedure, you may experience mild swelling near and around the injection area. This is normal and subsides within a few days after treatment. Slight pain may also occur but is only temporary, with most patients experiencing relief after only one day. Immediately after the injection, the area will be red and feel a bit hot. For a few days following, it may feel like there is extra fluid in the area as well. This fluid absorbs over the days following.
Cost
The cost of this procedure varies from patient to patient, as some will need more injections than others. Kybella is generally priced per vial , with 2-3 vials being used per session. A price will be determined after a consultation with your doctor. One thing to keep in mind is the long-lasting affects of Kybella. The fact that you will not need to re-treat the area for a number of years makes it quite cost effective in the long term.
Alternatives
Laser Lipolysis
This technique is a commonly used way to remove fatty tissue from problem areas. It was approved by the FDA in 2006 and shows decreasing adiposity, quick recovery times, and even skin tightening. The laser treatment liquefies fat tissues and causes small blood vessels to group together resulting in a tighter look and feel to the treatment area.
Coolmini
The CoolMini has recently been approved by the FDA and was developed by cosmetic company Zeltiq. They expanded upon their CoolSculpting technology and created the CoolMini to accommodate smaller areas of localized fat, such as the double chin. The compact applicator freezes fat at a specific temperature so as not to damage other tissue. The melted fat is then absorbed and metabolized by the body.
Necklift
A Necklift is recommended for patients who have loose or sagging skin under the chin area which cannot be treated by Kybella. During this procedure the platysma bands (neck muscles) are tightened, resulting in a sleeker, more contoured look.
Medithread
Innovation, research, and development are MEDiTHREAD's main features. MEDiTHREAD has been developed and tested by a team of engineers, physics and specialist medics, comprising surgeons, dermatologists, medical researchers, and university centers.
What is Medithread?
Meet the newest kid on the block for combatting laxity, skin texture and wrinkles. Results are astounding, the procedure is safe and effective, and the thread(s) can achieve results that filler, neurotoxins and other skin solutions just can't match. Not only does the thread lift and tighten skin, but as it dissolves, it causes the body to create more of what the skin needs to stay youthful: collagen and elastin proteins. Threads lift areas that are difficult to tighten by any other means except surgery; The composition of the thread and its insertion draw hyaluronic acid to the area, hydrating the skin; Threads are fully reabsorbed within 4 months and don't create any scar tissue; Threads stimulate collagen production and the structure created by the threads can hold up to 18 months; Threads are inserted in the tissue parallel to the surface of the skin, remaining there to act as scaffolding; PDF thread endogenous stimulation can last up to 18 months; Low inflammatory reaction, well-known in pediatric cardiac surgery.
Why Medithread?
There are a number of choices available today when combatting wrinkles, skin texture, and laxity. To truly lift the neck, the gold standard is still a neck lift. But if you would like some good results with little or no downtime, there are other options. We use filler to increase volume in certain areas to lift the lax skin underneath the area (cheeks and jowls are a good example). If volume will not lift the skin below, we now have another option; Medithread. These threads are "woven" to criss-cross the area and lift the skin. They can be used to lift the neck when barbed threads are chosen. They can even "lift" the tip of the nose, diminishing the look of a "hook nose". PSS is constantly evaluating new devices, technologies and techniques to offer our patients the best solutions for their individual needs. The Medithread falls into the category of effective and unique in its ability to address specific concerns and be results-driven. The most powerful proof for anything new is, of course, the results in the form of before and afters. The gallery shows the kind of results that are possible with Medithreads.
Benefits
The main advantage of a MEDiTHREAD treatment is that it does not require the cost or downtime of an invasive surgery. You get to save money and time with a MEDiTHREAD treatment. We prioritize our patient's care and are pleased to offer them this cutting-edge technology that is efficient and provides impressive results. If you are interested in a MEDiTHREAD lift procedure, schedule a consultation with us today!
Personal Consultation
During your meeting, you will be informed of how MEDiTHREAD can improve so many different areas of the body. You will be walked through the MEDiTHREAD treatment process and informed how it will provide minimally invasive improvements in your appearance. This meeting is your time to ask questions and learn all about thread lifts.
What to Avoid Before and After a PDO Thread Lift Procedure
Three days before the procedure, like other treatments involving injections, avoid alcohol, supplements such as vitamin E and omega fish oils. Two weeks after a PDO Thread Lift procedure you are also discouraged from undergoing any dental treatment (which requires you to open your mouth excessively.) It is strongly advised to sleep on your back to help the swelling subside and to avoid putting pressure on the face that might cause misalignment of the threads.
How Is a Medithread Procedure Performed?
PDO threads are inserted into the skin with sterile needles or cannulas. Once inserted, the barbed threads anchor to the skin and the practitioner contours the face. The excess threads are then cut off. Depending on the areas treated, the procedure may take 15-30 minutes to contour. There is slight discomfort during the procedure, but because of the improved techniques and Medithread's innovative needles, patients are experiencing less pain.
Recovery
After treatment, your treated area may be swollen and discolored. These symptoms should fade within a few days. Many patients are able to return to work after treatment but should avoid strenuous activities or applying pressure to the area.
Results
You will see an improvement in the treatment area right away but the best improvements will be seen as the threads dissolve and boost the collagen levels in your skin. Your results will last you a while and with a healthy lifestyle can be maintained to look their best.
Combination Treatments With PDO Thread Lift
A PDO thread lift can be performed alone, or together with other aesthetic medicine treatment, such as anti-aging filler injections or Botox.
Cost
The cost of your treatment will relate to how many areas you get treated and the number of threads needed to improve the locations. A cost breakdown will be gone over in your consultation. If you would like to learn more, give us a call today or click here and schedule a consultation.
Who is a Candidate for Medithreads?
Depending on your concern, you could be a candidate for improvement in many different areas. The versatility of Medithreads is quite amazing and the results are just spectacular.
Facelift with Medithreads
Medithreads have been used in the face for a brow lift and also for smoothing away wrinkles on the cheeks. The threads can be placed strategically along the face to administer a comprehensive lift. The treatment can be used to help with dark circles under the eye, improve frown lines and crows feet that are typically addressed with botox. Medithreads can easily target specific places and are often used to lift and fill nasolabial folds around the mouth and marionette lines above the lip.
Neck Lift with Medithreads
These threads can also help lift and smooth out the lax skin around the neck.
Body Lift with Medithreads
So many places can safely be treated with MEDiTHREADS, such as the lax skin of the arms, hands, stomach, inner thighs and knees.
Cellulite Treatment
You could also be a candidate if you dislike the cellulite on your butt and outer thigh.
What Areas Can Be Treated With a PDO Thread Lift?
The PDO thread lift is very versatile, allowing practically all areas of the body to be treated, including the:
Upper and lower cheeks
Jawline
Neck
Nasolabial folds
Marionette lines
Nose tip
Under-eye
Arm
Hand
Inner thigh
Belly button
Décolleté
Breast
Buttocks
Lips
Eyelids
Crow's feet
Glabella
Smokers line
Arch of the eyebrows
Facial profile
Periocular area
Abdomen
Hips
Armpit
Knees
FAQs
What Is a Pdo Thread Lift?
The PDO (Polydioxanone) thread lift is a non-invasive treatment which lifts and tightens sagging skin tissue, using threads made of PDO. The threads are introduced into the deeper layers of the skin. Once introduced, the threads have 3 amazing effects on the skin: Skin tightening. By contracting fat tissue. Collagen stimulation. Which promotes cellular renewal and improves skin texture, fine lines, and elasticity. Instant skin lifting, a PDO instant result. The lifted facial contour will remain for about 12-15 months after the procedure due to the collagen stimulation effects. Six months after the procedure, PDO threads will disappear because they are absorbable. Your skin cells are stimulated to produce new collagen, and new blood vessels to improve skin microcirculation. At the same time, the PDO threads cause the fat tissue to contract and produce the skin tightening effect.
Is a Pdo Thread Lift Safe?
This treatment is safe, and the side effects are, in fact, rare which is what makes PDO threads so innovative. Medithread PDO threads are inserted with needles and are absorbed in 4-6 months. Medithread's PDO threads have minimized if not eliminated any of the side effects associated with older thread lifting procedures. These effects included infection and thread breakage. With a modern treatment, expect some mild bruising, swelling, and soreness for 2 to 6 days after the procedure and a mild sensation of tightness of up to 2 weeks. Temporary mild dimpling of the skin can also occur and resolves in a few days. Although side effects are extremely rare and in more serious cases removal of threads may be required in cases such as migration and extrusion. The face has a very complex anatomical structure. Therefore, intimate anatomical knowledge is required to perform a PDO thread lift well so as to avoid serious side effects such as infection. We advise practitioners to get well trained in PDO thread lift. If you are interested in the many benefits of a MEDiTHREAD treatment, schedule a consultation with us today.
Am I Suitable for A Pdo Thread Lift?
The PDO Thread Lift is an effective treatment that is suitable for anyone looking to improve the appearance of sagging skin. This treatment is suitable for someone who is willing to undergo some injections and who wants to attain an immediate lift and facial contour without undergoing an invasive surgical facelift. It is best suited for men and women who are unwilling to tolerate the long downtime of a facelift surgery but want to look refreshed and rejuvenated.
Is a Pdo Lift Right for Me?
The PDO thread lift procedure is designed according to what you want to treat and which areas you want to concentrate on. PDO threads can be used for lifting, rejuvenation (improving skin texture and wrinkles), volumizing, and even reducing fat. Different threads are used for different purposes, so the possibilities are endless. In about 6 months after the treatment, the threads would have dissolved, but the results will continue. Depending on your needs your practitioner may recommend repeating the procedure 6-9 months after the first procedure to allow for a long-lasting result.
Are There Different Types of Pdo Threads?
There are many types of PDO threads and this can be confusing for patients and even doctors. In general, PDO threads can be divided into Smooth threads and Barbed threads. Smooth threads are used to stimulate collagen. Barbed threads are used to lift and reposition the skin. PDO threads come in different thickness and length. These all affect their quality, tensile strength, effectiveness, and of course, price of your treatment. MEDiTHREAD provides the strongest threads on the market. Your doctor may choose to use different kind of threads for you, depending on your rejuvenation and skin lifting needs.
Bioidentical Testosterone Supplement for Men
At a certain age, do you start feeling your energy flagging, your libido decreasing, your midsection expanding while eating the usual?
During the aging process men experience changing hormones just as women do.
The media has written much about women and the effects of decreases in female hormones, but there is not nearly as much awareness around the changes men feel as they age.
Low testosterone is seen more among aging men, and it's been estimated that over 13 million men suffer from this decline in the hormone that, let's face it, gives a lot of men great satisfaction.
Testosterone regulates sex drive, mood, muscle and bone retention, and helps with skin elasticity. It generally can make you feel all-around better, with more energy and confidence.
Testosterone levels gradually decrease with age because the body stops producing the hormone at the same levels.
The change in male hormone levels, as a natural result of aging, is known as andropause.
Andropause, however, can begin earlier in life than menopause, and continues into old age.
Hormones affected in this way include testosterone, thyroid hormone, human growth hormone, progesterone, and DHEA. Andropause often brings about weight gain, especially around the abdomen, reduced muscle tone, decreased heart and lung capacity, and diminished sexual function. It may also contribute to feelings of depression, fatigue, and irritability. Bioidentical Hormone Replacement Therapy can replenish deficient hormones and improve many symptoms of hormonal imbalances.
Some of The Symptoms that Can Be Improved with Bioidentical Hormone Replacement Therapy
Treatments through the use of medically supervised Bioidentical Hormone Replacement Therapy programs can return hormones to their optimal levels and restore vitality. It can help with weight loss and increase the ability to retain, and regain, muscle mass. And it can restore sexual function, and improve irritability. Please give us a call to learn more about how this treatment can help.
Reduced sex drive or sexual dysfunction
Low energy
Fatigue
Depression
Hair loss
Weight gain
Decrease in bone density
Reduced muscle mass
Laser Procedures
FAQ
Which is better, BBL OR IPL?
BroadBand Light (BBL) is the next generation of Intense Pulsed Light (IPL). BBL offers more accuracy, power and precision than the traditional IPL technique. BBL is safe and effective, setting it apart as the superior option amongst a crowded marketplace of dazzling contenders and pretenders. But all that glitters is not gold! It only takes three treatments of BBL to experience the same rarified rejuvenation that would take six sessions of IPL to approximate.
Does micro laser peel (MLP) treatment hurt?
MLP is not a painful procedure, according to reports from our patients. In fact, most of them find it quite comfortable. To minimize any discomfort, we apply a topical anesthetic to the treatment area. During the procedure, many feel a "sunburn sensation" on the skin. That sun-kissed sensitivity will persist for the first hour after treatment, but will gradually fade as your skin heals over the next few days.
Do aesthetic laser treatments remove wrinkles?
Aesthetic laser treatments are a non-invasive way to rejuvenate your skin, especially if you are not yet ready to go the surgical route. There is a wide range of devices and techniques to suit every individual's needs. Each procedure aims to remove surface imperfections, shrink pores, diffuse discoloration and reduce lines and wrinkles. The laser's pinpoint precision is chief among the modalities' many assets. Photorejuvenation can accurately target very specific skin conditions by adjusting the electromagnetic wavelengths of the laser instrument.
References
1
Bitter, P. (2020). Broad Band Light and Skin Rejuvenation. Facial Plastic Surgery Clinics of North America, 28(1), 29–36. doi: 10.1016/j.fsc.2019.09.014
2
Chang, A. L. S., Bitter, P. H., Qu, K., Lin, M., Rapicavoli, N. A., & Chang, H. Y. (2013). Rejuvenation of Gene Expression Pattern of Aged Human Skin by Broadband Light Treatment: A Pilot Study. Journal of Investigative Dermatology, 133(2), 394–402. doi: 10.1038/jid.2012.287
3
Laser resurfacing. (2018, October 12). Retrieved December 20, 2019, from https://www.mayoclinic.org/tests-procedures/laser-resurfacing/about/pac-20385114.
4
Aslam, A., & Alster, T. S. (2014). Evolution of Laser Skin Resurfacing. Dermatologic Surgery, 40(11), 1163–1172. doi: 10.1097/01.dss.0000452648.22012.a0
5
Metelitsa, A. I., & Alster, T. S. (2010). Fractionated Laser Skin Resurfacing Treatment Complications: A Review. Dermatologic Surgery, 36(3), 299–306. doi: 10.1111/j.1524-4725.2009.01434.x
Laser Skin Resurfacing (Photorejuvenation)
Laser skin resurfacing is a non-invasive cosmetic procedure that uses optically amplified beams of light to remove wrinkles and improve the tone and texture of the skin. Also known as photorejuvenation, laser treatments are the cutting edge in aesthetic tech, brought to you by Plastic Surgery Specialists of San Francisco! You can have bright, smooth skin at the speed of light without having to undergo more involved surgeries. You don't have to fuss with a facelift before you're ready. Plastic Surgery Specialists (PSS) has the hardware and the knowhow to perform a variety of photorejuvenation techniques that will restore your long lost luster no matter what your skin type. We are a bright beacon in the San Francisco Bay Area providing the region's best aesthetic services to our beautiful community. Contact us to illuminate your look. Call 415-384-9787. PSS now offers Virtual Consultations to suit our patients' needs. Laser skin resurfacing in our Marin County surgery center is accomplished with a state-of-the art laser that provides three unique treatments for total skin rejuvenation. In essence, our Sciton Joule is three lasers in one, offering Erbium MLP (Micro Laser Peel), ProFractional and BroadBand Light (BBL) procedure options. Plastic Surgery Specialists can also combine treatments to address all issues that may be of concern to you. Laser Skin Resurfacing corrects uneven skin tone, age spots, broken capillaries, troubled texture and worrisome wrinkles.[1] You have a lot of aesthetic options, so let us light the way. Our blog is updated regularly to elucidate you on all the latest cosmetic technology and trends.
BroadBand Light
Often referred to as "Intense Pulsed Light," "IPL" or a "FotoFacial," Sciton's photodynamic skin rejuvenation treatment is called the Forever Young BBL (BroadBand Light). BBL treatments utilize an intense, visible, broad-spectrum pulse of light. The light's electromagnetic wavelengths are attuned to seek certain colors, either reds (e.g. rosacea, broken capillaries or red spots, etc.), browns (e.g. uneven pigmentation and brown spots), or both. BBL pinpoints particular pigments and selectively destroys them.[2] BBL treatments are performed in a series, usually spaced three weeks apart. Most people will require three to five treatments to achieve the best results. However, early positive changes become apparent even after the first treatment. By the end of the series, most people report a more uniform and even skin tone.
Micro Laser Peel
MLP (Micro Laser Peel) is the component of laser resurfacing that provides an excellent treatment for people with uneven pigmentation, wrinkles and skin laxity. MLPs employ the Erbium Laser to resurface the epidermis (the top layer of the skin), resulting in a more uniform color and a softer response.[3] It even eliminates fine lines! The procedure also addresses enlarged pores. Most people report some tightening in the treated skin as well. Our PSS medical specialists often prefer to perform MLP treatments in a series, depending on the severity of the condition of concern. We can achieve even better results when we combine MLP with the ProFractional Laser. Deeper and more dramatic results come with a bit of downtime and may require some light anesthesia in the form of topical numbing cream or numbing injections.
ProFractional Treatment
The ProFractional Laser capability is not to be confused with a product called "Fraxel," which requires multiple treatments. Your laser skin treatment may include Sciton's ProFractional Laser treatment. When combined with either a BBL or an MLP, ProFractional Laser treatment usually requires only one or two sessions. The ProFractional treatment is remarkably pain-free, and the downtime is far shorter than comparable light-based procedures.[4] Most people require three to five days for a full resolution of any redness and swelling. The ProFractional treatment provided by PSS utilizes an Erbium Yag Laser to partially remove surface damage to the skin. Most importantly, the laser is able to penetrate below the surface of the skin into the dermis where collagen and elastin exist. These are the support structures of your skin. With a finely controlled ProFractional treatment, PSS can remove fine lines and deep wrinkles. The procedure may shrink enlarged pores and improve the texture and tone of the skin. The ProFractional treatment also reduces skin laxity. It is ideal for treating acne and its residual scarring as well. Does the ProFractional Laser Tighten Skin? The ProFractional laser is proven to tighten and contour the skin. It does this by stimulating collagen production deep inside the dermis. Results can last for years, depending on your skin condition.
Ideal Candidates for Laser Skin Resurfacing
Ideal candidates for laser skin resurfacing are healthy men and women who are concerned with wrinkles, scarring or skin irregularities. People with darker skin tones sometimes experience pigment discoloration.[5] They will need to confer with Plastic Surgery Specialists to determine their potential risk, so please be sure to inform our staff of any medical conditions during preliminary consultations. Generally, photorejuvenation is an outpatient procedure performed with a local anesthetic. Patients leave with bandages and an ointment that they will apply regularly to prevent scabbing. Any redness and inflammation generally subside after a couple of weeks. Some patients interested in laser skin resurfacing may consider Venus Viva, an anti-aging, non-invasive skin treatment that's appropriate for all skin types.
Your Private Consultation at Plastic Surgery Specialists
Our safe, state-of-the-art surgical center is the pride of PSS. Plastic Surgery Specialists is a partnership between Dr. Stanley G. Poulos, Dr. Yngvar A. Hvistendahl and Dr. Trent D. Douglas. Together, they serve the San Francisco Bay Area with cutting-edge technology and the latest techniques to let your skin glow! We are leaders in the field of laser resurfacing and our expert providers are constantly training to keep up with the most current trends and treatment parameters. For more information on Laser Resurfacing, please visit our Education Center. If you are considering laser skin resurfacing and live in San Francisco or the greater Bay Area, request a consultation so we can work with you to find the best solutions for your aesthetic concerns.
What Does Photorejuvenation Cost in the San Francisco Bay Area?
At your personal consultation, we will work with you to create your customized aesthetic plan. Financing options are available, so your laser treatments will not be cost-prohibitive. Join the PSS Beauty Club and take part in our Brilliant Distinctions program for exclusive savings opportunities. Light up the room with beautiful skin, courtesy of our wide array of laser skin resurfacing treatments designed to rejuvenate your appearance and brighten up your bearing. You don't have to commit to an involved surgery to highlight your lustrous looks. Photorejuvenation delivers bright, smooth skin at the speed of light to our fresh-faced, San Francisco-area patients. Be your most brilliant today!
Contour TRL Laser Resurfacing
Plastic Surgery Specialists has introduced Spa PPS to serve our increasing number of patients who are looking for a non-surgical treatment to combat the signs of aging. Conveniently located in central Marin, our relaxing Spa PSS offers an incredible array of devices and technologies to keep our patients looking beautiful. Are you looking for a treatment for your wrinkled eyelids, but assume the only cure is blepharoplasty surgery (and even that doesn't really smooth the skin completely) Skin health and radiance is an integral part of beauty. Even surgery cannot always restore the youthful look of facial and neck area skin unless the skin is resurfaced to match the newly tightened skin. If troubled skin is troubling you, laser resurfacing can heal acne scars, treat pigmentation and make wrinkles disappear. The Contour TRL is especially effective for wrinkles around the mouth, a telling sign of aging and hard to treat. Take a look at TRL results and realize you can truly reverse the signs of aging with this remarkable, "tunable" laser. Choose the Contour Tunable Resurfacing Laser by Sciton for a safe, effective way to transform damaged, aged skin into a smooth, even-toned and textured complexion. This laser is unique in its ability to externally plane down wrinkles while internally stimulating the all-important collagen, a building block of skin structure that diminishes with age and therefore causes wrinkles and laxity. It is supremely "tunable", to effectively target the areas that need deep, or more superficial treatment. If your skin looks rough, tired, or aged, Contour TRL is one of the most effective laser treatments available for true transformation with minimal side effects.
What is Contour TRL?
The Contour Tunable Resurfacing Laser by Sciton is an Erbium Yag skin resurfacing laser. A Contour TRL treatment will erase aged, pigmented, or damaged skin and promote youthful skin renewal. The Contour TRL system safely and effectively controls ablation and coagulation independently, enabling our skin specialists to apply laser energy to the depth where it is most appropriate for the specific skin issue. Your treatment is highly targeted and can be completed in 30 to 60 minutes. Men and women of all ages can benefit from Contour TRL. The skincare team at Plastic Surgery Specialists customizes every skin resurfacing treatment to address your unique issues, erase blemishes, and achieve a youthful glow. Your skin will renew itself over the weeks following your Contour TRL treatment. Due to the fact that the Contour Tunable Resurfacing Laser penetrates to the deeper layers of the dermis, patients are advised to give themselves at least a week off for recovery. Post-procedure redness may last up to 10 to 14 days. Within one to two treatments, you will see a major improvement in the look and tone of your skin. The benefits of Contour TRL are two-fold. Contour TRL improves both the external skin appearance and the healthy function of the skin itself. The heat from Contour Tunable Resurfacing Laser will stimulate collagen production deep within the dermis. Collagen is a vital building block of firm, youthful skin. As the body ages, it produces less collagen. A Contour TRL Resurfacing treatment will jumpstart your skin's collagen production and replenish lost skin volume. With more collagen within the skin, you will see an even greater reduction in fine lines and wrinkles. Your skin will become significantly smoother, firmer, and more resilient after deep skin resurfacing with Contour TRL. Unlike CO2 laser treatments, the Contour TRL system enables us to control the depth of the laser with micron precision. The treatment achieves a level of ablation that can address long-standing skin problems in only one or two sessions. The TRL is an Erbium laser, which studies have shown to produce far fewer side effects (such as the prolonged erythema and hypopigmentation) that are common with CO2 lasers. Contour TRL is highly targeted and adjustable to guarantee uniform results that can be customized where appropriate. Contour TRL is also the system we use to perform shallow NanoPeel or MicroLaser Peel resurfacing with lower micron settings. If you would like to learn more about which resurfacing option is right for you and your skin, schedule an informative consultation with Plastic Surgery Specialists today.
Benefits of Deep Skin Resurfacing
Men and women of all ages have accomplished total skin renewal, thanks to the Contour Tunable Resurfacing Laser.
Am I a Candidate for Deep Skin Resurfacing?
Contour TRL is an excellent option for patients who have skin irregularities they would like to address, including scars and acne marks. If you have fine lines and wrinkles or pigmentation that mars your appearance, you are a good candidate for deep skin resurfacing with Contour TRL. Contour TRL is most commonly performed on the face, but can easily be applied to the body to improve the appearance of stretch marks and scarring. Contour TRL is safe for all skin types! Best candidates for Contour TRL are those who are in overall good health and have positive but realistic expectations for the outcomes of their procedure. In order to see the best results from a deep skin resurfacing treatment, candidates may want to take time off from work to recover fully and comfortably. Candidates will be asked to discontinue use of fish oil and blood-thinning medications, including aspirin, for two weeks before their deep skin resurfacing treatment. Candidates who smoke will also be asked to discontinue smoking for two weeks before and after their session. Don't conceal your deep lines or scars: use technology and our expertise to help erase them!
Consultation with Your Skin Care Experts
Our skincare specialist will be happy to answer any questions you have about skin resurfacing during your private consultation. In order to help you find the right resurfacing treatment for you, we will examine your skin, as well as discuss your health history and current medication use with you. Once we have a good sense of the goals you would like to achieve, we will recommend a customized deep skin resurfacing treatment. Thanks to its highly adjustable settings, the Contour Tunable Resurfacing Laser achieves impressive skin renewal for every patient. Candidates who do not require deeper skin ablation to accomplish their results may be better candidates for NanoPeel or MicroLaserPeel with Contour TRL. If you have questions about resurfacing with ProFractional or Broad Band Light, we will be happy to discuss these options during your consultation.
Treatment with Contour TRL
You will receive protective eyewear and a topical or local anesthetic to keep you comfortable during your deep resurfacing treatment. Contour TRL allows our skin specialist to target your skin irregularities with micron precision. Skin resurfacing with Contour TRL takes only 15 to 30 minutes! Your skincare specialist will dial in your treatment according to your desired results and downtime preferences. The depth and micron strength will be highly controlled. The Contour TRL system is designed to achieve a consistent result, except for the areas where special attention is needed. Your skin will receive laser energy ranging from 200 to 330 microns for deep, full-field resurfacing. The treatment is highly targeted and will do no harm to surrounding tissues.
Recovery
Due to the deep ablation Contour TRL achieves, you will want to take between 7 to 12 days off work. This will give your skin adequate time to heal and build up a protective layer. You will receive a topical ointment and personalized instructions for how to properly care for your skin following your resurfacing session. You may receive an antibiotic to help protect your body during recovery from a deep treatment. Your skin will likely be red and feel warm as if you had a sunburn. Your skin will flake for the first few days of your recovery. This is normal. Do not pull at or try to exfoliate your skin. You may also experience bleeding in areas of your skin, but this is not a cause for alarm. A cold compress can be applied to reduce any swelling or discomfort. Your skin will begin to renew and balance itself within a few days. Strenuous exercise should be avoided for two weeks following Contour TRL. Practice safe sun protection and limit sun exposure for two months after deep skin resurfacing.
Results
You will notice major improvements in your skin tone and texture within two weeks of your Contour TRL treatment. Your skin will become fuller and more youthful-looking as your new, collagen-rich skin works its way to the surface. Final results of Contour TRL will be apparent in three to four months. A single Contour TRL session will make a major reduction in your fine lines and wrinkles! Your skin will be tighter and have a smoother, more even tone. Within one to four treatments, patients see a complete disappearance of their pigmentation and scarring. If you would like to learn more about what Contour TRL can do for your skin, and your confidence, schedule a private consultation for deep resurfacing at Plastic Surgery Specialists today!
Why have so many people turned to deep skin resurfacing?
Contour TRL is a highly recommended skin care solution because it:
Achieves significant reduction in fine lines and wrinkles
Makes long-term changes to the skin's appearance
Tightens and lifts the skin
Addresses hyperpigmentation to even out skin tone
Smooths away acne scars and other irregularities
Smooths the skin texture overall
Increases collagen in the skin
Makes the skin healthier and more resilient
Is highly customizable
Takes years off your appearance
FAQ
What is the best way to treat acne scars?
Acne can leave deep, indented scars that reach multiple layers into the skin. Normal resurfacing treatments can improve the red marks and indents left behind after an acne breakout. However, they do not usually reach to the depths necessary to renew the skin completely. Contour TRL can be performed to target acne scars specifically, while the surrounding skin receives an appropriate level of ablation.
What is the cost of deep skin resurfacing with Contour TRL?
The price of laser skin resurfacing treatment at Plastic Surgery Specialists depends on the details of your individualized plan. The size of the treatment area and your desired outcomes will impact procedure pricing. You will receive a cost breakdown that reflects the details of your individualized procedure.
Laser Hair Removal
Do you want to through away your razor because you are sick of shaving? Are you self-conscious about areas that are too hairy? When you shave the embarrassing hairy lip does it seem to return with even more prominence? Stop bleaching and shaving by stopping the hair growth. The experts at Plastic Surgery Specialists (PSS) of Marin County, CA, understand that unsightly body hair can ruin your summer fun. With our non-surgical laser hair removal treatments, PSS is here to help you get beach-ready for the summertime. Shaving, waxing and tweezing can be painful and repetitive. There is a better way to zap extra body hair from unwanted areas so you can focus on more important things. Laser hair removal is a safe and effective way to remove excess hair from your arms, legs, bikini line and many other regions. PSS proudly serves the Bay Area's aesthetic needs. Spa PSS is the MedSpa branch of our aesthetic practice. We provide non-surgical injectables, laser technology, and skincare treatments in our Greenbrae offices, just 14 miles north of San Francisco. The spa-like atmosphere will help you relax while you explore and enjoy our full suite of non-surgical cosmetic options.
How Does Laser Hair Removal Work?
Laser hair removal is a safe way to significantly reduce hair growth anywhere on the body except for around the eyes. The length of each laser treatment varies with the size of the treatment area. Removing the hair on your upper lip, for instance, may only take minutes. Treating both legs and your bikini line may take an hour. We calibrate our laser equipment based on your physical and aesthetic needs. Your skin and hair pigmentation are significant pieces of data to consider when setting the wavelength, frequency and duration of the laser light pulses. Prior to your treatment, a PSS professional will trim, sterilize and numb the targeted areas using a topical gel. Pulses of directed energy bombard the treatment area. Thanks to our carefully calibrated equipment, the laser light passes through your skin and is absorbed by the hair follicle. The hair is destroyed. Areas Where Laser Hair Removal is Effective: Legs, Back, Underarms, Bikini line, Face. It's best to start your treatment several months ahead of your first beach day. It will take six to eight laser treatments, scheduled about a month apart, for you to see the full benefit of the procedure. But what a silky smooth summertime it will be!
Benefits of Laser Hair Removal
Shaving, waxing and tweezing your body to creamy, flawless perfection is just too much hassle. It's boring, painful and repetitive. And the bristly stubble that quickly sprouts up will keep you busy chasing after those velvety smooth legs in a race against time that you can never win. Laser technology to the rescue! Unlike sharp razors and hot wax, laser light presents minimal risk to your skin. It's a relatively painless procedure compared to some of those other, cruder methods of hair removal (especially waxing). And its effects are long-lasting, so kiss those ingrown hairs goodbye.
What is BroadBand Light (BBL) Treatment?
Plastic Surgery Center uses Sciton's BBL (Broadband Light) hair removal system for our laser treatments. The technology offers some significant advantages. Our patients appreciate that the BBL system comes with its own cooling plate. Even with the device turned up to maximum power, the handpiece provides consistent cooling. This ensures that your skin stays cool and comfortable throughout the entire process. BBL is fast because the system features a 15 x 45 mm spot size, which is larger than most laser hair removal systems. It also has the highest power and repetition rate of any laser hair removal system on the market. All of this contributes to a speedy experience for the patient. The BroadBand Light treatment system is safer than less advanced systems. Its directed energy comes in multiple bursts, instead of all at once. This prevents the skin from being stimulated while follicles experience the cumulative effects of multiple laser blasts. Those little hairs don't stand a chance. BBL comes with a variety of attachments for treating different areas of the body. The BroadBand Light system is flexible. Attachments for large areas ensure the process goes quickly while smaller, precision attachments are optimized for detailing. Smooth-edged attachments provide comfort to the patient's more sensitive areas. Best of all BroadBand Light truly does broaden the patient pool for laser hair removal. With BBL, the cooling action is coupled with more intense directed energy at the targeted follicles. This means people with darker skin can now appreciate and enjoy the benefits of laser hair removal.
Who is an Ideal Candidate for Laser Hair Removal?
Traditional laser hair removal is best suited for patients with fair skin pigmentation and dark hair color. This makes it easier for the laser light to target the hair follicles while avoiding the surrounding skin. However, recent advancements, such as BroadBand Light, have changed the game. Now, patients with darker skin pigmentation can benefit from the procedure. If you have been turned away from other medspas because your skin is too dark for laser hair removal, then we recommend you contact PSS for a consultation.
Laser Hair Removal vs. Waxing
There was probably a similar debate between the benefits of candles vs. lightbulbs when electricity was the new technology. Today, we compare the hair removal virtues of laser light vs. hot wax. It's true there is some sensation in the laser-treated areas. Patients describe a feeling of "pins and needles" during the procedure. But you can always ask the technician to turn the machine down if you are experiencing too much discomfort. On the other hand, even the most skilled hot wax practitioner can't do anything to prevent the inevitable pain when she "lets her rip." When it comes to discomfort, it's no contest—laser hair removal is the undisputed winner! Laser hair removal appointments tend to be shorter than the arduous hot wax approach, but lasers are long-lasting. Though, it does take some time to achieve the full benefit of the BBL cosmetic procedure. Hot wax requires an unending series of appointments to maintain optimal results. How Is Laser Hair Removal Superior to Waxing?: Less discomfort, Longer lasting results, Shorter appointments.
Laser Hair Removal Preparation and Aftercare
As you prepare for your laser hair removal treatments, it is recommended that you stop waxing and tweezing the targeted area. Shaving should not be a problem, though. In fact, PSS recommends that you shave the treatment area with a clean new blade the day before your appointment. Do not leave any stubble in the treatment area, as this could damage the laser device. Exposure to direct sunlight is a big no-no before and after your laser hair removal treatment. You should also stay away from tanning beds or any kind of UV light. The laser light is drawn to the pigment in your hair. Uneven pigmentation in the skin from recent sun exposure may cause- complications. After your treatment, your skin may look like it's been sunburned. You can treat any tenderness with aloe vera or a cold compress. Since your skin is extra sensitive, be careful when you go out into the sun. Wear a high SPF sunscreen to protect yourself. Also, avoid hot showers and applying cosmetics or perfumes directly to the treated area for the first few days after your treatment.
Smooth Sailing With Laser Hair Removal
Put shaving, hot wax and tweezing in your rearview mirror as you head full speed into summer. PSS serves the Bay Area's aesthetic needs. Our offices in Marin County are located north of San Francisco. SpaPSS is the medspa portion of our practice. Schedule a consultation today to learn all that Plastic Surgery Specialists can do for you.
References
Gardner, S. S. (2019, July 25). Laser Hair Removal: Benefits, Side Effects, and Cost. Retrieved November 21, 2019, from https: //www.webmd.com/beauty/laser-hair-removal. Goldberg, D. J. (2018). One-year follow-up results of hair removal using an 810 nm diode laser. Journal of Cosmetic Dermatology, 17 (5), 775–778. doi: 10.1111/jocd.12757.
FAQ
How Does Laser Hair Removal Work?
Laser hair removal uses directed energy to treat the areas where you would like to see a significant decrease in embarrassing hair growth. The light energy is drawn to pigmentation, so it is drawn to the darker hair follicles while the effect on the surrounding skin is minimal.
What is Broadband Light (Bbl) Treatment?
BroadBand Light (BBL) treatment is the type of laser hair removal we practice at PSS. The technology includes a number of significant advancements. Among them, a cooling plate that keeps your skin at a comfortable temperature during the procedure. The system directs more intense light at the follicles while the surrounding skin is kept cool and comfortable. Now, people with darker skin are eligible for laser hair removal.
Does Laser Hair Removal Feel the Same As Waxing?
No way! No matter how skilled your hot wax practitioner may be, waxing hurts. Period. Laser hair removal, by contrast, is relatively quick and painless. While you may experience a prickly sensation in the treatment area, the intensity is adjustable. Just ask your laser hair technician to turn it down.
What Precautions Should I Take Before and After My Laser Hair Removal Treatment?
You should avoid intense sunlight and UV rays before and after your laser hair removal treatment. While it is recommended that you shave your treatment areas before your appointment, please refrain from tweezing and waxing during your treatment regiment.
How Long Will it Take to See Results from My Laser Hair Removal Treatment?
You should see the full benefits of laser hair removal after six to eight months of treatments.
Venus Viva
Can you repair your skin by damaging it? Strangely, the answer is – yes, if you create the proper kind of damage. Venus Viva technology has introduced a better version of microchanneling (one of the most popular nonsurgical treatments in the world). Venus Viva™ skin resurfacing treatments work with tiny needles that safely deliver heat (via NanoFractional Radio Frequency) through the skin's surface. Creating tiny micro-dermal wounds, the body sends nutrients and other healing elements to repair the area. This process boosts skin renewal and helps repair signs of skin damage. The wounds are tiny, and the depth is customized to each patient's need. Treatment is typically much more comfortable than traditional resurfacing lasers, yielding phenomenal results with little downtime. Your treatment provider may also enhance your treatment plan with the DiamondPolar™ applicator, which works to further diminish lines and wrinkles. The DiamondPolar™ applicator uses Multi-Polar Radio Frequency and Pulsed Electro Magnetic Fields to produce uniform heat under the skin's surface. This process helps to naturally increase collagen and elastin fibers, resulting in smoother, firmer skin that looks noticeably more youthful. Patients from San Rafael, Novato, and Mill Valley travel to our Greenbrae office for advanced non-surgical aesthetic treatments. Request a consultation to learn more about your skin rejuvenation options or call our office at (415) 886-0777 to schedule an appointment.
Who Is a Good Candidate?
Venus Viva is a versatile treatment that is ideal for men and women of all skin types with specific aesthetic concerns, but who aren't ready for more invasive procedures. The use of advanced radiofrequency technology guided by SmartScan™ precision targeting makes Venus Viva the perfect solution for: Acne scarring, Uneven skin texture, Lax skin, Deep wrinkles and fine lines. For busy professionals and on-the-go parents, Venus Viva requires minimal downtime, and most patients experience little discomfort.
The Procedure
Non-surgical skin tightening procedures such as Venus Viva are increasingly sophisticated, offering reliable results after a series of treatments. During the Venus Viva procedure, you relax in one of our comfortable treatment rooms while a technician uses the handheld device to methodically administer the treatment. The radiofrequency energy penetrates through the skin's outer layers to the dermis, generating heat that triggers the body's natural healing response. That spurs the growth of new collagen and stimulates fibroblasts, the main connective tissue cells. The result is tighter, smoother skin that appears more youthful and fresh. Most treatments take only about 30 minutes. Some patients see immediate results, but we recommend a series of 3 to 4 treatments over about 2 months. Although most patients feel little discomfort during the procedure, we offer a topical anesthetic for any patient who desires it.
FAQs
Is there downtime?
The non-invasive nature of Venus Viva means there is minimal recovery required. You may have some redness and the sensation of a mild sunburn following the treatment. You have the option of returning to work or your daily activities, or spending a day or 2 at home.
Are the treatments safe?
Yes. Radiofrequency energy is commonly used in medical procedures and has been thoroughly evaluated in clinical studies. As with any cosmetic treatment at our practice, your medical history is reviewed beforehand, and it's important to be in good general health prior to the procedure.
How long do the results last?
You'll notice improved results as your body produces new collagen in response to the treatments. Those results are long-lasting. Although Venus Viva treatments can turn back the clock, the natural aging process continues. Periodic maintenance treatments, perhaps twice a year, will help keep your skin looking renewed.
Is Venus Viva an alternative to a facelift?
Patients who want to look their best have different needs at different times of their lives. Although Venus Viva is an extremely effective skin tightening and anti-aging treatment, men and women with advanced signs of aging may require a more invasive procedure to get the appearance they desire. Dr. Poulus and Dr. Hvistendahl are experienced plastic surgeons who can recommend the best treatments to meet your cosmetic goals.
Halo Laser
"I think your whole life shows in your face, and you should be proud of it" -Lauren Bacall. We love Lauren, but even she might have been tempted to help nature a little with a laser treatment. Our face is how we express ourselves to the world. Our emotions are written all over it. The other thing that can be written all over our faces are lines and wrinkles, age spots, enlarged pores, acne scars, and discoloration. This can happen from sun exposure, aging, alcohol, smoking, and genetics. Over time, our facial elasticity will decrease, acne scars do not diminish, and spotting on the skin can occur, making you look older than you feel. Since our faces see more sun and are exposed to more elements than any other part of body, it's important to take extra precautions with the delicate facial skin. That's why there are specialty creams, serums, and lotions designed specifically for the face. Even if you have used all of these, and attempted to avoid sun exposure, you may still have lines and wrinkles, discoloration, acne scars, and age spots. One way to regain your youthful appearance, and to feel the age you feel on the inside, is to look at our new laser technology: the Halo Laser treatment. PSS is always looking for the most innovative technology for our patients, and we've found it in the new Halo laser. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are excited to offer this new technology to their patients. Our laser specialist can customize the laser treatment to produce truly astounding results for your skin. While most facial rejuvenation procedures have significant downtime, which can be a real problem with your busy lifestyle, Halo Laser skin rejuvenation allows you to get back to your life quickly, and not sit around and watch your skin peel. HALO LASER IS the first and only hybrid fractional laser. The Halo Laser has two different wavelengths, technically two different laser treatments: ablative and non-ablative. It's called a hybrid laser because of its ability to deliver two perfectly targeted laser treatments in one pass. The key innovation here is that both wavelengths are used in one or two passes over the face, with treatment delivered to both the epidermis and dermis, simultaneously. The patient gets the benefit of deeper dermis (the inner layer of the skin) remodeling and collagen stimulation, at the same time the epidermis (the outer layer of the skin) is treated for sun damage and fine lines. Our highly trained nurses and doctors will choose from many different levels of treatment depending on your goals. The Halo Laser uses Dynamic Thermal Optimization, which carefully modulates the level of energy delivered to produce an effective and even result.
Candidates
The Halo laser is effective on a number of key issues in the war on skin aging: It treats: Fine lines and wrinkles; Discoloration on the face, neck, chest and even hands; Pock marks, scars, and chicken pox marks; Age spots; Enlarged pores.
What To Expect During the Consultation
One of our expert doctors will explain the procedure in detail to you, encourage questions and concerns, and address them during the consultation. We will explain what can be accomplished with the Halo Laser, what you should expect the day of, and the days after the procedure. We want all of our patients to feel comfortable with each step of the procedure. While you may visit PSS with the expectation of trying a Halo laser treatment, your Halo specialist will discuss with you goals and expectations to ensure it is right for you. We'll examine the facial skin for elasticity, muscle strength, lines and wrinkles, and examine scars and discoloration on the face. There may be an alternative procedure better suited to achieve your desired results. Our specialist will also go over your medical history and medications to ensure you are in good health. If it is determined the Halo Laser is the right procedure for you, we will prescribe an anti-viral medication to take before, and continue taking after the procedure. This will help decrease the chance of infection. For best results, we encourage patients to bring in a few pictures of themselves from a few years ago. Through these pictures we can help determine the best course of action for your results. We will also show you before and after pictures of other patients to give you a better understanding of the results that you might achieve.
Procedure
The Halo Laser procedure itself takes about ninety minutes, depending on the areas to be treated. Patients are sent home beforehand with numbing cream to apply before the procedure, or patients may arrive 45 minutes early to have the cream applied in the office. Once the skin is numb, one of our aesthetic nurses uses the laser to heat and remove the outer layers of the skin. Each treatment is personalized based on your facial skin and individual needs. Immediately after, we apply Aquaphor, a recovery ointment, to soothe the skin.
Recovery
Your doctor will detail a specific recovery schedule for you. This hybrid laser treatment should result in minimal downtime, but some people may have dry, flaky, and red skin. This is the outer layer of skin being shed. You will want to avoid scratching or touching the skin. Ice packs will help to bring down any swelling. You will want to clean the face regularly with gentle soap and water. Then you can apply ointments to help protect the skin. You will also want to avoid cosmetics for 24 hours after treatment, and avoid the sun until the skin is fully healed. The actual recovery time of the Halo Laser will vary from person to person, but is generally similar to the non-ablative laser treatments. That's the benefit specific to the Halo Laser. You will return to the Marin County Plastic Surgery Specialists' office within the first week. At this time, Dr. we will examine the area and give any further instructions. We encourage patients to contact us at any time during recovery.
Cost
The cost of a Halo Laser can vary based on your specific needs. Your consultation will provide costs for each procedure.
Halo Laser Wavelengths
These are the two Halo wavelengths used in the laser, concomitantly.
Ablative Wavelength
The ablative wavelength is an effective and powerful way to use laser technology. This strong wavelength removes the outer layers of the skin. Once the outer layers are removed, the body must begin to heal itself by producing collagen and tightening and rejuvenating the facial skin. While this wavelength is successful in achieving the desired results, its downtime can be significant: one to two weeks. For this reason, the protocol also incorporates the non-ablative wavelength.
Non-Ablative Wavelength
The non-ablative wavelength is far less powerful than the ablative wavelength. Instead of removing the outer layers, like the ablative laser does, it heats up the skin to help resurface the skin. While non-ablative wavelengths usually have little to no downtime, the results are far less dramatic, and generally require several visits. The PSS combination (hybrid) of the two laser wavelengths through the Halo Laser procedure, gives you the benefits of the deep penetrating laser treatment, with the comfort of knowing your downtime is reduced to that of non-ablative wavelengths.
Alternatives to Halo Laser
Botox
Botox Injection (botulinum toxin) immobilizes the muscles in the face, creating a smoother appearance to wrinkled skin. It is used as a preventive measure to reduce wrinkles, but it doesn't remodel skin substructure. Botox cannot help with discoloration, age spots, and scars. It is a great tool for preventing wrinkles once your skin has been treated with the laser, since it prevents the excessive facial movements that can cause forehead wrinkles, wrinkles around the eyes, and the neck.
Chemical Peel
A chemical peel is a non-surgical procedure that is used to regenerate the skin of the face. The procedure uses a chemical that exfoliates the skin, which makes the epidermis layer of the skin peel off. This procedure works on the outer layer of the skin, but it does not significantly effect the dermal layer.
CO2 Laser Treatment
CO2 laser treatment uses an ablative wavelength to treat the dermis and epidermis. This treats the dermal layer of the skin by using both a pulsating light and a continual light to treat the deep layers of the skin. It will help with scars, enlarged pores, and resurfacing. This is an ablative laser, and the downtime can be up to three weeks. The Halo Laser is the preferred treatment for many patients because of significantly reduced downtime.
Ebrium Laser Treatment
Erbium laser treatment is a non-surgical procedure that uses an ablative laser; however, this procedure burns less tissue than the ablative CO2 treatment and therefore has less dramatic results but a shorter downtime. In comparison to the Halo Laser, Erbium can have a longer downtime of one to two weeks, and Halo Laser, with its shorter downtime, can produce more dramatic results.
Pulsed Dye Laser
Pulsed Dye laser uses a non-ablative wavelength. It works for fine lines around the eyes, spider veins, rosacea, and other surface skin issues. This laser does not help to rebuild collagen, like the Halo Laser does. The Halo Laser not only rebuilds collagen as it treats surface skin issues, with the added benefit of downtime similar to Pulsed Dye laser, but with much more significant results.
Nd: Yag Laser
Nd: Yag laser uses a non-ablative wavelength. It is usually used for tattoo and hair removal. While it can be used to treat some surface skin issues, it does not have a high success rate.
Venus Viva
Venus Viva uses NanoFractional Radio Frequency which sends energy from the epidermal layer to the dermal layer of the skin. The radio frequency is delivered through a hand held device that helps to rebuild collagen. This thirty-minute treatment yields great results after one treatment. It is recommended to continue treatments on a regular basis (typically four times a year) to keep the skin rejuvenated and glowing.
Viveve (Geneveve)
Our philosophy at PSS is to help you achieve the best version of yourself; that is, a self-confident, comfortable and satisfied self. As part of that mission to give you the best results possible, we are pleased to present the Viveve vaginal rejuvenation treatment. Feeling renewed and rejuvenated is now possible with this discreet, convenient, safe, non-surgical treatment. Women who are experiencing vaginal dryness, discomfort, urinary incontinence or loss of vaginal elasticity due to childbirth can reinvigorate themselves with Viveve. Clinically tested, Viveve (formerly Geneveve) can give you long-term results with a treatment that lasts as little as an hour, with zero downtime. At PSS, our licensed, female providers are available to answer any questions you may have about our private, in-office Viveve treatments.
Why Women Want the Viveve Treatment
Women choose Viveve for a wide variety of reasons: The treatment is comfortable. Algorithmically-controlled cooling balances the gentle volumetric heating applied to the area. This keeps the patient's tissue safe and improves the sensation experienced during the treatment. It is discreet. Patients can achieve their desired results after one session. Viveve improves women's overall quality of life by improving vaginal elasticity, reducing dryness, increasing sensitivity, and helping with incontinence. Results are noticeable and immediate and will improve over the three months following the treatment.
How Viveve Works: A Three-for-One Treatment
Viveve (formerly Geneveve) is the cutting-edge treatment that enables women to address their vaginal laxity and dryness, as well as issues of incontinence, all in a convenient, respectful 45-minute session. The discreet treatment will be administered in-office by one of our highly trained nurses, and patients only need to complete one session to see results that will last for at least one year. During a Viveve treatment, an applicator the side of a thumb will be placed just inside the vaginal opening. The device will be gently rotated around the vaginal opening while emitting what is known as a Cryogen-Cooled Monopolar Radiofrequency (CMRF). This evenly-distributed energy stimulates penetrates 3-5 mm into the connective tissues, which promotes the production of collagen within the skin. Viveve's controlled heating restores elasticity and overall health to the treated area. Due to the fact that the Viveve system automatically cools the tissue down after it is heated, the treatment is comfortable to undergo. Anesthesia or numbing agents are not required. Patients report being aware of the heat or cooling, but experience little if any discomfort during a Viveve treatment. Patients who complete a Viveve treatment feel comfortable and well enough immediately after their session to return to their usual daily activities. There is no need for downtime following a Viveve session. Viveve will improve any issue the patient is having with laxity, dryness, and incontinence. The restoration of the vaginal opening will begin immediately following the Viveve treatment and will improve to the patient's best results after three months.
How Common is Vaginal Laxity?
Often caused by childbirth, or the slowing of the body's collagen production that occurs naturally with age, vaginal laxity is a commonly-encountered issue for many women. Unfortunately, vaginal laxity, or the loosening of the vaginal tissue, can result in incontinence and the loss of sensation during intercourse. By restoring elasticity to the tissue, while also protecting the current health of the vaginal tissue with controlled heating and cooling, a Viveve treatment relieves the issues associated with vaginal laxity and enables healthier sexual function. Patients enjoy restored volume and elasticity of their vaginal tissue. Recipients of Viveve report the results improved their confidence and a gave them greater comfort with intimacy.
How Common is Vaginal Dryness?
Vaginal dryness is another issue commonly experienced by women as they age. Loss of thickness and elasticity of the surrounding tissues can make vaginal sensation and lubrication more of an issue. Vaginal dryness is a common problem for women after they have given birth, and once they reach menopause. This can contribute to a patient's overall discomfort, and make sexual intimacy difficult to enjoy. Thankfully, Viveve increases the volume and overall health of the vaginal tissue, which enables better sexual stimulation and lubrication. The tightening effect of the Viveve treatment, combined with the general improvement in the overall health of the vaginal tissue it achieves, enables and restores the body's ability to maintain healthy, natural vaginal lubrication.
How Common is Incontinence?
Incontinence affects more than ten million people in the United States and impacts women from all walks of life. Women are more than twice as likely to experience symptoms of incontinence compared to men. Often as a result of childbirth or menopause, women go through a loss of internal vaginal elasticity or in other words, vaginal looseness. The condition is very common and can be embarrassing, undermining your quality of life. There are a number of different types of incontinence that can affect women, one of the most common is stress incontinence. Symptoms of stress incontinence are unexpected leakages in urine that can occur suddenly or when you laugh, cough or during physical activity. These symptoms can be extremely problematic, affecting work and social life. Commonly, childbirth, menopause and even stress can lead to incontinence. In other instances, UTIs, obesity or a medical condition can cause leakage or vaginal muscle weakness. An individual's experience with the issue can range, but in recent surveys, nearly 55% of women have complained of urinary incontinence issues.
Options for Fixing Vaginal Laxity and Incontinence
Over the years, treatments for addressing vaginal laxity and incontinence have come and gone, but most pose high risks or are only able to manage symptoms. Surgical options are risky with high costs and may require significant recovery time. Barrier devices, pads, and liners are, at best, a temporary solution, and at worst unsanitary or expensive. Many women have turned to kegel exercises, which can strengthen and tighten the pelvic floor, but results can take a long time. At the root of vaginal laxity is skin elasticity, which is very difficult to restore through exercise or surgery. Skin elasticity is the ability of your skin to remain taut or bounce back from stretching. Your personal level of elasticity can vary, but an important measure of skin elasticity is the amount of collagen in your skin. Over time, collagen can diminish and result in loss of skin elasticity, or skin laxity. As a direct treatment of skin laxity and vaginal laxity, Viveve can trigger your body's natural collagen production to restore vaginal tightness.
The Science of Viveve
Viveve (formerly Geneveve) is a state-of-the-art vaginal tightening laser treatment that achieves long-term results for improving vaginal laxity, incontinence, and dryness. This three-in-one technology works through advanced radio frequency pulses that invigorate your body's natural restorative powers. There are no incisions, no anesthesia needed and no downtime from treatment. Viveve's dual-action treatment head delivers gentle, volumetric waves of radiofrequency energy to the surface of the vaginal walls and pelvic floor. At the same time, a cryogen cooling protects the surface of the skin and surrounding tissue. The radiofrequency energy sets in motion collagen regeneration and replacement, which begins within seven to ten days of your treatment and continues well into the 90th day. The cells in the internal walls will continue to activate and form fresh collagen. As fresh collagen is created within the tissue lining, improvements in laxity and vaginal wall function follow. Significant collagen renewal, (neocollagenesis) is achieved at three to five mm in tissue depth through controlled, evenly spaced, algorithmic heating pattern. Neocollagenesis is simply your body's own natural ability to heal tissue but kicked into overdrive to restore vaginal tightness to pre-childbirth levels. Viveve is the only treatment tested in a large-scale, sham-controlled multicenter study that showed consistent improvement in vaginal tightness to pre-childbirth levels. The importance of validated clinical evidence for the Viveve treatment cannot be overstated because often with women's health and wellness there is a lack of serious attention to scientific rigor. The vast majority of participants in the studies (88%) showed continued improvements in vaginal tightness even 12 months after just a single treatment! In the same study, a 9 out of 10 participants reported improved sexual satisfaction and experience twelve months after treatment (meaning improvement in arousal and orgasm). Improvement in sexual satisfaction and healthy vaginal function can restore self-confidence and alleviate anxieties caused by adverse symptoms such as vaginal laxity, incontinence, and dryness.
Consultation
At PSS, we understand that the intimate nature of vaginal rejuvenation and reassure all our patients that consultations are private and personalized to your needs. Our female providers will meet with you and go over each step of the treatment to ensure you are 100% confident and comfortable with Viveve. Depending on the issues discussed, you may also be recommended other treatments if they will better address your concerns. Our primary goal is to match you with the treatment and solution that is ideal for your body and needs.
Cost
The cost of Viveve vaginal rejuvenation is tailored to each individual. Treatments vary depending on the area, and cost is based on that.. Please give us a call so we can help you take the step towards a better, more satisfying intimate life, and confidence to sneeze at will!
Renuvion
Revolutionary skin tightening technology uses plasma energy for long-term results.The quality of your skin is often the most revealing sign of aging. At Plastic Surgery Specialists, we've searched for the most effective method to rebuild collagen and renew youthful skin texture. Renuvion is a new procedure which uses ionized gas to improve both skin laxity and turgor by rapidly heating and shrinking collagen. This proprietary balance of helium and RF energy, Renuvion has been described as ideal for medical procedures where precision and control are key to an effective treatment. Since it was discovered to have a distinct effect on tissue contraction, we've embraced the technology. Renuvion is used in two ways; as a resurfacing technique for the face and other areas that have skin damage, and subcutaneously (under the skin) to tighten beneath the skin, usually in conjunction with a Liposuction procedure. Renuvion offers real benefits during Liposuction to tighten skin when fat is removed, preventing the look of lax or loose skin after surgery. The results are remarkable and reproducible. Plastic Surgery Specialists is the first practice in the North Bay to offer Renuvion treatment.
Skin Renewal Inside and Out
Renuvion has variable applications: Renuvion for the face: Topically applied, Renuvion causes deep resurfacing of the facial skin which treats significant wrinkles, laxity and dyschromia. The typical recovery after this treatment is a minimum of 2 weeks. Renuvion for the body: This is a subdermal procedure. Doctors use this novel technology to apply energy beneath the skin, causing a contraction effect that's gentle on tissue. The effect of the treatment may continue to improve over time and doctors often report that the contraction effect is noticeable immediately after the procedure. This can be done alone or in combination with liposuction for fat reduction. Subdermal application of Renuvion is useful for skin laxity of the abdomen, back, arms, legs and neck.
Am I a Candidate for Renuvion J Plasma Skin Tightening?
Our skin loses elasticity for a myriad of reasons; decreases in collagen, changing hormones, aging due to environmental and sun damage, to name a few. Renuvion skin tightening candidates include men and women with loose or sagging skin in the face or body due to weight loss, pregnancy, or age.
Deep Resurfacing for Real Results
For 30 years, CO2 laser resurfacing has been the gold standard to improve the quality of your skin and reduce facial wrinkles. Renuvion cosmetic technology is the result of extensive scientific research and clinical development. Renuvion uses a gentle waveform to convert helium, an inert gas, into a cold atmospheric plasma. Helium is used because it can be converted to a plasma with very little energy. The result is energy that's able to provide unique heating with near instantaneous tissue cooling. Resurfacing with Renuvion provides results as good if not better than traditional CO2 facial resurfacing.
Demonstrated Efficacy
J-Plasma energy has been shown to be safe and effective in numerous surgical procedures where precise delivery of energy coupled with minimal thermal spread to adjacent tissue is beneficial. In cosmetic procedures, this allows for controlled coagulation of tissue.
Surgical Impact with Minimally-Invasive Procedures
Offering a long-awaited alternative to more invasive procedures, Renuvion provides dramatic results with lower risk and recovery time than more invasive surgery.
Skin Rejuvenation
Chemical Peels
What are Chemical Peels?
Chemical Peels are one of the most popular non-invasive cosmetic procedures available to rejuvenate the skin. Chemical Peels can soften lines and wrinkles, ease acne scars, and smooth irregularities on the face, neck, and hands. People wanting to eliminate uneven pigmentation, or even treat pre-cancerous skin lesions, choose to have a Chemical Peel. Our Marin County plastic surgery practice offers all levels of chemical peels, including superficial, medium, and deep.
Different Levels of Chemical Peels
Chemical Peels are performed at various levels, depending on each patient's individual goals. Superficial Peels are performed using mostly naturally occurring acids. They provide a safe and effective treatment for fine lines, pigmentation abnormalities, acne scars and dry skin. The application of a Superficial Peel via Chemical Peels causes the damaged outer layers of the epidermis to peel away. The skin layers that remain will experience increased cell growth, resulting in a smoother, revitalized and more youthful appearance. The Superficial Peel is often referred to as a "lunchtime procedure", because it only takes about 15 minutes. Other non-surgical treatments, such as Venus Viva™, treat fine lines, acne scars, and uneven skin tone. Medium Peels are another option offered via Chemical Peels in our Marin County surgical center. Medium Peels penetrate deeper into the layers of the skin, using higher concentration chemical solutions. Because there is some risk for skin discoloration, Medium Peels are best performed on patients with fairer complexions. Whereas the focus of the Superficial Peel is the epidermis, the Medium Peel penetrates the upper layers of the dermis, which lies beneath the epidermis. Increased cell growth and collagen production at this level actually improve the skin structure. Medium Peels can take between 15 and 60 minutes. Deep Peels are the most far reaching of the non-invasive procedure components of Chemical Peels, and they can produce the most dramatic results, however, they are also associated with higher risks. Because Deep Peels permanently lighten the skin, they are not appropriate for patients with dark complexions. Deep Peels penetrate into even deeper regions of the dermis than do Medium Peels. As a result, they can treat deep lines, more severe acne scars and extensive sun damage. A Deep Peel procedure can take one to two hours and requires a local or general anesthetic. The recovery time is also more extensive and most patients will want to stay home for about a week after the procedure. But whereas the Superficial and Medium Peels need to be repeated after a period of time to ensure the best results, Deep Peels are virtually permanent, lasting for years to come. For more information on Chemical Peels or non-invasive cosmetic procedures offered by Plastic Surgery Specialists, please visit our Education Center. Visitors who searched for Chemical Peels may also be interested in Laser Skin Resurfacing. If you are interested in getting a chemical peel and live in San Rafael, Novato, or another area of Marin County, please schedule a consultation with Plastic Surgery Specialists today. Contact us at (415) 886-0777.
Cellfina – Cellulite Reduction
Do you struggle with stubborn areas of cellulite that are unresponsive to exercise or diet? Cellfina is a revolutionary technology that quickly reduces dimpled skin. Enjoy smooth skin after just one treatment! Many women have cellulite and are concerned about its effects on their appearance. You shouldn't feel self-conscious when wearing a swimsuit or shorts. Come see the plastic surgeons at Plastic Surgery Specialists. Our comprehensive selection of treatment modalities can quickly and effectively reduce your cellulite for years!
About Cellfina
With a 93% patient satisfaction rate, Cellfina is a proven cellulite reduction procedure. Finally, a treatment for one of the most notorious skin concerns that has plagued clients for years: cellulite. Dimples are cute on kids but are frustrating when found on your butt or thighs. The Cellfina® System is the only FDA-approved minimally-invasive procedure clinically proven to improve the appearance of cellulite for at least three years—the longest FDA-cleared duration for a cellulite treatment. Cellfina treats the primary structural cause of cellulite by clipping the fibrous bands that cause dimpling, resulting in a smooth and healthy skin texture. At PSS, we now provide Cellfina treatment to our patients because it is FDA-approved, and has the highest patient satisfaction of any cellulite treatment device on the market! It is satisfying to be able to offer our patients a procedure that really works, and gives you a smooth, bikini-confident appearance with very little downtime!
What Causes Cellulite?
We're all too familiar with those stubborn dimples that keep developing as we age. Those dimples are caused by fat cells and fibrous bands called septae. The septae are in the epidermis layer and are attached to the skin's surface. As fat cells become enlarged, they push up against our skin. A dimple is created when the fat cells push against an area of skin a septae is attached to. The septae pulls down on the skin and creates an exterior "dimpled" appearance. Cellulite creates uneven skin texture that can multiply in an area. Many women with cellulite express interest in correcting the irregularities so as to regain smooth, flawless skin. Cellfina is a revolutionary treatment for cellulite because it corrects its structural cause by releasing the septae. You can have toned, smooth skin in just one hour!
Why Cellfina?
We provide Cellfina because of all the happy patients that have been impacted by the treatment! Patients in the clinical study showed significant improvement within three days after the treatment. Three years after treatment, 100 percent of Cellfina patients had noticeable improvement (based on the Global Aesthetic Improvement Scale (GAIS)). 3 months: 85% satisfied patients; 1 year: 94% satisfied patients; 2 years: 96% satisfied patients; 3 years: 93% satisfied patients. Cellfina is capable of improving the quality of your skin quickly and effectively. Cellfina provides impressive results that will improve your self-image and help you feel comfortable in your skin!
Benefits of Cellfina
There are many physical and mental benefits to reducing your cellulite. You deserve to be confident in your skin no matter what you are wearing! Cellfina can help you achieve your desired skin texture in just one procedure. Patients who undergo Cellfina will enjoy benefits such as: Smoother skin; Minimally-invasive treatment with little to no downtime; Long-lasting results; Safe procedure that boasts a simple recovery; Even-textured skin; Little to no risks; Boosted confidence. This profound treatment will have you trying on swimsuits and skirts in no time! Contact our offices today to discuss if Cellfina is a good option for you. Removing cellulite will transform the way you appear!
Who is a candidate?
Cellfina is for people of ages and lifestyle. It is commonly performed on women between the ages of twenty and sixty. The thighs and butt are the most common areas to be treated as most women will experience the development of cellulite in these areas during their lifetime. However, we encourage anyone who is interested in the phenomenal benefits of Cellfina to schedule a consultation with PSS to learn more. The most appropriate candidates are those with good skin texture, who've struggled with distinct dimpling and the appearance of cellulite. Cellfina is not for weight loss or fat reduction, but rather, to change the appearance and texture of the skin, making it more smooth.
Cellfina with Top-Ranked Marin County Specialists
PSS has three highly-qualified surgeons located in the Bay Area of California. Dr. Stanley G. Poulos is certified by the American Board of Plastic Surgery. He has been passionate about cosmetic surgery for many years and enjoys improving his patient's quality of life. Dr. Poulos specializes in cosmetic breast surgery and body contouring procedures. He is well experienced and has helped develop rejuvenation techniques. Today, Dr. Poulos is recognized as one of the leading plastic surgeons in Marin County and the San Francisco Bay area. Dr. Yngvar A. Hvistendahl is also one of the top plastic surgeons in the San Francisco Bay Area. Dr. Hvistendahl is a board-certified plastic surgeon who helped found PSS. Highly qualified, Dr. Hvistendahl is committed to providing his patients with safe treatments that provide beautiful, natural results. As an experienced Board-Certified plastic surgeon, Dr. Douglas utilizes the latest techniques and technology along with tried-and-true methods to ensure the safest and best results. At PSS, we pride ourselves on providing the best care for our patients. The multi-decade experience of our surgeons shows our patients that we are committed to providing them with excellent care and cutting-edge techniques.
Consultation
In your personal consultation, you will meet with one of our two highly-qualified plastic surgeons. In this consultation you will get the opportunity to share your cosmetic goals and expectations of a Cellfina procedure. Your surgeon will explain the procedure, its risks and long-lasting benefits. Your medical history, current health, past procedures and drug allergies will be disclosed and discussed to ensure a Cellfina procedure is healthy for you. Your surgeon may suggest alternative solutions that will better achieve your desired outcome. A physical examination of the concerning area will be administered so your plastic surgeon can understand how to best achieve your goals. The skin elasticity will be tested and photographs will be taken. All of our patients are welcome and encouraged to ask questions and express concerns, we are here to help you be confident in your choice!
Preparation
We recommend our patients stop smoking and taking antihistamines a few weeks before their treatment. These products can negatively affect blood circulation. Avoiding them for some time will help lessen swelling and bruising and will quicken your recovery period. We suggest you wear loose-fitting pants or sweats to the procedure to help you remain comfortable after the treatment.
How Cellfina works
Before the procedure starts, the predetermined areas will be cleaned and marked for treatment. Injections of a numbing solution will be administered to make the patient more comfortable. The device works by targeting the dimples directly, and carefully mapping appropriate insertion points for the needle device. Septae, or bands, located beneath the skin's surface are cut using a micro-blade. This is done in the predetermined area until the treatment is complete. A compression garment will then be applied. Walk in with cellulite and walk out with beautiful, smooth skin.
Recovery
Many patients are able to drive themselves home after the procedure and experience virtually no discomfort. Patients often return to work the next day. There is significant bruising because of the subdermal injury. Swelling is expected, and usually well-controlled with compression garments, Arnica and even ice. Compression garments will need to be worn for some time as the body adjusts to its new shape. The patient is asked to take it easy for a few days while the subdermal injuries heal. The swelling should go down quickly as the saline and numbing solution drains out of the injection site. Occasionally there is some lumpiness from the procedure which can be treated by lightly massaging the area. A follow-up appointment a few days after the procedure will allow your surgeon to see how your recovery is going.
Lasting Results
After as little as three days you should see impressive improvement. After several weeks, most bruising is resolved and the texture of the treated area will be smoother. Improvement continues as the body heals and starts to build collagen under the skin. Once the bands are released, they don't reappear. This procedure is a one-and-done system, unless other areas become more prominent as skin becomes smoother. Call us to assess your problem areas today!
Cost of Cellulite Treatment in Marin County
The cost of each treatment will differ between patients. At PSS we recognize that each patient comes into our offices with a particular goal and unique body. No two patients are the same and our approach reflects that. We tailor personal treatment plans for our patients that will achieve their best outcome!
HydraFacial MD
When it comes to taking care of your skin, face and overall appearance, never settle. Great skin care can do wonders for protecting you from premature signs of aging and keep you looking fresh, vibrant and youthful. At the forefront of advanced skin care, there is the Hydrafacial. With Hydrafacial, you can achieve a refreshing facial treatment that exfoliates, moisturizes and rejuvenates your skin in a single soothing session that requires zero downtime.
About Hydrafacial
HydraFacial MD® is a non-invasive, multistep treatment that combines the benefits of next-level hydradermabrasion, a chemical peel, automated painless extractions (no pinching!) and a special delivery of antioxidants, hyaluronic acid and peptides. It does all of this in one quick treatment that delivers real results without downtime or irritation. With HydraFacial, you are getting a hydrating, exfoliating, rejuvenating skin treatment in a single package. Customizable, convenient and long-lasting, the HydraFacial treatment can clear away the dull, discolored and damaged skin. The system is a 4-in-1 treatment with customizable phases that offer specialized boosts that can achieve deeper cleansing, restoration, and anti-aging. When it comes to having beautiful, vibrant and clear skin, there are many forces that can work against you. Aging, the sun, smoke, stress and everyday life can dull your appearance. Sun protection, moisturizes and other over-the-counter counter skin care products are essential tools in the fight against the dull skin and premature signs of aging, but they are ultimately limited.
How it Works: Vortex-Fusion®
The unique Vortex-Fusion® serum delivery system is what sets the HydraFacial MD® apart from other procedures. The multi-step treatment cleanses, evenly exfoliates and extracts to remove impurities and dead skin cells while at the same time replenishing vital nutrients, including antioxidants, peptides and hyaluronic acid. Thanks to the device's superior delivery system, these performing ingredients are able to more effectively help mitigate environmental damage, reduce fine lines & wrinkles, and plump & firm skin for long-term results you can see and feel instantly. The Customizable HydraFacial MD® treatment can be tailored to safely & effectively address your specific skin concerns. Our targeted problem/solution protocols were developed to help mitigate some of the most universal skin concerns, but your trained HydraFacial MD® professional can always further tailor your treatment to make it most exacting to your unique needs. Your skin isn't like everyone else's and your treatment shouldn't have to be either.
Why HydraFacial MD®?
No Downtime! No Discomfort! Can be done in 45 minutes; Immediate Visible Results; Effective for Every skin type; The Most powerful non-invasive skin treatment for deeply cleaning skin, promoting healthier, more hydrated skin. Additionally, other therapies like Procell Microchanneling can be more effective with clean, hydrated skin.
What can a HydraFacial Procedure Treat?
HydraFacial technology rises to the challenge when it comes to treating the following: Fine lines and wrinkles; Skin laxity; Dull skin tone; Discoloration, age spots, sun spots; Oily and Congested Skin; Enlarged Pores; Uneven skin texture. A single treatment can achieve all the above in a four-step process that is fully tailored to your needs.
What makes Hydrafacial Different?
At the cutting-edge of skin treatment technology, there are few, if any, treatments that can match Hydrafacial. Multiple areas and aging symptoms can be addressed conveniently and effectively, all without requiring any downtime. You can achieve a refreshed face without missing a beat out of your day. In some respects, the HydraFacial has similar characteristics as chemical peels or microdermabrasion treatment.
HydraFacial Vs. Chemical Peels
At first glance, some may assume a chemical peel and a HydraFacial are the same. A chemical peel is a classic exfoliating skin treatment that has been around for many years. The chemical peel achieves results through the use of abrasive chemicals, usually a glycolic acid, that are applied topically to the skin. The chemical blends break down dirt, oil and old skin cells. The strength of a chemical peel will vary based on the peel formula and the length of time the peel is applied. Although chemicals can deliver great results, the treatment is ultimately limited in scope. In many cases, patients who have chosen to undergo a chemical peel have found the experience uncomfortable. Those with upcoming parties, work events or social events will find the peeling and redness that occurs after a chemical peel to be a problem.
HydraFacial vs. Microdermabrasion
Another popular treatment, microdermabrasion, may be compared to the HydraFacial. A microdermabrasion exfoliates old, dead skin and clears surface-level skin blemishes by physically scraping away the top layer of skin. The treatment is performed either by using a handheld abrasive brush or by spraying finely grained microparticles from a handpiece. As the brush or wand is moved over the skin, the epidermis is scraped. Similarly to a chemical peel, the microdermabrasion is commonly said to be uncomfortable. The microdermabrasion polishes your skin but may require multiple sessions to achieve complete results.
HydraFacial Boosts
A key aspect that separates HydraFacial from the rest of the available skin care treatments is its customization. The HydraFacial vortex applicator can simultaneously exfoliation skin while applying specialized Boosts. These Boosts are each unique formulations that are designed to achieve the best results according to your goals and needs.
GrowthFactor Boost
With the GrowthFactor Boost, smooth away fine lines and wrinkles. Formulated with a high concentration of essential growth factors that restore your skin's health.
Bright Alive Boost
This formulation clears blemishes, discoloration and brightens skin tone. The brightening agents such as Ogliopeptide-68, Diglucosyl Gallic Acid, and N-Acetyl Glucosamine are a powerful combination that achieves a clear, even complexion.
DermaBuilder Boost
The DermaBuilder Boost is a restorative formula of octapeptides, dipeptides and deep hydrating conditioners that reduces fine lines and polishes dull skin.
Britenol Boost
The combination of Alpha-Arbutin and Vitamin C antioxidants repair your skin from sun damage and helps clear discoloration.
Ideal Candidates
Hydrafacial is so comfortable and safe that anyone can benefit from treatment. All skin types and complexions are well tolerated by Hydrafacial. The treatment is ideal for those who are concerned about: Acne, Oil Build Up, Black Heads, Large Pores, Fine Lines and Wrinkles, Dull Skin, Dark Spots, Age Spots, Discoloration.
Consultation
Schedule a consultation today to learn more about the results you can achieve with a Hydrafacial treatment. Your consultation is a personalized meeting between you and our highly trained nurses and aestheticians. As every treatment is 100% customized along with your goals and body, the consultation is your opportunity to explore all the options that are available. During your consultation, you can point out specific blemishes and areas of concern for examination. Then, the nurse will assess your personal medical history and perform an examination of your skin and blemishes to determine the best treatment course. With HydraFacial treatments, you will be able to discuss which Boosts, topical applications or additional dermal injections that you may want to include in your treatment. Together, you will walk through each step of the HydraFacial experience so you are totally comfortable and confident about the treatment you are about to receive. Finally, you will receive an itemized quote of the cost of treatment.
HydraFacial Experience
Your entire HydraFacial is performed in the convenience and comfort of our state-of-the-art treatment room. After an initial cleaning and prep, you are ready. While lying down comfortably, the HydraFacial applicator is passed over the skin, taking extra care in problem areas. One pass covers the entire surface area of the face. The HydraFacial applicator's unique Vortex cleanser uses a patented suction technique to remove dirt, oil and dead skin cells. Between each pass, a different Boost treatment can be applied to your skin depending on your needs. Build up and dull skin is broken up by the active ingredients in the Boosts and then suctioned away by each pass of the powerful Vortex applicator. One treatment, four steps and you receive a complete facial rejuvenation! The HydraFacial is a soothing and relaxing experience as the serums provide a cooling, replenishing feeling to the skin. There is no burning or irritation. Your session will be finished in approximately half an hour.
Results and Recovery
After your treatment session is over, there is absolutely no downtime! You will up and back to your normal, daily routine without missing a single beat. Some patients may experience some redness or pinkness in skin done because of increased blood flow. After your treatment, we urge patients to avoid sun exposure and apply moisturizers to ensure the best results.
Cost
A HydraFacial treatment will vary in pricing due to how much we customize each treatment. Each treatment can combine a variety of Boosts or may be paired with other skin revitalizing treatments for a comprehensive facial rejuvenation. During your consultation, you will receive a tailored quote based on your requested treatment and specific needs.
ProCell Microchanneling Therapy
While chemical peels, IPL & laser treatments have their place in aesthetic skin care, they all produce improvement by injuring the skin to cause a healing response for rejuvenation. Are you looking for a quick way to completely change the way your skin looks and feels, with virtually no downtime? Does it sound too good to be true? PSS is proud to introduce a remarkable, skin nourishing treatment called Livra MD™ Microchanneling & Somatic Cell Therapy. Feed Your Skin.
About Livra MD™ Microchanneling & Somatic Cell Therapy
Livra MD™ Microchanneling & Somatic Cell Therapy was developed in America, by a Licensed Aesthetician and a Board Certified Dermatologist. The tool is called Livra MD, and is designed to improve the appearance of aging skin, increases the vitality of your skin, and reduces the appearance of fine lines, wrinkles, uneven skin tone, acne & acne scarring, and hair loss. It also improves the clinical health of your skin by stimulating a rejuvenation cascade that your body has built in, just waiting to be activated! Livra MD turns it on! Livra MD creates invisible micro-perforations and stimulates cells called keratinocytes that activate the production of new collagen by stimulation, rather than damage. While chemical peels, IPL & laser treatments have their place in aesthetic skin care, they all produce improvement by injuring the skin to cause a healing response for rejuvenation. Livra MD is unique in that it stimulates improvement by the stimulated release of epidermal growth factors with virtually no damage to the skin. The treatment produces a clinically significant increase in the production of new collagen and elastin through the release of these powerful growth factors and cytokines. Microchanneling creates tiny perforations in the skin, initiating a natural healing response specifically designed to trigger the collagen-producing cells in your body to go into overdrive and create permanent new healthy skin. These perforations cause a healing cascade that produces new collagen and elastin resulting in firmer, healthier skin. We combine this with our somatic cell growth serums for the ultimate treatment in skin renewal. In the last few years, microchanneling has made a huge splash because of how effective it is and how quickly it works. With as few as two treatments, microchanneling has been shown to improve the appearance of wrinkles and fine lines, acne scars, age-spots/sunspots, and stretch marks. It can also help increase the effectiveness of topical hair growth serums. Livra MD produces maximum stimulation, with minimal inflammation. This balanced approach to skin rejuvenation reduces recovery time to near zero, while maximizing results! The typical recovery involves just a day or so of mild redness and swelling, and any evidence that you've had something done can be covered with a quality mineral makeup within just 2 hours of treatment! You'll experience an immediate improvement in skin tone, texture, laxity, fine lines and wrinkles. And you'll see long term improvement that really lasts when you complete a series of treatments as recommended by our skin care professionals. Livra MD can dramatically improve your skin's firmness, smoothness, elasticity, hydration, sensitivity & tone. Visible improvement in aging skin, acne and other scarring, uneven or hyper-pigmented skin & overall tone and texture are real with Livra MD. And with our expertise, we can show you how to make those results last!
ProCell Microchanneling Solutions
Contains Somatic Cytokines™; Hyaluronic acid; MD grade also contains recombinant TGF-β3 to further reduce inflammatory response. These are physiologic naturally occurring ingredients, normally found in skin.
ProCell Growth Serum Factors
ProCell products are scientifically advanced and highly effective in rejuvenating and improving the appearance of aging skin. They are formulated using only active ingredients with abundant scientific proof of efficacy and safety. Their hero ingredient is conditioned media from laboratory culture of human bone marrow mesenchymal somatic cells (BM-MSC.) From conception until death, these are the cells that function as "command and control" of the healing process in all injured tissues including the skin. BM-MSCs migrate from the bone marrow to all parts of the body via the blood stream, in similar fashion to red cells, white cells, and platelets. When they encounter injury, they function as "intelligent drug stores", locally secreting cytokines and growth factors (bio-signals) that influence the behavior of other cells i.e. fibroblasts, white cells, melanocytes, etc. Their output of bio-signals is highly anti-inflammatory. The population of these cells dramatically plummets throughout later life, leading to increased inflammation and less efficient healing. Advanced proprietary techniques are used to culture these cells in the laboratory in order to harvest their potent bio-signals. When applied to the skin, the effect is as if the body's clock was turned back to a younger period when more BM-MSCs existed. Only their bio-signals are used in ProCell products. There are no cells or cell remnants. BM-MSCs are obtained from medically monitored, healthy young paid volunteers, and grown and processed in FDA regulated and compliant facilities. The addition of more than a dozen proven actives in the two-part anti-aging system makes ProCell and ProCell MD Serum and Accelerator complete skincare products.
ProCell Serums
Hero ingredient is Somatic Cytokines™ obtained from adult human bone marrow somatic cell cultures. Somatic Cytokines™ applied to skin mimic the effect of having more somatic cells (we lose most of them as we age so that by middle age only a few percent remain compared to our youth. MD grade also contains recombinant TGF-β3 and IGF-1, two cytokines critical to reducing inflammation and promoting protein synthesis. Other active ingredients prevent glycation, promote collagen production, restore barrier function, and act as powerful botanical antioxidants. Accumulating clinical evidence shows significant reduction in downtime after ablative procedures such as chemical peel, dermabrasion, and laser resurfacing.
ProCell Accelerators
Contains Somatic Cytokines™; Vitamins C, E, B5, and A (retinol) – all proven to be beneficial to aging skin o Plant isoflavones; Co-enzyme Q10 for cellular energy; Ceramide 2 for barrier repair; Botanical antioxidants; Algae extract, grape seed extract, alpha lipoic acid – ingredients of proven benefit. Sodium hyaluronate. Come in and see what all the talk is about!
ProCell Microchanneling FAQs
Who is a Candidate? How Do I Know If I'm a Candidate?
Almost anyone is a candidate for microchanneling. The only exception would be someone who has extremely sensitive skin or a very high sensitivity to pain. The other contraindication is active cold sores.
How Soon Will I See Results?
Approximately two days after treatment, however, this can vary depending on how quickly your skin heals.
What Can I Expect During the Procedure?
It's a bit uncomfortable during the procedure. The experience is similar to microdermabrasion.
How Many Treatments Will I Need?
This depends on what you are treating with the micro needling and how well your skin responds to the treatment, but typically a minimum of three to see great results.
What Needs to Be Done to Prepare/Is Any Preparation Needed?
A topical anesthetic is used to help reduce the discomfort. This can be called in to a pharmacy for you to pick up and apply before coming in or you can arrive one hour before your treatment time and it will be applied in the office.
How Much Discomfort Will I Experience During and After? Will a Pss Practitioner Give Me Any Type of Anesthetic?
There will be some discomfort and this will depend on your sensitivity level. Yes, a topical anesthetic is used one hour prior in order to reduce the discomfort.
How Quick is the Recovery Time? How Much Downtime is Needed After?
Generally, patients are able to return to their schedules with almost zero downtime. Skin may be red for a day, depending on your sensitivity.
How Soon Will I Be Able to Return to Work? Will I Need to Go Directly Home Afterwards to Recover? Will People Be Able to See/Tell I Had Something Done?
You can return to work day-of if you need, and can apply makeup within 90 minutes of procedure. Ideally we recommend leaving your skin bare for the rest of the day of the procedure.
How Soon Can I Use Makeup After Having This Done?
You can use make up within 90 minutes to three hours.
What are the Post Procedure Instructions?
Don't use any active ingredient products (ie retinols or hydraquinone) for the first 5 days post-procedure. Make sure to wear sunblock.
Autologous Conditioned Plasma Services
The human body is a beautiful, intricate system of moving parts. While it has the impressive ability to heal itself from almost any injury, sometimes it may need our assistance to return to its best, healthy function. For patients who are looking for a natural but effective way to improve the health of their skin or body, a Autologous Conditioned Plasma treatment will achieve cutting-edge restoration and rejuvenation. Autologous Conditioned Plasma, or ACP, is comprised of platelets, a major component of blood clotting, as well as plasma, which itself is full of proteins known as "growth factors," which encourage healthy healing. This concentration of growth factors is prepared from a sample of your own blood that has been processed for potency and safe use. In fact, the number of growth factors can be 5 to 10 times greater in Autologous Conditioned Plasma than they are in a standard sample of your blood! Autologous Conditioned Plasma Therapy is an effective way to nourish and jumpstart healthier healing and function in targeted areas of the body, without the use of incisions, foreign substances, or high temperatures. If you are interested in improving your body's rate of healing or repairing your skin, we invite you to call Plastic Surgery Specialists today to schedule a complimentary consultation.
The Science of Autologous Conditioned Plasma Therapy
Our blood can be considered the messenger of our immune system, delivering the information necessary for tissue regeneration and healing. The plasma is a concentration of your own blood that contains a high quantity of proteins, including keratinocyte and fibroblast growth factors, which communicate the need for cell growth. Your blood sample will be prepared with an activation agent in order to optimize the growth factors, as well as to help the Autologous Conditioned Plasma stay within the desired treatment area once injected. These growth factors can promote major healing and improved performance of our muscles, tendons, and other tissue, as well as achieve cosmetic improvements by promoting collagen production. The increase in vital collagen will tighten and heal the skin, effectively repairing scars and damaged capillaries, as well as filling in fine lines and wrinkles. The recovery after a procedure that incorporates Autologous Conditioned Plasma tends to be shorter, due to the fact that Autologous Conditioned Plasma improves both healing rates and overall outcomes.
Autologous Conditioned Plasma for Skin Rejuvenation
Autologous Conditioned Plasma, when incorporated into a skin rejuvenation treatment, will greatly improve the appearance and deep health of your skin. Praised for its anti-aging properties, Autologous Conditioned Plasma can be injected or applied as a step in almost any skin rejuvenation procedure. Some people, for example, incorporate it into their radiofrequency skin tightening treatment, or into a hyaluronic-rich facial. The most common form of Autologous Conditioned Plasma Therapy for skin rejuvenation is a microchanneling treatment that incorporates Autologous Conditioned Plasma, also known as a Vampire Facial.
Vampire Facial
The effects of time on our skin are not kind: we develop lines and wrinkles, we lose volume, our skin becomes more dull and dry-looking. Thankfully, patients have the option of achieving major age-fighting results by combining Autologous Conditioned Plasma with microchanneling, in what is known as a "Vampire Facial." When you come to Plastic Surgery Specialists to receive your Microchanneling with Autologous Conditioned Plasma, we will draw a sample of your blood. The sample will be spun through a centrifuge to separate the healing components. Your protein-rich plasma, which will contain the cells and chemicals your body needs to heal, will be made into a potent serum. After applying a topical anesthetic, we will use a Livra Microchanneling device to create small channels in your skin with miniscule, easily controlled micro-needles. These will create pathways, or microchannels, in your skin. The microchanneling will both stimulate collagen production in your skin and allow newer, healthier skin to reach the surface. The channels will communicate to the skin that it needs to heal while leaving the surrounding tissues untouched. After your Livra Microchanneling is performed, the serum of your plasma will be applied to your skin. The healing serum is targeted to where it is most effective. The Autologous Conditioned Plasma will penetrate deeply into your skin, thanks to the pathways created by the microchanneling. In fact, this method has shown to increase serum absorption by up to 300%. Thanks to the growth factors within the Autologous Conditioned Plasma, patients' skin will heal more quickly from its microchanneling, and scars and age spots will be less visible. Autologous Conditioned Plasma, when incorporated into a skin rejuvenation procedure, will promote collagen production in a patient's dermis. This will, over the weeks following your microchanneling, add more volume to the skin, which in turn will fill in fine lines and wrinkles. The skin will be stronger and healthier than before, therefore improving skin texture and tightness. Due to the fact that it will take time for the new collagen to reach the surface of the skin, it can take a few months before patients experience their final results. If you are looking for a minimally-invasive way to restore a youthful glow and tighten your skin, call the Plastic Surgery Specialists to schedule your consultation for Microchanneling with Autologous Conditioned Plasma today.
Autologous Conditioned Plasma with Fillers
Patients who would like to improve volume and smooth wrinkles in a targeted area of their face have the option of receiving dermal fillers in addition to Autologous Conditioned Plasma. Dermal fillers are injectables such as Restylane, Juvederm, and Belotero. These are designed to add natural-looking volume to areas of the skin that have developed fine lines and wrinkles. Dermal fillers effectively smooth these wrinkles away. With the added boost of Autologous Conditioned Plasma, your skin will both create new collagen and regenerate more quickly, which will compliment the contouring achieved with the fillers. As a result, skin looks more volumized and youthful.
Candidates
If you want tighter, healthier skin, Autologous Conditioned Plasma may be the perfect, minimally invasive boost your treatment needs. Ideal candidates for the benefits of Autologous Conditioned Plasma therapy are those who are non-smokers, not pregnant and do not have anemia or any other pre-existing condition which could interfere with your successful healing. Microchanneling with Autologous Conditioned Plasma Therapy is not recommended for patients who have sensitive skin, low pain thresholds, or active cold sores.
Consultation
Our goal at Plastic Surgery Specialists is to give each patient the highest quality care possible. We invite patients who would like to know more about their skin rejuvenation options with Autologous Conditioned Plasma to schedule a complimentary consultation with us. During your consultation, our highly trained nurses will go over your medical history with you, as well as go over your medication use, lifestyle habits, and goals for your appearance. If you are a good candidate for Autologous Conditioned Plasma therapy, your doctor will create a treatment plan that will achieve your best, desired results. Autologous Conditioned Plasmawill improve both your rate of healing and the function of your skin and body overall. However, if your doctor believes you will achieve better results from an alternative treatment, they will discuss this option with you.
Preparation for Autologous Conditioned Plasma Treatment
Your doctor will give you individualized instructions about how to prepare for Autologous Conditioned Plasma therapy. You may be advised to quit smoking for at least three weeks, as well as to discontinue certain medications before your treatment can take place. If you have any questions regarding your treatment with platelet-rich plasma, please do not hesitate to call our office.
A Treatment with Autologous Conditioned Plasma
The first step of your Autologous Conditioned Plasma treatment will be a blood draw. Your blood will be safely processed through a two-step centrifuge, which will separate your plasma and platelets from your red and white blood cells. The Platelet Rich Plasma serum used in your treatment will be a potent source of valuable growth factors. If you are receiving Autologous Conditioned Plasma as part of a skin rejuvenation procedure, the plasma will be administered to both boost the effects of your treatment and to stimulate new tissue and collagen growth in its own right. For example, Livra Microchanneling creates pathways for your dermis to renew itself with increased collagen production and skin healing. When applied, the growth factors present in the Autologous Conditioned Plasma will promote an impressive recovery in your skin function and improve the scale of your collagen production. Skin will become fuller, wrinkles will become tighter, and your topical skin will regenerate into a smoother, more even appearance. Patients who are interested in the regenerative benefits of Autologous Conditioned Plasma can have Autologous Conditioned Plasma injected to help relieve their back pain, disc pain, and arthritis. The injection will encourage somatic cell proliferation, due to the growth factors in the Autologous Conditioned Plasma. This will enable your body to generate new, healthier tissue and to heal effectively.
Recovery & Results
While the results of your Autologous Conditioned Plasma therapy will depend on your body's unique response to the Autologous Conditioned Plasma, as well as the particular treatment you have selected, patients repeatedly express surprise at the quality of their healing and health after incorporating Autologous Conditioned Plasma into their treatment. Patients who receive Autologous Conditioned Plasma as part of a vampire facial are able to share their results within two days of their treatment and will continue to see their skin quality improve as their renewed collagen production works the fuller, smoother skin to the surface. Results of a skin rejuvenation procedure with Autologous Conditioned Plasma can last for six months or as long as two years. Some patients may decide to receive 2 or 3 injections over a few months' time to achieve their best results.
Cost
The price of your Autologous Conditioned Plasma treatment will depend on the details of the particular procedure that you and your doctor agree upon. Once you complete your consultation with Dr. Poulos, Dr. Douglas or Dr. Hvistendahl you will receive a cost breakdown that reflects the details of your individualized treatment plan.
Benefits of Autologous Conditioned Plasma
Autologous Conditioned Plasma can improve the healthy, soft, youthful quality of patient's skin. Autologous Conditioned Plasma has shown to improve healing and results from a variety of treatments. Benefits of Autologous Conditioned Plasma include:
Relieve joint disease and arthritis
Improve hip, knee, shoulder, neck pain
Relieve sciatica and back pain
Promote faster healing of ligaments and tendons
Heal fractures more quickly
Encourage tissue and collagen growth
Tighten and tone skin
Reduce past scarring
Smooth fine lines and wrinkles, including crow's feet
Improve signs of sun damage
Reduce dark circles under the eyes
No risk of allergic reaction, due to the procedure's using your own blood
Minimally invasive to prepare and administer. Enables a comfortable procedure and overall easier recovery.
Vampire Facial
Our Autologous Conditioned Plasma treatment is vampire-like with the need for your own blood, and perhaps the fact you don't seem to age because of the power of these treatments.
We have a state-of-the-art Livra Microchannelling device that creates the perfect environment for your own healing cells to rejuvenate your skin.
The microchannel tip creates small channels in the epidermis which have been proven to increase serum absorption by up to 300%.
After your blood is drawn, we spin it to separate the healing components.
This platelet-rich serum becomes your own "super serum". This serum is rich with cells and the body's own chemicals that promote healing and rejuvenation.
The rejuvenation of your skin is two-fold.
The device creates microchannels, in turn stimulating collagen from the micro-injuries and the body's natural response. The second piece is the deep absorption of your own healing platelets. The healing serum is targeted to where it is most effective. The skin is stimulated to regenerate stronger and healthier than before, therefore improving skin texture and tightness.
Medical Grade Skin Care Products
PSS offers medical grade skin care to our patients to ensure your skin stays healthy, fresh and as wrinkle free as possible. We have chosen 2 of the best skin care lines available; SkinMedica and Obagi. To understand which line (or combination of the two) are best for your skin, budget and lifestyle, please call us to set up a skin care consulation. We will assess your skin for overall health, skin damage, problem areas, texture, elasticity, laxity and discoloration. If you choose to, we can use our Visia camera to assess and record your skin condition. The Visia camera uses UV and cross polarized lighting to record and measure surface and subsurface skin conditions. RBX technology helps visualize spider veins, hyperpigmentation and rosacea. This complete analysis and report clarifies problem areas and treatment choices. After assessing your skin we will recommend a program that fits your lifestyle. We'll go over what you can expect and results you'll see within weeks. Do keep in mind full skin turnover is 4-6 weeks, so there are times when your skin may look more irritated before it looks better. This is part of the process to get your skin healthier and transform and renew skin texture. Of course, the final touch for any skin care regimen is religious use of a good sunscreen. Remember sunscreen needs to be reapplied throughout the day for constant protection. If not, be sure to use a mineral powder with an SPF to refresh sunscreen. Sun damage can occur on cloudy days, and indoors. We'll also make recommendations for skin care after any procedure, whether it is a Halo laser treatment, a chemical peel or a Venus Viva RF treatment. To fully reap the benefits of your treatment we carefully outline pre- and post- procedure skin care. Healing creams can actually bring more macrophages (part of the skin renewal process) to the treated area to further boost skin renewal. Our list of products and skin lines include:
Alastin
Regenerating Skin Nectar
This proprietary formulation is designed to support the skin, before, during and after cosmetic procedures. This product works with the skin's natural regeneration process and assists in improving the skin's appearance. It can be applied immediately post-procedure for faster recovery and healthier looking skin. Enhances healthy skin by helping to clear damage and debris in the extracellular matrix; Helps support the skin's natural ability to produce new, healthy elastin and collagen; High antioxidant activity is designed to calm the skin and reduce the appearance of redness. Key Ingredients: TriHex Technology™; Naringenin with Panthenyl Triacetate; Arnica Montana Extract; Phytoene and Phytofluene.
1 Fl. Oz. 29.6 mL$195.00
TransFORM Body
TransFORM Body Treatment with TriHex Technology can be used in synergy with energy-based body fat reduction, or body skin tightening procedures as a post-procedure topical treatment. This unique formulation utilizes our patent pending LipoDRONE TM Delivery System to target the fat layers of the skin and help to accelerate the body's natural removal process of post-procedure fat debris. The addition of TriHex Technology helps to support the production of new collagen and elastin to address skin laxity, texture, and crepiness post-body contouring procedures. Helps to accelerate the results of body fat reduction procedures; Enhances body skin tightening procedures; Supports the production of new, healthy collagen and elastin; Improves the appearance of skin texture, firmness, and crepines; Visibly improves skin texture and crepiness when used as a stand-alone treatment. Supports the production of new, healthy collagen and elastin; Improves the appearance of skin texture, firmness, and crepiness. Key Ingredients: TriHex Technology® – Helps support the skin's natural ability to produce new healthy elastin and collagen. Hexapeptide-11 and Candida Extract – Help to encourage and accelerate the clearance of broken down fat created via fat reduction procedures to enhance visible results. Specific benefit for post-fat reduction procedures. Acetyl Tetrapeptide-2 and Dill Extract – Help to increase elastin production, addressing skin laxity, improving the texture and tightening of the skin. Linseed extract, Plantain Leaf, and Silver Mushroom – Help to increase GAG's and HA production for improved hydration, skin crepiness and texture.
6.0 Oz. 170 g$195.00
Soothe & Protect Recovery Balm
A highly emollient formulation designed to moisturize, soothe, and protect the skin following rejuvenating cosmetic procedures. Hydrates dry and compromised skin; Supports renewal of post-procedure skin; Helps to restore the barrier function of the skin. Key Ingredients: Petrolatum, Microcrystalline Wax, Physalis Angulata Extract, Caprylic/Capric Triglyceride, Butyrospermum Parkii (Shea Butter) Extract, Bisabolol, Tocopherol.
4.0. Fl Oz. 118.3 mL$40.00
SkinMedica
Proven Results, Based in Science. SkinMedica, brings almost two decades of data-driven scientific research to the forefront with its innovative and proprietary skincare products. SkinMedica Products:
TNS Essential Serum
All-in-one skin rejuvenating treatment improves the appearance of fine lines, wrinkles, skin tone and texture. Appropriate for all skin types. Initial results occurred in 30 days with optimal results occurring in 90 days. Key ingredients to make it work: Chamber 1: TNS Recovery Complex®: Human Fibroblast Conditioned Media (TNS®) → A physiologically balanced, naturally secreted and stabilized growth factor blend that helps improve the appearance of fine lines, wrinkles, skin tone and texture. Chamber 2: APS Corrective Complex™: Peptides help support skin: Palmitoyl Tripeptide-5; Hydrolyzed Silk (Sericin); Dipalmitoyl Hydroxyproline. Antioxidants that help prevent free radical damage: Ergothioneine (EGT) → An antioxidant with free radical scavenging properties. Ubiquinone (Coenzyme Q10) → An antioxidant that helps to counteract free radical damage and works synergistically with vitamin E. Camellia Sinensis (Green Tea) Leaf Extract → A natural antioxidant rich in polyphenols. Tetrahexyldecyl Ascorbate → A stable form of ascorbic acid (Vitamin C), a proven antioxidant. Tocopheryl Acetate → A form of vitamin E, an antioxidant and free-radical scavenger. Rubus Fruticosus (Blackberry) Leaf Extract → A natural antioxidant rich in polyphenols. Saccharomyces Ferment Lysate Filtrate → A bio-optimized yeast extract that helps prevent free radical damage. Specialty Ingredients: Alpha-Arbutin → Brightens skin. Hyaluronic Filling Spheres → Dehydrated filling spheres, containing hyaluronic acid, help trap water on the surface of the skin like a sponge.
Lytera Skin Brightening Complex
Brightens dull skin and minimizes the appearance of skin discoloration and dark spots and improves overall skin condition. Improvements seen as early as 4 weeks. Key ingredients: Lytera® features a proprietary blend of ingredients that work together to help brighten and even skin tone by reducing the appearance of dark spots. Tetrahexyldecyl Ascorbate → A stable, lipid-soluble ester form of ascorbic acid (vitamin C). Niacinamide → Vitamin B3 improves skin moisturization and helps to enhance the barrier function of the skin. Helps promote even looking skin tone. Ethyl Linoleate → Essential fatty acid ester helps promote even looking skin tone and helps support barrier function. Squalane → Mimics the lipid content of skin and helps support the skin barrier and is skin's first line of defense against water loss. Retinol → Lipid-soluble vitamin A helps smooth dry, thick and rough skin by enhancing exfoliation. Helps even skin tone. Dunaliella Salina Extract → Natural colorless carotenoids of phytoene and phytofluene extracted from unicellular algae. Colorless carotenoids help quench free radicals and brighten the skin. Hexylresorcinol → Helps to brighten the skin. Tetrapeptide-30 → Skin brightening peptide. 4-Ethoxybenzaldehyde → Helps even skin tone and brighten skin. Glycyrrhiza Glabra (Licorice) Root Extract → Natural extract, rich in glabridin, a highly effective antioxidant with excellent skin brightening qualities.
TNS Recovery Complex
Clinically shown to reduce the appearance of skin discoloration and improve the appearance of fine lines and wrinkles. Appropriate for all skin types for rejuvenation. Key ingredients: Human Fibroblast Conditioned Media (TNS®) → A physiologically balanced, naturally secreted and stabilized combination of multiple natural messenger proteins.
Vitamin C+E Complex
Improves the appearance of skin tone and texture with vitamins C & E. Key ingredients include: Different forms of antioxidant vitamins C and E are released gradually throughout the day to help prevent free radical damage: Ascorbic Acid (vitamin C) → A water-soluble antioxidant vitamin found in plants and produced synthetically. Tetrahexyldecyl Ascorbate (vitamin C) → A stable, lipid-soluble ester form of ascorbic acid (Vitamin C). Tocopheryl Acetate (vitamin E) → A stabilized ester of vitamin E. Tocopherol (vitamin E) → Oil-soluble, natural form of vitamin E.
Dermal Repair Cream
Ultra rich moisturizer provides intense hydration, helps prevent moisture loss and improves skin smoothness to restore your skin's natural beauty. Key Ingredients: Tetrahexyldecyl Ascorbate → A stable, lipid-soluble ester form of ascorbic acid (Vitamin C), a free radical scavenger. Tocopheryl Acetate → A stabilized ester of vitamin E, an important antioxidant and free-radical scavenger. Tocopheryl Linoleate → A vitamin E/fatty acid derivative that helps keep the skin moist and supple. Sodium Hyaluronate (Hyaluronic Acid) → A derivative of hyaluronic acid that naturally occurs in the skin. Has the ability to retain up to 40 times its weight in water on the surface of the skin. Algae Extract → An extract derived from a wide variety of plants grown in seawater and fresh water.
Uplifting Eye Serum
Smoothes the appearance of skin around the eyes and reduces the appearance of puffiness and fine wrinkles. Algae Extract → An extract derived from a wide variety of plants grown in seawater and fresh water. Helps hydrate skin and provides skin-softening, remineralizing vitamins and antioxidants to the skin. Glycyrrhiza Glabra (Licorice) Root Extract → An ingredient with skin brightening effects. Kojic Acid → A mushroom derived ingredient used to improve the appearance of skin tone. Camellia Sinensis (Green Tea) Leaf Extract → A natural antioxidant, rich in polyphenols.
TNS Eye Repair
Reduces the appearance of fine lines, wrinkles and puffiness around the eyes. Key Ingredients: Human Fibroblast Conditioned Media (TNS®) → A physiologically balanced, naturally secreted and stabilized combination of multiple natural messenger proteins. Palmitoyl Tetrapeptide-7 → A synthetic peptide that helps improve appearance of fine lines and wrinkles. Palmitoyl Oligopeptide → A synthetic tripeptide that helps improve appearance of fine lines and wrinkles. Tetrahexyldecyl Ascorbate → A stable, lipid-soluble ester form of ascorbic acid (Vitamin C). Tocopheryl Acetate → A stabilized ester of vitamin E that is an antioxidant and free-radical scavenger. Retinyl Palmitate → A natural lipid soluble form of retinol. N-Hydroxysuccinimide and Chrysin → This combination of ingredients reduces the appearance of dark circles. Boron Nitride → Optimizes the optical diffusion effect of light, which lessens the visibility of dark circles and discolorations to enhance skin appearance.
HA5
A new chapter in hydration: HA5. HA5 Rejuvenating Hydrator provides immediate smoothing in the appearance of fine lines and wrinkles, and supports the skin's natural ability to replenish its own hyaluronic acid for overall skin health. Ideal for all skin types. Contains VITISENSCE™ TECHNOLOGY, an exclusive SkinMedica® antioxidant blend, that harnesses potent antioxidants found in Vitis Flower and algae extracts to support skin's ability to replenish its own HA5 and support long term skin health. Key ingredients: Features a Proprietary Blend of five different forms of HA that work synergistically to optimize smoothness in the appearance of fine lines instantly and provide up to 8 hours of continuous hydration; Time Release HA, a SkinMedica® proprietary ingredient for sustained release of HA5; Sodium Hyaluronate for immediate hydration; Uncross-Linked HA for topical smoothness; Nano Hyaluronate soothes skin; Cross-linked HA for long-lasting hydration for up to 8 hours; Proprietary antioxidant extract from the Vitis Flower; Peptide complex to support skin rejuvenation and hydration; Polysaccharides from French Polynesia & Plankton Extract for healthy skin.
TNS Ultimate Daily Moisturizer SPF 20
Hydrates your skin while providing UVA and UVB protection to help prevent sun damage. Active Ingredients: Octinoxate 7.5% → An FDA-approved, water-resistant sunscreen that provides excellent UVB absorption that helps prevent sun damage to the skin. Zinc Oxide 5.3% → An FDA-approved inorganic sunscreen. When used in sunscreens, it creates a physical barrier that coats the skin surface and blocks most UVA and UVB rays from penetrating the skin. Key Ingredients: Human Fibroblast Conditioned Media → A physiologically balanced, naturally secreted and stabilized growth factor blend. Saccharomyces Ferment Lysate Filtrate → A bio-optimized yeast extract that supports the skin's barrier. Pikea Robusta Extract (Red Algae) → Helps prevent free radical damage. Ubiquinone (Coenzyme Q10) → A natural, lipid soluble antioxidant which helps to counteract free radical damage and works synergistically with vitamin E. Camellia Sinensis (Green Tea) Leaf Extract → A natural antioxidant rich in polyphenols.
SkinMedica Retinol Complex 0.5 & 1.0
Renews skin and diminishes the appearance of fine lines. Appropriate for: All skin types pre-conditioned by using Retinol Complex 0.25 or another retinoid product. Purpose: Enhance skin tone, texture, and resiliency. Results: Diminished appearance of fine lines and coarse wrinkles; Enhanced skin tone and texture.
SkinMedica Total Defense and Repair SPF 34 (Tinted and Non-Tinted)
Revolutionary superscreen goes beyond UV protection to defend against harmful infrared rays while supporting the skin's ability to restore itself. Rejuvenating superscreen to prevent the appearance of premature aging from chronic exposure to infrared rays. Provides comprehensive protection beyond UVA and UVB while supporting the skin's ability to restore itself. Results: Powered by SOL-IR™ Advanced Antioxidant Complex to: Protect skin from harmful infrared rays (IR-A rays); Reduce the appearance of lines and wrinkles; Improve the appearance of damaged skin. Key Ingredients: Octinoxate 7.5%; Octisalate 3.0%; Titanium Dioxide 3.5%; Zinc Oxide 8.0%.
OBAGI Medical
Obagi is a professional skin care line established in 1988 with the goal of offering medical grade skin care solutions. The Obagi line is prescription strength and only sold at a doctor's office, which is why the products work so well. Obagi Kits:
OBAGI C RX system
Address early signs of skin aging and damage with a unique regimen that combines the benefits of both prescription-strength hydroquinone and Vitamin C. Two customized systems (for normal to oily, and normal to dry) treat all skin types combine the benefits of prescription-strength 4% hydroquinone with the antioxidant power of Vitamin C. Vitamin C is the most important skin antioxidant Vitamin C may offer many useful benefits: Helps minimize the appearance of fine lines and wrinkles; Calms inflammation; Brightens skin; Retains moisture; Stabilizes Vitamin E5. Kit includes:
Professional C Serum
Various strengths to choose from depending upon your skin type: 10% Concentrated formula gentle enough for dry, irritated, or sensitive skin; 15% High-performance serum for most skin types; 20% Highest concentrated serum best suited for normal to oily skin.
Obagi C Cleansing Gel
Clarifies and prepares your skin for absorption of ingredients, while also removing makeup and oil. Obagi C Balancing Toner Specifically formulated for normal to oily skin, this alcohol-free non drying toner adjusts to your skin's PH.
Obagi C Clarifying Serum (Normal to Oily Skin)
Reduces the appearance of dark spots for a lighter, brighter skin tone. Valid prescription required. Please see Prescribing Information.
Obagi C Exfoliating Day Lotion
A smooth lightweight moisturizer that hydrates and gently exfoliates to reveal a brighter, healthier complexion.
Obagi C Therapy Night Cream C-Therapy Night Cream
Gradually diminishes the appearance of dark spots and provides continuous coverage with Vitamins C and E while you sleep. Valid prescription required. Please see Prescribing Information.
Obagi ProC EyeBright Peptide SunCare SPF 30
Helps minimize the visible signs of skin aging, especially around the eyes. Improvement in as little as one week, including reducing the appearance of crepiness and crow's feet, and minimizing dark circles and puffiness. Apply both morning and evening.
OBAGI NuDerm Kits
For Dry Skin, For Oily Skin. The #1 prescription strength, skin care system. It works on a cellular level—and the results are dramatic. Reduces the signs of premature skin aging; Accelerates skin cell turnover through gentle exfoliation; Reduces acne flares with the use of Tretinoin; Improves the appearance of hyperpigmentation by inhibiting the production of melanin; Helps skin laxity.
Obagi NuDerm Foaming Gel Normal to oily) OR Obagi Cleanser (Normal to Dry)
Gently removes makeup and everyday impurities for a clean, fresh complexion.
Obagi NuDerm Toner
Alcohol-free nondrying toner helps adjust the skin's pH to prepare skin for penetration of other product ingredients.
Obagi NuDerm Clear
Gentle yet effective prescription strength hydroquinone helps correct the appearance of age/sun spots for a healthier, more even complexion.
Obagi NuDerm Exfoderm (normal to dry) OR Exfoderm Forte (Normal to Oily)
A lightweight lotion that helps exfoliate the top layer of skin, removing dull, old skin cells while revealing new skin cells for a brighter complexion.
Obagi NuDerm Blender
A unique formula containing prescription-strength hydroquinone for the gradual lightening of age/skin spots and other types of skin discoloration. Renova (tretinoin cream) may be used with Blender, as prescribed by our doctors.
Obagi NuDerm Hydrate (day time), and Hydrate Luxe (night time renewal)
A moisturizing cream to be used as-needed to soothe areas of dry, flaky skin. Hydrate Luxe compliments overnight renewal and metabolic function.
Sun Shield Matte Broad Spectrum SPF 50
A sunscreen that combines UVB absorption and UVA protection in an elegant matte finish that is non-comedogenic, allergy-tested and dermatologist tested. Sheere, PABA free and fragrance free for all skin types.
OBAGI360 Kit
An early intervention system. This kit is formulated for those who want to proactively address skin care needs. (97% of patients saw improvement in their skin within the first week of use.)(12-week study).
360 Exfoliating Cleanser
Works to clear clogged pores that can cause dull, dry, uneven skin.
360 Retinol 0.5
This entrapped form of retinal is gradually released, refining the appearance of skin texture and tone for clearer-looking skin with minimal irritation.
Retinol 1.0 Sold separately
For those looking for a stronger percentage of retinol.
Hydrafactor Broad Spectrum SPF 30
A dual-function moisturizer with soothing ingredients and broad-spectrum protection to help prevent skin damage caused by UVA/UVB rays.
OBAGI Clenziderm M.D.
An acne treatment system. This kit is formulated for those who have mild to moderate acne. Penetrates deep to reach bacteria in pores.
Daily Care Foaming Cleanser
2% salicylic acid cleanser with calming menthol leaves skin feeling clean and fresh.
Pore Therapy
2% salicylic acid solution unclogs pores and clears away dead skin cells
Therapeutic Lotion
Lightweight 5% benzoyl peroxide lotion delivers medication deep within the follicles where the acne starts.
Therapeutic Moisturizer (sold separately)
20% glycerin formula calms, soothes and protects skin.
Other Obagi Speciality products
Elastiderm Eye Cream
A light, smooth cream clinically proven to help reduce the appearance of fine lines and wrinkles for firmer, more resilient-looking skin around the eye.
Elastiderm Eye Gel
A cooling, refreshing gel to help reduce the appearance of fine lines and wrinkles and give the skin around the eyes a firmer, more resilient feel. (46% increase in elasticity).
BiaFine
Helps damaged skin heal, providing an optimum moist environment for the healing process.
Fat Transfer Breast Augmentation
Would you like a slight increase your bust but don't want implants? Do you have indentations due to another surgery? When women think of breast augmentation, they typically think of implants. However, not all breast augmentation procedures require implants. For smaller augmentations, transferring fat from one area of the body to your breast is an option you may not be aware of. The double bonus is you contour and shape an area that bothers you while augmenting an area that may be smaller than you'd like. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl are highly trained in performing fat transfer procedures, which essentially combine two procedures in one. First, patients undergo liposuction to harvest excess fat from the body, giving patients the opportunity to sculpt and contour their body. Then, the doctors will inject this extra fat tissue into the breasts for natural augmentation. To find out if you would be a good candidate for fat transfer breast augmentation, please contact Plastic Surgery Specialists in Marin County and request a consultation with one of our board certified plastic surgeons.
About Fat Transfer Breast Augmentation
A fat transfer breast augmentation is a more natural alternative to traditional breast augmentation with implants. The procedure uses liposuction to first harvest fat from the patient's body. The fat is typically harvested from 2-3 locations on the body where the patients has excess fat deposits. Some of the most common locations where the fat is harvested from include the arms, back, abdomen, flanks, buttocks, and thighs. However, this may vary depending on the patient's individual case. Then, the fat is purified and enriched to be injected into the patient's breasts. This fat will then take to the new area where it is injected, giving the patient long lasting, natural looking and feeling results.
Benefits of Fat Transfer Breast Augmentation
Looks and feels natural; No risk of rupture or capsular contracture; No chance of allergic reaction; No prominent scarring; Long lasting results; No need for maintenance, including implant replacement or MRI scans. Besides enhancing the breasts, fat transfer breast augmentation also provides all the benefits of liposuction. It allows patients to finally get rid of stubborn excess fat deposits that are not responding to diet or exercise. Patients can sculpt their arms, torso, and legs for full-body results.
Good Candidates
Good candidates for a fat transfer breast augmentation are healthy women who wish to augment their breasts without implants. Patients must however only want to increase the size of their bust by one or two cup sizes. If a patient needs to address drooping breasts, or want a more dramatic result, implants or a breast lift may be a more appropriate solution. In order to be considered for fat transfer breast augmentation, patients need enough fat deposits on their body for the fat transfer. Since some of the fat cells will not "take" the doctor has to harvest more than enough fat to be able to account for some cell die-off. Slimmer patients may not be good candidates and may want to consider implants instead. In general, patients should be in good health. This means that they should be nonsmokers and at a stable weight. While patients with slimmer builds may not be good candidates, patients who are obese will not be good candidates either. Patients should already be at or close to their ideal weight. Significant weight fluctuations can affect a patient's results. The best way to find out if you are a candidate for a fat transfer breast augmentation is by meeting with a board certified plastic surgeon like Dr. Poulos, Dr. Douglas or Dr. Hvistendahl. The doctors at Plastic Surgery Specialists will be more than happy to work with you to determine the best procedure to help you achieve your desired results. Contact our Marin County offices today to get started!
Recovery
Following surgery, the liposuction and injection sites will be properly bandaged. The patient will also be outfitted with a surgical bra to help the breasts settle into their final position. They will be able to return home following surgery. However, since they will have received anesthesia, they should make prior arrangements for another adult to drive them home from surgery. They should also make sure that there is another adult with them at home the first night after surgery. Patients should take at least 3-5 days off from work in order to allow their body to properly recover. During this time and for up to three weeks, patients may experience some bruising, bleeding, and discomfort. Patients will be provided with medication to help alleviate any discomfort. Breast augmentation fat transfer patients should plan on coming into our Marin County offices for follow-up examinations at predetermined increments following their procedure.
Results
Not all of the fat cells from the procedure will survive in their newly grafted position. For this reason, the doctors will slightly over-graft the area to make sure that the patient enjoys their final results. Over the course of three to six months, the fat cells will take to the new location. The cells that do not survive will be naturally processed out of the body. In some cases, the patient may require a second fat transfer procedure in order to attain their desired results. Our doctors will schedule follow-up appointments in order to check in with the patient personally and make sure that they are satisfied with their results. Patients will be able to enjoy their final results at approximately the six month mark.
Consultation
At the time of the consultation, the patient will meet personally with one of our board certified plastic surgeons, Dr. Poulos, Dr. Douglas or Dr. Hvistendahl. The doctor will ask the patient about their concerns, why they are interested in a fat transfer breast augmentation, and what they hope to achieve from the procedure. He will also ask the patient about their medical history, any medications they take, and surgeries they've had in the past. Then, Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will conduct a thorough examination to determine whether or not the patient would be a good candidate for a fat transfer breast augmentation. At this time, they will determine if the patient has adequate fat deposits to perform the procedure and meet the patient's goals. Depending on the doctor's findings, they may determine that the patient is better suited for breast implants. In some cases, they may recommend a combination or both implants and fat transfer. After the examination, our staff will be able to provide the patient with an accurate price estimate for the procedure. In order to get started and find out whether or not you would benefit from a fat transfer breast augmentation, please contact our office in Marin County and request a consultation.
Fat Transfer vs. Implants
Traditional breast augmentation surgery uses implants in order to increase the volume of the breasts. The two main types of implants utilized are saline implants and silicone implants.
Saline Implants
Saline implants are filled with sterile salt water so if a saline implant ruptures, it will immediately be visible. This means that patients do not have to worry about silent ruptures or undergoing routine, and costly, MRI scans. However, there is a tradeoff for the safety and security that saline implants provide. Many women find that saline implants do not look or feel as natural as silicone implants. The sterile water that they are filled with does not resemble natural breast tissue.
Silicone Implants
Most women agree that gel-filled silicone implants more closely resemble natural breast tissue. Many years of study have shown no relationship between silicone and autoimmune diseases previously felt to be associated with these implants. Today the majority of implants that are placed are silicone.
Fat Transfer
A fat transfer breast technique solves both of the main problems posed by implants. Since a fat transfer breast augmentation uses fatty tissue from the patient's own body, it will look and feel natural – because it is! This technique makes it extremely safe, though there is a very small chance of infection with any procedure. Rupturing or capsular contraction is a non-issue. Since the fat comes from the patient's own body, there is no chance of the body rejecting the tissue as foreign matter, leading to adverse reactions. Furthermore, there is no need for MRI scans.
Procedure
A fat transfer breast augmentation is typically performed as an outpatient procedure under general anesthesia. Prior to the surgery date, patients should make arrangements for somebody to pick them up following the procedure, as they will not be able to drive due to the anesthesia. Furthermore, prior to the surgery date, patients should fill and pick up any medications prescribed by Dr. Poulos, Dr. Douglas or Dr. Hvistendahl.
Liposuction
The first step in a fat transfer breast augmentation procedure is to perform liposuction to harvest fat for the injections. Liposuction can be performed anywhere where the patient has excess fat deposits. Some common places where liposuction is performed include the arms, back, abdomen, flanks, and thighs. The doctors will typically perform liposuction on 2-3 locations on the body.
Purification
Prior to being injected, the fat harvested during liposuction needs to be cleaned and purified. Using a centrifuge, the most pure and viable fat will be separated from other components. This will help ensure that the maximum amount of fat possible will survive in the new location.
Injection
Dr. Poulos, Dr. Douglas or Dr. Hvistendahl will then inject the fat into the breasts using special syringes. The fat will be grafted at varying depths and in even increments. Not only does this technique ensure that the most possible fat will survive in the new location, but it also ensures that the breasts acquire a round, proportionate aesthetic. Once the appropriate amount of fat has been injected into the breasts for augmentation, the patient will be taken to a recovery room where they will wake up from anesthesia surrounded by our knowledgeable and attentive staff.
Hair Loss and Restoration
Flowing, glowing, and growing – Americans love showing off our luscious locks. In fact, hair care is a $87 billion per year industry in the United States. But when the hairline recedes, confidence levels sometimes go with it. To counteract the trauma of hair loss, restore your faith in fabulousness with Plastic Surgery Specialists (PSS). Conveniently located in Greenbrae, California, PSS proudly serves the greater Bay Area, including San Francisco and San Jose. To learn how we can add volume and dimension to your 'do, contact our office at your earliest convenience.
Is Hair Loss Inevitable?
Hair loss is one of those unfortunate, but oh-so-obvious signs of aging. It feels inevitable! And the experience can be traumatic. Like it or not, one of the first things people notice is your hair. When you look in the mirror and notice your follicle count waning slowly, your confidence may also take a hit. Some people may shrug and say, "Just time and tides, we all lose vitality as we age." But we at Plastic Surgery Specialists are here to tell you that you can fight hair loss with a combination of nutrient-rich oral supplements and follicle-stimulating treatments, including Autologous Conditioned Plasma. By isolating and amplifying the platelets in your own blood, we can treat the dermal papilla cells at the base of your follicles. When properly stimulated, these cells produce more beta-catenin, a protein responsible for signaling new hair growth. Autologous Conditioned Plasma is just one of the many tools in our hair restoration toolbox. When you experience follicular treatment at Plastic Surgery Specialists, you are in the hands of true aesthetic masters.
Nutrafol
With the FDA-approved oral supplement Nutrafol, your once-receding hairlines can be reversed. We offer a complete arsenal in the fight against hair loss with PROVEN, effective hair restoration techniques. Non-surgical, no-downtime treatments, such as our Livra Microchanneling system, combined with our special supplement, Nutrafol, create new follicles, trigger hair regrowth, and thicken the overall coif. We are very excited to offer this treatment to our patients, and help them rejoice in thick, healthy, lustrous hair. Nutrafol is formulated to work with your body's unique chemical composition. There are five major factors that affect hair loss and regeneration: Toxins, as regulated by the liver; Hormones, like estrogen and testosterone; The stress response of the adrenal glands; Your gut health and general digestive wellness; Metabolism and energy conversion. By identifying these facets of your physiology, Nutrafol has optimized supplements to boost your natural ability to restore hair growth. The average human body features 100,000 follicles. Nutrafol wants them all to function properly and vibrantly. We here at Plastic Surgery Specialists agree with their mission, which is why we offer Nutrafol as a cornerstone of our hair restoration strategy.
NeoGraft
Traditional hair transplant methods remove large strips of flesh from the back of the head. This leaves a large scar that is often more noticeable than the bald pattern that you are treating. Plastic Surgery Specialists is innovating hair transplantation with NeoGraft, a groundbreaking system that harvests healthy follicles individually. These follicles are collected from a "safe zone" – a region where hair growth is lush and replicable. The NeoGraft technique uses Follicular Unit Extraction (FUE) to harvest up to 2,500 follicles in a single session. Each extraction is so small, it leaves a pinpoint that is barely noticeable to the naked eye. Once the healthy follicles are gently collected from your "safe zone," it's time to put them to work. NeoGraft has pioneered the "no touch" technique of implanting follicles along the balding area. This minimizes complications and maximizes results. NeoGraft allows our clinicians to place follicles skillfully and strategically. The device targets viable destinations for your thriving follicles, giving them a new home, one by one. Your fresh garden of hair is already growing, thanks to the meticulous nature of the NeoGraft technology.
Benefits of Hair Restoration
Our multi-tiered approach to hair loss correction provides a wellspring of benefits. In addition to the obvious cosmetic improvements that you will experience, Plastic Surgery Specialists can also deliver a boost in confidence that accompanies your stunning new hair growth! Specifically, our methods are: Safe and well tested; Efficient and precise; Effective and life-changing. To experience the benefits of hair restoration in the Bay Area, schedule an appointment with Plastic Surgery Specialists.
Ideal Candidates
If you are a man or woman in the San Francisco Bay Area who wishes to reboot your lagging hair growth, Plastic Surgery Specialists can help. Have you tried topical creams and gels that left you flat? Are you dismayed by the direction your hairline is going? Have you given up on the dream of a lustrous head of hair? If you answered "Yes" to any of these questions, then Plastic Surgery Specialists wants to turn your head! To determine if you are eligible for hair restoration, pay us a visit soon.
Personal Consultation in Greenbrae, CA.
During your tailored consultation session, we will assess your current situation and listen to your input. After all, we can't help you achieve an Instagram-worthy hairdo without following your direction. Aesthetic enhancement is all about communication, and Plastic Surgery Specialists is ready to start a conversation with you. Please visit our blog and get a glimpse of how we approach cosmetic improvement.
Preparation for Hair Regrowth
Our hair restoration treatment consists of multiple steps to prepare the hair follicle with a rich supply of nutrients. Then the Autologous Conditioned Plasma treatment with Livra Microchanneling nourishes the scalp and creates the ideal environment for new hair growth, using your own growth factors and the microchanneling delivery system. If you are opting for a hair transplant treatment via NeoGraft, your clinician will prepare you for the procedure during your individualized consultation. If you have any questions, please do not hesitate to call 415-384-9787.
Hair Restoration Procedure
Our Procell Microchanneling device is state-of-the-art with custom needle depths that precisely deliver the growth "serum." The custom device tip is designed to open up tiny channels to deliver the nutrients while creating minimal damage. There will be some inflammation, but that is intentional. Inflammation will encourage the body's own healing response which rejuvenates the scalp with vital growth factors. Compared to other hair restoration methods, the Procell Microchannel creates better results with less downtime. The treatment is three-fold. First: Nutrafol supplements prepare your system with the proper nutrients. Then Procell microchanneling creates a pathway for your healing growth factor. Lastly, the "injury" created by the microchanneling helps boost immune system response to the area and promote rapid healing. The treatment protocol outlines your pre-treatment regimen, which includes 4 weeks of Nutrafol supplements before the procedure. A week before your treatment, we ask you to avoid multivitamins and blood-thinning agents, including Vitamin A and E, Ginko, Garlic, Flax, Cod Liver Oil, and essential fatty acids. Three days before the treatment day, we ask you to stop smoking and avoid alcohol and caffeine, as they impede the healing process. Additionally, we ask you to hydrate your system to make both the Autologous Conditioned Plasma harvesting easier and minimize your discomfort. Avoid anti-inflammatory medicines such as Advil, Motrin, aspirin, and Naproxen for three days prior, and three days after the procedure. Inflammation is a good thing when we are trying to bring blood flow to the area. The body takes over and sends healing compounds and cells, creating new growth. The procedure itself can be painful, as the scalp area has many nerve endings and is sensitive. Please share any concerns you may have with your Plastic Surgery Specialists representative and we will strive to minimize any discomfort you may encounter.
Recovery and Results
Your scalp can be tender after treatment but typically resolves quickly. Some people report headaches, but we have not experienced that issue with any of our patients. Take it from them by checking out our rave reviews! Please take a look at our before and after photos and see the real changes and growth you can achieve for your hair! You should wash your hair after treatment with a gentle shampoo and thorough rinse. Hair regrowth takes some time, but we have patients with significant results in as little as 4 weeks.
References
Li, ZJ, Choi, HI, Choi, DK, Sohn, KC, Im, M, Seo, YJ, Lee, YH, Lee, JH, Lee, Y. (2012). Autologous Platelet‐Rich Plasma: A Potential Therapeutic Tool for Promoting Hair Growth. Dermatologic Surgery. 38(7pt1)1040-1046. https://doi.org/10.1111/j.1524-4725.2012.02394.x Zhou L, Xu M, Yang Y, Yang K, Wickett RR, Andl T, Millar SE, Zhang Y. (2016). Activation of β-Catenin Signaling in CD133-Positive Dermal Papilla Cells Drives Postnatal Hair Growth. PLoS One. 11(7):e0160425. Epub 2016 Jul 29. DOI: 10.1111/febs.13784
FAQ
How Much Does Hair Restoration Cost in Marin County?
Due to the fact that we offer solutions as comprehensive and varied as NeoGraft hair transplants, Nutrafol supplements and Autologous Conditioned Plasma, prices will range. Your hair restoration must be tailored to your anatomy. Please call 415-384-9787 to learn more about our fees and financing options.
Is Hair Loss Permanent?
Nothing in life is permanent. We live in an era of medical breakthroughs and scientific discovery. Plastic Surgery Specialists in Greenbrae, California has harnessed the power of knowledge and translated it into real results. If you are unhappy with the look and feel of your thinning hair, contact us soon!
Neograft Hair Transplant
Why does a full head of hair engender confidence and vitality? Probably because we associate a full head of hair with youthfulness and vigor. But as the years go by, hair often goes goodbye. There are many reasons for thinning hair. Some are age-related, with hormone levels decreasing and environmental stressors (and simply stress!) taking their toll. Complications from surgeries or treatments for serious diseases can contribute to hair loss. Even the most healthy person after fifty will inevitably see some thinning of hair. The growing bald spot at the back of your head or hairline creeping back at the temples seems inevitable, like the wrinkles on your brow. But like Botox for your brow, there are effective, medically-proven treatments to combat hair loss. Plastic Surgery Specialists' Neograft system offers cutting edge hair transplantation technology to restore your hairline and fill-in that bald spot. It is a non-invasive hair restoration procedure that takes time, but the results are incontrovertible. Our advanced NeoGraft system employs the Follicular Unit Extraction (FUE) technique to achieve unbelievably natural-looking results without the scarring that marked previous transplant procedures. If you're not ready to take the surgical step, we offer holistic alternatives like autologous conditioned plasma injections that employ your body's own healing power to restore hair and reverse the signs of aging. Both of these procedures are buttressed by the potent botanicals contained within Nutrafol, an FDA-approved dietary supplement with hair regenerative properties. Plastic Surgery Specialists (PSS) is your Bay Area plastic surgery and aesthetic center. Proudly serving the cosmetic needs of Marin County, north of San Francisco, it's our mission to provide our patients with the best experience anywhere. SpaPSS is an extension of our aesthetic mission, offering skin treatments and non-invasive procedures in a spa-like environment. If you're considering hair loss treatments and you're in the Bay Area, near Greenbrae, CA, talk to the Plastic Surgery Specialists!
NeoGraft Follicular Unit Extraction (FUE)
Traditional hair grafting involves removing an entire "strip" of hair follicles at the back of the head, creating a long scar that is very difficult to conceal. The Neograft device allows for a much more discreet pattern of harvesting hair follicles, eliminating the need for a large incision and consequent scar. NeoGraft is the latest advancement in the FUE technique of follicular harvesting. FUE stands for "follicular unit extraction," a technique which has become the gold standard in hair transplantation. And the minimally invasive NeoGraft device has supercharged FUE. The procedure begins by identifying a "safe zone" of dense, healthy hair follicles, usually located at the back of the head. This is where the donor hair will be harvested. The donor area is shaved for easy extraction. Rather than simply cutting away a hairy strip of flesh from the donor area, as they used to do in "strip harvesting," PSS and NeoGraft present a more elegant solution to follicular harvesting. Using NeoGraft, your PSS medical professional begins the highly precise extraction. Healthy hair follicles are extracted 1-3 at a time. The meticulous process is minimally invasive, leaving only tiny pin-hole marks that are easily obscured by hair growth. NeoGraft treatment takes a steady hand and an artist's eye, to be sure. Up to 2,500 hair follicles may be extracted in a single sitting. But FUE is infinitely simplified by NeoGraft. It is important that the safe zone contains ample follicles to provide acceptable hair cover for the target areas. This means that people with advanced hair loss may not be ideal candidates, as the target areas are too large for the donor hair to cover. Also, diffuse hair loss patterns, in which hair is thinning throughout the scalp, may not have a safe zone of amply dense donor follicles. The NeoGraft device makes extraction as simple and dotting an "i" with a ballpoint pen. By repeating the same gentle extraction method, sufficient living follicles are gathered for implantation in the target areas.
NeoGraft's "No Touch" Hair Implantation
Part two of the restorative procedure begins when it is time to implant the harvested hair. NeoGraft introduces new levels of efficiency and effectiveness to this stage with its "no touch" approach to hair implantation. NeoGraft's "no touch" technique is safe and simple. Your PSS medical professional can focus on the artistic implantation of your newly placed hair. Meanwhile, NeoGraft makes the process easy as operating a pneumatic riveter. NeoGraft minimizes time and fatigue so PSS can maximize your results! The NeoGraft Advantage: "No touch" implantation technique is safe and simple; Minimally invasive FUE follicular harvest; Short recovery time.
Why NeoGraft?
We know there are plenty of choices for hair restoration. PSS has always been dedicated to implementing the best technology. Our solutions are aimed at true patient satisfaction. If you're not ready to surrender in the fight against hair loss, and if you want to push back against advancing baldness, contact PSS for a consultation. Because NeoGraft changes the game. Grow your hair back in the places you want. Wear your hair short if you like; NeoGraft creates a natural-looking growth pattern with minimal scarring. Feel confident again without resorting to the old "baseball cap solution." With NeoGraft, there is very little discomfort or downtime. The state-of-the-art procedure can make hair placement look natural and hair graft removal virtually invisible. The amazing, age-defying results are more accessible than ever; payment plans are available to finance your hair restoration in the Bay Area. Advantages of NeoGraft Hair Transplant Procedure: Very little scarring; Natural-looking results; Short hairstyles are possible.
What Are Autologous Conditioned Plasma Injections?
There's a new, non-surgical hair loss treatment that uses your body's own regenerative power to stimulate hair growth. Autologous Conditioned Plasma (ACP) injections employ an amazing serum created from your own blood. The platelets in your bloodstream contain cells that are directly involved in the healing process. These cells have signaling agents that coordinate healing throughout the body. Autologous conditioned plasma has been shown to produce age-defying results in a number of cosmetic procedures, including hair loss treatment. The non-surgical ACP procedure takes only 30 minutes. A typical appointment begins when a PSS medical professional draws a small amount of your blood to create the rejuvenating serum. Your blood is run through a centrifuge for 10 minutes to separate the plasma and its healing agents from the viscous medium. A PSS medical professional may apply a topical anesthetic before the injections. Your attending physician will inject the ACP serum into the scalp, with special attention being paid to those areas where hair growth is most desired. It will take about six weeks to start seeing results. The Plastic Surgery Specialists recommend continued treatments at monthly intervals to maintain ACP's effects. ACP is most effective in the beginning stages of hair loss. Patients with advanced hair loss may not be ideal candidates. The ACP Advantage: Treatments take less than an hour; An inexpensive treatment relative to hair transplantation; All-natural rejuvenation agent is devised from your body's own vital fluids; Equally effective for both men and women.
ACP Enhanced by Nutrafol
The Plastic Surgery Specialists are here to tell you that you can fight hair loss with a combination of nutrient-rich oral supplements and follicle-stimulating treatments, including ACP. Nutrafol is an FDA-approved dietary supplement packed with ingredients to fight hair loss. The product may enhance the results of your hair growth regimen. Restore your hair the natural way with Nutrafol, a nutritional supplement composed of potent botanicals. Turmeric extract reduces swelling in the inflammatory molecules that impede hair growth. Saw palmetto prevents the conversion of testosterone to DHT, a process with contributes to hair loss. Ashwagandha is an herbal anti-stress agent. Stress has been shown to cause hair loss by stimulating the release of the hormone cortisol. Nurafol's Potent Botanicals: Turmeric, to reduce swelling; Saw palmetto, to block DHT conversion; Ashwagandha, to prevent cortisol release. PSS creates the treatment protocol that outlines your pre-treatment regimen, which includes 4 weeks of Nutrafol supplements before ACP therapy. A week before your treatment, we ask you to avoid multivitamins and blood-thinning agents, including Vitamin A and E, Ginkgo, Garlic, Flax, Cod Liver Oil, and essential fatty acids. Two weeks before the treatment day, we ask you to stop smoking and avoid alcohol and caffeine, as they impede the healing process. Additionally, we ask you to hydrate your system to make both the plasma harvesting easier and to minimize your discomfort. Avoid anti-inflammatory medicines such as Advil, Motrin, aspirin, and Naproxen for three days prior and three days after the procedure. Inflammation is beneficial when we are trying to bring blood flow to the area. The body takes over and sends healing compounds and cells, creating new growth. The procedure itself can be painful, as the scalp area has many nerve endings.
Beat Baldness with the Plastic Surgery Specialists
You don't have to accept your bald fate when there's something you can do about it! PSS offers a full suite of surgical and non-surgical options to beat back the signs of aging and restore your youthful appearance. Contact the Bay Area's Plastic Surgery Specialists and schedule a consultation to learn more.
References
Dua, A., & Dua, K. (2010). Follicular Unit Extraction Hair Transplant. Journal of Cutaneous and Aesthetic Surgery, 2(3), 76–81. Schöffl, V., Willauschus, W., Sauer, F., Küpper, T., Schöffl, I., Lutter, C., Dickschas, J. (2017). Autologous Conditioned Plasma Versus Placebo Injection Therapy in Lateral Epicondylitis of the Elbow: A Double Blind, Randomized Study. Sportverletzung · Sportschaden, 31(01), 31–36.
NeoGraft Procedure Step-by-Step
The donor area is shaved prior to extraction
The follicular unit extraction (FUE) process removes donor hair 1-3 follicles at a time
NeoGraft's "no touch" technique implants hair in the target area
You enjoy results sooner with shorter recovery time
PSS Beauty Club
What is the PSS Beauty Club?
Plastic Surgery Specialists wants to help you budget and schedule your beautiful self.
Membership Benefits
10% OFF all non-surgical procedures
10% OFF all skin care
We help determine your plan to target your concerns
Plan may include Botox, laser treatments, skin care, or more
Reminders are sent when your next treatment is due
Your charges are spread out over 12 months (easier on the budget)
No large bill for for one treatment, no finance fee
Change your plan at any time
Stop at any time
End of year bonuses for being a member
Weight Loss Program
We at PSS are in the business of making you look and feel your best. Sometimes aesthetic surgery can be an option to get to where you want to be, but it's not always the first step. If Mary comes in with the dream of getting her pre-baby shape back but is carrying too much weight to make a Tummy Tuck effective, we now have a way to help her get the best result from surgery without saying "come back when you have lost weight." Turning away patients due to their current weight can leave them feeling unsupported and defeated. This inability to offer patients a good solution gave birth to our Health and Wellness Program. From nutrition and fitness counseling to gastric balloon placement, we have designed programs to jumpstart the journey to health and fitness.
Health and Wellness Program
Shape Your Life! PSS Health and Wellness combines cutting-edge technologies with a results-oriented diet and training program to start your journey. You will have full access to InBody scans, as well as certified diet and exercise technicians. There's an app to keep you on track, along with virtual consults. We designed the program for people with busy lifestyles that want personalized service. Your optimum health and happiness is our mission. We are here to change your relationship with food and ReShape Your Life. We all struggle with balancing our lives; trying to be productive and energetic, but often choose sleep over our morning workout.
What is the Weight Loss Program?
We know that excellent support is the mainstay of any program. Our weight loss expert has had years of experience with people who are longing to get control of their body and shape their life, on many levels. Bethany is our Program Director for health and wellness. Bethany started her career with a Masters in Social Work. Later when fitness competing became a passion she furthered her education to become a Nutritional Therapist and built a meal delivery business helping hundreds of people lose weight while teaching them how to do it with real food and no gimmicks. All of this experience has resulted in her deep understanding of weight loss, meal prep and the issues surrounding unhealthy relationships with food, making her a invaluable resource for our patients. With the combined skills of understanding energy input (good food) and output (fitness training), plus a deeper understanding of the behaviors that get in our way, she gets results where others fail. In addition, we have gone a step further to provide the jumpstart that so many are in search of. It's called Gastric Balloon Technology. They are left in, occupying space in the stomach for 6 months. We have seen patients lose as much as 25-75 lbs in this period, and with our team's support, will have learned new behaviors to make a weight loss program into a permanent, healthier, lifestyle transformation. When you commit to the PSS program we ask you to track, for two weeks prior to your visit, all of your food intake, and exercise. With the documentation of current eating and exercise patterns, you start with a comprehensive intake meeting, where your food patterns and exercise are reviewed. During the first consultation, we scan your weight, fat, lean muscle mass, identify and track inflammation, swelling and injury and more with our InBody 570. This machine gives us a clear starting point to track your progress. As you lose pounds, your changes are automatically tracked in the program. There are times where you may not lose pounds, but your clothing size starts to shrink. Lean muscle mass weighs more than fat but occupies less space. Clothes that did not fit start to look good again. Through all of these changes, you will have personal access to Bethany for questions, support, and ideas for meal plans. If you qualify for Obalon, our team will guide you through the process and provide the support that is the basis of its success. We have seen patients lose as much as 25-75 lbs. in a few months, and with our team's support, they've learned new behaviors to make a weight loss program into a permanent, healthier, lifestyle transformation.
First steps
When you commit to the PSS program, we ask you to track, for two weeks before your visit, all of your food intake, and exercise. With the documentation of current eating and exercise patterns, you start with a comprehensive intake meeting, where we review food patterns and activity. During the first consultation, we scan your weight, fat, lean muscle mass, identify and track inflammation, swelling and injury and more with our InBody 570. This machine gives us a clear starting point to track your progress. As you lose pounds, your changes are automatically tracked in the program. There are times where you may not lose pounds, but your clothing size starts to shrink. Lean muscle mass weighs more than fat but occupies less space. Clothes that did not fit start to look good again.
Our Philosophy
Bethany comes from a background of training for competitions, where building lean muscle mass is vital, and losing fat is both a result and benefit of the program. This program has a proven track record of making people leaner, stronger, and smaller (in circumference). The side benefits are many. More energy. Better focus. More confidence. Excitement about things that used to make you feel intimidated.
Counseling 24/7 and Compliance
Bethany is available to her patients virtually anytime: if she is not, we have a wellness app that can step in and answer questions. Bethany has been in the health business for 20 + years, and truly understands the struggle that food and fitness can be, and the frustrations that come with it.
Metrics
The PSS Weight Loss and Wellness program is all about results. If we don't help you achieve your goal, we've failed. The choices you make, make the difference. But we are with you all the way, to ensure when those difficult moments arise, you are strong and resolute in your commitment to your health. Our program includes many pillars of success. Explore the different tools we offer and our long-term health and wellness philosophy. Our program works as a stand-alone or in addition to the Obalon balloon therapy. Most individuals know when they just can't get there alone because they have tried and failed. As an aesthetic clinic, we are in the business of self-improvement. For some, cosmetic surgery may be a logical next step, but for many getting to a healthy lifestyle first is the key to unlock your potential best self. Give us a call and take the exciting first step to a healthier you.
What is Included in the Health and Wellness Program?
Pharmaceutical help with appetite suppressants where appropriate
Gastric Balloon Technology where appropriate
Unlimited access to nutritionist (emotional and educational support)
Mobile App to help on the go
Unlimited InBody scans to track progress
Healthy lifestyle coaching
Plan targeting fat loss while gaining muscle mass
May include male hormone replacement
10% off any aesthetic procedure including surgery, injections, and lasers for one year upon completion of the program
Appetite Suppressants and Weight Loss
PSS is committed to researching and providing the best options for weight loss strategies. We have a quiver of tools we rely on to address individual needs for our patients. Some patients need guidance, but once on the program do just fine with coaching. Others have trouble following the diet but are able to ramp up their exercise and achieve some results. Others are perpetually hungry. Our appetites and hunger impulses are funny things. We can go through a day eating a healthy diet, staying on track, feeling great. We may even be able to stretch that success to a week. But one day, the hunger comes roaring back, and even after a solid meal, you are still hungry. And willpower just can't stop the overeating. We can say, suck it up, and this too will pass. But sometimes the hunger is such a distraction we focus on it. Wouldn't it be great to use another organ (your brain) to help tame your stomach? It is possible, and it does work. They consistently see better outcomes when patients have a healthy lifestyle. Everyone is happier!
About Appetite Suppressants
A recent study suggested that some people who struggle with healthy weight don't have the same shut-off valve for satiety, or feeling full and satisfied. This problem moves the problem of weight loss into the realm of not willpower, but tricking the brain that does not work properly in regards to the normal, "I'm full" signal. At this point, Plastic Surgery Specialists have some prescription options that can help. There are a number of different drugs that have been developed over the years to help with weight loss. The more successful ones work on the brain's perception of hunger. The drug stimulates the hypothalamus and signaling neurotransmitters to reduce appetite on a short-term basis. We choose the best option for each patient. There is not one prescription right for everyone, so we have a number of formulations that work. Some of these drugs include benzphetamine, diethylpropion, mazindol, and phentermine.
How Can Appetite Suppressants Help?
One of the benefits of pharmaceutical help is the opportunity it gives you to change habits. When you consistently ask for a doggy bag after your meal because you are simply full, it gives you confidence that you can manage your hunger. After you start seeing results, that confidence builds. Your path becomes one of success. You feel better, look better, have fewer health problems, have less pain (lightening the load on your joints is incredibly helpful for back, hip and knee pain.) Dr. Poulos, Dr. Douglas and Dr. Hvistendahl love seeing a patient on the path toward greater health and wellness.
Orbera and Obalon Gastric Balloons
Please contact us so we can walk you through your choices and begin your health and wellness journey. Orbera procedure is not currently covered by insurance. Exceptions may apply
Lose 3x more weight than diet & exercise alone!
More than 220,000 people worldwide have successfully lost weight and kept if off with ORBERA®. Weight loss can be enormously challenging. We live in a fast-paced world where taking care of yourself becomes harder every day. Time is always crunched, rest is never enough, having fun is good but may be costly to the waistline. Prioritizing your health seems like a no-brainer, but do we do it? Not always. Imagine losing 30 lbs. What would a confident new you feel like? How easy would it be to keep up with your kids? Or play an extra round of golf? Or really look forward to bikini time at the pool in Cabo? PSS introduced the Health and Wellness program with gastric balloons to fill the need of patients who come to us desiring surgery but are not ready for it. They are too heavy to get the results they want.
Lose 2-3x The Weight of Diet and Exercise Alone
We know that it takes about four to six weeks to change a bad habit to a good one. Why is that important? Because we occasionally need a hand in the first part of the weight loss journey; to change habits, to get us through. For this reason, we introduced the gastric balloon concept to our practice. As you begin to see the effects of calorie reduction, we teach you new eating habits that change your long-term health profile. The balloon is a temporary intervention, literally. It sits in the stomach and occupies space, preventing overeating. While developing healthier eating habits, this device helps keep you on the straight and narrow, feeling good, but full, with smaller amounts of food. New exercise and eating habits are the only answer to sustained weight loss and stabilization. Gastric balloons are a temporary help to solve a "lifestyle" problem. These balloons are placed without any need for surgery and removed just as easily. They can be uncomfortable initially, but that feeling typically goes away within the first week.
A Roadmap To Long-Term Weight Loss
The partnership program included with the balloons is the Health and Wellness program. This program, led by our Health and Wellness Director Bethany, is your roadmap to successful, long-term weight loss. As you make the decision to lose weight and lighten your life, we will be with you every step of the way. Our support program continues a full six months after the balloons are removed. Drs. Poulos, Hvistendahl, and Douglas will consult with you on the proper choice for your balloon. As an aesthetic surgery practice, we are here not only to make you look good but feel good. If your goal is to Reshape Your Life, we also offer you a 10% discount on any surgery for a year after your balloon program. Those who come to us with a desire for a Mommy Makeover or Tummy Tuck may be disappointed when the doctors recommend a weight loss program before reshaping with surgery. This recommendation is for your health and wellbeing. We want your surgery to be effective, transformative, and ultimately to allow you to achieve your goal; a healthier, more fit, shapelier, and happier you.
Health Wellness Weight Loss Program
Read Our Free E-Book For Our Health Wellness Program. If you are struggling with weight, check out our E-Book for results of the Wellness Program we offer to patients. Bethany, our patient coordinator and a licensed nutritionist has helped us develop this program to help patients lose fat, gain muscle, and ultimately reach their goals. Check out the stories and journeys of those who have succeeded!
Success Stories
Mary Lost 43 Lbs
ORBERA® made the difference when nothing else could. Before ORBERA®, Mary wasn't happy with herself. She didn't enjoy how she looked or how she felt. She didn't even recognize who she was anymore. After some research, Mary knew that ORBERA® was for her. Now, she's 43 lbs lighter and happier than ever.
David Lost 50 Lbs
The change in me is unbelievable. I went from the worst point in my life, to the healthiest and happiest that I have ever been. David was having several of the hardest years of his life. As a result, he gained 50-60 lbs – seriously endangering his health. With help from the ORBERA® gastric balloon, David ditched his unhealthy behaviors and lost over 50 lbs!
Clara Lost 70 Lbs
ORBERA® saved my life! With the scale slowly approaching 300 lbs, Clara knew she needed to make her health a priority. With a lot of hard work and determination, she now leads a healthy lifestyle and is extremely active. After losing 70 lbs with the ORBERA® gastric balloon, Clara is now a role model for her entire family.
Andrew Lost 30 Lbs
I lost 30 lbs. with ORBERA® and kept the weight off for 5 years. Andrew wasn't happy with himself. Andrew would look in the mirror and wonder if the day would ever come where he would feel comfortable in his own skin. Andrew believes trying ORBERA® was a changing point in his life.
Orbera Gastric Balloons
Please contact us so we can walk you through your choices and begin your health and wellness journey. Orbera procedure is not currently covered by insurance. Exceptions may apply
Lose 3x more weight than diet & exercise alone!
More than 220,000 people worldwide have successfully lost weight and kept if off with ORBERA®. Weight loss can be enormously challenging. We live in a fast-paced world where taking care of yourself becomes harder every day. Time is always crunched, rest is never enough, having fun is good but may be costly to the waistline. Prioritizing your health seems like a no-brainer, but do we do it? Not always. Imagine losing 30 lbs. What would a confident new you feel like? How easy would it be to keep up with your kids? Or play an extra round of golf? Or really look forward to bikini time at the pool in Cabo? PSS introduced the Health and Wellness program with gastric balloons to fill the need of patients who come to us desiring surgery but are not ready for it. They are too heavy to get the results they want.
Lose 2-3x The Weight of Diet and Exercise Alone
We know that it takes about four to six weeks to change a bad habit to a good one. Why is that important? Because we occasionally need a hand in the first part of the weight loss journey; to change habits, to get us through. For this reason, we introduced the gastric balloon concept to our practice. As you begin to see the effects of calorie reduction, we teach you new eating habits that change your long-term health profile. The balloon is a temporary intervention, literally. It sits in the stomach and occupies space, preventing overeating. While developing healthier eating habits, this device helps keep you on the straight and narrow, feeling good, but full, with smaller amounts of food. New exercise and eating habits are the only answer to sustained weight loss and stabilization. Gastric balloons are a temporary help to solve a "lifestyle" problem. These balloons are placed without any need for surgery and removed just as easily. They can be uncomfortable initially, but that feeling typically goes away within the first week.
A Roadmap To Long-Term Weight Loss
The partnership program included with the balloons is the Health and Wellness program. This program, led by our Health and Wellness Director Bethany, is your roadmap to successful, long-term weight loss. As you make the decision to lose weight and lighten your life, we will be with you every step of the way. Our support program continues a full six months after the balloons are removed. Drs. Poulos, Hvistendahl, and Douglas will consult with you on the proper choice for your balloon. As an aesthetic surgery practice, we are here not only to make you look good but feel good. If your goal is to Reshape Your Life, we also offer you a 10% discount on any surgery for a year after your balloon program. Those who come to us with a desire for a Mommy Makeover or Tummy Tuck may be disappointed when the doctors recommend a weight loss program before reshaping with surgery. This recommendation is for your health and wellbeing. We want your surgery to be effective, transformative, and ultimately to allow you to achieve your goal; a healthier, more fit, shapelier, and happier you.
Health Wellness Weight Loss Program
Read Our Free E-Book For Our Health Wellness Program. If you are struggling with weight, check out our E-Book for results of the Wellness Program we offer to patients. Bethany, our patient coordinator and a licensed nutritionist has helped us develop this program to help patients lose fat, gain muscle, and ultimately reach their goals. Check out the stories and journeys of those who have succeeded!
Success Stories
Mary Lost 43 Lbs
ORBERA® made the difference when nothing else could. Before ORBERA®, Mary wasn't happy with herself. She didn't enjoy how she looked or how she felt. She didn't even recognize who she was anymore. After some research, Mary knew that ORBERA® was for her. Now, she's 43 lbs lighter and happier than ever.
David Lost 50 Lbs
The change in me is unbelievable. I went from the worst point in my life, to the healthiest and happiest that I have ever been. David was having several of the hardest years of his life. As a result, he gained 50-60 lbs – seriously endangering his health. With help from the ORBERA® gastric balloon, David ditched his unhealthy behaviors and lost over 50 lbs!
Clara Lost 70 Lbs
ORBERA® saved my life! With the scale slowly approaching 300 lbs, Clara knew she needed to make her health a priority. With a lot of hard work and determination, she now leads a healthy lifestyle and is extremely active. After losing 70 lbs with the ORBERA® gastric balloon, Clara is now a role model for her entire family.
Andrew Lost 30 Lbs
I lost 30 lbs. with ORBERA® and kept the weight off for 5 years. Andrew wasn't happy with himself. Andrew would look in the mirror and wonder if the day would ever come where he would feel comfortable in his own skin. Andrew believes trying ORBERA® was a changing point in his life.
Creating Long-Term Results
What makes the difference between a diet and a lifestyle? One is temporary, the other is a lifetime of benefits.
Why is the PSS Program Different?
Many years of experience are part of our program. Our trainers, our nutritionist, our doctors all have a wealth of experience in changing the body. There are surgical solutions, of course, but the real trick is changing the body through building lean muscle mass. This approach not only benefits your health, but it also reshapes your body. If you choose surgery for trouble spots, or abdominal wall tightening post-babies, the results will look better. We see more and more studies that show calorie counting is not effective. We have always believed this to be true here at PSS. We work with you, not in creating a restrictive diet, but rather, create a diet that substitutes better food choices. With our meal plans, you are never hungry. It is a program designed to help you decide how to "Choose this, not that" until eventually, your diet is in line with what results in optimal overall health and a healthy weight, including the proper muscle mass to body fat ratio. Your overall health is elevated resulting in a new you— in the way you look and the way you feel. The long-term effects are even more critical because lean muscle mass is a fat burning tool that will change your metabolism and support your joints and ligaments. As we age, we need to ensure we sustain our long-term mobility and keep moving; a key to anti-aging and essential to all of us. Lean muscle mass will prevent the injuries that come as we age. Our joints will be better supported, and our movements more effortless. An interesting fact about building muscle; it weighs more than fat, so your scale read the same weight. But your clothes will be looser, your waistband more comfortable, pants baggier. A trainer once demonstrated the principle as she stood in front of the class, a size 2 with a sculpted body, and said "I used to weigh 120 lbs. and was a size 12. Guess what my weight is now? 120 lbs." There was an audible gasp in the room. We can prove this to you on our INBODY 570. We have the only one in the Bay Area.
Re-thinking Your Mind-Body Connection
Weight loss is a journey of reconnecting with your body on many levels. When you realize the scale is a guide, but your energy, your strength, your healthy eating and how you feel is just as vital a guide. If you allow the number on the scale to discourage you, you may be missing the point. Do you feel better? Do you look tighter? Do you have more energy? Eventually, as you lose more fat, the scale will show your weight loss. But remember to trust your trainer, trust your efforts to get healthy with the right, long-term, life-lasting method. The benefits are enormous and incalculable.
What is Included in the Health And Wellness Program?
Pharmaceutical help with appetite suppressants where appropriate
Gastric Balloon Technology where appropriate
Unlimited access to nutritionist (emotional and educational support)
Mobile App to help on the go
Unlimited InBody scans to track progress
Healthy lifestyle coaching
Plan targeting fat loss while gaining muscle mass
May include male hormone replacement
10% off any aesthetic procedure including surgery, injections, and lasers for one year upon completion of the program
Diet and Nutrition
One thing we all know about diet and nutrition: there is a wealth of information out there. Many get overwhelmed with daily news reports about the benefits of low-carb, or low-fat, or no sugar, or liquid only…. the list goes on. The Atkins diet had people losing a great deal of weight, only to gain it back and gain even more weight. The low-calorie diet means you can feel hungry a lot of the time. Counting calories does not necessarily work as a long-term solution.
Eating and Weight Loss
You don't need to eat less to lose weight. You do not have to be hungry to lose weight. In fact, we believe here at PSS that you have to eat to lose weight. You hear that right! And we will teach you how to do it. How do you eat to keep yourself focused, energized and not always hungry? How do you develop a diet that keeps your metabolism working, and gives you simple, whole-food based nutrition to nourish you throughout the day? We have seen over and over again that with a few simple guidelines and the support of an experienced fitness and nutrition expert anyone can change their relationship with food and achieve optimal health. Our program is a way of life. At PSS we have an old, but proven philosophy Keep it simple. We have created a simple program for a complicated problem. We address your regular day-in and day-out schedule of a busy life, but also the things that seem to crop up as roadblocks -travel, holidays, celebrations, busy work schedules, family meal planning. Typical for a day's meal plan
Our Weight Loss Expert
We know that excellent support is the mainstay of any program. Our weight loss expert has had years of experience with people who are longing to get control of their body and shape their life, on many levels. Bethany is our Health and Wellness Program director. She has devoted her life to helping people with weight loss, nutrition counseling, and behavior modification. In addition to earning her Masters in Social Work, she is a Certified Nutritionist and fitness competitor. With her knowledge of food preparation and nutrition and interest in healthy living, Bethany created a successful specialty meal delivery business in San Francisco. After 20 years she decided it was time for a change and a more hands-on approach with people and patients. Plastic Surgery Specialists was lucky to be able to persuade Bethany to join the team. Years of experience and success put Bethany in a perfect position to guide you through your weight loss journey. She is a great listener, and coaches patients in a manner both straightforward and completely customized to the patient's needs. Bethany's background includes years of food preparation for clients who wanted healthy, tasty meals but did not have the time, energy or interest to prepare their meals. Before this focused career, she trained with some of the best chefs in the bay area. Learning from the best allowed her to refine recipes and create new ones that were just as delicious, but had half the calories and fat. She has continued to develop eating plans and recipes to help her PSS patients lose weight and create a habit of better cooking and eating habits. No one has more experience than a fitness competitor with reducing body fat while maintaining lean muscle mass. This philosophy is what sets PSS apart from the other programs. With the combined skills of understanding energy input and output, plus a deeper understanding of the behaviors that get in our way, she gets results where others fail. Bethany has coached patients to lose as much as 25-75 lbs. in this period, and with Bethany and PSS team's support, they've learned new behaviors to make a weight loss program into a permanent, healthier, lifestyle transformation.
What Should You Eat in a Day?
Breakfast
Two scrambled eggs, turkey bacon, pico de gallo
Lunch
Grilled chicken breast with ½ c. Quinoa, plus 1 c salad
Dinner
Lean protein burrito bowl with ¼ c black beans
Snack
Brown ride cake with tomato and avocado
Water
8 glasses/day
Fitness
A 2-mile walk and 15 min situps/pushups
What is Included in the Health And Wellness Program?
Pharmaceutical help with appetite suppressants where appropriate
Gastric Balloon Technology where appropriate
Unlimited access to nutritionist (emotional and educational support)
Mobile App to help on the go
Unlimited InBody scans to track progress
Healthy lifestyle coaching
Plan targeting fat loss while gaining muscle mass
May include male hormone replacement
10% off any aesthetic procedure including surgery, injections, and lasers for one year upon completion of the program
Inbody 570
Tracking your progress is key to your long-term determination to get leaner and healthier. The InBody gives you a baseline of information about your body composition, including lean muscle mass, fat content, and more. The InBody 570 provides more than a tradition body composition analysis by measuring fat, muscle, and total body water. Total body water data, for example, can be divided into intracellular water and extracellular water; these can help determine a user's fluid distribution. This information provides insight not only into fitness but injury or other possible health risks.
How the InBody Works: Non-Invasive, Pain-Free Testing
Safe, low-level currents are sent through the body via hand and foot electrodes. The impedance, or "resistance" the current encounter are measured in order to determine the body composition. InBody's patented BIA technology provides accurate and consistent results.
Getting Leaner
We have patients who've stepped on the InBody exclaimed in despair "I haven't lost any weight!". Bethany prints out the report that tracks the history of weigh-ins and points out a few critical things: your body fat percentage has decreased 5%, while your lean muscle has increased 4%. This transformation explains why you might weigh more but lose a pant size. As our patients watch their body composition changes, they notice strength and energy where there had been none. And the metabolism of muscle working is magic for burning fat.
Patient Testimonial
For athletes, information is key to understanding injuries and developing strategies to correct and prevent injuries down the road. The InBody is used by Cirque De Soleil to train its performers, and help them analyze strengths and weaknesses in different areas, (or "segments," in the report) of the body. When a machine can accurately tell you your left leg has significantly less muscle than your right, it helps diagnose a chronic injury-prone hamstring, for example. The story above is just one example of how the InBody made a huge difference in both the life of an institution, but also the difference in the life of an athlete.
What is Included in the Health And Wellness Program?
Pharmaceutical help with appetite suppressants where appropriate
Gastric Balloon Technology where appropriate
Unlimited access to nutritionist (emotional and educational support)
Mobile App to help on the go
Unlimited InBody scans to track progress
Healthy lifestyle coaching
Plan targeting fat loss while gaining muscle mass
May include male hormone replacement
10% off any aesthetic procedure including surgery, injections, and lasers for one year upon completion of the program
Post Weight Loss
Weight Loss Surgery refers to any procedure which alters the stomach or digestive tract to minimize caloric intake, often leading to dramatic weight loss of as much as one-hundred pounds or more. Common bariatric procedures include surgically reducing the size of the stomach, or placing a silicone band around the gut (called lap-band surgery), or inserting a saline-filled balloon in the stomach to reduce the stomach capacity. Gastric weight loss balloons like the Orbera gastric balloon have grown in popularity as a minimally-invasive solution for patients to reach their goal weight and take control of their health. While significant weight loss has benefits too numerous to count, there are consequences to the change in your body shape. The chief consequence is excess skin and flaps of tissue, which becomes frustrating for those who've worked so hard to reshape their body. Post-Weight Loss Surgery can help remove excess skin and reveal your natural contours. You've worked hard to lose significant weight, and you deserve to show it off. Plastic Surgery Specialists, or PSS has created one of the most successful weight loss programs in the country, using the Orbera gastric balloon combined with our Health and Wellness program. Our Weight Loss program director Bethany has helped many patients lose and keep weight off, with her constant care and coaching. PSS has a 6,000 square foot medical center in Marin County, equipped with state-of-the-art technology. We employ a highly-skilled medical staff to ensure the best possible outcomes with the Orbera gastric balloon and the results speak for themselves. Dr. Poulos, Dr. Douglas and Dr. Hvistendahl together can count over 40,000 procedures performed and over 40 years of combined experience, making them expertly qualified for your post-weight loss surgery needs. The doctors pride themselves on listening closely to your needs and have the experience and expertise to achieve those desires. This combination of talent is a hallmark of our world-class plastic surgery clinic, located in Marin County, CA.
Post Weight Loss Reconstruction Surgery With PSS
Nearly all massive weight loss patients end up having excess skin. Plastic surgery can provide these patients with the full rewards they deserve following their dramatic life change. We offer Post Weight Loss Surgery patients the benefit of a full program developed to meet their unique needs. Post Weight Loss Reconstruction programs can focus on one surgery and address several regions of the body (and therefore allowing for one recovery period) or multiple surgeries, each addressing one region of the body, over a period of time.
Benefits of Post Weight Loss Surgery
Excess skin folds can create irritation and cause some patients to become self-conscious. Clothes that now fit comfortably and show off your weight loss and svelte new shape may not do you justice because of excess skin and tissue. At PSS, we want you feeling your best and are here to help you with your weight loss journey. The primary benefit of Post Weight Loss Surgery is physical but the procedure will greatly impact your mental health and daily life. We know the importance of weight loss transformation, and for patients who go through our Weight Loss program we offer a discount for surgery to help correct the problem of extra skin. The main benefit of Post Weight Loss Surgery is that it will improve your appearance and restore comfortable mobility.
Best Candidate For Post Weight Loss Surgery
Post Weight Loss Reconstruction Surgery patients should have attained a stable weight that is appropriate for their bone structure before undergoing Reconstructive Surgery. They should be in good health and have reasonable expectations about Post Weight Loss Reconstruction Surgery results. To learn if this procedure is right for you, you will want to schedule a personal consultation with one of our highly-trained surgeons.
Personal Consultation
You will have a private consultation with one of our experienced doctors. The most commonly-needed procedure is a body lift. They will listen attentively as you discuss your concerns and explain the procedure in detail. Your surgeon will ask about your medical history and general health to gauge whether a body lift or other body contouring procedure is a good option for you. A physical examination will help your doctor better understand how to strategize your procedure. The examination will include photographs and measurements. Once you and your cosmetic surgeon have developed a treatment plan that addresses your concerns, they will walk you through the procedure, potential risks, and expected outcome. We encourage our patients to ask lots of questions and voice any concerns. We strive to inform our patients and help them feel confident in their decision.
Post Weight Loss Surgery Procedures
You will be presented with four options for Post Weight Loss Surgery. These will include an upper body lift, mid-body lift, lower body lift, and total body lift. Each lift will target a specific area and reduce extra skin. The result will be a slimmer, smoother body. Upper Body Lift: An upper body lift reduces excess skin on the breasts, back, and arms. This procedure will reduce irregularities and help you regain smooth, natural contours. Mid-Body Lift: A torsoplasty surgery, or mid-body lift, reduces excess tissue in the thighs, hips, and buttocks. This procedure helps to smooth out the transition from the upper body to the lower body. Lower Body Lift: A lower body lift, or belt lipectomy, is the most commonly performed surgery and includes an inner thigh lift, outer thigh lift, butt lift and smoothing of the hips. This procedure will help reduce excess skin and return the attractive contours of the buttocks and hips to the patient's form. This is a popular procedure for women who have undergone pregnancy. A total body lift is a combination of all the above treatments to provide you with a comprehensive change in your appearance.
Preparation
To best prepare for your procedure, you will want to follow the instructions given to you in your personal consultation.We recommend creating a recovery space for yourself that includes extra pillows, blankets, snacks, medications and water all within arms reach. You will need to arrange for rides and people to assist you in the first few days of recovery. It's important to continue your healthy lifestyle in the weeks leading up to your appointment. Avoid fluctuations in weight, don't smoke and avoid heavy drinking. You will want to remain healthy so as to ensure a healthy procedure and recovery. Twelve hours before your appointment you will need to stop eating and drinking, except for water. Lastly, be sure to take off a few weeks from work to ensure you have adequate time to rest and heal.
The Procedure
Even after surgery, some patients may still have pockets of fat in certain areas. For this reason, Liposuction is a big part of most Post Weight Loss Surgery Reconstruction Programs. Reconstruction following weight loss can also include Tummy Tuck, Breast Reduction or Gynecomastia Surgery, and even Neck or Facelift. This may sound overwhelming, but working with PSS will ensure that you have only the surgeries you need and that the ones that can overlap, such as Tummy Tuck and Body Lift, are performed as one surgery. How much Reconstruction Surgery you actually require will depend a lot on your age, your skin's elasticity, and other factors. The function of Post Weight Loss Surgery is to eliminate the excess skin that most Weight Loss Surgery patients experience after they have lost so much weight.
Recovery & Results
Following the procedure, your treatment areas will be swollen, bruised and sensitive. Any discomfort can be controlled with prescribed medications from your doctor. Drains may have been placed in existing incisions to help remove excess fluids. These drains will appear as thin, hollow tubes and will be connected to a receptacle. The PSS staff will inform you how to empty the drains and will remove them within a few days of your surgery at a follow-up visit. Follow-up appointments will help your surgeon monitor your health and ensure you are healing well. Incision sites will be closed with sutures. Bandages will be applied to the treatment sites and compression garments may need to be worn throughout the recovery period to help minimize swelling and adjust your body to its new contours. You will immediately notice an improvement in your body. Your whole frame and profile will have been transformed. It will take a few months for your final results to set in but these results will be long-lasting and with a healthy, active lifestyle will remain consistent.
Cost
Body lift procedures are highly personalized. The costs will vary greatly between patients because they are based on many variants. To learn more about your customized Post Weight Loss Surgery, schedule a consultation with one of our expert surgeons. You can contact us at (415) 886-0777. Visitors who searched for Post Weight Loss Reconstruction Surgery may also want to search Body Contouring.
FAQs
Do Plastic Surgeons Perform This Surgery?
Typically these procedures are performed by specially-trained general surgeons. Plastic Surgeons become involved in the Post Weight Loss Surgery stages after the weight loss has occurred and a stable weight has been achieved. Plastic surgery is then required in order to reshape the body. Weight loss changes can also affect the face and neck, chest, abdomen, back, buttocks, and legs.
What Type of Procedure Corrects These Changes After Weight Loss?
In each case, a procedure is individually-designed to achieve an optimal result. In some cases, it may not be possible to correct all areas in one operation. The most important consideration is safety. The benefits of a single-stage procedure must be weighed against the operative time involved. At Plastic Surgery Specialists, we perform these surgeries as a team with two surgeons and two assistants. This allows a much faster operation with fewer complications. It is very common to perform a breast lift with implants, tummy tuck or circumferential body lift and even facial procedures during one operation.
How Long Is the Recovery?
It depends on the procedure, but it is usually one month for the more complicated operations and, of course, at least a year for maturation of the scars. Most patients who have lost a massive amount of weight will require more than one operation to achieve an optimal result, as the skin elasticity is poor and touch-ups are the rule rather than the exception.
Tools for Success
We all feel the pressure of everyday life's packed schedule. How to stay on top of healthy living? We have some strategies and tools for you! Our commitment to excellence in helping you reach your goals includes your experience long after you leave our office.
Virtual Health Partner Mobile App
VHPGO: An App to Help You Succeed. Your ability to succeed in weight loss and wellness will be affected by the level of nutrition, fitness, and personal support you receive. Because of this, we are proud to introduce the VHPGO platform and app to help you 24/7. Benefits from this revolutionary platform are many; it gives you exclusive access to a team of nutritionists, fitness, and lifestyle modification health experts around the country, who are committed to supporting you. You will not have to drive to our offices for your nutrition appointments. Instead, you can schedule one-on-one consultations with your nutritionist of choice, from the comfort and convenience of your home. We will guide you to making successful, positive, lasting changes in your life. You will also be able to motivate and share experiences with your peers through live support groups. VHPGO uses the most innovative technology to give you easy access to comprehensive support that will make this your best chance at a successful journey to weight loss and wellness. Not only will helpful and caring experts support you at every step, but you'll also have access to a food diary, smartphone app, recipes, media library, meal plans, unlimited messaging to experts, Fitbit activity tracker, and more. The integration of all these elements will motivate, inspire, and educate you as you lose weight and improve your health. When you use VHPGO, you'll be able to participate in live online fitness classes from early morning through the evening, and access fitness videos 24/7.
Tips for Food
Recipes
One great feature is the inspiring and easy recipes to review as you shop for groceries. Videos show you how to make healthy snacks, quick breakfasts for on-the-go, or dinners that go together in 10 minutes. Following a diet plan can and should include food choices that are just as good and tasty as what were "pre-healthy choices." Fresh whole food, grilled with olive oil spray lets the flavor of the food shine through. It leaves you with energy and focuses at the end of a meal, rather than a feeling of heaviness and fatigue. These gradual changes in what you eat, and how you prepare it, can lead to so many benefits beyond looking better. More energy, a zest for life, an ability to get up and go; more life experiences that are joyful and leave you feeling great. It is hard to put a value on this kind of transformation. And it is within your grasp if you choose it.
Portion Control
Healthy eating is important, but so is portion control. Learn what you can fill your plate with (healthy veggies), and other food groups to size correctly for weight loss. Gradually your taste for "bad" foods will surprisingly decrease. And the feeling of sluggishness associated with high fat, or high-calorie foods becomes less appealing. It is not to say we can't have a "cheat" day or a spectacular meal for a special occasion. The important thing is to have the support and accountability to know the hard-won new weight loss and healthy habits will take over the next day.
Behavior Modification
Do you use food to relieve stress? Read and listen to programs about how to change those habits. Stress eating is very common in our fast-paced world and is hard to combat. Helpful suggestions include choosing exercise, or a phone call, instead. Or reading something fun. Journaling helps to relieve stress and get your thoughts on paper. These suggestions not only help with your diet but with your overall health.
Forming Healthier Habits
The science of how habits form and how they change has been researched quite a bit in the last few years. There is a timeline for what it takes to change a habit. Typically four weeks is a minimum to break a bad habit or to form a good one. Good news is if you can hang on for a month, it gets easier. And the benefits start to outweigh the cravings. Having a resource like VHPGO to rely on for useful information about a myriad of different techniques to help you succeed is invaluable. We all need help and tools to establish new patterns of behavior. A resource that is at the touch of your fingertips with a mobile app is convenient and comforting. VHPGO includes numerous videos that help you understand underlying behaviors and address them.
Forming Partnerships
PSS is here to help you succeed, and we are committed to continually looking for the best innovative tools and technologies for you and your journey to better health.
Beyond Digital App
PSS also offers gastric balloon intervention. What does that mean? Gastric balloons have been around for 20 years or more to help people with obesity and eating disorders. As the technology has progressed, and the treatment, success of the balloons have made them a viable option for steady weight loss. Please read more about this choice here.
What is Included in the Health And Wellness Program?
Pharmaceutical help with appetite suppressants where appropriate
Gastric Balloon Technology where appropriate
Unlimited access to nutritionist (emotional and educational support)
Mobile App to help on the go
Unlimited InBody scans to track progress
Healthy lifestyle coaching
Plan targeting fat loss while gaining muscle mass
May include male hormone replacement
10% off any aesthetic procedure including surgery, injections, and lasers for one year upon completion of the program
Weight Loss Program E-Book
Read our free e-book and get to know how Plastic Surgery Specialists has the options and experience to effectively help you lose weight. Whether you're new to weight loss, hope to get rid of that last few pounds, or are trying to restore your pre-pregnancy body, our e-book will give you the information you need to make an informed decision about your options. Our weight loss e-book has answers to many common questions about healthy ways to quickly lose weight. Complete the form on this page now and we will email you a copy of our Weight Loss Program E-book! You'll learn more about:
We founded PSS on the belief that our team of experts exceeds the sum of its parts. We share the technical expertise and the artistic vision necessary to achieve exceptional results. Combining our strengths allow us to provide you, our patients, the best care possible.