9454 Wilshire Boulevard (Ground floor at S. Beverly Drive)
Beverly Hills, California 90212
(310) 888-8087

 
February
2017
24

The Magic of Scar Removal Surgery

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They say that scars are testaments of the battles that we have faced throughout our lives. Scars are also visible remnants of a physical wound that has healed. Getting scars is unavoidable. We get them as a result of an injury on the skin. Our body has a natural way of healing injuries, but if your body is unable to heal fast, it may result in unsightly scars. Moreover, they can be a cause of a lot of insecurities, especially if they are located in an obvious place.

While scars can make you feel insecure, there are things that you can do to minimize the unsightly appearance of scars. Conventional methods include massaging the scarred area with cocoa butter, applying topical cortisone drugs, laser resurfacing, collagen implantation, and silicone pressure therapy. The thing is that no scar can be completely removed, but there are ways to improve the appearance of scars.

However, if you have problematic scars like keloids, it cannot be easily remedied by the treatments mentioned above. You need a more advanced cosmetic solution to your problem. One of the best treatments available now is the scar revision surgery.

What Is Scar Revision Surgery?

This type of cosmetic surgical procedure is available to patients who have scars due to injury or surgery. The scars that are good candidates for this surgery are those that are noticeable because they are either protruding or depressed.  This procedure is used so that the scarred tissue is restored in terms of form as well as function.

The scar revision surgery involves excising the scar under local anesthetic or sedation. Once the scar removal is complete, the skin around the affected area is pulled together then re-sutured so that it will look good as new. Cosmetic surgeons offer different treatment approaches for the scar revision surgery. Your surgeon will need to assess the scar to determine which option will work for you. Below are the types of options you have.

  • Z-plasty: This is a type of surgical technique that repositions the scar so that it conforms to the natural lines of the skin, thereby making it look less obvious. This technique can also help reduce the tension caused by the contracture or stiffness caused by the scar.  For this procedure, the scar is excised then new incisions are created to make triangular flaps on the skin. The flaps are then rearranged to cover the wound in different angles thus resulting in a Z-pattern—whereit got its name. The fine stitches used to restructure the skin are removed after a few days. It is important to take note that it will not really make the scar go away especially those that are located along the lines of relaxation.  Moreover, the shape of the scar determines whether the scar is qualified for the Z-plasty or not.
  • Flap surgery: Also called skin grafting, the flap surgery is done for more serious and complicated scars. This procedure is often performed in the hospital using general anesthesia. This procedure involves the transfer of skin from another part of the body to cover the injured area. The graft can take up new blood vessels from the injured area. The downside to this procedure is that it may leave scarring on the donor area while the recipient (scarred) area may not match in terms of color and texture to the surrounding skin.
  • Tissue expansion: For this particular procedure, a balloon-like device is inserted under the healthy skin near the scar. The balloon is then filled with a saline solution to stretch the skin until it covers the scarred area. This procedure can take several weeks. Once the skin has stretched, the tissue expander can be surgically removed. The stretched skin is pulled over on the scarred area before it is surgically closed.

Secrets to Success of Scar Revision Surgery

There are many factors that can affect the severity of scars which include the depth and size of the wound. Other factors also include the blood supply to the affected area, color, direction of the scar, and tension.

To be able to qualify for the scar removal surgery, you need to be in good health. For faster healing of the scar, it is important that the affected area should have a good blood supply. Post-operative care should also be done on the scar to improve the healing progress.

Choosing the Best Plastic Surgeon

If you are considering having scar removal surgery, then you should first consult with a qualified plastic surgeon. Schedule a consultation with Dr. Chiu and Beverly Hills Plastic Surgery today, so that he can help you make the right choice when it comes to your plastic surgery needs.

 

February
2017
17

Plastic Surgery for Men

Cosmetic surgery is a procedure that is not only exclusive to women. In the United States alone, around 10% of cosmetic surgery in the country is performed on men. Unlike women, it is hard to sell cosmetic surgical procedures to men because our society, as a whole, is not accustomed to the idea of changing men’s personal looks by any means. Although there is a low number of men who opt for cosmetic surgery, they are becoming more popular, especially among millennials.

While the majority of the plastic surgery procedures are done on women, there is an increasing number of men who are showing interest in going under the knife. The main reason is that society tends to focus more and more on our physical looks. Men want to look good to build confidence leading to a better relationship and career growth. This is the reason why there are many types of plastic surgery for men. Below are the common cosmetic surgery procedures that are available and/or specific for men.

Varieties of Plastic Surgery for Men

Blepharoplasty

Also called eyelid rejuvenation, blepharoplasty fixes everything around the eye.This procedure includes the lateral brows that sag over the eyelids, hanging skin, and fat pads below the eyelids. Droopy eyelids add up to looking older. This kind of problem occurs among men especially when they get older or if they are under too much stress. Sleep deprivation can also lead to droopy and unsightly eyelids. Eyelid rejuvenation is done by tightening the muscles and skin around the upper eyelid as well as removing the excess fat and relocating them to the cheeks to add more structure.

Neck Lifts

Men are also prone to developing “turkey necks” which can look unsightly when they are wearing suits and ties. It also makes the face look heavier, thus affecting the masculinity of the jaw line. Having this excess skin can encourage premature aging. Getting a neck lift can restore your youthful appearance. Neck lift is considered as an outpatient procedure and comes with very little pain. Male patients who get this procedure can go back to their normal lives after a few days of rest and recuperation.

Nose Surgery

Rhinoplasty, or nose surgery, is a procedure wherein the shape of your nose is improved so that it can properly blend in your face. Before the cosmetic surgeon performs a rhinoplasty, a facial analysis is often done first. There are different problems of the nose that may need nose surgery. These include having a nose that is too big, too small, out of place, or not proportioned. Nose surgery on male patients is done with finesse as the cosmetic surgeon needs to fix the nose without adding feminine features to it. Rhinoplasty is also done in conjunction with other cosmetic surgical procedures such as chin augmentation to provide harmonious overall facial appearance. Rhinoplasty is an easy procedure and takes less recovery time so that the male patient can get back to their normal activities within a week.

Chin Augmentation

Chin augmentation is a procedure wherein silicone implants are placed underneath the soft tissues of the chin. This provides more balance to overall facial features. This particular procedure is often done together with rhinoplasty to balance the proportions of the nose, chin, and the face.

Liposuction

Most men, as they get older, develop “dad bods”, which is a slang term that refers to their slightly overweight and less muscular physique. At some point in time, the dad bod became very fashionable, however today it screams out poor health. The accumulation of fat around the abdomen area puts men (and women) at risk for developing heart diseases and even metabolic diseases like diabetes. Liposuction not only helps in contouring the shape of the body, but sucks out excess fat—which can do wonders for their health. This is a great cosmetic procedure done on problematic areas that are difficult to deal with,even with exercising at the gym. Liposuction is not only limited in the abdomen but can also be done on the flanks, buttocks, arms, and thighs.

Male Breast Reduction

Having a dad bod also means being prone to developing gynecomastia. Gynecomastia is a condition wherein men accumulate fat cells around the breast area. Gynecomastia tends to look very feminine which can affect the confidence of men who have the condition. The male breast reduction is a procedure done by removing excess elements around the male breast and improving the tightness of the skin of the breast.

Choosing the Right Surgeon for You

If you are looking for Beverly Hills Plastic Surgery options, then you should book a consultation with Dr. Chiu at Beverly Hills Plastic Surgery. As one of the top surgeons in the area, Dr. Chiu has the expertise to help you choose the best cosmetic plastic surgery for men.

 

February
2017
15

Everyday Healthy Skin Habits

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Some women are lucky enough to be born with radiant skin. There is no point denying that practicing healthy skin habits makes a huge difference and can boost your self-confidence. If you are not born with great skin and to add insult to injury—you are prone to developing allergies, sunburn and other minor skin conditions, then we have the answer to your prayers! Modern medical science makes it possible for you to achieve healthy skin. Products like skin facials and various skin-care regimen have been produced for people to finally achieve a youthful glow to their skin. Even though you may follow recommended skin care suggestions from experts, it will help if you follow healthy habits when it comes to taking care of your skin. Below are the best healthy skin habits that you can follow to maintain a clearer and smoother skin.

Wear Sunblock at All Times

The skin provides a thin layer of protection against the ultraviolet rays (UV) of the sun. Thus if you spend too much time outdoors, your skin could get damaged. It is important to know that even if you are exposed for only a few minutes under the sun, the skin may have already developed sunburn. Too much exposure to sunlight does not only cause sunburn but it can also increase the risk of skin cancer. If you are outside, make sure that you wear sunscreen with a sun protection factor (SPF) of at least 30. So that you can stay longer under the sun without any risks. Sunscreen lotion is not only used for sun protection but it can also help prevent the development of wrinkles and uneven skin tone as it also contains moisturizing properties. For best results, reapply sunscreen every two hours especially if you are out in the sun all day.

Aside from applying sunscreen lotion, it is important that you also take extra steps in protecting yourself against UV rays. To protect yourself, wear a long-sleeved shirt or a cap so that the UV rays will not be absorbed by the skin.

Introduce Antioxidants to Your Skin and Diet

One of the reasons why the skin gets damaged is the presence of pollution and free radicals that damage the skin. To help combat toxins from the environment, it is advantageous to introduce antioxidants not only to your skin but also internally. Antioxidants work wonders by helping fight off the damages caused by free radicals. So, when you buy skin products, make sure that they contain antioxidants like Vitamin A, E, and C. You can also fight free radicals from within so that you will have an inner glow to your skin. Achieve this by eating foods like berries, pomegranate, oranges, and leafy green vegetables. The secret to having a healthy skin through diet is by eating balanced meals. It is crucial to avoid raising your blood sugar quickly because it can lead to skin anomalies like wrinkles, acne, and rashes to develop.

Exfoliate Regularly

Our skin regularly sheds off dead skin and if the dead skin layers are not removed, it causes dry spots, acne, and uneven skin tones. Exfoliating is a great way to remove the dead skin layers to reveal new skin. Now, if your skin is prone to developing painful rashes or acne, exfoliating may be a difficult thing to do as using a harsh scrub can be painful for the skin. For sensitive skin, use a mild cleanser that contains smooth microbeads because these don’t irritate sensitive skin.

While chemical cleansers can remove dead skin cells, try not to rely on them frequently. Chemical exfoliators may encourage the skin to slough off more than usual. If you are going to use chemical exfoliators, make sure that they contain natural ingredients like alpha hydroxy acids and retinoids because these stimulate the production of collagen resulting in a suppler skin.

Exercise

Exercising is not only beneficial for achieving well-toned muscles. Working up a sweat stimulates the lymphatic system, which is responsible for carrying wastes away from skin and bringing in nutrients. The thing is, the lymphatic system does not have a pump of its own unlike the circulatory system so it relies on a healthy diet and exercise to keep the body healthy. Moreover, exercising helps tighten the skin making it look younger. Sweating also helps flush your pores of dirt so it clears up your skin.

Enough Sleep

The reason why we have the concept of beauty sleep is to maintain our youthful glow. Studies reveal that people who are sleep-deprived are prone to developing wrinkles. Sleep deprivation also affects the tensile strength of the skin. Thus, if you don’t get enough sleep, you tend to develop saggy skin. Getting at least 8 hours of sleep every night is very essential for a better skin. In fact, if you lack enough sleep, the effects immediately show on your skin such that you develop puffy eyes and black circles around the eyes.

Having healthy skin habits are very easy as long as you take care of your health, engage in exercise, enjoy a balanced diet, and constantly maintain proper hygiene.

If you are looking for Beverly Hills Plastic Surgery options, then you should book a consultation with Dr. Chiu at Beverly Hills Plastic Surgery. As one of the top surgeons in the area, Dr. Chiu has the expertise to help you choose the skin treatment for you.

 

February
2017
03

Preventing and Treating Sun Damaged Skin

Skin Treatments

Considering that protecting our skin from the sun as an age prevention measure is a relatively new concept, many people find themselves grappling with sun damage from years of unprotected exposure. Fortunately, advances in cosmetic skin solutions have led to innovative treatments for sun damage.

Here’s a quick look at how Beverly Hills Plastic Surgery can help you prevent sun damaged skin and how you can treat the damage that you already have.

What is Sun Damage and How can it be Prevented?

Sun damage occurs when ultraviolet radiation damages the DNA of our cells. This damage accumulates over many years and manifests in several ways:

  • Brown spots
  • Dilated vessels
  • Static wrinkles
  • Skin laxity
  • Enlarged pores
  • Skin cancer

It is said that up to 90 percent of the visible signs of aging can be attributed to sun damage. So, the best way to prevent sun damage is to limit your sun exposure. Barring leading a nocturnal lifestyle, sun exposure is inevitable, and for many people, enjoyable. Sunlight helps your body to synthesize vitamin D, an essential vitamin for bone density and a healthy immune system. With the pros and cons of sun exposure in mind, it is important to enjoy the sun responsibly. Here are some tips on how to do that:

  • Avoid exposing yourself to sunlight when the intensity of the UV index is high
  • Wear a broad-spectrum sunscreen with a minimum SPF 30 on areas of exposed skin everyday
  • Reapply sunscreen every two hours when exposed to sunlight
  • Wear sunscreen on cloudy days, as damaging UVA rays can penetrate through glass, clouds, and smoke
  • Wear protective clothing such as hats, sunglasses, and long sleeves to minimize sun damage

Treating Sun Damaged Skin with Cosmetic Skin Solutions

Skin resurfacing treatments help to restore a more youthful, beautiful complexion by removing the most damaged outer layers of skin to reveal the healthier-looking skin beneath and by encouraging new, healthy skin cell growth.

Cosmetic surgeons use a variety of techniques for skin resurfacing such as:

Laser Skin Resurfacing Treatments

Lasers use highly concentrated beams of light energy to improve the skin’s tone, texture, and appearance. There are two types of lasers that can be used for laser skin resurfacing:

  • Ablative lasers—remove outer layers of skin and encourage new skin to heal in its place. How deep the laser penetrates depends on the wavelength of light; your cosmetic surgeon will determine the best laser application for you depending on your skin type, your goals, and the nature of the problem you wish to address.
  • Nonablative lasers—some lasers do not break the skin’s surface. They work instead by healing up the skin below the surface to encourage new collagen growth and help restore the skin’s natural firmness and tone. While they work more gradually than ablative lasers, these treatments typically require no downtime and can have lasting results for rejuvenating the appearance.

Chemical Peels

Another way to resurface the skin is apply a chemical solution that causes the outer layers of skin to peel away. Depending on the treatment, a peel will often be classified as light, medium, or deep. This refers to how many layers of skin are removed.

  • Light chemical peel—will typically reach partially through the epidermis (the outermost layers of skin) and use a milder acid solution such as glycolic acid, alpha hydroxy acid (AHA), salicylic acid, fruit enzymes, or a low concentration of trichloroacetic acid (TCA). Light peels can be safely applied by a trained, experienced aesthetician under the supervision of a cosmetic surgeon, and typically involve little to no downtime.
  • Deep chemical peel—will reach further into the epidermis or even into the next layer, the dermis, and is recommended to address more advanced signs of aging, such as deeper wrinkles and extensive sun damage, or severe acne scars. Examples include phenol peels, stronger TCA peels, and croton oils. While medium to deep peels can produce more dramatic improvements, they are more involved treatments. Anesthesia may be needed to keep a patient comfortable during treatment, and several days of downtime are required to allow skin to heal optimally.

Microdermabrasion and Dermabrasion

A third class of skin resurfacing treatments are those that involve mechanical exfoliation, where an instrument is used to slough off outer layers of skin to remove visible sun damage and reveal smoother, healthier, and younger looking skin.

  • Microdermabrasion—is a relatively gentle procedure that can be used on the face, neck, hands, or body. During treatment, the area is exfoliated by using a very fine tipped instrument or by applying a fine mist of abrasive particles. The exfoliated skin is then immediately vacuumed away. Unlike some other resurfacing treatments, microdermabrasion is safe for all skin types, carries very little risk for side effects, and requires no downtime.
  • Dermabrasion—is a more powerful mechanical resurfacing technique than microdermabrasion. During treatment, a cosmetic surgeon will use a rapidly rotating instrument or blade to precisely remove skin from the treated area layer by layer until the desired depth. Because it reaches more deeply into the skin’s surface, dermabrasion can affect skin pigmentation, and thus is not recommended for every skin type. Typically, patients will receive a topical anesthetic or local anesthesia to ensure comfort during and after the procedure.

Choosing the Right Surgeon for You

If you are looking for Beverly Hills Plastic Surgery options surgeon to help address your damaged skin, then you should book a consultation with Dr. Chiu at Beverly Hills Plastic Surgery. As one of the top surgeons in the area, Dr. Chiu has the expertise to help you choose the best skin resurfacing treatment for your skin.

February
2017
01

Gynecomastia Revision

Gynecomastia

With any surgery, there is always the risk of needing revision surgery. Due to diet, genetics, or use of certain medications and drugs, some men may eventually gain back their enlarged breasts, or, in other instances, men who didn’t get the results they were looking for the first time around may desire to undergo a secondary procedure to further their appearance.

Whatever the reason you may have for wanting to undergo gynecomastia surgery, here are some things you need to know before receiving your plastic surgery in Beverly Hills.

What is Gynecomastia?

Gynecomastia is a benign enlargement of the male breast (usually bilateral but sometimes unilateral) resulting from a proliferation of the glandular component of the breast. It is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples. Gynecomastia should be differentiated from pseudogynecomastia (lipomastia), which is characterized by fat deposition without glandular proliferation.

Many surgeons perform pseudo gynecomastia surgery using the liposuction technique without breast gland excision.

Reasons for Revision Surgery

With gynecomastia surgery, the need for revision surgery typically falls under one of two categories: under-resection and over-resection. Both types of patients have different challenges, but by far, the more difficult revision procedure is in those patients who have been over-resected.

Under-resection

The under-resected patient is unhappy because he feels that he still has fullness in his chest. After going through surgery, the cost, and the recovery, the patient is typically very disappointed and upset that he has to go through the entire process again. It is important to determine whether the fullness is due to excess breast or fatty tissue that was not removed during the original operation or whether it is the development of scar tissue that gives the appearance and feel of glandular tissue. Either way, the patient will likely need another surgery to address the issue.

Over-resection

The over-resected patient pose a more difficult challenge, mainly because they usually have contour abnormalities. They will likely have dents, tethering of the areolas to the muscle, and flexion deformities (i.e. when they flex their pecs, the underlying skin or areola caves in). These patients may also be under-resected in other areas if their chest, which will make the over-resected areas much more pronounced.

Typically, the only options for these patients, aside from silicone implants, are getting fat grafting or fat flaps. Fat flaps, which refer to rotating the fat from the adjacent area of the chest to the dented area without separating the fat, can only work if there is enough fat to rotate. Free fat grafts involve harvesting fat from another body part (abdomen or flanks) and injecting it into the dented areas. This may help, but it is unpredictable how much fat will survive. This is because fat grafts need a blood supply to survive and the dented area usually has scar tissue with an unpredictable blood supply. Therefore, patients who require fat grafting may need more than one surgery to get the best result possible.

Other issues in over-resected patients are inverted nipples and tethered scars. These are more easily corrected than severe dents.

Gynecomastia Revision Surgery

Gynecomastia revision is a minimally invasive procedure that involves the use of liposuction and excision to restore a firm and attractive appearance to the breasts. This procedure is performed on an outpatient basis under intravenous sedation or general anesthesia. The placement of the incisions on the chest will depend on preference and the severity of the enlarged breast.

After the correction incisions are made in the targeted area of the breasts, a cannula (thin hollow tube) will be inserted underneath the skin. As the cannula is gently moved back and forth, fat deposits are separated from the muscular tissue and removed through vacuum suction. In some cases, excess skin and glandular tissue may also be present and require removal. As skin is excised through inconspicuous incisions, the remaining tissue is sculpted to a better contoured physique. After the desired amount of fat and skin tissue is removed, the incision will be closed with sutures.

Recovery and Your New Look

After the gynecomastia revision surgery is complete, the chest will be dressed with bandages and a compression garment to help reduce swelling and bruising. Patients may feel some pain and discomfort for a few days, but symptoms can be alleviated by prescribed medication. Many men feel they can return to work after four to seven days, but should refrain from performing any strenuous activity and exercise for at least two weeks.

The final results will not be immediately apparent after gynecomastia revision surgery is complete; however, over the coming weeks, the chest will become noticeably more firm and contoured. Incisions are often placed underneath the chest or in the folds of the breasts to conceal any scarring that exists. The final results from this procedure can be long lasting, if you live a healthy lifestyle and maintain your weight.

Plastic Surgery in Beverly Hills

Choosing the best plastic surgeon is a big part of whether or not your gynecomastia revision surgery will live up to your expectations. If you are living in the Beverly Hills area, then you should book a consultation with Dr. Chiu to discuss your options for gynecomastia plastic surgery in Beverly Hills.

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