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March
2017
31

Types of Breast Implants: Which One is Right for You?

Choosing the right breast implants involves both research as well as a consultation with an experienced, board certified surgeon to make an informed decision. Patients with specific anatomical needs or unique aesthetic goals may lean towards one type of implant, while others find the decision too difficult to make on their own. We have made an overview of the most popular, as well as safest breast implant options to help make the decision easier.

Silicone versus Saline

The difference between silicone and saline are in the material and consistency of the breast implants. Silicone implants are filled with silicone gel whereas saline implants are filled with a sterile saltwater. Silicone implants are regarded for their aesthetic features, natural feel, and lower rate of rippling in contrast to saline. Women with modest breast tissue will find these implants more favorable.

One of the main advantages to saline implants is that they are filled after insertion. When they are inserted, the empty implants can be threaded through a small incision, which produces a less noticeable scar than silicone. Saline’s other advantages include closer symmetry between the breasts and adjustability. As for health risks, both silicone and saline are FDA approved, but have an equal chance of rupturing. When silicone implants break, it is generally impossible to tell because they appear and feel intact which may lead to complications if left undetected. Saline implants on the other hand are filled with a sterile saline fluid that is harmlessly absorbed by the body.

Gummy Bear Implants

Anatomical gummy bear implants are the newest type of implants and were recently approved by the FDA in 2013. This fifth-generation gel implant is well-known for its teardrop shape and cohesive texture. It perfectly mimics the natural contour and feel of breasts, and akin to an actual gummy bear it maintains its shape even when the implant shell is broken – resisting gravity, aging and anatomical flaws.

When compared to silicone and saline implants, gummy bear implants offer women a more natural-looking outcome. Folds, ripples and creases also rarely occur meaning they are less likely to rupture and cause leakage. However, they also have disadvantages including a firm texture and the possibility of rotation which causes malposition and distortion of the breast.

Breast Implant Surface

Breast implants come in two surface options; smooth and textured. Smooth implants are the most common choice of breast augmentation among patients and plastic surgeons. In contrast to textured, these implants have a thinner, softer shell that is known to last longer. The outer shell of the implants can encase either saline or silicone, and is slick and malleable so it does not adhere to nearby breast tissue. This allows them to move within the breast implant area and results in a more natural appearance.

Textured implants have a rougher surface so unlike smooth implants they adhere to breast tissue and stay in place. Keeping them in their initial position can be imperative in case the implants are teardrop shaped as less movement lowers the chance of distortion or shape irregularity. Depending on the placement and shape of the breast implant, a plastic surgeon will choose between smooth or textured accordingly.

Breast Implant Shape

The two basic breast implant shapes come in round and teardrop. Round implants are the traditional choice and take on a compressed sphere shape that come in four variations from low to high projection. One of its main advantages is that it has the option to have either smooth or textured shell, allowing it greater versatility. When a smooth surface is chosen, the round implants have a lower chance of visible or palpable rippling as well as a potentially lower incidence of deflation or rupture. Round implants are ideal for patients who want to add fullness to the upper breast and are often selected if a patient is looking to add more lift to their breasts.

Teardrop implants only come with a textured surface and are available in a variety of shapes, allowing greater control in fitting the implants to meet a patient’s desired appearance. For patients looking to fill only certain areas teardrop implants are better suited than their counterparts.

Choosing the Right Plastic Surgeon & the Right Types of Breast Implants

When choosing the right type of breast implants, choosing your surgeon first will facilitate your options and determine the quality of your breast augmentation. Each type of breast implant has its benefits and drawbacks depending on a patient’s specific inclinations. For these reasons, it is important to discuss this decision with an experienced plastic surgeon. For the highest quality breast augmentation schedule a consultation with Dr. Chiu of Beverly Hills Plastic Surgery; a highly qualified, board certified plastic surgeon who puts his patients comfort, well-being, and results above all else.

 

 

March
2017
29

How to Avoid Corrective Rhinoplasty

Rhinoplasty, or nose surgery, is a procedure to improve the shape of the nose. It is typically done so that the nose can properly blend with the patient’s face. Many different factors can influence a person to get surgery. These include having a nose that is too big, too small, not proportioned, or not in the right place. Unfortunately, patients are not always satisfied with their results from a rhinoplasty procedure. However, they do not have to live with embarrassment or unhappiness forever thanks to rhinoplasty correction.

Revision Rhinoplasty

When a procedure is done for the first time it is known as primary rhinoplasty. Revision rhinoplasty occurs when a patient has additional surgical procedures done to their nose. This includes issues that are both aesthetic and functional. Additional procedures are typically done to correct mistakes from the primary rhinoplasty. From there it comes down to making the appropriate changes for the particular patient. The specifics of this surgery are always tailored to fit each unique case. Generally, bone and cartilage may need to be reshaped or removed in order to achieve the desired results. Cartilage may also need to be taken from areas like the ears or the septum to restructure the nose.

Here are some of the common reasons for rhinoplasty correction:

  • An “over-operated” nose – a botched surgery can result in a worse facial appearance than expected. Revision rhinoplasty can return the nose to a more natural state and correct any mistakes made in the primary surgery.
  • Difficulty breathing – breathing problems can occur if the primary rhinoplasty does not go well which can create a barrier to the nasal airways.
  • Oversized or undersized nose – a nose that is too thin or too wide would need an additional surgery to give the patient the more symmetrical look they wanted.
  • Overall dissatisfaction – if a patient is unhappy with the results, a revision rhinoplasty will most likely be able to correct any discontent they have.

How Can I Avoid Rhinoplasty Correction?

Naturally, there’s a lot to consider when you undergo a procedure like rhinoplasty. It is important to do your research on all of the procedures and techniques that are out there. Make sure you know what your desired outcomes are so you can communicate this to a medical professional to give you proper answers and guidance. Most importantly, it is essential to do your research on certified medical professionals who can perform rhinoplasty procedures. Here are some tips on how you can avoid revision rhinoplasty.

See If Your Desired Results Are Realistic

Although some people want to get a nose that looks like a certain celebrity, it is best to go for a custom look the fits your face and complements all of your features. If you are seeking rhinoplasty in order to attain the “perfect” nose, then you are probably going to be disappointed after surgery. Rhinoplasty can produce amazing results, but it cannot satisfy unrealistic expectations. If you are looking for significant improvement, however, you’re probably a great candidate and will likely be pleased with your results. It is always best to consult with a certified medical professional about desired outcomes from the procedure.

Ask Questions

Whether you are considering rhinoplasty in order to improve the appearance of your nose or its functionality, it is going to be a big decision. Naturally, opting for this procedure comes with a bunch of questions and concerns. A consultation with an experienced surgeon will put many of your fears to rest. It can also provide the ideal time to cover the details of the surgery, review your unique needs and goals, and ultimately assess whether a nose job is right for you. Before the consultation, it is a smart idea to prepare a list of questions to bring with you to the appointment.

Here are some questions to ask prospective rhinoplasty surgeons:

Qualifications & Experience

1.Are you board-certified? By what board?

2.How many rhinoplasty procedures have you performed?

3.When was the last time you performed this surgery?

4.Can I view your before & after rhinoplasty photos?

Patient Information

1.Am I a good candidate for this procedure?

2.What are the possible risks/complications?

3.What can rhinoplasty achieve? What can’t it achieve?

4.Do you think my expectations can be met?

Make Sure You Follow Recovery Instructions

It is very important that after you have a procedure done, you follow the instructions given to you from your doctor. It is up to you to care for your face and nose as it is healing. Make sure you avoid any strenuous activity until your doctor gives you the okay to do so. If you are having any issues following the procedure, you should contact your doctor right away. By following the instructions from your doctor, you will decrease your risks of complications.

By following these tips, you will be more likely to avoid having corrective rhinoplasty done. Be sure to do your research, ask your questions and follow the specific recovery instructions in order to get your rhinoplasty done right the first time.

Learn More About Your Options

The nose is considered a defining facial feature. Many individuals who are unhappy with some aspect of their nose turn to rhinoplasty for improvement. As a whole, most patients achieve wonderful results. However, the fact remains that rhinoplasty is a complex procedure that requires master knowledge of the anatomical structure of the nose, as well as precision and skill to perform. Therefore, choosing a certified and experienced doctor is extremely important.

Unfortunately, the final result is sometimes either unsatisfactory or heals improperly. Some rhinoplasty procedures may also appear too obvious, contrary to the patient’s liking. Either way, the good news is that a patient doesn’t have to be stuck with that “botched nose job” forever. One option worth considering is called revision rhinoplasty.

If you have been disappointed by a rhinoplasty procedure, the first step to improving your situation is to consult with potential rhinoplasty surgeons to review your options. Specializing in the art of cosmetic plastic surgery, Dr. Gabriel Chiu is known for his ability to achieve results that far exceed expectations. He takes great pride in utilizing his expertise to help patients with their various cosmetic and reconstructive needs. To request a consultation with Dr. Chiu, contact Beverly Hills Plastic Surgery today.

 

March
2017
15

When Nose Jobs Go Wrong

Posted in Rhinoplasty

Rhinoplasty or nose surgery is generally considered to be one of the most difficult facial cosmetic procedures and therefore has led to many appearance and functionality issues. There are multiple reasons for these unfortunate outcomes, mainly due to the complexity of the three-dimensional structure of the nose, and the required technical and aesthetic skill of the cosmetic surgeon. A cosmetic surgeon without experience, technical skills, and aesthetic expertise increases the chances of a nose job gone wrong tremendously. For these reasons, it is imperative to select a highly qualified, board certified and renowned surgeon for your procedure. The problems patients face after a bad nose job often include abnormal nose shape, harm to the nerves, numbness, scarring, or infections. Recognizing these problems can help those who are considering undergoing the procedure to carefully choose their cosmetic surgeon. It is also beneficial to those who see a problem with their rhinoplasty in understanding the mechanics of the issue and if it can be corrected with a revision.

Outer Issues

The most common issue many people have after a nose job gone wrong is in the outer appearance. If the problem does pertain to appearance it is recommended that the patient wait a year for the nose to completely heal and take shape. Common issues such as outer swelling are known to correct themselves after some time. However, there are more severe problems that cannot be corrected on their own.

Scooped Out Bridge

A typical mistake that can occur during the procedure is over-filing the bridge of the nose, also known as a scooped out bridge. A scooped out bridge often gives the nose a more feminine visage which can be a problem for men looking for a naturally masculine appearance. This issue mainly occurs when a cosmetic surgeon uses an osteotome or chisel when performing the operation. Using a chisel leaves surgeons with little room for error because it takes out the bridge of the nose in one movement. If the issue is in fact a scooped out bridge a revision can correct it by rebuilding the bridge with the use of cartilage from other areas of the body.

Pollybeak or Supratip Deformity

Another mistake can be found when the area above the tip of the nose appears overly full and subsequently causes the nose to protrude downward. There are several reasons why this problem can occur, starting with the intraoperative evaluation. If the surgeon does not recognize the tip-supratip relationship or incorrectly predicts how the nose will eventually heal it may lead to this type of complication. Other causes may be that the surgeon did not reduce the cartilage enough or was too aggressive on a nose with thicker skin. For patients with an overprojected dorsum a rhinoplasty revision can restore the aesthetic appeal between the bridge and tip of the nose by resecting the excess cartilage and re-supporting the nasal tip.

Tip of the Nose

The tip of the nose can be susceptible to several problems, primarily in the loss of too much cartilage which can lead to distortion of the nostrils or even collapse. Over extension on the tip of the nose can also be a problem when the bump is removed causing the tip to appear too prominent.  A rhinoplasty revision may remedy this issue by replacing the lost cartilage to reshape the nose to a more natural appearance.

Twisted Nose

A twist in the nose can occur in the nasal bones on the top of the nose and the tip. Straightening a nose may be difficult to achieve during rhinoplasty but can be corrected by strengthening the cartilage with sutures.

Internal Issues

Rhinoplasty can also unfortunately affect the internal areas of the nose, and while less common it presents problems that may be permanently damaging.

Breathing Problems

Most nasal congestion that occurs after rhinoplasty is due to postoperative swelling or crusting that resolves itself within weeks and in some rarer cases, months. Long-term nasal congestion is a cause for more concern, but can be evaluated and treated accordingly. More common potential problems such as turbinate hypertrophy and deviated septum are easily treatable while scarring or major alterations that also contribute to breathing problems are far less common.

Nerve Damage and Numbness

Damage to the nerves and numbness are problems that are commonly resolved weeks to months after surgery. There are two types of nerves in the nose; motor, which moves the muscles, and sensory, which provides the sense of touch. During a rhinoplasty procedure, the sensory nerves are temporarily severed on the nose and occasionally on the upper lip. In extremely rare cases long-lasting or permanent numbness may occur.

Infection

Infection is an uncommon occurrence and can be treated with antibiotics. In exceptionally rare cases it may require special care and attention from both the surgeon and an infectious disease specialist.

What to Do After Problems Arise

Communicating any issues or concerns about your rhinoplasty procedure with your surgeon is important. Certain problems can be extremely minor or temporary, in which case you will not need revision surgery, while in other cases your surgeon may recommend it. Revision surgery is appropriate for touching up imperfections as well as misshapen noses or breathing problems. It is however a more complicated procedure than a primary rhinoplasty because of secondary scar tissue. It is imperative that you take time to research your options before making a decision for a second procedure.

How to Avoid These Problems

It is impossible to control exactly how a rhinoplasty procedure will go once it begins, but there are many ways to avoid a nose job gone wrong and it starts by carefully choosing a qualified surgeon. During the initial consultation communicate the specific reasons you would like rhinoplasty and be assured they are realistic. Look for a proper diagnostic evaluation as well as before and after photos to get a sense of the surgeon’s technical and aesthetic skills. If possible, ask to be scheduled when postoperative patients are in the office so you can see and speak with them about their experience.

Selecting an expertly trained and experienced plastic surgeon to perform your rhinoplasty surgery can erase the concerns you may have and Dr. Gabriel Chiu’s expertise and aesthetic precision creates exceptionally natural-looking results that are customized to the individual. For further information on primary as well as rhinoplasty revision surgery schedule a consultation with Dr. Chiu to determine a proper surgical plan that fits your needs.

 

 

 

 

March
2017
14

Can Fat Return After Liposuction?

Are you excited about your liposuction results but worried about gaining the weight back? You are not alone. Many liposuction patients stress about gaining weight back after they’ve had a procedure done but it is very possible to maintain your weight and beautiful results. Liposuction is the number one most requested procedure because it can sculpt the body into a sleek, beautiful, and desired shape. According to the American Society of Plastic Surgeons, over 222,050 liposuction procedures were performed in the United States in 2015. It is no surprise how popular this procedure is due to its many advantages.

Liposuction Advantages:

  • Safely and efficiently removes fat
  • Improves the appearance of cellulite
  • Sculpts areas of the body that are unresponsive to diet and exercise
  • Results in a self-esteem and self-image boost for the patient

Although liposuction is not intended as a method for weight loss, it can be very useful at removing small portions of fat from certain areas of the body, to refine the shape and improve the overall appearance of the body. In general, these areas include the hips, thighs, arms, chest, abdomen, buttocks, chin, neck, and waist.

Liposuction removes fat from your body using cannulas, which are long hollow tubes with holes on one end and attached to suction on the other. Liposuction can help improve the aesthetic issues that stubborn fat can cause.

Liposuction can be performed on almost any area of the body to remove stubborn fat deposits and sculpt the body to produce more attractive contours. This relatively quick procedure uses small incisions to suction out unwanted fat, and the results are long lasting. Dr. Chiu offers a variety of liposuction techniques to meet a wide range of patient needs.

It is common for liposuction patients to worry about gaining weight back post procedure. However, with a healthy lifestyle, regular exercise, and the right mentality, keeping the results of your liposuction is definitely possible.

Liposuction Recovery Tips to Keep Your Results

Follow Your Doctor’s Instructions

It is extremely important to follow all of the instructions you are given after your procedure to avoid fat return after liposuction. There are specific protocols that the staff at the facility will follow and go over with you. After about a week, depending on your procedure, you are able to return to work or to do light activity. Active stretching is advised as well as light physical activity after about 2 weeks. Strenuous and heavy activity is not recommended at all. Patients can expect, depending on their specific procedure, after 4 to 6 weeks of recovery, results will be more apparent. It is expected that 6 months after the procedure, final results will be apparent even though tissues will continue to tighten throughout the year.

Stay Hydrated

A person’s daily water intake varies depending on body size and necessities. Typically, men should be drinking 3 liters a day, which is about 13 cups of water. Women should be drinking roughly 2.2 liters of water, which is about 9 cups of water a day. By drinking the proper daily water intake, you will be keeping your body hydrated and working efficiently. Water helps to clean out toxins as well as maintain a healthy digestive system and metabolism.

Eat Healthy Foods

You can maintain a healthy diet by choosing fresh and natural foods over processed ones. By cutting down on carbohydrates, sugars, and saturated fats and replacing those foods with fruits, vegetables, and protein, you will be helping your body tremendously. Fresh fruits and vegetables, lean proteins, and whole grains are packed with nutrition that your body needs to fuel your day. These foods are essential for maintaining a healthy diet and keeping you full throughout the day unlike sugary or salty foods.

Don’t Skip Any Meals

There is a reason why people say breakfast is the most important meal of the day. Although many people still choose to skip this meal, it continues to be the most significant start to anyone’s day. Eating a nutrient packed breakfast will fuel you for the day ahead as well as keep you from becoming hungry and overeating later on in the day. Skipping a meal is always a bad idea because it will most likely slow your metabolism down and cause you to eat larger portions later. An effective way to keep your metabolism going and maintain energy levels is by consuming smaller amounts throughout the entire day.

Workout Regularly

Exercising on a regular basis is very important to maintain a healthy weight and lifestyle. You can easily find a routine that fits best with your everyday routine. You should make sure that you are moving for about 30 to 60 minutes every day. Aerobic exercises will burn fat and keep the pounds off while strength exercises will help your body stay toned.

Consult with Dr. Chiu 

Just like consulting with your doctor before a procedure, it is important to consult with your doctor after your procedure. After your liposuction surgery, your doctor will go over a list of detailed instructions of post-operative care. Following these instructions will help you maintain your ideal weight, while also keeping you healthy after your surgery.

If you have any questions or concerns about postoperative care, or about liposuction itself, schedule a consultation with Dr. Gabriel Chiu of Beverly Hills Plastic Surgery, Inc.

February
2017
27

SkinTight: Body Contouring Surgery After Weight Loss

Posted in Body Contouring — Tags:

Surgical body contouring is the common cosmetic procedure requiring the permanent removal of excess, unsightly sagging skin and superficial fatty tissue following dramatic, rapid weight loss, most often as a result of a bariatric (weight loss) surgical procedure. Not only does body contouring help streamline contours and curves proportionate to one’s newly attained body size, the cosmetic procedure also improves the shape and the skin’s underlying support system (elastin) to help achieve a more firm, youthful-looking appearance. Unfortunately, a substantial reduction in weight loss, in any form, often leads to the loss of skin elasticity and vitality, and its inherent ability to support and sustain the reduced body size.

Your Right to Bare Arms, Legs, and Anything Between

Body contouring surgery often includes lifting/removing excess skin from the areas of:  the upper arms, tummy, hips, inner/outer thighs, face, (jowls and chin), breasts, buttocks, and groin. A complete lower body lift treats sagging, hanging, or cellulitic skin from the buttocks, tummy, waist/hips, and outer thighs. Initial surgical implementation consists of temporarily inserting small, thin tubes beneath skin surface to help drain excess blood or fluid that may be inclined to collect. Often, extensively large, strategically placed incisions of varying patterns are made to successfully rid the body of excess skin and fatty deposits.  More often than not, body contouring procedures require the work to be performed in stages to achieve the desired look that is proportionate and aesthetically symmetrical to the body’s newly attained size. While most surgeons try to make incisions whose subsequent scars can be hidden with clothing, this may not be the case.

Your body contouring goals, along with your surgeon’s best cosmetic judgment, will ultimately determine and define your plan of attack.  And, while it most likely took you two or more years to lose the weight, it will take equally the amount of time to achieve your desired, sculpting effects.  Those best suited for body contouring are non-smokers, universally healthy individuals who have reached a realistic and easily sustainable weight goal, who are dedicated to achieving optimal health, wellness, and fitness, and who don’t possess pre-existing medical conditions or substance addictions.

Curves Ahead:  Results, Recovery, Risks

Post-procedure protocol limits strenuous activity, including moderate to high intensity exercising, bending, and lifting.  Often, the surgery is performed on an out-patient basis, so it is highly suggested you have someone drive you to and from your procedures.  It should also be noted, that one should have a reasonable and realistic expectation of the desired outcome of their body contouring undertaking. Glossy magazine covers flaunting unattainable airbrushed images of flawless figures, perfectly perky breasts, tight and toned tummies, streamlined, sculpted thighs, tank top-tempting arms, and “too-good-to-be-true” bikini-ready butts should be detached from personal expectations, as there will undoubtedly be subsequent scarring from your body contouring surgery. Also, every one is different and each surgery is unlike another.  It is imperative to keep your body goals in perspective to ensure your body contouring experience is pleasing and gratifying to YOUR eye.

While your body contouring procedures should remain pretty much permanent, you should expect that the body’s firmness and elasticity naturally diminishes with age.  Committing to a healthy, vigorous lifestyle consisting of regular diet and exercise, without compromising emotional and mental health over obsessive-compulsive body image issues, will ensure your body’s newly streamlined contours will remain intact, while leading a productively healthy and happy life.

Choosing the Best Plastic Surgeon

If you are considering undergoing body contouring, 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.

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