A new minimally invasive treatment to get you ready for the holidays

minimally invasive procedures to get you ready for the holidays

Now that the holidays are quickly upon us, how do we look great at the holiday party on very short notice? Luckily, there are several new aesthetic options that don’t require surgery or significant downtime.

PDO threads are synthetic absorbable surgical sutures that are used to enhance the appearance of the area treated. Although most commonly used in the face, PDO threads have also been successfully used in the extremities and the abdomen. PDO stands for polydioxanone, a material that induces collagen production around the thread. The thread can increase collagen production by up to 100% in the area treated.

How do PDO threads work?

When barbed threads are used in the face, they can lift the skin in the cheeks, jowls and marionette lines. The contour of the face is improved while, at the same time, stimulating long-term collagen production. In addition, PDO threads can be used to give lip fullness as well as reduce wrinkles in the perioral area.

The procedure takes less than one hour and is done under local anesthesia. Bruising and swelling can occur, but usually, patients can apply makeup and return to work the next day. If desired, thread lifts can be added to enhance surgical procedures such as a neck lift or facelift. They can also be combined with dermal fillers or neurotoxin treatments.

What results can you expect PDO threads?

For those patients do not want to undergo surgery, PDO threads offer an excellent alternative. The results last 12-24 months, but they are instantaneous and require minimal downtime. The best candidates for thread lifts are those who have early signs of aging. Patients with heavy tissues and advanced aging signs are probably better off with more traditional facial plastic surgery.

As with any aesthetic procedure, proper patient selection is key. If the patient is well informed and has appropriate expectations, PDO threads can yield a quick, natural-appearing rejuvenation. For the plastic surgeon, PDO threads represent another arrow in the ever-expanding quiver of choices that we can offer our patients.

So add a little Botox, some filler and a PDO lift and you can be at the company holiday party with no sign of surgery and without having missed a single day of work!

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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What’s so special about Retin-A?

what's so special about retin-A

Retin-A, or Tretinoin, is a form of vitamin A that was developed at the University of Pennsylvania in the 1960s. One of the most successful patents of all time, it revolutionized topical skin care and still has great utility today.

To understand how Retin-A works, it helps to understand the effects of aging on the skin. The most superficial cells—the keratinocytes of the epidermis—tend to become more adhesive and hang around longer. This leaves the skin looking dryer and rougher. The epidermal cells at the base also do not replicate as quickly, so the lifespan of these cells in the outer layer is much longer—and it shows. The pigmentation can become irregular and mottled because of this.

The deeper layer of cells, called the dermis, and the collagen bundles become thinner and disordered, allowing for creases and fine wrinkles to more easily show the muscular activity from below.

How does Retin-A work?

Retin-A is a topical medicine available by prescription only that is applied sparingly to the facial skin, sparing the eyelids and the corners of the nose and lips. It works at the cellular level and takes several months to see the full effect. In many ways, Retin-A can be thought of as reversing the outwards signs of aging on the skin.

The earliest effect of Retin-A is that the outer layer of keratinocytes start shedding off, leaving the skin fresher, smoother and more evenly pigmented. The next effect seen is that the epidermal cells start to replicate faster causing the skin to look and feel softer, more robust and healthier. Finally, the collagen bundles in the dermis will thicken and organize, causing the appearance of fine lines and wrinkles to lessen with time.

Retin-A improves the cosmetic appearance of the skin, but it also helps treat some functional problems of the skin such as acne and precancerous conditions, such as actinic keratoses.

How is Retin-A used for beauty treatments?

Typical treatment regimens include a period of tapering up. The topical product is applied sparingly 2-3 nights per week for several weeks and then the frequency is gradually increased until a nightly regimen is attained. A cream or gel delivery system is chosen based on the skin’s underlying dry or oily predisposition and the concentration can be increased over time.

Common side effects are raw itchy burning skin, generally from more aggressive application in the early phase of exposure. Often taking a break for a few days before continuing the medication at a slower ramp-up will remedy this. Sensitive areas like the corners of the nose, eyelids, lips and corners of the lips should not be treated. Patients should avoid exposure to the sun following Retin-A treatments. The use during pregnancy should also be avoided.

Pretreatment with Retin-A is extremely helpful prior to moderate to deep chemical peel, laser treatments, dermabrasion or facelifting to hasten healing and help prevent scarring or dyspigmentation. Retin-A is certainly a useful addition to any beauty regimen.

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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How long does Botox last?

how long does Botox last?

Let’s start with what Botox is. Botox is the brand name for Onobotulinumtoxin A, a neurotoxin derived from Clostridium botulinum. There are currently four different types that are FDA-approved for cosmetic facial wrinkles. These include Botox, Xeomin, Dysport and now Jeuveau.

They all work by blocking a signal from the nerve to the targeted muscle that prevents it from contracting. By preventing the contraction of these specific muscles, there is less action or pull on the skin and a decrease in the formation of wrinkles. While all of these products have the same end result, they differ slightly in their onset, duration of action and discomfort.

When to use each product is dependent on several things. Sometimes, it is the surgeon’s or injector’s preference. In other instances, a patient may have had experience with different products and have found that one works better than the other in them personally. In either case, all of these products are safe and effective in the right hands.

What to expect during your procedure

Finally, the real question. Oftentimes, at the time of your injection, your injector will discuss with you your goals and, after an examination, will be able to assess if those goals can be achieved with the use of neurotoxin. If it can, it’s your lucky day!

Your face will be cleansed and the areas that are to be injected, possibly marked with a removable eyeliner/marker. You might have a numbing cream applied or be given ice packs to help with any discomfort. Once you are ready, the injections will be performed in various areas to target the desired muscles.

You might have a few small bumps in the skin at the actual injection site but these will be gone by the time you leave the office. You might also have some mild bruising which will resolve in 24-48 hours. Finally, you will be given instructions on what to do and what not to do in the next 24 hours. This is can vary from injector to injector.


Neurotoxins generally take effect in 3-5 days but it is common to not see your full and final results for 7-10 days. I, personally, always tell my patients to wait a full 2 weeks after their Botox injection and, at that point if they need a touch-up, we will take care of it. It takes this long because it takes time for the toxin to block off those nerve impulses to the muscles. It is not immediate.


Well, don’t we wish Botox lasted forever? Unfortunately, it doesn’t. Eventually, the action of the neurotoxin will wear off and the nerves will again be able to send those signals to the muscles to start working or contracting. In general, Botox lasts 3-4 months.

There will certainly be patients in which in lasts longer, in that 4-6 month range, or shorter, in that 2-month range. It is also common for first-timers to notice that it may not last as long initially but may last longer after the second treatment. Everyone has a unique experience and results may vary.

Hopefully, this helps answer any questions you have about Botox or other neurotoxins. For any further questions, consult with your local board-certified plastic surgeon or use the ASPS Ask A Surgeon tool.

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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Five common questions everyone has about getting a facelift

five common facelift questions

With so many facial products and nonsurgical treatment options available that address signs of aging, is a facelift still something people consider? The answer is that a surgical facelift remains an excellent option for many women and men who want better facial definition, smoother skin and an overall younger appearance. While numerous other options exist, facelifts are still the most effective way to lift sagging facial tissue and eliminate sagging neck skin.

To help you better understand the procedure and decide if it is right for you, here are some answers to a few of the top questions people have.

How do I know if I need a facelift?

When your daily regimen of creams and serums, or even nonsurgical treatment options, don’t seem to make a difference anymore, it may be time to consider a facelift procedure. If you have sagging skin that easily pulls away from the face and neck or hangs loosely, a facelift is the only treatment option that can help. The facelift procedure removes this extra skin, creating a firm, youthful appearance.

What happens during the surgery?

Several different techniques may be used during a facelift procedure, depending on the cosmetic concern your surgeon is correcting. After anesthesia is administered, incisions for a facelift are usually placed in the hairline around the temple and work down to the lower scalp. During this procedure, the surgeon will sculpt or remove fat, reposition underlying tissue and lift facial muscles. A small incision under the chin may be needed to treat an aging neck. Once complete, the incisions are closed with sutures or skin adhesives.

What about recovery and scarring?

After your facelift procedure, you can expect your lower face and neck to feel sore and tight for the first few days. Pain medications are usually prescribed and can help ease discomfort. Taking a couple weeks off from work is advised to allow yourself time to heal. You may be advised to avoid strenuous exercise for at least three weeks. While individual healing times vary, within about 10 days, the swelling and bruising should be minimal. Makeup is usually enough to cover any signs of surgery until your face heals completely.

Because the incisions follow your hairline, facelift scars typically aren’t noticeable. Even when a chin incision is necessary, it should be placed to follow the natural creases in your chin, hiding the scar.

When will I see real results?

You may see changes to your facial appearance immediately after the procedure, though you will experience bruising and swelling for the first 2 weeks. After that, any additional bruising can be covered with makeup. Your face may not yet feel normal and can take anywhere from 2 to 3 months to completely heal. Your face should appear much more youthful and toned and many patients are often able to take as much as 10 years off their appearance.

How much is the procedure?

The cost for a facelift procedure varies based on a variety of factors including the amount of correction needed, the surgeon’s experience and the area where you live. According to the American Society of Plastic Surgeons, the average cost of a facelift nationwide is $7,655. Keep in mind that this estimated cost does not include anesthesia or operating room expenses.

Next steps on your facelift journey

If you think facelift surgery is right for you and you’re ready to meet with a board-certified plastic surgeon for a consultation, be sure to use the ASPS Plastic Surgeon Match referral service to find an ASPS member surgeon in your area.

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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Investing in your safety when choosing to have plastic surgery

investing in your safety when having plastic surgery

Before embarking on elective plastic surgery, you have choices to make. Who will perform your surgery? Where will your surgeon operate? How much will you pay?

The choices you make will depend on your priorities, but if your top priority is low cost, you might not be making the best decision. Why? Believe it or not, safety costs money.

Who will perform your surgery?

Lots of surgeons may do the procedure you want, and some may be temptingly less than others, but there may be an important difference. Their training and ongoing education. If you need bladder surgery, you would want to go to a board-certified urologist. Seems obvious, doesn’t it? If you have plastic surgery, you should look for a surgeon certified by the American Board of Plastic Surgery.

Here’s why board certification in plastic surgery is so important: It takes years of training and rigorous examinations to become a board-certified plastic surgeon, but that’s not all. To maintain their ASPS membership and hospital privileges, plastic surgeons must complete a minimum of 150 Continuing Medical Education (CME) hours every three years, with 20 hours devoted to Patient Safety.

That training and continuing education can impact you and your safety. Just as the best-trained pilots not only know how to fly a plane, they are better able to prevent problems and handle them if they do arise. The same is true in surgery. The surgeon who has invested in the most comprehensive training is more likely to assess your risk for complications and use protective measures to prevent them. For example, they may use special leg massagers (“sequential compression devices”) to prevent blood clots from forming.

To take advantage of potential discounts for multiple procedures, it makes sense, doesn’t it, to have as many procedures at once as you can afford? It would if we were talking about having your house cleaned. But humans are different. The longer surgery lasts, the greater the risks, some of them potentially fatal, so the well-trained surgeon is less likely to offer you that multiple-procedure “deal.”

If you have a surgical complication, you’ll want someone responsive who will take care of you. If your surgeon says they don’t have complications, look for someone who will tell you the truth.

Where will your surgeon operate?

The walls don’t do the surgery, it’s true, but your safety is dependent on more than your surgeon’s hands. An accredited facility has all equipment essential for an unexpected emergency, and it must have current safety and emergency protocols in place. And there is no slacking since it must be re-accredited every three years. These costs are an investment in your safety.

In the United States and Canada, you can look for facilities accredited by agencies, like AAAASF, AAAHC, IMQ, JHACO and Medicare. But if you are going abroad, the rules vary.

It is tempting to fly elsewhere to have surgery performed for a fraction of what it costs in the States, but what you don’t know can hurt you. Even the best surgeon’s skills won’t make up for a facility that doesn’t adhere to sterility standards or that uses old equipment that isn’t regularly maintained.

Would you fly on an airline whose pilots didn’t receive the training to operate the plane in which you’re seated? As in the airline industry, developing countries have limited resources for rigorous training, updated equipment and regular facility inspections. Even if you know friends who have a great experience, the thing to look at is what happens if something goes wrong. Who will be handling the emergency and how? Recent reports of unusual infections and deaths in the Dominican Republic emphasize that your life may depend on the answer.

How much will you pay?

Now you can see why choosing the cheapest surgery can end up being very costly. If you can’t afford to have plastic surgery by the best-trained surgeon in the safest facility, then do yourself a favor and save up, borrow the funds or don’t have surgery at all.

You deserve the best!

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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What you need to know about your liposuction recovery

liposuction recovery

Did you know that liposuction is the second most popular cosmetic surgery treatment? In 2018, surgeons performed over 250,000 liposuction procedures in the United States, so if you’re considering liposuction, you’re in good company.

While liposuction is quite safe and can help to successfully remove stubborn fat pockets from the body, it’s still a surgical procedure that requires care and attention for a proper recovery. Knowing what to expect post-surgery can help make the recovery process all the easier.

A few considerations

First, nothing is more important than a consultation with a board-certified plastic surgeon. A personalized consultation will allow an experienced surgeon to give you a more concrete idea of how well liposuction will work for you and what kind of recovery process to expect.

Second, you should also be aware that recovery varies from one individual to the next. Factors such as age, overall health and prior medical history all play a role in determining how quickly you will recover. It’s important to let your body heal at its own pace.

Finally, you will want to have realistic expectations when undergoing liposuction. It can be wonderfully transformative when utilized to help meet certain aesthetic objectives, but speaking with a trusted, board-certified plastic surgeon about your goals will help you understand how feasible liposuction is for reaching those objectives.

The recovery process

This is typically an outpatient procedure, which means you can go home the same day, however, if you are having a significant amount of fat removed, you may be required to stay in the hospital overnight for observation.

Regardless of whether or not you have to stay overnight, you will need someone to drive you home when you’re cleared to leave. You will be sore and likely feeling residual effects of the anesthesia or pain medication, so it’s not safe to operate a vehicle.

The first three days

Your surgeon will have given you a compression garment or elastic bandages to wrap around the treatment areas. It’s important to wear these diligently, as they help to reduce swelling and contour your body to its new shape.

You may also have small drains placed at the surgical sites. These prevent fluid from building up around the incisions, which can slow healing. If you have these drains, your surgeon will tell you exactly how to care for them and how long you will have them in.

During the first few days of recovery, you can expect moderate pain and soreness. Your surgeon will have given you pain medication to make this discomfort manageable, so follow your medication schedule closely.

You should plan to limit your activity during this time as well. Your compression garments may restrict your movements some, but it’s also important to limit unnecessary activity when possible. It’s recommended that you enlist help around the house for these few days, especially if you have young children.

Weeks 1-2

After the initial few days of total rest and moderate pain, you will likely notice a significant reduction in pain and soreness in the week or two following your procedure. Many people can return to work after two weeks, but if you have a particularly physical or demanding job, you may want to schedule additional time off in order to recover more fully.

You will still be required to wear your compression garments during this time as well.

Weeks 3-5

Around the one-month mark is when patients typically no longer feel pain or soreness. You may still see swelling, but this is normal. Swelling can take months to completely subside. At this point, you will likely begin to see visible results as well. Keep in mind that your results will improve as the swelling and bruising continue to heal.

After about four weeks, most people are able to resume light exercise, but any heavy or strenuous activity should still be avoided.

Week 6 and beyond

The six-week mark is where the majority of bruising and swelling should have subsided, but lingering swelling can last a bit longer for some.

You will likely no longer need your compression garments at this point, and your activity levels will no longer be restricted unless otherwise ordered by your doctor.

By this point, you will likely be able to see the full scope of your liposuction results.

Recovery tips

You should not try to rush your recovery, but there are certain things you can do to help your body’s natural healing process.

Eat well

Even if you’re healthy, surgery is tough on your body. Proper healing requires good nutrition. You can prep healthy meals ahead of your surgery since you likely won’t feel like cooking. Be sure to eat well and eat regularly.

Include plenty of fresh fruits and veggies in your diet to help boost recovery and limit inflammation.

Stay hydrated

Drink plenty of broth and water post-procedure. Hydration is a key component of successful recovery. You can infuse your water with fresh fruit if you need a change.

Rest up

Taking it easy and getting plenty of sleep in the first few weeks following your surgery are the best ways to help your body heal.

Take a walk

While exercise is not recommended during your recovery, light movement can actually help to speed your body’s healing. If you feel up to it, taking short walks is a great way to get moving without straining your body.

Ask for help

When possible, you should ask for a friend or family member to help you with activities such as cleaning, caring for young children or running errands. You likely won’t be able to pick up your children for a few weeks following surgery, and having a full schedule of errands will wear you down.

Liposuction is a great confidence booster

Liposuction can be life-changing for many people. It can be a great way to boost your confidence and help you to feel happier with your appearance. Knowing what to expect during the recovery can help you make a better-informed decision to undergo liposuction and enjoy the journey to a slimmer, more contoured body.

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

Original Article


What is the ‘side boob’ trend and how can plastic surgery help you achieve it?

achieving side boob with plastic surgery

The most sought-after trend in breasts? Side boob. The look is getting more attention in the media, but how do you achieve it? Here is some background on the ‘side boob’ trend and surgical procedures that can help you acquire the perfect side boob.

What is side boob?

Side boob is exactly what it sounds like – when the side of your breasts are revealed in your clothing. It’s essentially “the new cleavage,” with the spotlight is shifting from the center to the side.

Many women want their breasts to show subtly from the side in dresses, bathing suits, shirts and the like. Side boob, just like cleavage, occurs naturally in some women but not in others. For women who don’t have it may be able to achieve it with cosmetic procedures.

How do I get side boob?

The most direct way to achieve side boob is to enhance your breasts with breast implants, fat grafting or both.

Breast augmentation is a very popular procedure that enhances the size and shape of your breasts. Choosing the right profile and thickness of your breast implant will help you achieve your side boob goals.

It’s important to note that if you have very little body fat and choose a breast implant that is too thick for your frame, or if you choose saline breast implants and they are placed above the muscle, there is a risk of seeing and feeling the edge of your breast implants. This can sometimes be more obvious if you lean over.

Reducing the risk of rippling or wrinkling can be done by placing your breast implants under the muscle, choosing silicone breast implants, and choosing a thickness and profile of breast implant that is more proportionate to your body.

Fat grafting is also a great way to subtly enhance your breast profile. Fat is removed from another area of your choice through liposuction, then it is processed and placed back into your breasts which can significantly improve your profile.

The use of fat grafting to the side of your breast implants is a great way to reduce any rippling and wrinkling that you may have from your previous breast augmentation and give you a more beautiful side boob.

What are your best options for the side boob of your dreams? You can realistically assess your breasts at home, and a consultation with a board-certified plastic surgeon will provide you with the best option for your specific body and aesthetic goals.

The American Society of Plastic Surgeons (ASPS) has information about all of the procedures mentioned above. ASPS also offers resources through Plastic Surgeon Match to help you find a board-certified plastic surgeon in your area.

The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.

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Miami Rhinoplasty Best Doctors Review Sites


Facial plastic surgery becomes one of the most common things that many people have tried to change some parts of the face. Though there are various reasons why they undergo plastic surgery, the main point here is they need to change their performance. They might not be satisfied with their basic performance, or they might have suffered from severe injury. Among the most popular plastic surgery is rhinoplasty or nose surgery. There is a significant increase of rhinoplasty in big cities throughout the United States. It may not be surprising if one of the most popular search on search engines is Miami rhinoplasty services. Wealthy and famous people live in this city and they have such a great desire to have a perfect performance by having a series of facial plastic surgery, including rhinoplasty.

Searching for Reputable Miami Rhinoplasty Services

As a metropolitan city, Miami has everything that its residents need. Definitely, it applies to rhinoplasty clinic services. Along with the increased demand of facial plastic surgery, there are lots of clinics with experienced doctors and medical staff that provide rhinoplasty services.

One of the most common criteria that a reputable rhinoplasty has is the years of establishment. Most of the time, people never want to risk anything on any kind of plastic surgery. They will try to find experienced doctors or surgeons to do the surgery, based on the proper safety procedure. This is the best decision that any patient should make, because experienced surgeons will not do any surgery, due to several conditions. Well-reputed surgeons will not apply any rhinoplasty when if:

  • The patient’s facial growth is not mature enough. (Mature growth will occur when a person has reached 18 years old)
  • The patient is in a good health—both physically and mentally—to change their nose performance, due to aesthetic reasons.
  • The patient has suffered from a serious injury that has changed the nose function and performance.
  • The patient cannot breath properly because of the improper nasal structure

Advice About Nose Jobs

Everyone should be aware of less reputable rhinoplasty or plastic surgery clinics, because they might not pay attention the patient’s safety. Instead, they do neglect the procedure in general check-up for the patient’s overall health condition. This is why, browsing around among several Miami rhinoplasty servicesis always recommended as it is worth everyone’s time, cost and safety.

The most important thing to notice is the clinic’s reputation. Referrals from friends and relatives remains as the best source to find a reputable clinic for rhinoplasty service in Miami. For the best result, it is always advised to check on the clinic’s official website and find the testimonials from previous patients. Whenever the clinic gets excellent reviews and high ratings, then it is worth visiting.