Updated: 15 March, 2016 – new evidence of link between Zika virus and microcephaly and the sexual transmission of virus.
Updated: 28 March, 2016 – new recommendations for couples trying to conceive who have potentially be exposed to the Zika virus.
Updated: 09 April, 2016 – transmission rate estimates from mother to infant.
It’s no secret that most Plastic Surgery Patients are women. While most Plastic Surgery Procedures are for age management, a significant number of Cosmetic Surgeries are performed to repair the ravages of pregnancy. In fact, surgery to repair the changes after pregnancy is common enough to have it own name: Mommy Makeover. The Mommy Makeover is a combination of procedures that provides Breast Enhancement and Abdominal Sculpting, the most common combination being Breast Augmentation with a Tummy Tuck.
Pregnancy and the Zika Virus
Since many of my patients are of child bearing age, and since the Zika virus has been in the news, this week’s post is a PSA with the latest information and links to more information about the Zika Virus.
If you’ve seen the evening news lately, then you know the Zika virus is associated with severe birth defects when it infects a pregnant woman. To date, there have been no cases of direct transmission between people (except sexually), so how is it transmitted and what exactly does it do?
How the Zika Virus Spreads
In almost every documented case, the Zika virus needs a vector to spread. In the case of the Zika virus, the vector is the Aedes mosquito, the same mosquito that spreads dengue and chikungunya. If a mosquito bites a person infected with the Zika virus, it can then spread the virus to the people it bites subsequently.
An Aedes albopictus female mosquito feeds on a human blood meal. Photo by James Gathany, Centers for Disease Control and Prevention
The virus can also be transmitted through a blood transfusion of infected blood, and cases of suspected sexual transmission have now been confirmed. In terms of the numbers of people infected, these are extremely rare means of transmission. If you are pregnant, or trying to get pregnant; however, prevention is the best medicine. For most people infected by the virus the symptoms are mild, but for pregnant women there is substantial new clinical and epidemiological research, which strengthens the association between Zika infection and the occurrence of fetal malformations and neurological disorders. One particularly devastating disorder is microcephaly. Microcephaly is a severe birth defect resulting from decreased brain size, and it seems to be more likely to occur with Zika virus infection.
Zika research is still in its early stages. Despite what you may have heard on the evening news, information on transmission from mothers to babies during pregnancy or childbirth is currently very limited. Current estimates are that one infant in one-hundred is affected. Perinatal transmission has been reported with other mosquito-borne viruses such as dengue and chikungunya, so transmission of the Zika virus seems likely. Research is currently under way on possible mother-to-child transmission of the virus and its effects on babies. Pregnant women in general, and particularly those who develop symptoms of Zika virus infection, should be closely monitored by health providers.
On November 28, 2015, Brazil’s Ministry of Health established a relationship between an increase in cases of microcephaly in newborns and Zika virus infections in the country’s northeast. According to a preliminary analysis of research carried out by Brazilian authorities, the greatest risk of microcephaly and malformations appears to be associated with infection during the first trimester of pregnancy. How often Zika virus infection leads to microcephaly has yet to be determined. Precise numbers will be hard to determine, especially since the virus can infect without symptoms. Only a small fraction of infections seem to lead to birth defects; however, the World Health Organization (WHO) has recently strengthened there warning to pregnant women. The WHO ‘s original recommendation urged pregnant women to avoid bites from the mosquitos that carry the virus. Now the WHO is advising them to avoid travel to areas where the transmission of the virus is widespread. Next may be advice to avoid having sexual relations with anyone recently traveling to areas where Zika virus exposure is on going.
How Long To Wait Before Conception If Exposed to the Zika Virus
On March 25, 2016, the CDC updated the guidelines for reproductive-age women and their partners who have been exposed, or potentially exposed, to the Zika virus. Women who have been diagnosed with acute Zika virus disease should wait at least 8 weeks from symptom onset to attempted conception. Zika-diagnosed men should wait at least 6 months. Both men and women who may have been exposed to Zika virus should wait at least 8 weeks from possible exposure to time of attempted conception. Possible exposure events include travel to or residence in a Zika-endemic area or unprotected sexual intercourse with a man who has traveled to or resided in a Zika-endemic area up 6 months after his latest potential exposure.
The History of the Zika Virus
The Zika Virus was discovered in 1947 in the Zika forest of Uganda. For much of its history, it remained in Africa, with small sporadic outbreaks in Asia. In 2007, the first major Zika virus epidemic occurred on the Micronesian island of Yap. Nearly 75% of the population was infected.
In 2014, a case of Zika virus transmission on Easter Island was reported by Chile. The virus was detectable from March until June, 2014.
Human Cases of Zika virus for 2015-2016 from the Pan American Health Organization.
In May of 2015, Brazil confirmed an outbreak of Zika virus in its northeast quadrant. According to the Pan American Health Organization (PAHO), in 2015 and 2016, the virus has spread to most of northern South America, Central America, the Caribbean and Mexico.
Since the Zika virus is not currently being spread by mosquitos in the US, it has become the hot spot for research on alternate means of spread, especially sexual transmission. While cases have been identified, it is still not clear how easily the virus spreads with this methods of transmission.
Symptoms of the Zika Virus
Zika virus infections can be without symptoms; however, symptoms usually begin 2-7 days after the bite of an infected mosquito. It commonly presents as mild fever with a skin rash (exanthema), often with eye irritation (conjunctivitis), muscle and joint pain, and general malaise. There is no association between the Zika virus and death. An increase in Guillain-Barré syndrome (GBS) has been observed in areas where a Zika virus epidemic has been documented (e.g., in French Polynesia and Brazil).
Zika Virus Treatment
Blood tests can help to confirm the diagnosis. Some (virological PCR tests) are useful in the first 3-5 days after the onset of symptoms, while others (serological tests) detect the presence of antibodies but are useful only after five days.
Like most viral infections, there is no vaccine or specific treatment for Zika virus infection. Therefore, treatment for everyone, including pregnant women, is directed at alleviating symptoms such as fever and body aches. To prevent dehydration, it is recommended to control the fever, rest, and drink plenty of water.
Prevention is the best treatment available. Avoiding travel to regions with ongoing transmission is the best prevention, especially if you are pregnant. When this is not an option, precautions should be taken to avoid mosquito bites.
Since mosquitos spread the virus, prevention is directed toward control of the vector and prevention of mosquito bites. The Aedes mosquito bites mostly during the day. Long sleeves, mosquito nets and repellents can help, but repellents should not be used on children younger than two years of age. A more complete list of preventive measures is available on the CDC website.
Skin laxity after pregnancy or weight loss can be corrected with a Tummy Tuck. The Plastic Surgery term for tightening the tummy is Abdominoplasty, and abdominoplasty literally means abdomen changing. In cases where there is a lot of extra skin, the difference can be life changing, too.
When Diet and Exercise are not Enough!
After Weight Loss, the belly often does not spring back into its original shape. The fat will go away, but skin and the abdominal muscles remain loose and redundant. They are stretched by the excess fat and over time this over-stretching becomes permanent.
Loose Skin can remain unsightly, and lax muscle allows the abdominal contents to push the belly out. Both these problems rarely respond well to diet and exercise. Loose skin and Over-stretched Muscles cause unsightly bulges. Well after the excess pounds are lost, these continue to effect how we look and feel about our body, even in clothing.
In the Tummy Tuck Video below, I discuss the procedure, indications and recovery. The process is further illustrated with Tummy Tuck Before and After Pictures. More information about Tummy Tucks is available here on the San Francisco Plastic Surgery Blog by clicking on the Tummy Tuck (Abdominoplasty) link under Categories in the column.
Tummy Tuck Video (Abdominoplasty)
Tummy Tucks Tighten Skin
The Tummy Tuck removes excess skin from the lower belly. Often, in the center of the abdomen, the skin from below the belt line to above the belly button is removed. Any stretch marks in this skin are also removed. The remaining skin from the upper abdomen is redraped over the entire abdomen. The result is vertical skin tightening and a flatter tummy.
Tummy Tucks Tighten Muscle
While the skin is elevated, the abdominal muscles are addressed. If they are lax, or if a separation (diastasis recti) is found between the muscles, it is repaired. The repair is like a corset running from the ribs to the pubic region, underneath the skin. You won’t see these reinforcing sutures, but you will see what they do to help flatten the abdominal wall – just another way that Abdominoplasty is a belly changer.
Tummy Tucks Remove Fat
The fat on the abdomen is usually not distributed evenly. There tends to be more fat on the lower abdomen. The good news is, when the skin of the lower belly is removed so is this fat. So if your loose skin has some hitchhiking disproportionate fat, they will both be removed with the Tummy Tuck.
Fat that extends to the sides, or is continuous with the love handles, can also be removed during your Abdominoplasty with Liposuction. Tummy Tucks can also be combined with Breast Augmentation as part of a Mommy Makeover.
Tummy Tuck Consultations
If you are considering a Tummy Tuck, give our San Francisco Bay Area Plastic Surgery office a call at (925) 943-6353 today, to schedule a private consultation.
Breast Augmentation remains on top of the list as one of the most popular Cosmetic Plastic Surgery procedures year after year. With hundreds of thousands of women receiving Breast Implants every year in the United States, it is no wonder that Breast Augmentation Revision has become its own area of specialization.
What is Breast Revision Surgery?
Breast Revision Surgery is any surgery on the breasts to repair or improve the appearance of a previous Breast Augmentation. The urgency ranges from completely elective to an emergency. It can be caused by aging, pregnancy, changes in weight, changes in goals or changes caused by the breast implants themselves. Some of the more common reasons for Breast Augmentation Revision Surgery are covered in the video and text below.
Breast Implant Revision Surgery Video
Below is a segment from a recent Body Beautiful appearance. This video about Breast Implant Revision Surgery first appeared on the San Francisco Bay Area’s New Station, KRON 4.
Breast Augmentation Revision Surgery Video (Breast Implant Revision)
Breast Augmentation Revision to Change Breast Implant Size
There are many reasons for Breast Implant Revision Surgery. Changing size is one of the most common, and usually the desire is to Enlarge Breast Implant volumes. After pregnancy, weight loss or aging, the breast may shrink. Increasing the size of the Breast Implants may be all that is needed to restore both breast shape and confidence. Sometimes, however, the goal is to Decrease Breast Implant volumes, and rarely, Breast Implant Removal is desired. When downsizing or removing the Breast Implant, it may be necessary to perform a Breast Lift to obtain the best possible results.
Breast Implant Revision for Capsular Contracture
Hardening of the Breast Implants occurs when the normal scar pocket that holds the implant in place becomes too small. The tight pocket squeezes the Breast Implant causing firmness, increased projection, decreased diameter and sometimes discomfort. The medical term for this is Capsular Contracture. Most of the time, the breasts can be softened with release (capsulotomy) or removal (capsulectomy) of the capsule as an outpatient procedure.
Breast Implant Revision for Deflation
A deflated Breast Implant needs to be fixed. Breast Implant Replacement is most common, though sometimes a patient will elect to remove her Breast Implants instead. For Saline Breast Implants, the diagnosis is simple. The breast will quickly return to its non-augmented size. The body quickly absorbs the saline, and it is eliminated as easily as when we drink extra water.
For Silicone Gel Filled Breast Implants, the diagnosis is harder, because the gel is not absorbed. New, highly cohesive breast implants, have an extremely low risk of gel migration, so the gel most often stays in the capsule and maintains the breast fullness. Often, an MRI is needed to diagnose a leaking silicone gel implant, but even this is only 90% accurate. If an MRI shows that your silicone breast implant is leaking, it should be removed and, if desired, replaced.
Breast Augmentation Revision for Malposition
Breast Implant Malposition means the implant is in the wrong position. It can be too high, too low, too medial (to the center) and too lateral (to the side). Often, the capsule requires modification in these cases to encourage the Breast Implant to stay in the proper place. Implants that are too large, or soft tissue (skin, breast of muscle) that is too thin, can make management more difficult. Breast Implant Malposition is one of the items discussed on the Breast Revision page of DrMele.com.
Breast Augmentation Revision Surgery Consultations
There are many reasons for Breast Implant Revisions. If you are considering surgery to improve the results of your Breast Augmentation, be certain to seek a Board Certified Plastic Surgeon with years of experience, like Dr. Joseph Mele.
To schedule a personalized Breast Revision Consultation call (925) 943-6353 today.
I’m not sure how this happened. After 5 years and 400 posts, I have only mentioned Kim Kardashian once. Her often uncomfortable pregnancy has been in the news this year, but the latest rumors have her interviewing Plastic Surgeons for a Mommy Makeover after her son is born.
What is a Mommy Makeover?
The most common Mommy Makeover combination is Breast Augmentation and a Tummy Tuck. Breast Implants are used to restore lost breast volume, while the Tummy Tuck flattens and tightens the abdominal wall.
A Mommy Makeover is a combination of cosmetic plastic surgery procedures that help to restore the breasts and body after pregnancy. A Mommy Makeover frequently consists of Breast Augmentation and a Tummy Tuck, but can include other combos.
Mommy Makeover Breast Procedures
In the above Mommy Makeover, a Tummy Tuck is combined with a Breast Lift. When the size of the breast is satisfactory, and the main problem is sagging, a breast lift can restore the breasts’ shape without making them bigger.
With pregnancy, the breasts enlarge in preparation for breast feeding and shrink when lactation ends. This often leaves the breasts smaller and deflated, so Breast Augmentation and Breast Lifts are very commonly used in Mommy Makeovers. Sometimes, however, the breast enlarge and stay large. In this situation, a Breast Reduction may be a better choice. Click for more about the variety of available Breast Enhancing Procedures.
Mommy Makeover Body Procedures
Mommy Makeovers repair both the breasts and belly. Above, a Tummy Tuck is used to flatten and tighten the post baby belly.
Pregnancy also causes weight gain. Even when a healthy weight is maintained, the belly has to stretch to accommodate the baby’s development. After delivery, the abdominal skin and muscles may not shrink back to their pre-pregnancy weight. This is why the Tummy Tuck is the most common body shaping half of the Mommy Makeover. Mini Tummy Tucks and Liposuction can also be used when the body has partially bounced back. Click for more about the variety of available Body Enhancing Procedures.
What Would Kim Kardashian Do?
According to Life & Style Magazine, Kim K is already planning plastic surgery for her post baby body. Radar Online reports, “She wants to get her boobs done, a tummy tuck and liposuction. She’s not planning on getting the work done the same day she gives birth because her pregnancy has been dicey as it is.”
When Is The Best Time For A Mommy Makeover?
Doing Plastic Surgery the day you deliver is not a great idea. Your body is undergoing massive physiological changes as it transitions from pregnancy to postpartum. Plus, this gives your body zero time to recoil, and your baby zero time to breast feed. Moreover, a lactating breast should not have elective surgery. There is a greater risk of complications including: wound problems, infections and milk leaking through the incision after surgery. So when is the optimal time for a Mommy Makeover?
The most important question to answer is, “Are you done having children?” Mommy Makeovers are a big investment in time, recovery and cost, so it is best to wait until you are not planning more children. A Mommy Makeover will not prevent you from having more children, but it will likely be undone by another nine months of stretching.
If you are not planning more pregnancies, most plastic surgeons recommend waiting at least six months before a Mommy Makeover. This allows the breasts and body to recoil, time for your body to transition from taking care of you baby to taking care of itself and for your nutrition to return to normal. Some Plastic Surgeons recommend waiting a year to be certain you are in optimal health.
What Does Kanye Think?
I have not mentioned Kanye previously in my blog, but his mother was mentioned in one of the early San Francisco Plastic Surgery Blog posts. Kanye’s mother, Donda West, an English professor, died at 58-years-old, shortly after an elective cosmetic procedure. In an interview earlier this year, Kanye expressed his grief and guilt over the loss of his mom.
On a positive note, the tragic loss inspired then Governor Schwarzenegger to sign the Donda West Law. The law does not require anything that good doctors don’t already do, and it cannot stop bad doctors from having bad judgment. It does however, codify the need for a proper medical history and physical examination before any surgery is performed.
It remains to be seen how Kanye feels about Kim’s Plastic Surgery Plans, but having good support is important for any elective procedure. It helps to have a team that works well together. Patient, Plastic Surgeon, Family and Friends all have a roll to play, and it’s good to have as many advantages as you can arrange.
Mommy Makeover Consultations
Mommy Makeovers should be performed by a Board Certified Plastic Surgeon, preferably a member of the American Society for Aesthetic Plastic Surgery – a group of Board Certified Plastic Surgeons who have dedicated themselves and their practice to the cosmetic aspects of plastic surgery.
If you are near the San Francisco Bay Area and are considering a Mommy Makeover, or other Cosmetic Plastic Surgery Procedures, give me a call at (925) 943-6353 to arrange a private consultation appointment. The best options will be reviewed and safest and most predictable plan created specifically for your needs.
The Mommy Makeover has become the most popular combination Cosmetic Plastic Surgery. The procedure addresses the two areas that women complain about most after childbirth: the belly and the breasts. While Tummy Tuck with Breast Augmentation is the most popular combination, many variations exist.
Mommy Makeover Video Presentation with Before and After Pictures
I’ve appeared on the Bay Area’s News Station, KRON 4 in the San Francisco Bay Area, numerous times over the last eight years. My most recent Body Beautiful appearance, was all about Mommy Makeovers. The following television segment goes over the highlights of what’s involved. It covers many of the most frequently asked Mommy Makeover questions and illustrates results with before and after pictures.
Mommy Makeover Video Presentation on KRON 4
What Can a Mommy Makeover do for Your Belly?
Mommy Makeovers usually include a Tummy Tuck. The tummy tuck cinches the abdominal wall muscles, removes disproportionate fat and tightens loose skin, reversing much of what pregnancy does to the belly.
Sometimes less is needed, and there are several variations of the Abdominoplasty available including the “Floating Belly-Button” Tummy tuck and the Mini Tummy Tuck. When the skin is still tight, but disproportionate fat is the problem, Liposuction may be all that is needed. Click here for more Tummy Tuck Information.
What Can a Mommy Makeover Do For Your Breasts?
The other half of the Mommy Makeovers is Breast Enhancement. The most common enhancement is Breast Augmentation, which fills loose breast skin and enhances both volume and shape. For the loss of breast volume typical after childbirth, Breast Implants can fill the need.
When volume is not a problem, a Breast Lift may be what’s needed. The Breast Lift or Mastopexy, tightens the breast skin without changing the breast volume. Many different breast lifts exists, and the best Mastopexy for you will depend on how much lifting is needed.
Sometimes breasts increase in volume after pregnancy, and remain too large. Breast Reduction Surgery can help. A Breast Reduction, or Reduction Mammoplasty, will remove excess breast volume and tighten the skin, like a Breast Lift. The result is smaller, firmer and perkier breasts. This is especially helpful in cases where your breasts are heavy and causing pain in the neck, back or shoulders.
For mommies who had Breast Augmentation prior to pregnancy, your breast tissue changes with pregnancy, too. While the breast implant will retain it’s volume, sometimes the shape of the breast is impacted with the normal growth and involution of your breast tissue. When the shape is negatively impacted, Breast Implant Revision Surgery can help shape things up again.
Mommy Makeover Consultations
If a Mommy Makeover is in your future, give me a call at (925) 943-6353. We can review the options that address your concerns, and create a personalized treatment plan that fills your specific needs. More information about Mommy Makeovers and the Plastic Surgery procedures that are utilized, is available by clicking the links included in the post above. More videos are coming soon on Breast Lifts, Breast Reduction and Chin Augmentation. See you next week.
When I see a new patient for a Tummy Tuck (Abdominoplasty) consultation, I consider all the options. Usually, one method has the clear advantage, but occasionally there are multiple approaches to a good result. A Tummy Tuck may be the perfect fit, but sometimes less is more, like when Liposuction or a Mini Tummy Tuck will fix what’s broken. Other times, more is more, like doing a Mommy Makeover to combine belly and breast rejuvenation, or in case of a Fleur-de-Lis Tummy Tuck after massive weight loss. It’s good to see a Board Certified Plastic Surgeon who has experience with all your Belly Flattening options.
Abdominoplasty (Tummy Tuck) Before and After Pictures
The full Tummy Tuck is the only true Abdominoplasty. Its triple threat of skin tightening, muscle tightening and lower abdominal fat removal is hard to beat.
The Abdominoplasty is the go to procedure for fixing bellies. The Tummy Tuck removes the excess skin and fat from the lower belly, and it tightens the skin and muscle layers right down the middle, from the ribs to the pubis. For post pregnancy belly and after most weight loss, the Tummy Tuck gets the job of tightening the belly done right. For some patients, the Tummy Tuck is more than is needed, and for others, it is not quite enough.
When Less Tummy Tucking is Needed
For those patients who have less skin laxity there are several options. For the tight bellied person who has disproportionate fat, Liposuction may be the best choice. The procedure requires that the skin tone is good before surgery. When skin is folding on itself, the Tummy Tuck remains the better choice.
Liposuction Before and After Pictures
Liposuction removes disproportionate fat through very small incisions that can be placed away from the contouring. When the skin is tight, Liposuction is an excellent way to reduce belly bulge and muffin tops.
The Mini Abdominoplasty
One step above Liposuction on the Plastic Surgery stairway to a better belly is the Mini Tummy Tuck. A Mini Abdominoplasty combines Liposuction with repair of the muscle below the belly button and some skin excision. Small amounts of lower abdominal skin redundancy and muscle laxity respond well to the Mini Abdominoplasty. If you have loose skin above the belly button, you will want to explore other options like a “floating belly-button” Tummy Tuck or a full Abdominoplasty.
Mini Tummy Tuck Before and After Pictures
When there is less tummy to tighten, the Mini Abdominoplasty or Mini Tummy Tuck can give great results with a shortened recovery.
When More Tummy Tucking is Needed
More than a full Tummy Tuck is needed when the skin above the belly button is very loose. This is seen primarily in patients who have lost a large amount of weight. Whether you have lost weight from diet and exercise or after Bariatric Surgery does not matter. When the upper abdominal skin is very lax from side-to-side, a vertical scar is used down the middle of the abdomen to remove the excess. This is called a Fleur-de-Lis Tummy Tuck, and more about these Tummy Tucks and Lower Body Lifts (Belt Lipectomies) can be found here: Fleur-de-Lis Tummy Tucks, and on my Post Bariatric Plastic Surgery Page.
Sometimes, the Tummy Tuck will fix the Tummy, but more is needed elsewhere. A little Liposuction can be added around the sides and the back to reduce the Muffin-Top, or Breast Enhancement can be added for a full Mommy Makeover. When desired, other procedures are combined with the Abdominoplasty to help keep your body balanced.
Mommy Makeover Before and After Pictures
The Mommy Makeover combines abdominal and breast repairs in the same operation. The advantage is that there is only one recovery period.
Belly Flattening Consultations
If you are considering Plastic Surgery to flatten your belly, be certain to visit a Board Certified Plastic Surgeon near you. In the San Francisco Bay Area, you have many excellent Aesthetic Plastic Surgeons to choose from. If you would like to schedule a consultation appointment, call (925) 943-6353, and I can review the options that are most suited to your body. You can explore your options fully, so that you will know that the decision you are making is the best one for your needs. If you have questions, many frequently asked questions are answered here on the San Francisco Plastic Surgery Blog and my other websites, or you can ask via the contact form in the side column.
Tummy Tucks are designed to fix flabby bellies. After pregnancy or weight loss, the abdominal skin and the muscle beneath can get stretched out. To get back to a tight tummy, the Tummy Tuck or Abdominoplasty may be just what the doctor ordered.
Tummy Tucks Do What Diet and Exercise Cannot
Diet and Exercise are important to a toned body, but after pregnancy and weight loss, diet and exercise may not get us all the way to the goal. Once over-stretched, the abdominal wall cannot recoil. The abdominal skin often remains flaccid, even with vigorous exercise. Being close to an ideal weight can reduce abdominal girth, but it cannot fix loose skin.
Tummy Tuck Video on KRON 4’s Body Beautiful
Abdominoplasty means abdomen changing, and San Francisco Bay Area Board Certified Plastic Surgeon, Dr. Joseph A. Mele, MD, has all the details in this Tummy Tuck Video Segment from the Bay Area’s News Station, KRON 4, in San Francisco, CA.
Tummy Tuck (Abdominoplasty) Video Presentation in San Francisco
Each of the above Cosmetic Plastic Surgery procedures has specific benefits, and when indicated, each should be discussed during the Abdominoplasty Consultation, so you can make a well informed decision about the options.
Tummy Tuck Consultation
An in-person consultation appointment can help sort through the Tummy Tuck Options, and find the procedure that best fits your tummy. Call (925) 943-6353 to schedule a personalized consultation, or use the contact form in the margin for further Abdominoplasty Information.
Facial Plastic Surgery is designed to provide you with a more rested and youthful appearance. Blepharoplasty, or the Eyelid Lift, can do this and more.
Blepharoplasty on KRON 4 Body Beautiful in San Francisco
I recently had the opportunity to discuss Blepharoplasty with Bay Area New Station anchor Janelle Marie. The show, entitled Body Beautiful, aired live on KRON 4 last month. We discussed many of the details of eyelid aging, and how to fix it. The information on the video is supplemented below and on my main web site with more general information. If you are considering eyelid surgery, the best thing to do is visit an experienced Board Certified Plastic Surgeon near you, so that the details are covered too.
Eyelid Lift (Blepharoplasty) Video Presentation
Eyelid Lift Before and After Photos
If you already watched the video, you may have noticed the usual Before and After Pictures were missing. This Body Beautiful show was the last live broadcast from the old San Francisco Van Ness Avenue Studios. Maybe it was the studio ghosts way of saying she’ll miss us, but just before going live, the video editor ate the before and after pictures. You can see them here on the San Francisco Plastic Surgery Blog in my post from earlier this month: All Eyes on You – SF Bay Area Eyelid Surgery (Blepharoplasty), or visit the DrMele.com Plastic Surgery Photo Gallery.
What Happens to the Eyelids?
The Eyelids aging is due to intrinsic and extrinsic factors. The Intrinsic Factors we are born with. For example, the eyelids have the thinest skin on the body, and they move a lot. The amount of fat around the eyes is also genetic. Thicker, elastic skin and the proper amount of eyelid fat, contribute to the appearance of fewer wrinkles and smaller bags.
Extrinsic Factors are the environmental influences that change the appearance of our eyelids. Sun exposure and smoking are two areas over which we have some control. Using sunscreen, hats and moisturizers can protect the eyelid skin, prolong a youthful appearance and prevent skin cancer. Not smoking is good idea for many reasons.
How Blepharoplasty Works
Blepharoplasty is a facial plastic surgery procedure that literally means eyelid changing. Though both the upper and lower eyelids can have excess skin and fat, the most common problems corrected are excess skin of the upper eyelid and bulging fat bags of the lower eyelids. Both these features make us look older and tired.
Upper Eyelid Lifts
The Upper Blepharoplasty can be performed for both cosmetic and functional reasons. Sometimes, insurance will cover upper eyelid surgery when the excess skin is blocking your vision. Each insurance company has its own rules defining what is cosmetic and what is covered, so it is important to check with your insurance before having the surgery if your vision is compromised.
Lower Eyelid Lifts
The Lower Blepharoplasty is used to remove bags from under the eyes. Excess fat and skin are removed, and the eyelid is tightened. Fine lines can also be treated with chemical peels or laser skin resurfacing.
Eyelid Rejuvenation Consultations
As mentioned above, the best, if not the only way to find out if Blepharoplasty is right for you is via an in-person consultation appointment. A brief history and physical examination is necessary to be certain the procedure is appropriate for you. To schedule a private cosmetic eyelid surgery consultation, call (925) 943-6353, or use the contact form in the margin to contact my San Francisco Bay Area Plastic Surgery office.
These Mommy Makeover before and after photos display the most popular combination of belly and breast enhancement: The Tummy Tuck (Abdominoplasty) with Breast Augmentation (Breast Implants).
What’s a Mommy Makeover?
A Mommy Makeover is any combination of Cosmetic Plastic Surgery procedures that restore what pregnancy takes away: perky breasts and a flat belly. Pregnancy can be hard on the breasts and the belly, so the most common combination for a Mommy Makeover is Breast Augmentation with a Tummy Tuck. This combination of procedures is also useful after massive weight loss, which also often leaves women and men with deflated sagging breasts and a loose stretched-out tummy.
Other Mommy Makeover Combinations – Upper Half
Another Mommy Makeover is the Tummy Tuck and Breast Lift. If you are happy with your breast size, but not the shape, sagging or looseness, a Breast Lift may be all that is needed.
Breast Implants are not always necessary for a Mommy Makeover. If your breasts are a good size, but have dropped, a Breast Lift may be enough to restore your Breast Aesthetics and Body Confidence. There are many options for your Breast Lift, or Mastopexy. If the breasts have dropped and volume is missing, a combination of Breast Lift and Breast Augmentation (Augmentation Mastopexy) is utilized.
Other Mommy Makeover Combinations – Lower Half
With severe muscle laxity, diet, exercise, even Liposuction is futile. The Tummy Tuck is the only way to fix this. Lesser problems, on the other hand, may improve with smaller procedures.
The Tummy Tuck repairs skin laxity, lower abdominal disproportionate fat, and it is the only procedure that effectively tightens the abdominal muscles. For the belly above, muscle laxity is the primary problem, so only a Full Tummy Tuck can provide the optimal result. It works like an internal corset to flatten the tummy.
Sometimes, a smaller procedure is enough. If you only have disproportionate fat, and have maintained good skin and muscle tone, Liposuction may be a better option with a shorter recovery and lower cost. If your muscle and skin laxity is confined to the area below the belly button, a Mini Tummy Tuck (Mini Abdominoplasty) may be enough to achieve the desired look.
Schedule Your Mommy Makeover Consultation
Mommy Makeovers are as unique as mommies, so the best way to learn your options is during a personalized consultation appointment with a Board Certified Plastic Surgeon. To schedule a private consultation appointment in our San Francisco Bay Area Plastic Surgery office call (925) 943-6353, or ask a question via the contact form in the left margin of the San Francisco Plastic Surgery Blog.
My favorite part about being a Plastic Surgeon is fixing stuff. I have been this way for as long as I can remember. I was one of those kids who loved taking things apart to see how they worked, and putting them back together like new, but improved. The ability to combine fixing stuff with helping people makes being a Plastic Surgeon the perfect profession for me.
Why Plastic Surgeons Like to Fix Stuff
I received the nicest email this week. A patient, who is a decade or so out from her Tummy Tuck, made my day by dropping a little note about how her Tummy Tuck is holding up. Rather than paraphrase, here are her words:
Hi there! I am a former patient who had a T-Tuck I think ten years ago. I was getting dressed this morning and still ADMIRING the work you did an how great I still look so I wanted to send you an updated “after” photo so your patients can see what really can be achieved with this procedure. I’m 56 now and I … look this good in a bikini. So, I just wanted to share this with you. If you can respond with your email address I will forward it – – and come by you have time to prove its not a fake!! ; )
The Proof is in the Selfie
Of course, I responded. And here is the proof:
Ten Years After Tummy Tuck at 56-years-not-so-old.
The Before Picture
To make her feel even better about taking care of the “work,” I sent her the before picture:
The “infamous” before Tummy Tuck picture at 46-years-old.
Plastic Surgery is a Partnership
It takes two to get a great Plastic Surgery result. At 46, my patient was in pretty good shape, but a lot can happen in 10 years. I suspected my patient was doing more for herself than getting an Abdominoplasty. When I inquired she responded with:
Well ok – I work out 6 days a week running and doing strength training also and I am in better shape now at 56 than I was in my 40’s when I had the procedure done. Here is the key – -Getting the surgery gave me a whole NEW level of confidence that inspired me to take it all to a new level! I don’t think I would have been motivated to really change my whole “lifestyle identity” if I had gotten from the surgery a glimpse of the potential I could reach. So thank you so much for everything! ; D
Make My Day
I hope you can see why this made my day. It is a privilege to be a Plastic Surgeon. Plastic Surgery is a lot of work, and it takes a lot of ongoing training, but the rewards are wonderful. Just like many of the things I took apart in my youth, my patients are not “broken.” In fact, many of them look very good without my help. While the changes we see in these Tummy Tuck Before and After Photos are physical, the changes that I often see go beyond that.
Excellent Plastic Surgery is a Partnership between the patient and the surgeon.
Improved Self Esteem?
It is often said that Plastic Surgery can improve self-esteem, and there are numerous studies that bear this out. Since most of us do not have best friends who are also Plastic Surgeons, it takes gumption to present your least favorite body part to a complete stranger. I think Plastic Surgery can remove some physical barriers, but the psyche and the body must be healthy to start with. Removing an uncomfortable physical barrier can awaken a healthy self-esteem like it did for my Tummy Tuck patient above.
San Francisco Bay Area Board Certified Plastic Surgeon
If you are considering Plastic Surgery in the San Francisco Bay Area, call (925) 943-6353 to schedule your person consultation appointment. There is a lot of information available about the many Cosmetic Plastic Surgeries I perform here on the San Francisco Plastic Surgery Blog, and the other web sites listed under “Useful Links” above. Also, feel free to ask questions via the contact form located in the column.