Saturday, February 27, 2010

Ask Dr. Man – ECO2

Dear Dr. Man, I’m interested in getting rid of deep wrinkles on my face. Part of it is hereditary, but I also am in the sun a lot, as I am an avid tennis player. Is there any new technology out there to fix my problem? I’d prefer a procedure with as little downtime as possible.

As a matter of fact, there is a new treatment that was recently approved by the FDA for skin resurfacing that provides truly dramatic results for deep wrinkles and scars. This procedure is called ECO2 Fractional Laser Resurfacing.

ECO2 is a state-of-the-art, cutting edge fractional laser skin resurfacing system that dramatically improves deep wrinkles, laxity and sun damaged skin using an advanced state-of-the-art process that delivers thousands of micro fractional laser pulses.

ECO2 gives physicians the ability to administer superior treatment with far better results and patient comfort than traditional CO2 laser systems, thus causing less pain and quicker recovery for patients.

The benefits of this treatment include: superior results, a single treatment, minimal downtime (vs. traditional CO2) and less pain.

A full-face treatment takes about an hour, after a topical anesthetic is applied. A special dressing that decreases swelling, pain and irregularities is applied for two to three days.

After the treatment, you will feel a warm sensation, similar to a deep sunburn. Some swelling and redness may be seen immediately following treatment, but this will subside. The treated area will also appear with a thin crust as the rejuvenation process continues and the old sun damaged, dead skin cells slough off.

Most patients will notice significant improvement after just one treatment. Some patients may undergo a second treatment after three months for even more dramatic results.

ECO2 Is recommended for treatment of the following:
- Deep wrinkles on forehead, face, areas around the eyes and lips.
- Acne scars, surgical scars and burn scars
- Photo damaged skin; uneven skin tone and large pores
- Pigmented lesions; freckles, seborrheic keratoses
-Total skin resurfacing of the face, neck, hands and chest

Dear Dr. Man, I’m 22 and I’m very petite and thin. I weigh 102 and I’m 5’4. I’ve always wanted implants and now that I’ve started to work full time, I can afford them. I want to get D cup implants, but my mother thinks I’m crazy; my boyfriend is all for it. How do I know whether to get silicone and saline implants? I feel like there are so many decisions to make- where do I start?
There are many factors to consider when getting breast implants. When you meet with a board-certified plastic surgeon for a consultation, he or she will be able to talk to you about your various options. In the meantime, I will provide you with some basic information to help you understand the process and considerations when choosing to get breast implants.
There are two main factors to consider when it comes to the size of your implants, namely: the size of the breast in proportion to the size of your body and the characteristics of your breast tissue. Every individual differs in these areas. The ideal breast size should balance with your height and weight measurements. The size also largely depends upon how much natural breast tissue you have. For example, a woman with more breast tissue will need her implants filled with fewer cc’s (volume) in order to get the size she desires. All women are different. While a DD cup may be perfect for one woman, it may look too big on another.

Many women believe that an augmented breast will not sag, which is not true. The tendency of the breast to sag is related to the loss of skin elasticity and how thin the tissue is surrounding the breast. If you choose an implant that is too large, it can actually cause the tissue to stretch and, thus, cause more sagging to occur.
With regards to silicone versus saline, there are benefits and tradeoffs for both. Studies have shown both saline and silicone implants to be safe and effective. Before the FDA banned the use of silicone implants in the U.S. about 13 years ago, over 90% of surgeons preferred silicone over saline. The reason is because silicone implants feel and look more natural, can be more predictable and are considered safe. In 2006, the FDA lifted the ban on silicone breast implants.
Silicone implants have been reported by patients to feel softer and more natural than saline. They also have the ability to naturally adjust as you move. This does not mean, however, that they are the right choice for every woman. Saline implants can feel more firm than natural breast tissue. They have been known to ripple, and this can be felt if the breast tissue covering the implant is insufficient. However, adjustable saline implants can be useful in some women, whose breasts are very asymmetrical, or in women who have had massive weight loss and whose skin has stretched a great deal. Adjustable saline implants also allow the surgeon to fill the implant after surgery, in attempt to achieve the desirable size and fullness the patient is looking for. .
The type and size of the implants that are best for you depends upon what you want and what your breast tissue will allow you to have. I encourage you to discuss all of your options with a board-certified plastic surgeon during your pre-operative consultation.

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Dr. Man


Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.

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