Thursday, March 4, 2010
Ask Dr. Man- Nose Job
Surgery to reshape the nose (otherwise known as rhinoplasty) is one of the most common of all plastic surgery procedures. It is common among men and women of all ages, young and old. You are not alone- many people have been affected by stares and comments by people they know and even strangers.
Rhinoplasty can be used to reshape the nose in many ways, depending on the patient’s needs and desires. Some of these ways include reducing or increasing the size of the nose, changing the shape of the tip or the bridge, narrowing the span of the nostrils, or even changing the angle between your nose and your upper lip. Rhinoplasty can also be used to correct injuries or birth defects, or to help relieve breathing problems.
The best candidates for rhinoplasty are people who are looking to improve their appearance, are physically healthy, psychologically stable and realistic in their expectations.
Rhinoplasty can be performed under local with IV sedation or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer. Rhinoplasty usually takes an hour or two; however, complicated procedures may take longer. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.
When rhinoplasty is performed by a qualified plastic surgeon, complications are infrequent and usually minor. You can reduce these risks by carefully following your surgeon's instructions. In the days following surgery, your face will be bruised and swollen, but this passes. Each day, your nose will begin to look better. Healing is a gradual process; and some subtle swelling may be present for months after surgery. Since you’re in college, I recommend having the procedure done during one of your breaks or over the summer.
Rhinoplasty can do wonders to enhance appearance and boost self-confidence. When meeting with your plastic surgeon, discuss your expectations and realistic options for you.
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.
Wednesday, March 3, 2010
Ask Dr. Man - Liposuction
Patients who are likely to benefit from suction are enjoying good health, have the right expectations, and are aware of the limitations of this technique.
Liposuction with body jet (relatively one of the new techniques), coupled with laser liposuction (such as the 1444 nm by lutronic) , done on the ART (articulating, reclining, tilting) table offers significant improvement contour for most of our body areas.
Patients benefit by looking better, feeling better about their appearance, enjoying an improvement in clothing, as they will have now better body image. When combined with a program of good nutritional diet such as (ideal protein) and correct exercises, these patients will have a long term of success.
Let’s take an example of suction of the abdomen:
When considering excess abdominal fat, it is important to remember that the ideal abdominal shape is determined by the relationship of the upper, mid and lower abdomen and the love handles. It is important to evaluate whether or not posture abnormality exists. By pinching skin of the abdomen the amount of subcutaneous fat is noted. In some instances it appears as if the belly is fat but it is possible that that fat is not a subcutaneous but rather intra abdominal (omental fat), in which case losing weight first (with ideal protein) and then pursue with the suction later. The obvious common subcutaneous fat collection is where liposuction will make dramatic improvements.
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.
Tuesday, March 2, 2010
Ask Dr. Man - Dermabrasion vs. Microdermabrasion
Both methods are used to improve the surface of the skin Dermabrasion acts to mechanically remove sharp edges of acne scars and other acquired scars. This technique blends acne scars into the surrounding facial skin, making them less noticeable. The surgeon uses a certain tool that has sanding capabilities and with his experience he knows how deep and far he has to go until he gets the best results.
Microdermabrasion; is a finer method that uses aluminum oxide or other crystals with high speed pressurized pump. Treatment results in more superficial abrasion.
Dermabrasion treats deeper larger scars better than Microdermabrasion.
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.
http://drman-skinrejuvenationpeel.com and
http://dr-acculift.com to learn more about non-surgical or minimally invasive procedures.
Monday, March 1, 2010
Ask Dr. Man - Breast Augmentation
A study published in the scientific form in the aesthetic surgery by Dr. Thomas Joiner, Jr., PhD, a professor of psychology in the Florida state university suggest that suicide rates in breast augmentation patients is lower than the expected rate when these patients’ demographic and other pre-surgery characteristics are taken into account.
Even though the literature in the past suggested otherwise, a relatively new survey showed otherwise. The mechanism for this protective effect is embedded in the increased satisfaction with their body image. (Aesthetic Surg J 2003;23:370-37)
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.
Sunday, February 28, 2010
Ask Dr. Man – Juvederm
Let me start off by saying that no two people can expect the same results from plastic surgery. Every patient is different, so everyone must expect some difference in results. That being said, when wrinkles, creases and sunken areas of the face begin to appear with aging, the use of facial fillers is usually a good treatment option for most people. Some common fillers are hyaluronic acids, fat, and collagen, just to name a few. Like other hyaluronic acid injectable fillers (e.g. Restylane, Perlane, etc.), Juvederm™ is injected directly into the face for immediate, natural looking results. Juvederm is designed to smooth out facial folds and wrinkles to produce a smoother, more youthful looking appearance for up to six months.
In 2006, the U.S. Food and Drug Administration approved Allergan’s Juvederm as the “next generation of hyaluronic acid dermal fillers.” Juvederm is said to provide longer-lasting, smoother results than its competitors. Hyaluronic acid is a naturally occurring complex sugar found in living organisms that creates structure and elasticity in the skin. With age, the body’s production of hyaluronic acid decreases, and injectable fillers help restore facial volume. Juvederm, however, is unlike other hyaluronic acid fillers in that it consists of a smooth gel containing higher levels of non-animal and cross-linked acid, leading to longer lasting results.
The ideal candidates for Juvederm treatments include individuals with moderate to severe folds and wrinkles around the nose and mouth area. Some of the benefits of Juvederm include:
• Minimized appearance of wrinkles and folds
• Immediate improvement in facial volume and structure
• Minimally invasive treatment with no downtime
• Longer-lasting results
Some patients experience mild, temporary side effects including swelling, bruising, redness, and tenderness; however, most patients tolerate Juvederm very well.
There are plenty of women your age who get this treatment. Talk with a board-certified plastic surgeon to see if Juvederm is the correct procedure for you. Good luck!
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.
Saturday, February 27, 2010
Ask Dr. Man – ECO2
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.
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.
Friday, February 26, 2010
Ask Dr. Man – Facial Procedures
The aging process of the skin varies among individuals. Inevitably, with age, our faces begin to lose the natural collagen and elasticity we are born with. Hormonal changes can also cause loss of moisture and thinning of the skin.
The best care you can give your skin is to protect it from the sun and use proper skin care, preferably a regimen recommended by your doctor. Taking care of your skin is the foundation for preventing the signs of aging, but it is only the beginning. As we age, our skin goes through changes; and even people who follow the strictest skin care regimen eventually show some signs of aging.
Fortunately, there are many treatments and procedures available on the market today. You didn’t mention specifically what signs of aging you have, so let’s talk today about some of the various treatments available to fight the aging process.
The earliest signs of aging generally occur around the eyes and forehead area. Specifically, crow’s feet, frown lines and thinner skin around the eyes are some of the first signs. Non-invasive treatment for these may include Botox™ and/or other filler materials to the affected areas. There are noninvasive resurfacing tools that are now available as well, such as Fraxel Laser, Erbium laser, Portrait Resurfacing, and Medium Peel.
There are also surgical corrections for these conditions, such as the use of suspension lifts to improve contour of portions of the face and neck. These procedures go by many names, such as thread lift, feather lift, barbed suture lift, etc. To help the sagging skin around the eyes, there is a commonly performed procedure known as blepharoplasty, which is used to give the eyes a fresher, less tired look. This usually requires some anesthesia. Check with your surgeon to see if you are a candidate for any of these procedures.
Deeper chemical peels, lasers, and dermabrasion are sometimes recommended for deeper lines and wrinkles. These procedures will most likely call for the use of anesthesia in the form of IV sedation.
New technology is becoming more common and being used more frequently when it comes to skin rejuvenation. Be sure to speak to a board-certified plastic surgeon to determine which procedure is best for you.
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.
Thursday, February 25, 2010
Ask Dr. Man – Body Jet
Dear Dr. Man, I’ve been wanting to get liposuction for a long time, but am worried about the down time and pain involved. I heard about a new procedure called Body Jet that was recently FDA approved. Can you tell me more about it?
I am happy to tell you more. Body Jet, also referred to as Water-Jet Assisted Liposuction, is a superior method of liposuction and may be performed on multiple areas of the body during the same session of surgery, including abdomen, arms, under chin, thighs, buttocks, back and calves. It significantly reduces discomfort or pain during and after the procedure. Recovery is shorter, as patients often return to work and other activities in just a few days.
The Body Jet system is more accurate than tumescent, as it uses a controlled pressure system and special cannula to direct the water in a thin, fan shaped jet. The result is less tissue swelling, thus less discomfort or pain after the procedure. This is accomplished by means of the special cannula and computerized software that allows control of the rate of fluid input and fat output. Because it is more accurate, fat is removed only from fatty compartments without hurting other important structures like nerves and vessels. Thus, fatty tissues are released much more easily, with less tissue swelling.
The procedure is performed under local sedation. It is easily tolerated, allowing smooth patient re-positioning so that multiple sites can be performed at the same time. Because it is more accurate, patients recover much more quickly, with less swelling, bruising or discomfort.
I would recommend Body Jet for people who wish to get rid of extra inches and loose fatty tissue, especially around the tummy, arms, neck, back, thighs, hips and buttocks. Body builders and athletes who want a better shape can also benefit from Body Jet.
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.
Wednesday, February 24, 2010
Ask Dr. Man- Young Lips
Full lips have always been sought after, regardless of age. A plump pout is considered to be not only a sign of youth, but an icon of sensuality as well. As we age, the lips do lose their plumpness and fullness; however, some women naturally have thin lips. The upper lip in many women can appear thin; and the distance from the tip of the nose to the upper lip lengthens as the lips drop "down,” which can cause a frown-like appearance around the mouth. A lip lift or lip augmentation can increase the volume and fullness of the lips and give a more attractive contour and natural pout.
Lip augmentation can be useful for people who have small, deflated lips, asymmetry, reconstructive needs, dropping or sagging upper lip, lack of color, wrinkling from smoking or aging and other complaints. Lip augmentation is not done only on aging individuals- I see many young patients who desire more sensual and attractive lips.
Lip augmentation uses synthetic or biological products or surgical restructuring to enhance the lips using several different treatment options. A common procedure that we hear a lot about these days is the use of filler materials to give the soft lip tissue more fullness and support. These materials can be injected or implanted into the skin and can include collagen or fat, or new fillers, such as Restylane, Perlane and Juvederm. For lines around the lips, a filler called Cosmoplast works well. Some people go a step further and have a surgical lip lift, which shortens the area between the nose and upper lip, in order to reduce a frown-like appearance.
These procedures are performed in the doctor's office under local or I.V. sedation. After treatment, people usually experience some swelling and bruising. In the case of incisions, sutures are removed after several days. As with all surgery, there are some risks, which you should discuss with your surgeon.
Talk to your plastic surgeon to decide which treatment is right for you.
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.
Tuesday, February 23, 2010
Ask Dr. Man- Botox Parties
Botox Cosmetic has become an extremely popular means of reducing certain facial wrinkles, especially frown lines of the forehead and crows feet around the eyes. Frown lines are the vertical lines caused by contraction of the muscles of the eyebrows. Injecting Botox next to the muscles of the eyebrows and forehead causes the muscles to relax, smoothing out the vertical lines. Botox has become very popular with both men and women, in order to regain a more youthful appearance.
This party you mention does cause me some concern. Botox Cosmetic has become so popular that some people such as your friend are hosting Botox parties, in which several men and women gather together for cocktails and wrinkle-reducing injections. Be advised that the FDA has issued statements warning of the possible hazards of "Botox parties." A Botox injection is a medical procedure that should be performed in a controlled medical environment. I’m assuming your friend’s party will not be at a doctor’s office, so please beware. According to the FDA, administering this treatment during a cocktail party greatly diminishes the gravity of this medical procedure. There is always a risk of adverse reactions or side effects after a Botox injection; so patients need to be in a medical setting that is equipped to handle an emergency situation. In addition, the ingestion of alcohol at or around the time of injection could worsen any bruising at the injection site.
That being said, Botox is an excellent treatment for wrinkles, as long as it is performed safely in the correct environment and by a qualified medical profession. Botox, a therapeutic muscle relaxer, is a by-product of botulinum toxin A (it is not a toxin itself). It acts directly on the nerves of the muscles, preventing the muscles and nerves from receiving electrical impulses. Botox is applied via injections, using a very fine needle. The procedure is relatively painless and takes only several minutes.
Botox has been used safely for over 20 years and was approved by the U.S. Food and Drug Administration for cosmetic use in April 2002. There are minimal side effects, although some complications, such as allergic reactions or swelling, may occur. Patients who are on antibiotics or other drugs should advise their doctor in advance, as these drugs may act to increase or reduce the potency of the injections. The results of Botox last about four to six months, depending on the patient, and should be repeated as necessary. Every patient is different- some experience swelling, while others have no reaction. If you’re concerned about your date, you may want to either postpone the date or postpone the injections.
As a side note, Botox is also used to treat some other medical conditions. It is used to help decrease hyperhydrosis (excess sweating). Botox can also be effective for severe migraine or cluster headaches that don’t respond to other methods of treatment. Talk to your doctor if you have any of these problems, to see if Botox injections are the right course of treatment for you.
In addition to exercising caution with “Botox parties,” please also beware of places that offer “bargain Botox injections,” as they may dilute the concentration of Botox in each injection, which can make the results of the treatment less effective.
Talk to a board-certified plastic surgeon or dermatologist to see if Botox is right for you.
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.
Monday, February 22, 2010
Ask Dr. Man- Finding a Plastic Surgeon
When you decide to have cosmetic surgery, the first and most important step you can take is to find a doctor that is right for you, one that can help you reach your goals. So, where should you begin? In my opinion, the phone book and advertisements are not the best resources for information. Instead, I recommend asking friends, family members, and colleagues you respect. Another good source is your family doctor or other medical professionals. Exercise caution if you choose to use the Internet, and make sure any information you get is from a credible source. Be wary of web sites that provide referral services, which are often paid for by the doctor. Better Internet sources are those of professional organizations, such as the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.
Once you have a list of doctors to choose from, I suggest calling a few offices and getting answers to the following important questions before deciding on a surgeon.
• Is the surgeon board-certified in plastic surgery? Board certified plastic surgeons are full-time plastic surgeons who are certified by the American Board of Plastic Surgery (ABPS), and who have the surgical skills and judgment to perform a wide range of aesthetic and reconstructive procedures on the total body.
• Is the surgeon a member in good standing of the American Society of Plastic Surgeons, Inc. and the American Society for Aesthetic Plastic Surgery (ASAPS)? These organizations represent board-certified plastic surgeons in the U.S. They can provide a list of board-certified plastic surgeons in your area. For more information about the American Society of Plastic Surgeons, call 888-4-plastic or visit www.plasticsurgery.org; and the American Society for Aesthetic Plastic Surgery, call 215-587-9322 or visit www.surgery.org).
• Is the surgical facility fully equipped and accredited to perform outpatient surgery? Does the surgeon have privileges to perform these same procedures in the hospital? Accrediting organizations that can provide you with more information are: the American Association for Accreditation of Ambulatory Surgery Facilities (888-545-5222 or www.aaasf.org); the Joint Commission on Accreditation of Healthcare Organizations (630-792-5800 or www. jaaacaho.org); and the Accreditation Association for Ambulatory Health Care (847-853-6060 or www.aaahc.org).
Another option you have, which would not burden your daughter and her family, is to have your surgery down here in South Florida, and utilize an after-care recovery center. Some doctors like me offer luxury recovery suites that are monitored 24 hours a day by trained nurses and staff. People come from all over the world to have their plastic surgery done here in South Florida and to recover in our “hotel-like” setting. Whatever you decide, I wish you the best of luck.
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.
Sunday, February 21, 2010
Ask Dr. Man- Sedations
Many cosmetic procedures are performed under twilight sedation. Twilight anesthesia is local anesthesia with the addition of a sedative, such as Valium, given intravenously to relax you. This type of anesthesia is generally chosen for procedures lasting greater than an hour or for a few minor procedures that are being done at the same time in different body areas. It is also used when areas being treated cannot be well anesthetized using local anesthesia. Intravenous sedatives are generally a good addition to the local anesthesia injections given by the plastic surgeon. The combination helps make patients feel comfortable during the procedure.
With twilight sedation, you will be sedated to the point of being asleep, but you will not be unconscious or intubated. Twilight sedation does not provide pain relief to the area being operated on; so local or regional anesthetics may be used as well. Twilight sedation generally involves a shorter recovery and causes less, if any, nausea or vomiting.
In some cases, if the doctor finds that twilight anesthesia does not allow the surgical procedure to be carried out safely and comfortably, the doctor may switch to a general anesthetic.
A general anesthetic provides complete loss of pain sensation and loss of consciousness. It is often used for longer surgical procedures where a substantial amount of tissue manipulation is required. It is also used if multiple smaller procedures are being performed in different areas of the body.
General anesthesia is administered by injection, gas or a combination of both. This causes you to fall into a deep sleep. Your doctor may also use other medications for pain relief and muscle relaxation. Advances in anesthesia have made general anesthesia safer than ever.
No matter which type of anesthesia your doctor uses, be sure to have someone available to pick you up following your surgery, as you should not operate a vehicle. You’ll want to rest after the surgery to let the anesthesia wear off and to let your body heal from the surgery.
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.
Saturday, February 20, 2010
Ask Dr. Man- Implants
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.
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.
Friday, February 19, 2010
Ask Dr. Man- Portrait
Officially known as Portrait® Plasma Skin Regeneration System (from Rhytec), Portrait reduces and softens the deep lines in the face, proven to deliver true skin regeneration. Results are immediate and long-lasting, with clinical studies showing improvements for as long as a year after treatment. Portrait is FDA-cleared, and is an effective treatment for wrinkles (deep and fine), brown spots, and pigmentations. It also helps improve skin tone and elasticity, in addition to tightening lax and sagging skin. It is approved to treat the face, neck, décolleté, arms and hands.
When most people think of “plasma,” they think of televisions; however, this treatment is very different. Portrait is the first system to employ a highly energized gaseous state known as “plasma” to produce unique controlled thermal energy at and below the skin’s surface. While some treatments lead to improved skin only at the surface, Portrait alters structures below the surface, creating unique conditions for continuing regeneration and improvements in wrinkles, tone, texture and discoloration. It creates a natural response to new skin cell regeneration and collagen growth, similar to a newborn baby’s skin.
Your physician will tailor your treatment depending on your needs and lifestyle. Treatments can vary from one treatment at a higher setting to three treatments at lower settings. Patients are given topical anesthetic cream one hour prior to the treatment; and the treatment itself is usually completed within about 30 minutes. Patients can expect to feel a localized sensation of heat during the treatment.
Following treatment at lower settings, patients can expect to look and feel sunburned for 24 to 48 hours. Within 24 hours after the procedure, they can resume normal activity and wear mineral makeup. Some shedding can occur within the following 3 to 5 days. Following treatment at higher settings, patients can expect to feel a more intense sunburn sensation, with a browning/bronzing to the outer layer of skin. Patients can resume normal activity and wear mineral makeup within 48 to 72 hours. Shedding may occur within the week following treatment. Once shedding has occurred, the redness of the regenerated skin may last up to 2 weeks. This is a much shorter duration compared to CO2 or Erbium Laser treatment.
The benefits of using Portrait can be seen soon after treatment, and patients tend to see progressive improvements over time. Portrait is a safe, non-surgical way to rejuvenate the skin. Combined with Botox and Dermal Fillers, it can provide patients with synergistic benefits that can do wonders for the skin. I believe that Portrait uniquely addresses the growing demand for cosmetic improvement with minimal downtime, and little or no risk of side effects or complications associated with other more aggressive anti-aging treatments.
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.
Thursday, February 18, 2010
Ask Dr. Man - Thigh Lift
The skin along the inner thighs generally has less tone and elasticity than the skin along the flanks or the outer thighs. As a result of aging, weight loss and excessive exposure to the sun, the skin of the inner thighs can become thin, loose or hanging.
Even for people with a thick layer of fat along the inner thigh, liposuction alone will not make the skin tighter. What can be done is a procedure known as a thigh lift, which is usually done in combination with some liposuction. The surgeon generally performs liposuction of the inner thigh area first, in order to loosen the overlying skin. Then, an incision is made along the groin crease where the front of the thigh meets the lower abdomen. The incision continues around the upper inner thigh and ends in the crease below the buttock. The skin and tissue underneath are then pulled upward until the skin is taut, and the excess tissue is then trimmed off. A deep layer of stitches is placed in the strong connective tissue of the thigh. Dissolving stitches are then used to close the skin.
After surgery, you can expect to wear a lower body compression garment around the clock for about two weeks, except when showering. You may feel some generalized discomfort along the thigh area, along with a burning sensation along the stitch line in your groin crease at the top of the thigh. You may find it difficult to bend forward or sit in a chair, as this puts the most tension on the stitches. Standing or reclining flat tends to be the most comfortable position for patients the first few days after surgery. You should avoid strenuous activity for three to four weeks following surgery.
The down sides to an inner thigh lift are prolonged recovery and possible visible scars. I would recommend possibly first attempting liposuction alone with some of the newer methods of fat removal. Visit a board-certified plastic surgeon to see if this or another type of surgery is right for you.
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.
Wednesday, February 17, 2010
Ask Dr. Man- Endoscopic Browlift
As we age, it’s very common to develop droopy eyebrows, hooding over eyes, forehead creases and frown lines. A browlift (a.k.a. “forehead lift") is a procedure that restores a more youthful, refreshed look to the area above the eyes. It can help to reduce deep creases, horizontal lines, and furrows in the forehead, while lifting heavy, droopy eyebrows that can create a hooding effect over the eyes and make a person appear angry, sad or tired. A browlift is a minimally invasive procedure often performed in conjunction with a facelift or eyelid surgery; however, it can be done as a standalone procedure.
An endoscopic brow lift is one of the more commonly used techniques. Instead of one long incision from ear to ear (which the traditional browlift uses), this technique requires approximately three to five one-inch incisions. An endoscope (wand with a small camera on the end) is inserted into one of the incisions in order to see the underlying muscles and tissues. Next, the eyebrows are released and secured in a higher position underneath the skin. The frown lines are also decreased by weakening the muscles that cause them.
Many surgeons prefer the endoscopic technique for a brow lift because the scalp incisions are minimized, there is a lower chance of permanent scalp numbness, and the recovery is generally shorter. This technique is also recommended for people with thinner hair.
To reduce swelling after a browlift, you should keep your head elevated. Bandages are removed in a short time, and stitches are removed within a week. You should be able to shower and shampoo your hair within a few days. Some numbness and tightness of the forehead are common after surgery. Your cheeks and eyes may also bruise and swell, but that should not last too long. Most people are up and about within a few days; however, you should rest for at least the first week after surgery. Avoid rigorous physical activity for a couple of weeks after surgery. Most of the visible signs of surgery should fade within the first few weeks.
The position of your brow can have a major impact on facial expression. An elevated and smooth brow can do wonders for restoring a youthful look and a positive facial expression. I’m sure you’ll be pleased with the results.
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.
Tuesday, February 16, 2010
Ask Dr. Man- Injection Holes
The area under your eyes is a somewhat risky area to inject, as it can be prone to bruising and lumps. I’m happy to hear that you have had such success with the injections in your cheeks; however, having success in other thicker areas does not necessarily mean you will not have problems around the eyes.
Every patient is different. In some cases, we need to use fillers if other procedures don’t work; however, there are risks, such as lumps and bruising. The use of hyaluronic acids can usually alleviate these lumps. I suggest you meet with a board-certified plastic surgeon that you trust. Discuss your various options for treatment and concerns you may have. Best of luck.
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.
Monday, February 15, 2010
Ask Dr. Man- Vaser Contouring
Many men, and even women, work out and take care of their health; however, they find they still have extra fat around the middle, tummy or back. Because liposuction removes localized fat that doesn’t respond to diet and exercise, it is one of the best procedures to help men attain their desired body shape.
The Vaser, a new laser liposuction procedure, removes double chins, “spare tires” and “love handles” around the waist, large protruding abdomens and more. These procedures allow the plastic surgeon to be a true sculptor of the human body.
Another popular procedure for men includes body contouring to lift the buttocks, thighs, arms and abdomen; it also helps to reshape the body and remove excess, hanging skin. This procedure is especially useful after weight loss of 50 to 100 pounds or more, and is becoming more common.
If you’re considering plastic surgery, visit a board-certified plastic surgeon for a consultation to help you decide which procedure is right for you
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.
Sunday, February 14, 2010
Ask Dr. Man- Perlane Lips
Full lips are constantly sought after, for women of all ages; after all, a plump pout is considered to be a sign of youth and sensuality. However, I think long term fillers, at present, are not good options for lips. While I understand your desire for a long-time alternative, I feel that the negatives greatly outweigh the benefits of long-term fillers such as Perlane. Perlane is not made for the lips. It is meant to be injected much deeper into the skin; therefore, it can leave you with a higher chance of lumps in your lips.
There are many excellent alternatives that may suit your needs. As we age, the upper lip, in particular, can appear thin; and the distance from the tip of the nose to the upper lip lengthens as the lips drop "down,” which can cause a frown-like appearance around the mouth. A lip lift or lip augmentation can increase the volume and fullness of the lips and give a more attractive contour and natural pout.
Lip augmentation can be useful for people who have small, deflated lips, asymmetry, reconstructive needs, dropping or sagging upper lip, lack of color, wrinkling from smoking or aging and other complaints.
Lip augmentation uses synthetic or biological products or surgical restructuring to enhance the lips using several different treatment options. A common procedure that we hear a lot about these days is the use of filler materials to give the soft lip tissue more fullness and support. These materials can be injected or implanted into the skin and can include collagen or fat, or other fillers, such as Juvederm. For lines around the lips, a filler called Cosmoplast works well. Some people go a step further and have a surgical lip lift, which shortens the area between the nose and upper lip, in order to reduce a frown-like appearance.
These procedures are performed in the doctor's office under local or I.V. sedation. After treatment, people usually experience some swelling and bruising. In the case of incisions, sutures are removed after several days. As with all surgery, there are some risks, which you should discuss with your surgeon.
Talk to your plastic surgeon to decide which treatment is right for you. You must realize that no one can perform miracles; however, a highly skilled surgeon can transform what you do have into a more balanced look altogether. Good luck!
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.
Saturday, February 13, 2010
Ask Dr. Man- Mosaic
Mosaic is the first laser to use a new patented process of CCT to remove wrinkles, sun damage and acne scars. FDA-approved, Mosaic is considered the most advanced laser system to date, and it is the first to use a new patented process of Controlled Chaos Technology (CCT) to remove wrinkles, sun damage and acne scars.
Its unique patented CCT computerized delivery system delivers the laser energy in a controlled random "chaos" pattern, which penetrates deeper without thermal damage.
Benefits include: no downtime; immediate results; fewer treatments than other lasers; the ability to see results during the first treatment; no scarring; and the ability to tighten skin and reduce acne scarring.
Mosaic is an advanced aesthetic solution based on the latest in fractional technology. Unlike traditional lasers and light-based technologies that achieve homogenous thermal damage at a particular depth, Mosaic’s exclusive patented techniques work by delivering multiple arrays of randomized microscopic laser beams to the skin.
These beams produce deep, collimated Micro Necrotic Columns (MNCs) that can penetrate as far down to the reticular dermis, while sparing surrounding viable tissues. The outcome produces more natural, more uniform skin regeneration with minimal downtime and dramatic clinical improvements. Most patients are very pleased with the results they see after using Mosaic.
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.
