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A tummy tuck contours the belly by removal of extra skin. Sometimes, the extra skin hangs only in the area of the lower belly. Other times, the extra skin overhangs both the lower belly and also the skin above the belly button.  If this happens, there may be fullness of the area above the belly button as well. For both situations, the extra skin can be removed through the lower abdomen, and then the skin is stretched taut to create a better contour.

The question next however is whether liposuction would be helpful as well.  The best area to assess this is by pinching the sides of your lower rib cage.  This area, called the flank, is not well treated with a tummy tuck on its own, because the scar has to taper off at the front of your hips.  However fullness of this area indicates a significant component of both extra skin AND fat that is causing the contour issues of your belly.  The downside of adding liposuction is obviously increased cost.  However the benefit is correction to a better aesthetic outcome for patients who have a significant amount of both problems.

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Patients often come to my office with concerns regarding excess frown lines (called glabellar lines), forehead lines (I think of them as the surprised lines), or smiles lines (crows feet).  Neurotoxins such as Botox or Dysport can be quite effective to soften or completely remove some of these excess wrinkles.

The method I use for injection is applying a numbing cream on the skin and then using a very small needle.  This generally makes the injection process pretty easy for the patient.

The next question really is how much?  In the company literature on Botox, the recommendation is 25 units for injection in 5 locations for the frown lines.  However,  my opinion is that this often results in an overly frozen look of the upper face, as well as a noticeable dropping of the central eyebrows.  Certainly, the wrinkles have disappeared for frowning.  However, the downside is mark of an overly injected person who does not look as natural.  We will often use 15-20 units depending on how much muscle mass you have.  For example, patient who has been regularly treated at 4 months intervals will require less than someone who has never been treated before, as their much would be more active and larger.

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Tummy tuck, also called abdominoplasty, is a cosmetic procedure that is performed to tighten up the belly and remove extra skin and fat.  Sometimes our patients complain of “muffin tops” that hang over pants at the waist time, stretch marks from pregnancy, or a bulge of their belly. Other people may be concerned about tethering of the skin down to a c section scar that causes an irregular contour. This is usually due to a variable combination of the rectus muscle (your “six pack” muscle) stretching,  thinned or loose skin, and uneven fat deposits. Surgery can help to restore your contour and remove extra fat. Options of the best surgical technique vary depending on how much skin or fat you have.   Continue reading…

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Thinking about breast augmentation?  You are not alone.  According to the American Society of Plastic Surgeons, about 286,000 women underwent the procedure in 2013.  Often, the women who ultimately undergo the procedure have thought about it for several years prior to making this very personal decision. And yet there can be a lot of confusing information on the internet, on television, and through what you hear from friends. So what are some things that you should find out before you move forward? Continue reading…

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Every year, the American Society of Plastic Surgeons gathers for about a week to discuss topics that range from lymph node transfer for lymphedema, to breast reconstruction and hand surgery, to cosmetic face lift. Continue reading…

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Breast augmentation remains one of the most common cosmetic procedures performed in the United States.  Now there is a new study that has been published about the safety and outcomes of silicone implants after surgery over a 10 year period.  Silicone implants are prefilled with silicone, whereas saline implants are manufactured as a shell and then filled with saline during surgery.  Silicone implants are generally softer and more pliable compared to saline implants.  In most countries, silicone implants are predominantly used for breast augmentation.  However in the United States, I assume due to FDA recommendations for prophylactic screening with MRI and implant exchanges after 10 years, silicone implants make up a smaller proportions of implants used in breast surgery.

Continue reading…

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Nominate a friend and you may both win FREE BOTOX!

Do you have a friend who could use a little pampering?  Is there someone in your life who is always caring for others but never really treats themselves?  Nominate your friend and you could both win Botox treatment for one facial area of your choice!

To enter: Send us a Facebook message and tell us why your pal is so awesome!  Then, LIKE our page and SHARE this post! We will pick one lucky entry and you & your friend will receive a treatment area of Botox FREE!

https://www.facebook.com/TheOCRC

***All applicants must be at least 18 or over.  The final determination of whether Botox is appropriate for you and your friend will be made only after an exam by Dr. Jenq.  If it’s determined that Botox is not the right treatment for you, winners will alternatively receive a free kit of Latisse.

All nominations must be received no later then May 30, 2014.  Entry will be invalid if nominator does not complete all the steps as outlined above (message, like and share).  Winners will be notified privately via Facebook inbox by June 5th, 2014. We may choose to share your awesome friend story but we will only use the initials of you and your friend. Self nominations are accepted.

 

 

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Liposuction is one of the most popular cosmetic surgeries in the United States.  It is an attractive option for people who would like improved body contour without need for much skin tightening. Small incisions are made around the area to be targeted, and a fluid that contains lidocaine and epinephrine, numbing and blood vessel tightening medications, are injected first.  This increases comfort and decreases bleeding.  Then small tubes called cannulas connected to a suction device are passed in the fatty deposits and aspirated out.  Due to the fascination that many people have about this procedure, I sometimes hear some common misinformation about this subject. Continue reading…

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Tummy tuck, aka abdominoplasty, is a cosmetic procedure that is performed to tighten up the belly and remove extra skin and fat, sometimes called “muffin tops.”  Often after pregnancy, age, or significant weight loss, the belly muscle stretches out and a large amount of thinned skin, stretch marks, and fat can develop.  Surgery can help to restore your contour and remove extra fat.  Options of the best surgical technique can range from a mini lower belly scar to an upside down T scar to a scar all the way around the back.  The ultimate goal is to trade a scar for improved contour.  So which option would be best? Continue reading…

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Dynamic wrinkles around the sides of the eyes, which occur with smiling as people age, have the unfortunate name of “crows feet.” There is now official FDA approval of Botox for the temporary decrease of this type of wrinkling. Continue reading…