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Who Is a Good Candidate for a Mini Tummy Tuck (Mini Abdominoplasty)? Dallas Tummy Tuck Specialist Dr. Sam Jejurikar

Who Is a Good Candidate for a Mini Tummy Tuck (Mini Abdominoplasty)? Dallas Tummy Tuck Specialist Dr. Sam Jejurikar

Many patients come to the office inquiring about mini tummy tucks.  The rationale behind this is quite clear.  They would like a smaller scar, and believe that there is very little difference between a mini tummy tuck and a standard tummy tuck.

There are key differences between the operations.  In a mini tummy tuck, there is very little separation of the skin from the abdominal wall muscles, meaning that less skin can be removed.  In addition, there is usually no tightening of the abdominal wall muscles, particularly in the abdominal wall above the belly button.  Therefore, if a patient has upper abdominal bulging or fullness, a mini tummy tuck doesn’t correct it.  Finally, there is no reshaping of the belly button with a mini tummy tuck.

An advantage of a mini tummy tuck, however, is that, given there is less lifting of the skin from the abdominal wall muscle, liposuction of the entire abdominal wall and flanks can be performed much more extensively and much more safely.  This is because there is less chance of wound healing complications.

Ultimately, mini tummy tucks are best for women that have undergone pregnancy and have only small lower abdominal pooches and only minimal to moderate changes to their abdominal wall.  It also can be good for men who have lost large amounts of weight.  For women that have bulging of the upper and lower abdomen with significant excessive skin and stretch marks, a full tummy tuck is almost always a better option.

Should you have additional questions, contact Dr. Jejurikar at 214-827-2814.

Lip Augmentation with Juvederm -.Dallas Cosmetic Surgery with Dr. Sam Jejurikar

Juvéderm is a hyaluronic acid filler which is commonly used in cosmetic surgery procedures.  Hyaluronic acid, after collagen, is the next most common component of human skin.  Filling agents utilizing hyaluronic acid therefore feel natural with virtually no allergic reactions.

Juvéderm is the most frequently used dermal filler and is commonly used as a lip plumper.  Patients receive topical anesthesia with numbing ointment placed over their lips. In some cases, Dr. Jejurikar augments this with a series of lidocaine injections within the mouth to completely numb the lower one-third of the face.  Juvederm is then injected directly into the lips over a span of 10-15 minutes, creating full, plump lips immediately..

Other than bruising and minimal discomfort with the procedure, there are virtually no side effects with Juvederm lip augmentation.  The results typically last from 6-12 months.

If you would like more information about this procedure, contact Dr. Jejurikar’s office at 214-827-2814.

Minimizing Bruising after Juvederm and Restylane Injections Into the Lower Eyelids – Dermal Fillers at the Dallas Plastic Surgery Institute

Treatment of lower eyelid wrinkles and tear troughs with dermal fillers is a frequently performed procedure.  The most popular agents used for this are Juvéderm and Restylane, which are hyaluronic acid derivatives.  Restylane and Juvederm injections are performed in the office without the need for anesthesia.  Dermal filler injections are performed relatively quickly, in usually less than 60 minutes.  Results typically last 6-12 months.

Some patients are prone to bruising after Restylane and Juvederm injections into the lower eyelids.  To minimize the risks of bruising, patients should refrain from using alcohol, aspirin, ibuprofen, or any other blood-thinning agent for at least 10 days prior to dermal filler injections.  In addition, utilizing the over-the-counter herbal supplement Arnica Montana, either topically or in pill form, can help reduce post-procedure bruising.

If you have questions or would like to schedule a consultation, contact Dr. Jejurikar’s office at 214-827-2814.

Beware of Awake Breast Augmentation – Sam Jejurikar, M.D., Board Certified Plastic Surgeon

There are many advertisements on the internet for “awake breast augmentation”. Many of the surgeons that offer this procedure are not truly board certified plastic surgeons, and thus do not have privileges to perform breast augmentation or breast implant placement at an accredited surgical facility. For that reason, their only recourse is to perform the procedure in their office without general anesthesia.

Make sure that your provider is a board certified plastic surgeon. The process to achieve accreditation by the American Board of Plastic Surgery is quite rigorous, and you can be assured that a surgeon that has achieved these credentials has the necessary expertise and training to perform this operation. A variety of other doctors who have not achieved this presentation, may not even be plastic surgeons.

Should you have any additional questions, please do not hesitate to contact Dr. Jejurikar at 214-827-2814. Dr. Jejurikar is accredited by the American Board of Plastic Surgery.

What’s the Point of Muscle Plication (Tightening) During Abdominoplasty? Tummy Tuck Specialist Dr. Sam Jejurikar

Many patients ask if their muscles truly need to be tightened during a tummy tuck.  For most patients, the answer is yes.  After pregnancy or massive weight loss, many women develop a condition known as rectus diastasis.  With this condition, the midline vertical muscles that extend from the sternum and rib cage to the pubic bone, known as the rectus abdominis muscle, separate in the midline.  This leaves a gap that was not present before pregnancy or weight loss.  The gap is not indicative of muscle weakness, but it does lead to an abnormal bulge in the upper abdomen.  As well, it can contribute to an overhanging skin apron in the lower abdomen.

Because this is not indicative of muscle weakness, performing abdominal wall exercises to strengthen the rectus muscles do not considerably improve this.  The only true way to fix the abdominal bulging is to tighten these muscles by bringing them back together in the midline.  As of now, this can only be accomplished with surgery, with the placement of multiple sutures to restore the overall integrity of the abdominal wall.

Obviously, removal of skin and reshaping the belly button are also integral portions of an abdominoplasty (tummy tuck).  For most patients, however, failure to tighten the muscles of the midline abdominal wall would lead to less than optimal results.

For additional questions, please do not hesitate to contact Dr. Jejurikar via the web or via telephone at 214-827-2814.

What’s the Difference Between Closed Rhinoplasty and Open Rhinoplasty? Dr. Jejurikar at the Dallas Plastic Surgery Institute

The terms “closed rhinoplasty” and “open rhinoplasty” are thrown around frequently by plastic surgeons.  The difference between these two operations is actually quite small.  In an open rhinoplasty, an incision is made across the columella (base of the nose) and extended into the nostrils.  In a closed rhinoplasty, incisions are made just within the nostrils.  This is sometimes also called an endonasal rhinoplasty.  Thus, the only real difference between these operations is the presence of a very small scar across the base of the nose.

So, what are the implications for patients?  First, with an open rhinoplasty, visibility of the cartilaginous and bony portions of the nose is much improved.  This oftentimes allows surgeons to perform substantially more intricate work to the tip and base of the nose.  Because there is such greater visualization, and the skin is lifted much more during this procedure, swelling tends to be worse after this procedure and it can take longer to achieve the final result

The scar at the base of the nose tends to be forgiving and, in most patients, tends to fade considerably over time, to the point of being virtually unnoticeable.

Should you have any other questions regarding rhinoplasty, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.

Do Breast Implants Rupture? Dallas Breast Augmentation Specialist Dr. Sam Jejurikar

Patients are obviously interested in knowing the likelihood of their saline breast implants or silicone breast implants rupturing. Although breast implants can remain intact for decades, all mechanical devices will fail at some point. When saline breast implants rupture, they deflate rapidly; rupture is usually easily detectable clinically. Studies of Allergan (Natrelle) saline breast implants showed rupture/deflation rates of 3–5% at three years and 7–10% at 10 years.

When silicone breast implants rupture they rarely deflate, and the silicone from the implant can leak out into the space around the implant over many years. It is often difficult to detect a rupture clinically. For that reason, the FDA recommends that patients undergo a screening MRI to look for rupture 3 years after placement of silicone breast implants, and then every 2 years thereafter. Rupture rates are thought to be similar between silicone and saline breast implants. It is reasonable to estimate the risk at approximately 1% per year.

Should you have more questions regarding breast implants or breast augmentation, contact Dr. Jejurikar’s office at 214-827-2814.

Antibiotic Resistant Bacteria (MRSA) and Cosmetic Surgery – What You Need to Know. Dallas Plastic Surgeon Dr. Sam Jejurikar

Many patients have asked me about precautions I take to prevent infection in my cosmetic surgery patients.  As everyone knows, cosmetic surgery is completely elective; infections after any surgical procedure can cause significant complications.  It is therefore imperative to minimize the risks of infection.

Methicillin resistant Staphylococcus aureus, commonly referred to as MRSA, is becoming more prevalent in the community.  Several years ago, this antibiotic resistant bacterium was present only in hospitals.  Many healthy people are now colonized with MRSA. It can cause significant problems with delayed postoperative wound complications and infection.  For that reason, I routinely screen my patients for bacterial colonization with MRSA before any type of cosmetic surgery procedure.  Screening is done by performing a simple nasal swab and determining whether any resistant Staphylococcus aureus grows.

If patients have positive cultures, there is a simple decolonization protocol that is performed to reduce their risks of postoperative infection with MRSA. For five days, patients are asked to cleanse their body with 4% chlorhexidine solution.  It is applied in the shower every day, with care taken to focus on the underarms, groin, and into any folds of skin.  The antiseptic soap needs to remain on the skin for at least 5 minutes before it is washed off.  In addition, patients are asked to apply 2% Mupirocin (Bactroban) antibiotic nasal ointment inside the nostrils 3 times a day.

After this protocol, most patients have been effectively decolonized and can safely proceed with cosmetic surgery.

Should you have more questions regarding this or other cosmetic surgery procedure, contact Dr. Jejurikar’s office at 214-827-2814.

Male Breast Reduction Surgery Dallas – Dr. Sam Jejurikar Liposuction Specialist

Gynecomastia, or male breast development, is a common, yet embarrassing, condition for many men.  There is oftentimes a social stigma associated with gynecomastia, which limits clothing choices and can cause men to avoid removing their shirts in public.  Many men are too embarrassed to seek medical treatment for this condition.

Ironically, male breast reduction surgery is one of the most commonly performed procedures for men.  In the most common variety of this operation, ultrasound-assisted liposuction is used to remove excessive breast tissue and fat, to provide a flatter, less feminine contour to the chest.  In more severe cases, because of significant droopiness to the nipple and areola (pigmented skin around the nipple), incisions need to be made to remove extra skin.

Obviously, the goal with every patient is to provide the best cosmetic results with the least amount of scarring.  For that reason, every effort is made to achieve the final result with liposuction and utilization of a compression garment to facilitate postoperative skin shrinking.

If you have any questions, call Dr. Jejurikar’s office at 214-827-2814 to schedule a consultation.

Breast Lift Dallas – What Incision is Right for Me? Dr. Sam Jejurikar, Board-Certified Plastic Surgeon

Many women experience changes in the appearance of the breasts after massive weight loss, pregnancy, or breast-feeding.  Oftentimes, these women will come in for consultation, looking for either a breast lift or placement of breast implants.  It is important to realize that breast implants are primarily aimed at increasing lost volume in the breasts, particularly in the upper portion of the breasts, and have very little effect on sagging breast skin and on downward-pointing nipples and areolas.

For patients that do suffer from severe droopiness of the breasts, as well as sagging breast tissue, breast lift (mastopexy) tends to be the best option.  Oftentimes women are resistant to hearing this, as they do not want the scars that are associated with the operation.

There are a large variety of incisions that can be utilized for performing a breast lift.  In the most limited incision form of breast lift, known as a circumareolar lift or Benelli mastopexy, an incision is made just around the areola (the pigmented skin surrounding the nipple).  This operation is useful only for very mild forms of breast droopiness, and is best performed in combination with placement of a breast implant.  The reason for this is that be Benelli mastopexy does very little to restore lost volume in the upper portion of the breasts, which is usually seen in association with mild droopiness.  For mild forms of droopiness (ptosis), however, the performance of a Benelli mastopexy in combination with breast implants can lead to a very pleasing shape.

The next form of mastopexy is known as a circumvertical, or lollipop mastopexy.  In this form of breast lift, an incision is made around the areola, and a vertical incision is made from the areola along the middle portion of the breast to the crease at the bottom of the breast.  This is far and away the most common type of incision utilized for mastopexy.  This access allows the surgeon to reshape breast tissue, and place a large portion of breast tissue from the bottom portion of the breast into the upper pole of the breast, where breast volume is lacking.  It can be utilized for mild to severe forms of breast droopiness.  It can be performed in combination with either saline breast implant or silicone breast implant placement, but can also be performed without breast implant placement.

The last form of mastopexy is known as a Wise pattern mastopexy or anchor pattern mastopexy.  This involves an incision around the areola, a vertical incision from the areola to the crease at the base of the breast, and an incision along the very base of the breast.  This is the traditional type of incision utilized for mastopexy, and is most often reserved for patients that have lost massive amounts of weight, and have a severe amount of extra skin.  Like the lollipop mastopexy, it can be performed with or without the placement of breast implants.

If you have any questions, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

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9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
Tel: 214.827.2814
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