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Suite 600, Dallas, TX 75231
Tel: 214.827.2814

Resting Bitchface Syndrome? Help is on the way!

Resting Bitchface Syndrome? Help is on the way!

Earlier this week, a patient in her thirties came into the office complaining of “resting bitch face”. When I reported that I had never heard of this particular affliction, she gave me a shocked (and somewhat bitchy) look. After I did a little research, I found out that this a well-described phenomenon.

From the Urban Dictionary : a person, usually a girl, who naturally looks mean when her face is expressionless, without meaning to. Nah, she’s just got a resting bitch face, she’s actually really sweet.

Turns out there’s even a facebook support community dedicated to “patients” with resting bitchface syndrome.

So what facial characteristics may cause others to think you’re mad or tired, even when you’re not? The particular patient who introduced “resting bitchface syndrome” to me had thin lips with prominent, downward corners (marionette lines), which she thought made her look more stern, unfriendly and unapproachable. She also had deep lines between her eyebrows and softer lines across the forehead, which she thought made her look angry. Finally, she had low, relatively flat eyebrows; she said other people always ask her if she’s tired.

Obviously, it’s important not to let others’ perceptions of our moods actually cause us to have that mood. That being said, it’s hard not to get annoyed or upset when other people are constantly asking us what’s wrong. We came up with a relatively simple solution to treat this patient’s resting bitch face. To improve her thin lips and marionette lines, we used a facial filler made from hyaluronic acid. In my practice, I most commonly use either Restylane or Juvederm for this purpose, the results from both of which last for about one year. This had the effect of plumping her lips and eliminating the deep depression around the corners of her mouth, making her look friendlier and more approachable. To treat her forehead and brow wrinkles, as well as to raise the eyebrows, we used Botox. Botox paralyzes the muscles that cause these facial wrinkles, as well as the muscles that hold the eyebrows in a flat and low position. This simple maneuver made her look more alert and refreshed.

For older patients suffering from resting bitch face syndrome, surgical solutions may also be appropriate. For patients who look tired, upper and lower eyelid blepharoplasty (eyelid lift) may be appropriate to eliminate excess skin and troublesome “bags” above and below the eyes. Many of these same patients may benefit from facelift, neck lift, brow lift, laser treatments and fat grafting to rejuvenate the face by eliminating jowls, raising the eye brows, treating neck cords and eliminating fine lines and marionette lines.

Ultimately, there’s no single facial characteristic that makes you prone to having resting bitchface syndrome. That being said, if people constantly ask you if you’re tired or angry, even when you’re not, you may be suffering from it. To learn more about potential treatments, contact our office at 214-827-2814 to set up a consultation!

A Brief History of Silicone Breast Implants and an Update on their safety

If you just so happen to be interested in making your breasts larger or are only looking to replace the fullness you’ve lost over time, you’ll be reassured to know that silicone and saline breast implants are some of the most studied medical devices that are used in the United States.

Americans have always loved the look of full, youthful breasts and that won’t change. Thanks to decades of research and stringent FDA guidelines, women are now able to go big or go home with the piece of mind that breast implants are safe. As a result of all this research, we now have a variety of different types of breast implants to choose from that have been approved by the FDA; not including the different profiles, shapes and textures available.  Currently, silicone gel implants are FDA approved and available to women 22 and older; saline filled implants are FDA approved and available for women 18 & older.

Breast implants have undergone many changes over the years in order to meet the safety guidelines of the FDA, as well as the sophisticated expectations of plastic surgeons and their patients.  You may wonder what the difference is between the silicone gel breast implants made in the past versus the current generation of silicone gel breast implants.

The first generation of silicone gel breast implants was introduced in the early 1960’s and consisted of a firm gel that was contained in thick shells.  The next generation of gel implants came out in the late 1970’s and featured a more fluid gel contained in thinner shells.  The new implants were received well by patients and plastic surgeons that viewed the previous silicone gel implants as too firm and too visible.

After years of women undergoing breast augmentation, concerns arose in the mid 1980’s regarding the rupture rate and the safety of these second-generation gel implants.  The controversy over whether or not the type of silicone gel used in these implants caused autoimmune diseases and other health problems led manufacturers to create a third generation of gel breast implants.  The gel and shells of the new implants were slightly thicker than their predecessor, but still just as soft.  Because of safety concerns, the FDA pulled silicone breast implants off the market in 1992. After years of research, the data revealed that these implants did not predispose to autoimmune disease, but did place patients at increased risk of developing capsular contracture (scar tissue build up around the breast). The FDA approved a fourth generation of silicone implants in 2006; long-term data with these implants demonstrated that the safety of these implants is roughly equivalent to saline implants.

The fourth generation of gel implants are still available today, along with the fifth-generation of “gummy bear” gel implants.  These implants were given the name of the gummy bear candy due to the thick cohesive silicone gel from which they’re made and the thicker shells that encapsulate it.  This newer model is thicker than most other silicone gel implants and is believed to be less likely to rupture or leak.  Over 90% of patients in Dr. Jejurikar’s practice choose these implants. The gummy bear implants result in a natural appearance of the breasts, feel soft – similar to real breast tissue, and have less of a tendency to ripple. Furthermore, seven-year data demonstrates a safety profile that’s better than saline breast implants.

If you’d like more information on breast augmentation and the different types of implants available, please call Dr. Jejurikar’s office at (214) 827-2814.

Breast Augmentation Basics – Still the Most Popular Cosmetic Procedure in the U.S.

Big butts have been in the spotlight lately, but breast augmentation still ranks as the most commonly preformed cosmetic procedure.  It’s not just “all about that bass.”  Women with big butts and full hips are also seeking more voluptuous breasts to achieve a coveted hourglass figure.

If you’ve experienced loss of shape and volume as a result of childbirth, breast-feeding or aging, or weren’t naturally blessed with full breasts, then breast augmentation can be the perfect choice for you as well.  Breast augmentation will restore a more youthful, perkier appearance and shape to the breasts and can even increase self-confidence.

The two types of implants to choose from for your breast augmentation are silicone (gummy) or saline.  Saline implants are made with silicone shells and filled with sterile salt water.  They feel much firmer than silicone implants and tend to have a less natural appearance.  If there is a leak in the implant, the body absorbs the saline and the implant immediately deflates.  Silicone implants have silicone shells and are filled with a thick, gummy silicone gel.  These implants have a much softer feel and provide a more natural look. With the newest generation of silicone breast implants, if the implant ruptures, the gel will not travel throughout the body, but will remains in the implant shell.  Silicone implants won’t collapse if there is a leak and your plastic surgeon will have to exchange the ruptured implant.  Regular visits to your doctor ensure the proper function of the implants, as do ultrasounds and MRI screenings.

If you’ve been considering a new set for summer, now is the time to take the plunge into lower necklines and fuller bikini tops.  Breast augmentation surgery generally takes around an hour to perform and is done under general anesthesia.  It is an outpatient procedure unless it is done in conjunction with other requested procedures.  Dependent upon your anatomy and size of implants, your plastic surgeon will create the incisions around the nipples, in the fold under the breasts, or in the armpits.  After undergoing breast augmentation, it typically takes 3-5 days for the soreness to subside and you feel like yourself.  No strenuous exercise is allowed for the first 3 weeks after surgery, but after that you’re in the clear.

If you are interested in learning more about breast augmentation and the type of implants that are right for you, please call Dr. Sam Jejurikar’s office at (214) 827-2814.

Happy Birthday “Baby Got Back”!!!

Oh, my God, Becky…”Baby Got Back” is 23!

All hail Sir-Mix-a-Lot, the king and creator of the world’s most endeared and enduring pop booty anthem.  His timeless ode to the beauty and glory of the big booty, “Baby Got Back” turns 23 years old May 7th!

It’s amazing how quickly time flies and how popular and relevant this song still is today.  Amidst the Kim Kardashian-esque, booty-twerking obsession of our culture is the mainstream surge of the current rump records like Meghan Trainor’s “All About That Base” and Jennifer Lopez’s “Booty.”

Most recently, Nicki Minaj’s hit, “Anaconda” featured the beloved “Baby Got Back,” introducing the popular track to the younger generation, as well as a few other people on earth who had somehow never heard it before.  “Baby Got Back” is now more popular than ever and ranks as the number one booty anthem of all time, according to VH1.

Men, women and plastic surgeons around the globe owe Sir-Mix-a-Lot (and JLo) a big thank you for helping to ignite the love and fascination we have with a woman’s perfectly round, voluptuous derrière.  The release of “Baby Got Back” not only let us all know how some men really feel about the lower curves of a woman’s body, but gave women walking around with some “junk in the trunk” more pride and confidence about the way their bodies are shaped.

This proclamation for the love of big butts has opened the door to a worldwide craze revolving around big butts and making them bigger.  If you’re a woman who is not naturally blessed with an ample behind don’t fret because your plastic surgeon can change that for you.

According to the American Society for Aesthetic Plastic Surgery (ASAPS), the number of butt augmentation procedures increased by 86% between 2013 and 2014. Butt augmentation procedures preformed by experienced board certified plastic surgeons have proven to be the safest, most successful way to enhance the booty.  This number will most definitely continue to rise in 2015 as the women who’ve already undergone a Brazilian Butt Lift or Buttock Augmentation with Implants become the envy of every bottom-less female they strut in front of.

If your are interested in learning more about how the Brazilian Butt Lift or Buttock Augmentation with Implants can help you achieve a fuller and shapelier buttocks worthy of a song, please contact the Dallas or Plano offices of Dr. Jejurikar at (214) 827-2814 to schedule your consultation.



Our Location Dallas Plastic Surgery Institute

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