Demystifying the Deep Plane Facelift: What It Really Means

Demystifying the Deep Plane Facelift: What It Really Means

Demystifying the Deep Plane Facelift: What It Really Means

In the world of facial rejuvenation, few terms have gained as much traction, not to mention confusion, as the “deep plane facelift.” It’s a buzzword that’s often used in marketing but not always clearly understood. So what does it really mean? And more importantly, is it right for you?

Let’s break it down.

What Is the SMAS and the Deep Plane?

Every modern facelift targets a key layer beneath the skin called the SMAS (Superficial Musculoaponeurotic System). This fibrous tissue connects facial muscles and plays a major role in aging. As the SMAS sags with time, simply tightening the skin is not enough.

The deep plane refers to the anatomical space below the SMAS layer. Accessing this space allows surgeons to lift the cheek, jawline, and neck as a unit. It can provide natural, long-lasting results—when done properly.

Comparing Facelift Techniques: SMAS vs Deep Plane

Understanding the differences between various techniques helps clarify what makes a deep plane facelift unique.

  • SMAS Plication: A conservative approach that folds and sutures the SMAS without lifting it. It can offer subtle or dramatic improvement and is suitable for early to moderate signs of aging.

  • SMAS Flap: This involves lifting and repositioning the SMAS as a separate layer. It creates more dramatic improvement, especially in the jawline and neck.

  • High SMAS Facelift: This approach lifts the SMAS higher on the face, targeting sagging in the midface and cheeks. It blends deep plane principles with traditional SMAS techniques.

  • Composite or Deep Plane Facelift: This technique lifts both skin and SMAS together while releasing deeper facial ligaments. It allows for comprehensive rejuvenation of the midface, jawline, and neck. Importantly, the skin and the deep layers are generally elevated in the same vector.

The Overuse of the Term “Deep Plane”

The term “deep plane” has become trendy, but not all facelifts marketed as such are truly performed in the deep plane. This technique is complex and requires a deep understanding of facial anatomy. When used accurately, it can produce stunning, natural results. When used loosely, it becomes more of a label than a meaningful distinction. And it’s important for patients to recognize that complications involving the facial nerve, which can lead to permanent and devastating facial paralysis, can be more frequent with this technique.

What Really Matters in a Facelift

A great facelift is never just about going deeper. It’s about strategy, customization, and restoring youthful balance. Key factors include:

  • Vector design: The direction of the lift must match your unique facial anatomy. Skilled surgeons adjust the pull based on your skin laxity, volume loss, and skeletal structure.

  • Volume restoration: Aging is not just sagging – it’s also deflation. Using fat grafting or fillers, experienced surgeons restore lost volume to the cheeks, temples, and jawline for a complete rejuvenation.

  • Customization: No two patients are alike. The most natural and lasting facelifts are those tailored specifically to your face, goals, and aging process.

Why Surgeon Skill Matters More Than a Trendy Term

The deep plane facelift is a powerful tool, but only when used correctly and on the right patient. It’s not the technique alone that delivers exceptional results. It’s the surgeon’s judgment, precision, and ability to individualize the approach.

When performed by a skilled facelift surgeon who understands how to blend lifting, tightening, and volumizing, the result is a refreshed, youthful appearance that looks entirely natural.

Eyelid Surgery in Dallas: Brighten & Refresh Your Eyes

Are you looking for solutions to address sagging eyelids or under-eye bags? If so, you may want to consider eyelid surgery in Dallas. Dr. Sam Jejurikar will personalize your treatment to rejuvenate your upper and/or lower eyelids, enhancing their appearance and, in many cases, even improving your vision. Contact the best plastic surgeon in Dallas to get started today!

Why Would You Consider Eyelid Surgery?

As the years go by, the natural aging process, sun damage, and environmental factors can impact the health and appearance of your eyelids. The following are some reasons why you may want to consider eyelid surgery: 

  • You have excess skin, puffiness, or drooping eyelids
  • Your eyelid appearance makes you look aged or tired
  • Your have sagging eyelids that are affecting your vision
  • You want to restore a more alert and vibrant look

What Is Eyelid Surgery?

Eyelid surgery, also known as blepharoplasty, is a procedure designed for droopy eyelid correction, tightening loose and sagging skin, and opening up your eyes for a more rested, youthful appearance. 

There are several types of eyelid surgery, each tailored to address your unique needs. 

  • Upper Eyelid Surgery: Dr. Jejurikar will remove excess skin, muscle, and fat from the upper eyelids, creating a more defined eyelid crease, delivering a brighter, more alert look, and improving your peripheral vision. 
  • Lower Eyelid Surgery: This technique eliminates under-eye bags, lines, and puffiness, restoring your refreshed appearance and your youthful contours. 
  • Double Eyelid Surgery: Combining upper and lower eyelid surgery provides a more comprehensive eyelid rejuvenation solution, resulting in a more defined, balanced, and harmonious eye appearance. 
  • Revision Eyelid Surgery: Revision blepharoplasty helps correct or improve the results of previous eyelid surgery, restoring the function and aesthetics of your eyelids. 

What Is the Eyelid Surgery Process?

During your initial consultation, Dr. Jejurikar will evaluate your concerns and determine the ideal eye lift procedure to restore your rested, youthful appearance. Blepharoplasty may be performed as a standalone procedure or combined with other treatments, such as brow lifts or non-surgical eyelid rejuvenation, to enhance your final results.

Eyelid surgery is an outpatient procedure that typically takes 1 to 2 hours to complete. You may opt for local anesthesia with sedation or general anesthesia for your comfort. Dr. Jejurikar will make small incisions hidden within the natural creases of your eyelid to help minimize visible scarring. Our experienced plastic surgeon will remove or reposition fat deposits, tighten your eye muscles, and remove any excess skin to create smoother, more youthful eyelid contours. The final step is closing the incision with fine sutures and placing a sterile dressing to protect the area.

What Can You Expect After Your Eyelid Surgery? 

You may experience some swelling, bruising, or irritation around the eyelids, which typically resolves in a few days. Most patients resume light activity within a week or two. The final treatment results are typically visible in about 2 to 3 months, leaving you with a more refreshed and youthful appearance. Any residual scarring will slowly fade over the following year. 

Eyelid Surgery Near Me in Dallas, TX

Looking for the best plastic surgeon in Dallas for your eyelid surgery needs? Located at the Dallas Plastic Surgery Institute, our accomplished plastic surgeon is recognized for his skill, expertise, and impressive attention to detail. Lauded for five consecutive years in D Magazine’s annual “Best Doctors and Pediatric Specialists in Dallas” list, Dr. Sam Jejurikar is recognized for his top-tier care and remarkable transformations. 

We invite you to call 214-827-2814 to schedule your eyelid surgery consultation or request one online today!

Motiva Preservé System: The Future of Atraumatic Breast Augmentation

Breast augmentation continues to evolve with new technologies focused on improving outcomes, minimizing trauma, and optimizing long-term patient satisfaction. One of the most exciting recent advancements in this space is the Motiva Preservé system, a next-generation surgical platform designed to create a controlled, precise, and minimally traumatic implant placement experience. Although not yet available in the United States, it’s gaining traction worldwide, with anticipated U.S. availability projected for the first quarter of 2026.

In this blog, we explore how the Preservé system works, what makes it different from traditional augmentation techniques, and why it represents a significant leap forward for both surgeons and patients.


What Is the Motiva Preservé System?

The Motiva Preservé system combines a series of sterile, single-use components—including a tissue expander balloon, introducer sheath, and Motiva implant—that are used in a specific sequence to create a precise pocket and place the implant with minimal tissue trauma.

At its core, the Preservé system is designed to standardize and streamline the augmentation process while significantly reducing the manual manipulation and tissue trauma typically associated with conventional techniques.


Step-by-Step Overview: Inframammary Incision and Balloon Expansion

The procedure begins with a small inframammary incision (crease below the breast)—an approach that offers direct access, optimal control, and excellent concealment of the final scar. Unlike more traumatic techniques that involve blunt or sharp dissection to create the implant pocket, the Preservé system utilizes a temporary balloon expander.

This balloon is inserted into the surgical plane—either subfascial or subglandular, depending on the patient’s anatomy and surgical goals—and gently inflated with saline or air. As it expands, the balloon creates a uniform, bloodless pocket, reducing the need for forceful retraction or cutting through tissue.

Once the pocket is formed and the balloon is deflated and removed, the implant is placed atraumatically through a sterile introducer, further minimizing direct contact and potential contamination. This technique offers several downstream benefits in terms of patient recovery and long-term results.


Avoiding Animation Deformity

One major advantage of the Preservé technique is its ability to avoid animation deformity, a common issue with implants placed under the muscle. Because the implant is placed in a subfascial or subglandular plane, there is no distortion or movement of the implant when the chest muscles flex—making this an ideal option for athletic patients or anyone seeking a more natural, stable result.


Atraumatic Placement and the Preservation of Tissue Integrity

Traditional methods of pocket creation often involve a combination of cautery and blunt force, which can traumatize nerves, blood vessels, and surrounding soft tissue. The balloon expansion method used in the Preservé system is gentle and consistent, significantly reducing mechanical stress on the tissues.

This atraumatic approach leads to less post-operative pain, reduced swelling and bruising, and shorter recovery times. Perhaps most importantly, it enhances the likelihood of preserving nipple sensation, a major concern for many patients considering breast surgery.


Reducing Capsular Contracture and Infection Risk

Another key advantage of the Preservé system is the use of a closed, sterile environment from implant preparation to final placement. The Motiva implant is never touched by the surgeon or exposed to the surrounding surgical field, which minimizes contamination.

Additionally, the gentle balloon dissection avoids bleeding, which is a known risk factor for capsular contracture. By reducing both contamination and trauma, the Preservé system may contribute to lower rates of post-operative complications, including infection and excessive scar tissue formation.


Advanced Implant Technology with Motiva Ergonomix

The Motiva Ergonomix implant used with the Preservé system features a responsive gel-shell interface that adapts to body movement and positioning, mimicking the look and feel of natural breast tissue. Its proprietary microtextured surface reduces the risk of inflammation, rippling, and capsular contracture—further enhancing safety and aesthetic outcomes.


Optimizing Results with Motiva Implants

Motiva implants are known for their soft feel, natural shape, and durability. When paired with the Preservé system, the placement is optimized to enhance these characteristics. The precise pocket formation ensures that the implant sits exactly where intended, reducing the risk of malposition or asymmetry.

Because the Preservé system allows for exact implant placement without overstretching or tearing tissue, patients can achieve highly predictable, natural-looking results with less downtime.


What Does This Mean for Patients?

For patients, the Preservé system represents a meaningful improvement in the breast augmentation experience. Key benefits may include:

  • Better preservation of nipple sensation
  • Less post-operative pain and faster recovery
  • Lower risk of capsular contracture
  • Reduced swelling, bruising, and scarring
  • Highly precise, natural-looking results
  • No animation deformity with subfascial or subglandular placement

Although this technology is not yet FDA-approved in the U.S., it is being used successfully throughout Europe, Latin America, and Asia. Surgeons and patients in the U.S. are eagerly awaiting its arrival, expected as early as Q1 2026.


Looking Ahead

As a plastic surgeon, my goal is always to provide patients with the safest, most effective, and most advanced techniques available. The Motiva Preservé system represents the convergence of science, engineering, and surgical artistry. By minimizing trauma and maximizing precision, it promises a better experience for patients from consultation to final results.

We’re closely watching developments and preparing for the opportunity to bring this technology to our Dallas practice as soon as it becomes available. If you’re considering breast augmentation and want to learn more about future options like the Preservé system, schedule a consultation—we’d love to share what’s on the horizon.

Tummy Tuck in Dallas, TX: Flatten and Tighten Your Midsection

Tummy Tuck in Dallas, TX: Flatten and Tighten Your Midsection

Tummy Tuck in Dallas, TX: Flatten and Tighten Your Midsection

Are you struggling with excess fat, sagging skin, and flabbiness in your lower abdominal region that won’t budge no matter how much you diet or exercise? If so, you may want to consider a tummy tuck in Dallas. Dr. Sam Jejurikar will personalize your transformation to help you achieve a more youthful and toned appearance. Contact the best plastic surgeon in Dallas to get started today! 

Why Would You Consider a Tummy Tuck?

Pregnancy, the natural aging process, and significant weight loss can take their toll on the appearance of your tummy area. The following are some reasons why you may want to consider a tummy tuck:   

  • You have excess fat or loose skin not responsive to a healthy diet and exercise
  • You have a protruding upper or lower abdomen
  • You are seeking body contouring rather than a weight loss solution
  • You desire a more youthful and toned body shape

What Is a Tummy Tuck?

A tummy tuck, also known as abdominoplasty, is a procedure designed to remove excess skin and fat from the abdomen and tighten the abdominal muscles. The skin tightening surgery is especially helpful for individuals who have undergone significant weight loss or pregnancy or for those experiencing sagging in the area due to aging.

Types of Tummy Tucks: Mini, Traditional, Extended, Circumferential, and Fleur-de-Lis

There are several types of tummy tucks, each tailored to address different degrees of skin and fat excess. A mini tummy tuck targets the area below the belly button and results in a shorter scar. A traditional (full) tummy tuck addresses the entire abdominal wall and includes muscle tightening and belly button repositioning. An extended tummy tuck continues the incision around the flanks to treat the love handles, while a circumferential tummy tuck wraps all the way around the torso, ideal for massive weight loss patients. As the scar becomes longer, the results become more comprehensive and dramatic. In select patients with significant horizontal and vertical skin laxity, a fleur-de-lis tummy tuck may be recommended. This technique adds a vertical incision to achieve better tightening across both dimensions of the abdominal wall.

What Is the Tummy Tuck Process?

During your initial consultation, Dr. Jejurikar will conduct a thorough examination to assess your individual needs. He will discuss your desired treatment outcomes and personalize your treatment to restore your sculpted contours. Abdominoplasty may be performed as a standalone procedure or combined with liposuction of the love handles, upper abdomen, and thighs.

A tummy tuck typically takes 2-3 hours and is performed under general anesthesia. Dr. Jejurikar will make two small incisions, tighten your muscles, remove excess skin, and close the incisions. The final step involves making a small incision to reshape your belly button, thereby restoring its youthful appearance. 

What Makes Dr. Sam Jejurikar’s Tummy Tucks Different

Dr. Jejurikar takes a highly customized approach to every tummy tuck, focusing on sculpting a naturally toned and athletic appearance. In patients seeking the most defined look, he performs multivector muscle plication—tightening the abdominal wall both up and down and side to side—to enhance core definition and waistline narrowing in ways that traditional single-vector plication cannot achieve. His attention to surgical detail and artistry consistently yields superior results.

What Can You Expect After Your Tummy Tuck? 

You may experience swelling or bruising in the treatment area, which should resolve over time. Recovery can take anywhere from two weeks to two months. Most patients return to work and their daily activities within two to three weeks, but we recommend limiting strenuous activity for at least six weeks. As the area heals, you’ll see your new shape emerge, leaving you feeling more youthful and confident. 

Why Liposuction 360 Enhances Your Results

For patients looking to enhance not only the abdomen but the entire midsection, Dr. Jejurikar often recommends Lipo360. This technique sculpts the flanks, lower back, and upper abdomen to create a smooth, contoured silhouette from every angle. By combining liposuction with a tummy tuck, patients can achieve a more complete transformation—slimming the waist and improving overall body proportions rather than just flattening the stomach.

Choosing the Best Plastic Surgeon in Dallas

Check out before and after pictures and patient testimonials to see for yourself the incredible transformations experienced by people just like you! Dr. Jejurikar has earned numerous awards throughout his career and has been recognized by Newsweek as one of the “Best Tummy Tuck Surgeons in Dallas” in 2022. His name often appears on Yelp lists as a Best Plastic Surgeon for Tummy Tuck procedures. 

Tummy Tuck Near Me in Dallas, TX

Looking for the best plastic surgeon in Dallas to rejuvenate your lower abdomen and enjoy a more youthful and toned appearance? Located at the Dallas Plastic Surgery Institute, our accomplished plastic surgeon is recognized for his skill, expertise, and exceptional attention to detail. Lauded for five consecutive years in D Magazine’s annual “Best Doctors and Pediatric Specialists in Dallas” list, Dr. Sam Jejurikar is renowned for his top-tier care and remarkable transformations. 

We invite you to call 214-827-2814 to schedule your tummy tuck consultation or request one online today!

What Really Sticks? Understanding Long-Term Volume Retention after Breast Fat Grafting

What Really Sticks? Understanding Long-Term Volume Retention after Breast Fat Grafting

In the ever-evolving world of breast augmentation, autologous fat grafting has carved out a respected place as a natural and versatile technique. But one question is continually asked by both patients and plastic surgeons: How much fat actually stays long-term after grafting?

A groundbreaking study published in Plastic and Reconstructive Surgery by Ørholt et al. sheds light on this exact question with three years of prospective MRI follow-up. In my published discussion of this paper (Jejurikar & Kumar, 2025), I explored not only what the data tells us but also how we should be applying these findings to our clinical practice.

The Key Takeaway: 46% Retention at 8 Months, Then BMI Takes Over

Using serial magnetic resonance imaging, the authors found that fat volume retention in the breasts stabilizes by approximately 8 months postoperatively, averaging 46%. Beyond that point, changes in body mass index (BMI) emerged as the dominant factor influencing retention. A 1-point increase in BMI resulted in an average 57% increase in retained graft volume, while a 1-point drop decreased it by 22%.

This is incredibly relevant to patient counseling and preoperative planning. Many patients embarking on body contouring or breast enhancement journeys are simultaneously losing weight, whether through diet, GLP-1s, or bariatric surgery. For these individuals, the likelihood of reduced fat retention is significant and should shape expectations from the outset.

Preoperative Breast Volume: Another Unsung Hero

The study also highlighted that a higher graft-to-recipient volume ratio (essentially, how much fat is injected relative to the starting breast volume) correlates with more noticeable augmentation. Interestingly, even at ratios approaching 2:1, there was no observed plateau in volume gain which suggests that larger injections may continue to yield better volume outcomes if the breast envelope allows.

These findings align with recent work by other authors who have found that for every 100 cc increase in preoperative breast volume, fat graft retention improved by 4–8%, likely due to increased vascularity and capacity of the recipient site.

Clinical Application: Weight, Volume, and Shaping Expectations

So how do these insights affect everyday surgical practice?

  1. Patient Selection and Counseling: For patients planning future weight loss or actively on weight reduction therapies, especially GLP-1 agonists, the likelihood of decreased fat retention should be explicitly discussed. Consider deferring fat grafting until weight stabilizes.

  2. Fat Volume Strategy: Don’t fear higher fat volumes—especially in patients with the recipient capacity to handle it. A 2:1 ratio isn’t just feasible; it may actually maximize aesthetic impact without an increased risk of complications.

  3. Satisfaction Beyond Volume: Perhaps most importantly, the study found that volume retention did not correlate with patient-reported satisfaction scores. Using the BREAST-Q, patients reported significant improvements in appearance and sexual well-being—even when the actual retained volume was modest. This reinforces what many of us already intuitively know: shape, contour, and symmetry matter more than raw volume numbers.

Complication Risk: Technique and Processing Still Matter

Although this specific study did not find clinical signs of fat necrosis or oil cysts, it also did not use imaging to detect subclinical complications. A recent systematic review by Seth et al. (2024) reported a 27.8% overall complication rate for fat grafting to the breast, with fat necrosis accounting for 43.7% of those events.

This opens the door for further research into processing techniques such as lipoaspirate washing, filtration, or enrichment with platelet-rich plasma and stromal vascular fraction, which some studies suggest may enhance volume retention and healing.

Final Thoughts: Aesthetic Goals Over Absolute Volume

While MRI data and volume retention percentages are vital from a scientific perspective, the real clinical endpoint remains aesthetic success and patient satisfaction. This study reminds us that “less volume retained” doesn’t necessarily mean “worse result.” Surgeons should aim for beautiful, natural contours that align with patient goals and should not just focus on a magic percentage of retained fat.

Reference

Ørholt M, Weltz TK, Hemmingsen MN, et al. Long-term volume retenthttps://journals.lww.com/plasreconsurg/fulltext/2025/06000/discussion__long_term_volume_retention_of_breast.11.aspxion of breast augmentation with fat grafting depends on weight changes: a 3-year prospective magnetic resonance imaging study. Plast Reconstr Surg. 2025;155(6):947–954. Link to full article

Motiva® Implants and Internal Bras: A Modern Approach to Long-Lasting Breast Augmentation Results

For patients seeking breast augmentation, today’s technology offers more advanced and refined options than ever before. At the forefront of this innovation are Motiva® breast implants, which are sixth generation cohesive silicone gel implants (gummy bear implants). Motiva silicone breast implants are known for their excellent safety profile, natural look and feel, and significantly reduced risk of capsular contracture. When paired with biosynthetic internal bras, especially in certain clinical scenarios, these implants can help deliver long-term, beautiful results.

What Is Capsular Contracture—and Why Does Motiva Matter?

After any breast implant surgery, the body naturally forms a layer of scar tissue around the implant. This is called the capsule, and it’s part of the body’s normal healing response. In some cases, however, the capsule can become too thick or tight, causing the implant to feel firm, appear distorted, or even become painful—a condition known as capsular contracture.

One of the standout benefits of Motiva® implants is their extremely low rate of capsular contracture. This is largely due to their scientifically engineered nano-textured surface. Unlike traditional textured implants (macrotextured)—which have larger, more irregular surface topographies—Motiva’s implants are uniquely designed with 4-micron uniform nano-texturing. This specific surface architecture helps modulate the body’s immune response and reduces excessive inflammation, which is a key factor in capsule formation.

Several studies suggest that this nano-surface promotes more favorable integration with surrounding tissue, thereby decreasing the likelihood of the body forming a problematic capsule. In practice, this means fewer complications (specifically capsular contracture and rupture), fewer reoperations, and longer-lasting results for patients.

The Trade-Off: Malposition Risk

While Motiva’s smooth nano-texture provides a significant advantage when it comes to capsular contracture, it also brings one important consideration: malposition. Because these implants don’t “stick” to surrounding tissue in the same way that more heavily textured or smooth implants  do, they can be more mobile within the pocket—especially in the early post-operative period or in patients with thinner tissue coverage.

Implant malposition can include a variety of issues:

  • Bottoming out – when the implant drops too low

  • Lateral displacement – when the implant shifts too far to the sides

  • Symmastia – when implants drift too close to the midline

  • High-riding implants – when implants sit unnaturally high on the chest

To mitigate this risk and create better long-term support, many surgeons—including myself—are increasingly turning to the use of biosynthetic meshes, often referred to as internal bras.

What Is an Internal Bra?

An internal bra is a supportive scaffold placed within the breast pocket during surgery. It acts like an invisible hammock, reinforcing the lower pole of the breast and helping maintain optimal implant position over time. This is especially important in patients who choose larger implants, have weaker tissue support, or are undergoing subfascial augmentation, where the implant sits just under the breast fascia rather than under the pectoral muscle.

Internal bras are no longer reserved for complex revisions—they’re now commonly used in primary breast augmentations when added support is needed.

Biosynthetic Meshes: TIGR® vs. GalaFLEX®

Two of the most widely used biosynthetic meshes are TIGR® Matrix and GalaFLEX®, each with their own distinct properties:

  • TIGR® Matrix is a long-term resorbable mesh made of synthetic polymers that gradually dissolve over about 3 years. It provides initial strength and support, while slowly transferring the mechanical load to the body’s natural tissues as they regenerate and remodel.

  • GalaFLEX® is a scaffold made from poly-4-hydroxybutyrate (P4HB), a naturally derived biopolymer. It’s absorbed over a longer timeframe—18 to 24 months—and encourages robust collagen production. GalaFLEX is particularly helpful in patients with thin tissues, previous surgeries, or implants placed above the muscle.

Both meshes have excellent track records and can be selected based on the patient’s anatomy, surgical goals, and the surgeon’s clinical judgment. I tend to use internal bras more often in cases where larger implants are placed, or where subfascial augmentation is performed—because in those settings, the tissue support is often not enough to prevent long-term implant descent.

Choosing the Right Implant: Ergonomix™ vs. Round

Motiva® implants come in two popular styles: Ergonomix™ and Round.

  • Motiva Ergonomix™ implants are designed to behave like natural breast tissue. They shift shape slightly depending on the patient’s position—more teardrop-shaped when standing, rounder when lying down. These are great for patients who want a softer, more subtle look and a highly natural feel.

  • Motiva Round implants offer more upper pole fullness and are ideal for patients who want a bolder, more augmented appearance while still benefiting from the safety of the nano-textured surface.

When combined with the appropriate mesh-based internal bra, either implant can produce stunning, long-lasting results—even in challenging cases.

The Bottom Line

Motiva implants represent one of the most exciting advancements in breast augmentation in the last decade. With their ultra-low capsular contracture rates, natural aesthetics, and innovative nano-texturing, they offer patients a safer, more predictable experience. However, to optimize long-term outcomes—especially in patients with larger implants, thin tissues, or subfascial placements—the strategic use of an internal bra with TIGR® or GalaFLEX® mesh can be a game-changer.

As with all surgical choices, the best approach is highly individualized. In my practice, I take pride in tailoring each procedure based on a detailed understanding of anatomy, patient goals, and the latest in surgical science—whether that means selecting the right Motiva implant, reinforcing results with mesh, or combining both for the ultimate support and aesthetic outcome.

Journavx™: A Game-Changer for Tummy Tuck & Body Lift Recovery

Let’s face it — pain is one of the biggest concerns for anyone considering a tummy tuck or body lift. But what if we told you there’s a new way to manage pain after surgery that doesn’t rely on opioids — and still works exceptionally well?

Meet Journavx™ (suzetrigine) — a revolutionary, FDA-approved non-opioid pain medication that’s transforming how we care for plastic surgery patients.


Why Pain Control Matters in Plastic Surgery

Procedures like abdominoplasty (tummy tuck) and body lifts are powerful tools to reshape and rejuvenate the body. But they also involve significant soft tissue work — tightening abdominal muscles, removing excess skin, sculpting contours. All of this leads to postoperative soreness that can last for days.

Traditionally, we’ve relied on opioid painkillers to get patients through the first few days. While effective, opioids come with baggage — grogginess, nausea, constipation, and the potential for dependency.

This is where Journavx™ changes the game.


What Makes Journavx™ So Special?

Journavx™ targets a very specific pain pathway — the NaV1.8 sodium channel, which lives in the peripheral nervous system (i.e., the part of your body that sends pain signals to your brain). By blocking this channel, Journavx™ helps reduce surgical pain without affecting your central nervous system.

That means:

  • No sedation

  • No euphoria or “high”

  • No respiratory depression

  • No addictive potential

And yes — it actually works.


The Data: What We Know So Far

In clinical trials involving abdominoplasty (one of the most demanding body contouring procedures), Journavx™ cut pain levels by nearly 50% — matching or outperforming traditional opioid combinations like hydrocodone-acetaminophen.

Even better? Patients reported fewer side effects and were more mobile in the critical early days after surgery.

For our patients, that could mean:

  • Faster recovery

  • Less reliance on narcotics

  • Improved comfort from Day 1


How We’re Using It in Our Practice

At Dallas Plastic Surgery Institute, we’re always looking for innovative, evidence-based ways to improve the patient experience. For select patients undergoing tummy tucks or body lifts, Journavx™ may now be part of your personalized pain management plan.

We’ll still use a multimodal approach — meaning local anesthesia during surgery, non-opioid medications afterward, and sometimes a limited amount of narcotics — but Journavx™ gives us a new, powerful tool to help you heal more comfortably.


Is Journavx™ Right for You?

Not every patient will need it. And while it’s newly approved and gaining traction, availability and insurance coverage are still catching up (Journavx™ costs around $15.50 per dose at the wholesale level).

But for patients who want to avoid opioids, are concerned about side effects, or have had rough recoveries in the past, it could be a fantastic option.


The Bottom Line

Journavx™ is ushering in a new era of recovery — one where you can bounce back faster, feel better sooner, and rely less on heavy painkillers.

If you’re considering a tummy tuck, body lift, or other transformative surgery, let’s talk about whether Journavx™ fits into your recovery plan.


Dr. Sam Jejurikar
Board-Certified Plastic Surgeon
Dallas Plastic Surgery Institute

📞 Call us: (214) 827-2814
📍 Located in Dallas, TX
🔗 Schedule a Consultation

Scar Treatments That Actually Work: A Surgeon’s Guide to Fading Scars

One of the most common questions I get from patients is: “What can I do to make my scars heal better?”

Scars are a natural part of healing after surgery, but that doesn’t mean you’re powerless over how they look. With the right care and tools, you can absolutely help your scars fade more smoothly over time. Whether you’ve just had surgery or are planning for it, here’s what actually works — and what you need to know about timing, treatment, and protection.

1. Silicone Sheets or Gels: The MVP of Scar Care

If I had to pick just one treatment for scars, it would be silicone. Silicone sheets or gels are the gold standard.

They work by keeping the scar hydrated and protected, helping to flatten raised scars and fade discoloration. Silicone acts as a protective barrier that locks in moisture and creates the perfect environment for your skin to heal.

I recommend starting silicone therapy as soon as your incisions have fully closed and healed. It’s easy to apply and, with consistent use, can make a significant difference in the final appearance of your scar.

2. Lasers and Microneedling: Power Treatments for Texture and Color

Once your scar has matured a bit — usually several weeks to a few months post-op — treatments like lasers and microneedling can work wonders.

Lasers help reduce redness and pigmentation while smoothing out texture. Microneedling stimulates your skin’s natural collagen production, improving scar thickness and flexibility.

Both treatments are effective not just for new scars but for older ones too, giving them a second chance to fade and blend into surrounding skin.

3. Bleaching Creams and Retinols: Brighten and Smooth

If your scar is darker than your natural skin tone, bleaching creams (containing ingredients like hydroquinone or kojic acid) can help lighten hyperpigmentation.

Retinols, on the other hand, increase skin cell turnover and smooth the texture of the scar over time. They’re not immediate fixes, but with consistent use, they support your skin’s renewal process and enhance your overall scar treatment plan.

4. Timing Is Everything

One of the biggest misconceptions about scar treatments is expecting overnight results. Healing is a marathon, not a sprint.

Start with silicone early, stay patient, and layer in advanced treatments like lasers and retinol as your scar matures. Following a thoughtful, phased approach is how you’ll get the best results.

5. Don’t Forget Sun Protection!

Here’s the part that a lot of people overlook — and it can make or break your results. Sun exposure can darken scars very quickly, making them harder to treat later.

Always protect your scar from the sun, especially in the early months of healing. Use physical barriers like clothing, and apply sunscreen with high SPF if the area is exposed. Trust me, this simple step can dramatically improve your scar’s appearance over time.


Final Thoughts

Scars are a natural part of your surgical journey, but with the right care, they don’t have to define your results. Whether you’re using silicone sheets, advanced laser treatments, or just being diligent about sun protection, you’re giving your skin the best possible chance to heal beautifully.

As always, if you have questions about scar care or any part of your recovery, reach out to your surgeon. If you’re in the Dallas area, I’d be happy to guide you through your recovery plan personally.

Stay consistent, stay protected, and stay patient — your skin will thank you.

Dr. Sam Jejurikar
Dallas Board-Certified Plastic Surgeon

Why Vaping—Even Without Nicotine—Can Wreck Your Tummy Tuck Results

If you’re planning a tummy tuck, you’ve likely put a lot of thought into it—time off work, recovery, finances, and even your vision for how you want to look. But there’s one habit that could quietly sabotage your results: vaping. Many patients believe vaping is safer than smoking, especially because it’s odorless, low in nicotine, or even nicotine-free. Unfortunately, that’s simply not true. All forms of vaping are harmful before a tummy tuck and can increase the risk of complications.

Yes, even nicotine-free vaping.

As a surgeon who has performed hundreds of tummy tucks every year, I’ve seen firsthand how critical the healing process is. When patients follow pre- and post-op instructions, recovery is smooth and results are beautiful. But when nicotine—or vaping of any kind—is involved, the risk of serious complications skyrockets.


Vaping Chokes Your Blood Supply

Most patients know they should stop smoking before surgery. But vaping is often misunderstood. Whether it contains nicotine or not, vaping compromises blood flow and tissue oxygenation.

Here’s how:

  • Nicotine (even small amounts) constricts blood vessels, reducing circulation to the surgical site.

  • “Nicotine-free” vapes still contain chemicals and irritants that inflame the lungs and lower oxygen delivery to healing tissues.

  • Both forms of vaping slow down the body’s ability to repair itself.

Tummy tuck skin flaps are especially vulnerable—they rely on fragile microvascular connections to survive. When oxygen and nutrients can’t get there, the tissue begins to die.


The Consequences Are Real

Vaping—even casually—puts you at higher risk for:

  • Wound healing problems

  • Skin necrosis

  • Infection

  • Seroma formation

  • Thick, uneven scarring

  • Delayed recovery and revision surgery

I’ve seen cases where patients swore they had quit, but their bodies told a different story. The difference in healing between non-vapers and vapers is dramatic.


Can We Save Compromised Tissue?

In some cases, we can. I often use hyperbaric oxygen therapy (HBOT) to salvage threatened tissue after tummy tuck surgery. HBOT floods the body with 100% oxygen at high pressure, jumpstarting the healing process and improving blood flow to damaged areas.

It’s powerful—but it’s not a guarantee. It’s always better to avoid the problem in the first place.


My Recommendation

Stop all vaping—nicotine or not—for at least 4 weeks before and 4 weeks after surgery. That gives your body time to restore full blood flow and maximize your healing potential.

If you’re unsure whether your vape contains nicotine, assume it does—many products are mislabeled or misleading. Your results are too important to gamble with.


Still Have Questions?

Contact my office directly. My team and I are here to guide you through every step of the process. We’ll answer your questions, provide support if you’re trying to quit, and do everything we can to help you have the safest, most successful surgery possible.

Call us at (214) 827-2814 or send a message through our website. We’re happy to help.

Shaping the Modern Man: The Rise of Male Liposuction

Is liposuction just for women? Absolutely not! More and more men are turning to plastic surgery to enhance their physique and boost their confidence. So, what’s driving this trend? As a board-certified plastic surgeon in Dallas, Texas, I have seen a steady increase in male patients seeking body contouring procedures. While women have historically dominated the cosmetic surgery landscape, the stigma surrounding male plastic surgery is fading fast. In fact, liposuction is now one of the most popular procedures among men, with nearly 20,000 undergoing the procedure in 2022 alone.

Why Are Men Choosing Liposuction?

For many men, diet and exercise alone aren’t enough to achieve their ideal physique. Some struggle with stubborn fat pockets that won’t budge, no matter how many hours they spend at the gym. Others are looking to enhance muscle definition for a leaner, more sculpted look.

I see a lot of men who are already in good shape, but they want to refine their body contours. Many are taking testosterone, GLP-1 agonists like Mounjaro or Wegovy, and other supplements to optimize their fitness. Liposuction has become another tool in their regimen to achieve a more defined physique.

The Ideal Candidate for Male Liposuction

Not all men are suitable candidates for liposuction. The best candidates are those who:

  • Are already in good physical shape
  • Have stubborn fat deposits resistant to diet and exercise
  • Have good skin elasticity to ensure optimal contouring
  • Are not using liposuction as a weight-loss procedure

The ideal patient is someone who works out, eats well, and just needs that extra help to achieve their aesthetic goals. This isn’t a shortcut for weight loss—it’s a way to enhance an already fit physique.

Key Differences in Male vs. Female Liposuction

One of the biggest concerns male patients have is whether they’ll end up looking too sculpted or unnatural. I always reassure my patients that the approach to male liposuction is very different from female liposuction.

For women, I focus on creating an hourglass silhouette by contouring the waist and enhancing curves. For men, it’s all about defining muscle structure—creating a V-shaped torso, emphasizing the chest, and sculpting the abdominal muscles.

Male High Definition VASER liposuction

Some key differences in technique include:

  • More aggressive fat removal in the flanks (love handles) to achieve a leaner waistline
  • Avoiding excessive contouring in areas that could create a feminine shape
  • Using advanced energy-assisted liposuction techniques (such as VASER or BodyTite) to enhance muscle definition
  • Fat grafting to muscles like the pecs, lats, and biceps for a more athletic appearance

Addressing Visceral Fat: The GLP-1 Revolution

One of the challenges in male liposuction is dealing with visceral fat—the fat stored deep within the abdominal cavity around organs. Unlike subcutaneous fat, which can be removed with liposuction, visceral fat can only be reduced through lifestyle changes.

In the past, I had to tell men with visceral fat that there wasn’t much we could do surgically. Now, with GLP-1 medications like Wegovy and Mounjaro, we’re seeing incredible reductions in visceral fat. These medications are game-changers for men who struggle with stubborn belly fat.

Post-Op Recovery: What Men Need to Know

Male patients tend to underestimate the recovery process, often assuming they can jump right back into their daily routines. I emphasize the importance of proper recovery protocols, including:

  • Wearing compression garments for at least six weeks to minimize swelling
  • Using drains when necessary to prevent post-op fluid accumulation
  • Incorporating lymphatic massages to speed up the healing process
  • Maintaining a high-protein diet to preserve muscle mass and promote healing

Some men struggle with wearing compression garments or following post-op restrictions. But the best results come from those who take recovery seriously.

The Future of Male Liposuction

The growing popularity of male liposuction is a reflection of broader cultural shifts. Men are more comfortable investing in their appearance, and plastic surgery is becoming a normal part of self-care.

I see this trend continuing to grow. As more men see the incredible results that can be achieved with liposuction, the demand will only increase.

For men who have long struggled with stubborn fat or want to take their physique to the next level, liposuction is no longer a taboo topic—it’s an accepted and effective solution for achieving their ideal body.

If you’re considering male liposuction, schedule a consultation to determine the best approach for your individual goals.


Interested in learning more about male plastic surgery? Contact my Dallas Plastic Surgery Institute office (Dr. Sam Jejurikar) at 214-827-2814 to schedule a consultation!

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9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
Tel: 214-827-2814
Dallas | Dr. Jejurikar

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