admindalps, Author at Dallas Plastic Surgery

Understanding the Differences: Mini, Traditional, Extended, and Circumferential Tummy Tucks

Posted on March 21, 2025 by admindalps

As a board-certified plastic surgeon, I, Dr. Sam Jejurikar, perform a high volume of tummy tuck procedures, helping patients achieve a flatter, more contoured abdomen. I’m fortunate to have been selected to D Magazine’s Best Doctors list for the past five years and Newsweek’s Best Plastic Surgeons list for the past three years. When considering a tummy tuck, it’s important to understand the different options. What are the differences between, mini, traditional, extended and circumferential tummy tuck? The main difference between each type is incision length, but all allow for muscle tightening (rectus plication) and liposuction to enhance results.

Mini Tummy Tuck: Subtle Enhancement with a Small Incision

A mini tummy tuck is ideal for patients with mild skin laxity below the belly button. The incision is short, similar to a C-section scar. This procedure removes excess skin, tightens lower abdominal muscles, and preserves the belly button. While there’s no incision around the belly button, I can perform an umbilical float (navel repositioning), slightly lowering it for a more natural result.

Ideal Candidate:

✔ Mild skin laxity below the navel
✔ Shorter recovery than a full tummy tuck
✔ Close to ideal body weight with limited need for skin removal

Traditional Tummy Tuck: Comprehensive Abdominal Rejuvenation

A full tummy tuck removes excess skin and tightens muscles from the ribcage down to the pubic area. The incision runs from hip to hip but stays low enough to be hidden by most underwear and swimsuits. The belly button is repositioned, ensuring a natural appearance. While this procedure dramatically tightens the front of the abdomen, it does not provide as much contouring to the sides or waist.

Ideal Candidate:

✔ Excess skin and muscle laxity after pregnancy or weight loss
✔ Desire for a flatter, firmer abdomen
✔ Needs full rectus muscle repair but not much lateral contouring

Extended Tummy Tuck: Dramatic Hourglass Contouring

An extended tummy tuck goes beyond the traditional approach by removing excess skin that extends past the abdomen to the sides of the waist. The incision reaches beyond the hip bones, allowing for enhanced sculpting of the flanks and waistline. This procedure is excellent for patients seeking a dramatic hourglass figure and greater definition beyond the front of the abdomen.

Ideal Candidate:

✔ Loose skin extending past the abdomen
✔ Desire for more contouring along the waist and hips
✔ Desires dramatic reshaping of body to create an hourglass silhouette

Circumferential Tummy Tuck: 360-Degree Contouring with Gluteal Enhancement

A circumferential tummy tuck, also called a body lift, removes excess skin from the abdomen, sides, and lower back. The incision extends around the entire waistline, providing a full 360-degree transformation. In addition to creating a flatter, firmer midsection, this procedure allows for gluteal autoaugmentation, where excess tissue from the lower back is used to naturally enhance the buttocks. This option is especially popular among patients who have experienced massive weight loss.

Ideal Candidate:

✔ Significant skin laxity in the abdomen, back, and flanks
✔ Desire for full lower body contouring
✔ Interest in a natural buttock enhancement through autoaugmentation
✔ Stable weight after major weight loss

Choosing the Right Tummy Tuck

The best procedure depends on how much excess skin you have, muscle separation, and your overall goals. I perform muscle tightening and liposuction with all tummy tuck procedures to achieve the best contour possible.

If you’re considering a tummy tuck, I’d love to discuss your options. Schedule a consultation by calling us at 214-827-2814 to create a customized plan for your transformation.

The Role of Visceral Fat in Body Contouring Surgery: Why It Matters for Liposuction

Posted on March 16, 2025 by admindalps

Liposuction is one of the most effective procedures for removing unwanted fat and reshaping the body. However, not all fat is created equally, and the presence of visceral fat can significantly impact the results of body contouring surgery. I frequently encounter requests to perform liposuction on individuals with significant amounts of visceral fat. I must explain to these patients that surgical intervention is not a viable option for treating such fat deposits. Understanding the anatomic location and health implications of visceral fat, its limitations in optimizing the results of surgical procedures, and how to reduce it is essential for both patients and surgeons alike.

Visceral Fat

What is visceral fat? Fat in the human body is classified into two main types: subcutaneous fat and visceral fat.

Subcutaneous fat is the soft, pinchable fat that lies just beneath the skin. This is the type of fat that can be effectively targeted and removed through liposuction.
Visceral fat, on the other hand, is stored deep within the abdominal cavity, surrounding internal organs such as the liver, intestines, and pancreas. Unlike subcutaneous fat, visceral fat cannot be removed through liposuction due to the high risk of perforating the gastrointestinal tract or damaging solid organs.

Why Is Visceral Fat a Concern for Body Contouring Surgery?

Patients seeking body contouring procedures, such as liposuction or abdominoplasty, often expect dramatic results. However, the presence of excessive visceral fat can limit these outcomes for several key reasons:

Inability to Remove Visceral Fat with Liposuction: Liposuction exclusively targets subcutaneous fat, as it involves suctioning fat cells from directly beneath the skin. Visceral fat, which is located inside the abdominal cavity, is inaccessible to liposuction techniques. No surgical method can safely remove visceral fat directly, meaning that patients with a high volume of visceral fat will not achieve the slimmed-down look they desire after surgery.
Impact on Abdominal Contouring: Patients with excessive visceral fat will still have a convex abdominal shape after liposuction. This is because the fat pushing outward from inside the abdominal cavity remains unchanged. While liposuction can remove superficial fat and improve body contour, it does not address the deep-seated fat responsible for a bloated midsection.
Increased Surgical Risks: Excess visceral fat is associated with a range of health risks, including insulin resistance and type 2 diabetes, high blood pressure, and cardiovascular disease. From a surgical standpoint, patients with excessive visceral fat may face increased risks of complications such as poor wound healing, infections, and prolonged recovery times.
Affects Muscle Tightening Procedures: In cases of tummy tuck (abdominoplasty), surgeons not only remove excess skin but also tighten the abdominal muscles to enhance contouring. However, significant visceral fat can put pressure on these muscles, making it more difficult to achieve optimal tightening and a flat abdominal profile. This means that even with muscle repair, the desired abdominal flattening may not be fully realized.

How to Reduce Visceral Fat Before Surgery

Because visceral fat cannot be removed surgically, patients must take steps to reduce it through lifestyle modifications. Some effective ways to reduce visceral fat include:

Adopt a Healthy Diet: Focus on a high-protein, low-carb, and fiber-rich diet to promote fat loss. Avoiding processed foods, excess sugar, and trans fats can help reduce visceral fat content over time.
Exercise Regularly: Engaging in cardiovascular exercises, such as running, cycling, or swimming, helps burn visceral fat more effectively than spot-reducing techniques.
Strength Training: Incorporating weightlifting or resistance training into your routine can boost metabolism and promote overall fat loss.
Manage Stress and Sleep: Chronic stress and poor sleep are linked to increased visceral fat accumulation. Practicing stress-reduction techniques and maintaining proper sleep hygiene are vital in promoting fat loss.
Medical Interventions: For some individuals, GLP-1 agonists (such as Mounjaro or Ozempic) or other medically supervised weight-loss treatments may be recommended to help reduce visceral fat before undergoing surgery.

Who Is an Ideal Candidate for Liposuction?

The best candidates for liposuction are those who:

Have realistic expectations about what liposuction can and cannot achieve.
Are at or near their ideal body weight with minimal visceral fat.
Maintain a healthy lifestyle with balanced nutrition and regular exercise.
Have good skin elasticity, which allows for better contouring post-surgery.

Final Thoughts

Liposuction is a powerful tool for refining body shape, but it is not a solution for deep, visceral fat. Patients must understand that visceral fat reduction requires lifestyle changes, and achieving an optimal body contour involves a combination of surgery and personal health management. By taking proactive steps to lower visceral fat before surgery, patients can improve both their surgical results and their overall health. If you’d like to learn more, do not hesitate to reach out to my Dallas Plastic Surgery office (Dr. Sam Jejurikar) at 214-827-2814.

Restoring Youthful Volume: Fat Grafting to the Face

Posted on March 11, 2025 by admindalps

When it comes to facial rejuvenation, volume is key. As we age, natural fat loss in the face can lead to hollowness, deeper folds, and a tired appearance. While fillers offer a temporary solution, fat grafting provides a more long-lasting and natural approach by using a patient’s own fat to restore youthful contours. Fat grafting doesn’t prevens the future need for fillers, but it can lessen the amount and frequency of treatments needed over the years.

Facial Fat Grafting

What is facial fat grafting? Facial fat grafting, also known as fat transfer, involves harvesting fat from another area of the body—typically the abdomen or inner thighs—purifying it, and strategically injecting it into specific areas of the face that have lost volume. This technique not only enhances facial features by providing much needed volume and filling deep lines, but also improves skin quality due to the regenerative properties of fat-derived stem cells.

A Real Patient Transformation

In a recent case, I performed facial fat grafting under general anesthesia, administering a total of 22 mL of fat strategically placed to restore volume and smooth contours:

Nasolabial folds (smile lines): 4 mL per side
Malar region (cheeks): 5 mL
Lower eyelids: 1 mL of fractionated nanofat per side
Temples: 1 mL of fractionated nanofat per side

Now, just two months post-procedure, the patient looks incredible. The added volume has softened her deep folds, enhanced cheek definition, and improved overall facial harmony.

Understanding Fat Properties: Molecular Weight and Region-Specific Application

Not all fat is created equal. The molecular weight and structure of fat cells play a crucial role in determining where they should be placed in the face.

1. Structural Fat (High Molecular Weight)

Characteristics: Larger fat cells, higher volume retention, and more robust structure.
Ideal for: Deep volume restoration and structual support in areas like the cheeks (malar region) and jawline.
Example in this case: I placed 5 mL of fat into the malar region to restore cheek fullness and create youthful definition.

2. Microfat (Medium Molecular Weight)

Characteristics: Smaller fat particles that integrate well into moderately mobile areas of the face.
Ideal for: Filling nasolabial folds (marionette lines) to smooth out wrinkles and deep creases while maintaining natural expression.
Example in this case: I injected 4 mL into each nasolabial fold to soften smile lines and create a more youthful appearance.

3. Nanofat (Low Molecular Weight)

Characteristics: Extremely small fat particles containing regenerative stem cells but minimal volume-retaining fat cells.
Ideal for: Delicate areas with thin skin, such as the lower eyelids and temples, where fat primarily improves skin quality rather than providing volume.
Example in this case: 1 mL of fractionated nanofat was placed into each lower eyelid and each temple to improve hollowness, dark circles, and overall skin texture.

By selecting the appropriate fat type for each region, fat grafting achieves beautiful results that blend seamlessly with the patient’s facial structure.

Why Choose Fat Grafting?

Unlike traditional fillers, fat grafting offers long-lasting results since the transferred fat integrates with the surrounding tissue. While some resorption occurs in the first few months, the fat that survives remains permanently. Additional benefits include:

✔ Natural-Looking Results – Since the fat is your own, there’s no risk of an allergic reaction.
✔ Long-Term Improvement – Unlike fillers that need frequent touch-ups, fat grafting provides lasting volume enhancement.
✔ Minimal Downtime – Recovery is relatively simple, with most patients experiencing mild swelling and bruising for a couple of weeks.

The Recovery Process

Patients can expect some swelling and bruising in the first few days, but most are back to normal activities within a week. Over the next few months, the fat settles, and the final results become more refined.

Final Thoughts

For those looking to restore lost facial volume naturally and effectively, fat grafting is an excellent solution. This patient’s transformation showcases how precise fat transfers create a more refreshed appearance without the need for fillers.

If you’re interested in learning more about facial fat grafting and whether it’s right for you, please call my office (Dr. Sam Jejurikar) at 214-827-2814.

Dr. Jejurikar Honored to be Recognized as Texas Super Doctor and More

Posted on February 24, 2025 by admindalps

Dr. Sam Jejurikar has been named a Texas Monthly Super Doctor for the seventh consecutive year (2018-2024), a remarkable achievement that reflects his dedication to excellence in plastic surgery. In addition to this prestigious recognition, he has also been named one of D Magazine’s Best Doctors for the past five years and one of Newsweek’s Best Plastic Surgeons in America for the last three. He is honored to receive these accolades that highlight his unwavering commitment to exceptional patient care and surgical innovation.

Dr. Sam Jejurikar has earned the title of Texas Monthly Super Doctor for seven consecutive years (2018-2024). This achievement reflects his dedication to plastic surgery. He has also been named one of D Magazine’s Best Doctors for five years and one of Newsweek’s Best Plastic Surgeons in America for three years. These honors highlight his commitment to patient care and surgical excellence.

Plastic surgery is Dr. Jejurikar’s passion. From the start of his career, he has blended artistry with science to achieve the best outcomes. Every procedure allows him to restore confidence, refine natural beauty, or reconstruct features after trauma. Seeing patients happy with their results drives him to keep improving.

Recognition from Texas Monthly, D Magazine, and Newsweek confirms his expertise and the trust patients and peers place in him. Plastic surgery constantly evolves, requiring dedication, ongoing education, and a focus on patient safety. Dr. Jejurikar stays ahead by using the latest techniques to provide safe and effective care.

As the president of Dallas Plastic Surgery Institute, Dr. Jejurikar works with some of the best plastic surgeons in America. This collaborative environment pushes innovation and ensures the highest standards. His commitment to excellence has helped him earn these awards and, more importantly, provide outstanding patient care.

Dr. Jejurikar was recently named to the editorial board of Plastic and Reconstructive Surgery, one of the field’s most respected journals. This appointment recognizes him as a leader in plastic surgery. As part of the board, he helps shape the future of the specialty by reviewing groundbreaking research and guiding new advancements.

Dr. Jejurikar is grateful for the trust of his patients, colleagues, and the medical community. These recognitions reflect years of hard work and a drive for excellence. They motivate him to keep improving, learning, and innovating for better patient outcomes.

Looking ahead, he remains committed to delivering exceptional plastic surgery. His career reflects passion, dedication, and a relentless pursuit of excellence. The team at Dallas Plastic Surgery Institute celebrates his achievements and looks forward to his continued impact on the field.

Dallas Thong Lift: An Innovative Approach to Buttock Tightening and Lifting

Posted on February 18, 2025 by admindalps

Dallas Thong Lift: An Innovative Approach to Buttock Tightening and Lifting

The Thong Lift represents a revolutionary advancement in buttock enhancement, proudly offered in Dallas. Historically, procedures targeting the buttock area involved extensive recovery and visible scarring. The Thong Lift, however, offers a discreet, highly effective alternative, delivering a tighter, lifted appearance with minimal downtime. The incision is strategically placed in the intergluteal cleft—the natural fold between the buttocks—making it virtually invisible.

How Does the Thong Lift Work?

The following principles are critical to ensuring optimal outcomes and a smooth recovery for patients undergoing the Thong Lift.

Societal Trends and the Thong Lift

In recent years, societal trends have shifted. Patients are increasingly seeking a more natural and proportionate appearance rather than the exaggerated curves associated with very large buttocks. The Thong Lift serves as an excellent alternative to the Brazilian Butt Lift, offering a refined and understated enhancement.

Before Surgery

Patients should be in good physical condition with no recent illnesses. To prepare for surgery, follow these guidelines:

Avoid nicotine: Refrain from smoking or using any nicotine-containing products, including vapes, for at least 6 weeks before surgery.
Stop certain medications: Avoid diet pills, herbal supplements, or aspirin-containing products.
Maintain a healthy diet: Focus on proper nutrition and hydration leading up to the procedure.

Anesthesia

The Thong Lift is performed under general anesthesia administered by a board-certified anesthesiologist. General anesthesia offers several advantages:

Allows for safe control of blood pressure and heart rate during the procedure, minimizing bleeding.
Eliminates muscle tension, facilitating less traumatic dissection.
Relies on anesthetic gases, which are quickly eliminated from the body, promoting faster recovery.

Surgical Technique

The Thong Lift relies on precision and expertise to deliver excellent results. Key aspects of the procedure include:

Incision Placement: The incision is meticulously placed in the intergluteal cleft, ensuring it remains well-hidden within the natural fold.
Tissue Tightening: Excess skin and tissue are removed, and the remaining tissue is lifted and secured for a firmer, smoother appearance.
Multi-vector Tightening: I commonly combine the Thong Lift with an extended tummy tuck (as pictured) to tighten the buttock and hips in multiple directions for enhanced contour and symmetry.
Minimizing Trauma: Advanced surgical techniques, including cautery under direct visualization, reduce bleeding and trauma to surrounding tissues.
Closure: All sutures are placed below the skin to optimize scar quality. The incision is sealed with surgical glue, ensuring protection during the initial healing phase.

Post-Surgical Care

Recovery from the Thong Lift is designed to be straightforward and comfortable:

Incision Care: Sutures are internal, and the incision is sealed with surgical glue, requiring no special care. Patients can shower 72 hours after surgery but must avoid submerging in a bathtub for 3 weeks.
Garments: A soft compression garment is provided to support healing and maintain results. This garment is typically worn for the first 1-2 weeks.
Hygiene: Patients are encouraged to use baby wipes for cleaning to maintain hygiene while minimizing discomfort.
Pain and Bowel Management: Long-acting local anesthetics are used during surgery, providing up to 48 hours of pain relief. Patients are also advised to use stool softeners to prevent straining during recovery.

Recovery Process

Patients undergoing the Thong Lift can expect the following timeline:

Daily Activities: Most patients can resume showering, light walking, and other low-impact activities within 3-5 days.
Work: Patients can return to desk jobs within a week.
Exercise: Strenuous activities like weight training or running can begin at 6 weeks.

I often conceive of the Thong Lift as a facelift for the buttocks. The incision is hidden in natural skin creases, and the skin is pulled up and inward tightly to create a lifted and rejuvenated appearance.

Procedure Customization

Every patient is unique, and the Thong Lift can be tailored to meet individual goals:

Extent of Tightening: Adjustments can be made based on the degree of skin laxity and desired lift.
Combining Procedures: For patients seeking more comprehensive results, the Thong Lift can be combined with liposuction or fat transfer to enhance overall body contours.

Schedule Your Thong Lift Consultation With Dr. Sam Jejurikar

Dallas plastic surgeon Dr. Sam Jejurikar, a board-certified expert at the renowned Dallas Plastic Surgery Institute, welcomes the opportunity to discuss your aesthetic goals. To schedule a consultation:

Call Dr. Jejurikar’s office at 214-827-2814.
Send an email through the website.
Online consultations are also available for your convenience.

Dr. Jejurikar and his team in Dallas look forward to helping you achieve the transformative results you’ve been dreaming of with the Thong Lift!

Exploring Rapamycin’s Potential Effects on Hair Growth and Color

Posted on February 14, 2025 by admindalps

Rapamycin, a compound best known for its immunosuppressive applications, has recently emerged as a fascinating topic in the realm of anti-aging research. While much attention has been given to its potential for extending lifespan and enhancing cellular health, its impact on hair growth and pigmentation has sparked unexpected interest. My curiosity about this potential benefit grew from personal experience—after taking rapamycin for several weeks, both my hairstylist and my wife noticed changes in my hair. They asked if I had started coloring my gray hairs, which I hadn’t! This surprising observation led me to dive deeper into the scientific data on rapamycin’s effects on hair.

Could rapamycin be the key to reversing graying hair and promoting healthier growth? Let’s dive into the research and anecdotal evidence surrounding this topic.

How Does Rapamycin Work?

Rapamycin works by blocking mTORC1, a key pathway that controls how cells grow, multiply, and repair themselves. For hair, this pathway affects the growth cycle of hair follicles and the production of melanin—the pigment that gives hair its color.

By influencing this pathway, rapamycin could help hair follicles stay in the growth phase longer and increase melanin production. This means it might not only encourage hair growth but also bring back color to graying hair.

Scientific Evidence

Research into rapamycin’s effects on hair is still in its early stages, but initial findings are promising:

Topical Rapamycin and Hair Follicles A study published in EMBO Reports explored the effects of topical rapamycin on human scalp hair follicles. Researchers observed increased melanin production and a prolonged anagen phase in treated follicles compared to untreated ones. These results hint at rapamycin’s potential to reverse graying and enhance hair growth.
The Role of mTORC1 in Hair Growth The Journal of Investigative Dermatology published findings that underscore the importance of mTORC1 activity in regulating hair growth and pigmentation. By inhibiting mTORC1, rapamycin could emerge as a novel strategy for managing conditions like graying hair and alopecia.

Anecdotal Reports

Beyond clinical studies, anecdotal evidence from individuals experimenting with rapamycin is growing. Some users have reported noticeable improvements in hair growth and even a return of natural hair color after using the compound. While encouraging, these self-reported outcomes should be approached cautiously, as they lack the scientific rigor of controlled studies.

In a survey of over 300 rapamycin users, a subset mentioned changes in their hair—both in terms of growth and pigmentation. However, variables such as dosage, application method, and individual health factors make it difficult to draw definitive conclusions.

Challenges and Considerations

While the potential benefits of rapamycin for hair are exciting, there are important considerations to keep in mind:

Safety and Side Effects: Rapamycin’s immunosuppressive effects can pose risks, particularly with systemic use. Topical applications may mitigate some concerns, but long-term safety data is limited.
Dosage and Delivery: Optimal dosages for promoting hair growth and pigmentation are not yet established. Most current data comes from small studies or anecdotal evidence.
Regulatory Status: Rapamycin is not approved for hair growth or anti-aging purposes. Any off-label use should be guided by a healthcare professional.

The Future of Rapamycin in Hair Treatments

As research into rapamycin’s applications continues, it’s possible that this compound could pave the way for innovative treatments targeting hair loss and graying. Future studies will need to explore its efficacy, refine delivery methods, and ensure safety for widespread use.

For those intrigued by rapamycin’s potential, it’s best to consult with a medical professional before considering its use. Additionally, participating in clinical trials can help advance our understanding of this fascinating compound.

Conclusion

Rapamycin represents a new frontier in addressing age-related changes, including hair growth and pigmentation. While the science is still developing, early evidence suggests that it could offer a novel approach to managing these common concerns. As more data emerges, we may find ourselves at the brink of revolutionary solutions for maintaining youthful hair.

Stay tuned for updates on this exciting area of research—the future of hair health might be closer than we think!

If you want to learn more about Rapamycin and other anti-aging strategies, please do not hesitate to reach out to our office at 214-827-2814.

The Waning Popularity of Saline Breast Implants: Insights from Dr. Sam Jejurikar

Posted on February 11, 2025 by admindalps

Breast augmentation has long been one of the most popular cosmetic procedures worldwide, offering individuals the opportunity to enhance their silhouette and boost self-confidence. As a board-certified plastic surgeon, I have witnessed the fascinating evolution of implant technology and how it has transformed patient outcomes. Historically, saline implants held a significant share of this market, prized for their adjustability and perceived safety. However, recent trends reveal a marked decline in their popularity, driven by advancements in silicone implants and the discontinuation of the Ideal implant.

The FDA Ban on Silicone Implants

In 1992, the FDA placed a moratorium on silicone breast implants due to concerns over their safety, particularly regarding the potential for leakage and its suspected connection to autoimmune diseases. During this period, saline implants became the only available option for breast augmentation in the United States. From 1992 to 2006, patients and surgeons relied exclusively on saline implants, which, while safe, were often criticized for their aesthetic and tactile limitations.

Lack of Advancement in Saline Technology

Despite their dominance during the FDA ban on silicone implants, saline implants saw little innovation over this 14-year period. Major manufacturers in the U.S., including Mentor and Allergan, largely focused their efforts on refining silicone implant technology in anticipation of the ban being lifted. As a result:

Stagnation in Design: Saline implants retained the same basic design, with no significant advancements to address issues like rippling or unnatural feel.
Limited Options: Compared to the evolving variety of silicone implants, saline options remained static, offering fewer choices in terms of shape, texture, and customization.

This lack of innovation left saline implants at a disadvantage once the FDA lifted the moratorium in 2006 and approved cohesive silicone gel implants for general use.

Safety Comparisons: Silicone vs. Saline

Safety remains a critical consideration in choosing the right breast implant. Several factors differentiate silicone and saline implants:

Capsular Contracture: Both implant types can lead to capsular contracture, a condition where scar tissue tightens around the implant. However, studies suggest that smooth silicone implants generally show lower rates of capsular contracture compared to smooth saline implants. Motiva implants, for instance, which are advanced silicone implants, report particularly low rates of capsular contracture thanks to their SilkSurface technology designed to enhance biocompatibility.
Rupture: Saline implants deflate visibly upon rupture, allowing for immediate detection. In contrast, silicone implants may have a “silent rupture,” where cohesive gel stays in place, often undetectable without imaging. However, the cohesive nature of modern silicone implants like Motiva significantly reduces leakage risks, providing an additional layer of safety.
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): Textured silicone implants have been linked to a higher incidence of BIA-ALCL compared to smooth saline or smooth silicone implants. Smooth silicone options, like those offered by Motiva, are designed to minimize this risk further.

Textured Implants and Motiva’s NanoSurface Technology

Traditionally, textured silicone implants have not been commonly used in the U.S. for cosmetic breast augmentation. This is primarily due to concerns over higher risks of BIA-ALCL and patient preference for smoother options. Textured implants were originally designed to reduce capsular contracture and prevent implant movement, but these benefits have been overshadowed by safety concerns.

In contrast, Motiva implants incorporate NanoSurface technology, which offers many of the advantages of textured implants without the associated risks. The surface is designed to enhance tissue integration and reduce capsular contracture while maintaining a safety profile comparable to smooth implants. This innovation bridges the gap between traditional smooth and textured implants, making Motiva a compelling option for patients seeking both safety and performance.

The Evolution of Implant Technology

Silicone implants have undergone a dramatic evolution since their reintroduction. Early models were often criticized for their risk of leakage and aesthetic limitations, but modern silicone implants, particularly cohesive gel implants, have addressed these issues comprehensively. Often referred to as “gummy bear” implants, these devices offer:

A Natural Look and Feel: Silicone gel mimics the consistency of natural breast tissue more closely than saline, resulting in superior aesthetic outcomes.
Durability and Safety: Advances in cohesive gel technology minimize the risk of rupture and leakage, providing peace of mind to patients.
Variety: Silicone implants are available in a wider range of shapes, sizes, and profiles, allowing for a highly customized approach to breast augmentation.

The Rise of Motiva Implants

One notable innovation in implant technology is the emergence of Motiva implants. These silicone implants have gained attention for their advanced safety features and cutting-edge design. Motiva implants are known for:

SilkSurface and NanoSurface Technology: These surface textures are designed to reduce the risk of capsular contracture and improve biocompatibility.
Dynamic Gels: Offering a natural look and feel, Motiva’s gels adapt to movement for enhanced comfort and aesthetic outcomes.
Safety Data: Clinical studies have shown low rates of complications, including rupture and capsular contracture, making them a compelling choice for patients seeking safety and aesthetics.

For more information on Motiva implants and their safety profile, visit Motiva’s official site.

The Demise of the Ideal Implant

The Ideal implant, introduced as a hybrid option, sought to combine the safety profile of saline with the aesthetic appeal of silicone. Featuring a structured design that reduced rippling and improved contour, the Ideal implant garnered attention for its innovative approach. However, despite its promise, the implant failed to gain widespread traction.

Several factors contributed to its downfall:

Limited Adoption: Many surgeons were slow to adopt the technology, citing higher costs and limited patient awareness.
Competition from Silicone: With cohesive gel implants continuing to improve, the Ideal implant struggled to differentiate itself in a competitive market.
Manufacturer Challenges: The company behind the Ideal implant ceased production, leaving patients and surgeons to explore other options.

Why Saline Implants Are Falling Out of Favor

Beyond the rise of silicone implants and the demise of the Ideal implant, saline implants have faced their own set of challenges. These include:

Aesthetic Limitations: Saline implants are more prone to rippling, especially in patients with thin or minimal breast tissue.
Tactile Disadvantages: The feel of saline implants is often described as less natural compared to modern silicone options.
Lack of Innovation: While silicone technology has advanced rapidly, saline implants have remained largely unchanged, leaving them less appealing to today’s informed patients.

The Future of Breast Augmentation

As technology continues to advance, the trend toward silicone implants is unlikely to reverse. Innovations in implant design, such as textured surfaces and improved shape retention, have made silicone the preferred choice for both patients and surgeons. Additionally, non-surgical alternatives and fat transfer techniques are gaining traction, further diversifying the options available for breast enhancement.

For those considering breast augmentation, the key is to work closely with a board-certified plastic surgeon to determine the best option based on individual anatomy, aesthetic goals, and lifestyle considerations.

Conclusion

The decline of saline implants marks a pivotal moment in the evolution of breast augmentation. With the demise of the Ideal implant, the FDA’s approval of cohesive silicone gel technology, and the stagnation of saline innovation during the 1992-2006 moratorium, the field has entered a new era of innovation and patient satisfaction. For those seeking natural-looking, durable results, the choice is clear: the future belongs to silicone. If you are considering breast augmentation and want to explore the best options for your unique goals, I, Dr. Sam Jejurikar, would be delighted to guide you through the process. Contact my office today to schedule a consultation and take the first step toward achieving your ideal look.

The Efficacy of Topical Treatments for Women Experiencing Hair Loss

Posted on February 8, 2025 by admindalps

Hair loss in women can be distressing, with significant emotional and social impacts. Fortunately, advances in topical treatments like finasteride and minoxidil—especially in compounded forms—offer effective solutions. These compounded formulations allow for customization, including adjustments to the relative amounts of active ingredients and the addition of other beneficial agents like retinoic acid (RA) and fluocinolone (FLU). Here’s a closer look at how these treatments work and what makes them effective.

What Causes Hair Loss in Women?

Female hair loss often shows up as thinning, particularly at the crown and part line, rather than full baldness. The most common type, androgenetic alopecia (AGA), is influenced by genetics, hormones, and aging. This condition involves shrinking hair follicles, leading to thinner, shorter hair.

Why Topical Treatments?

Topical treatments minimize systemic side effects by delivering active ingredients directly to the scalp. This is especially beneficial for women who may be concerned about hormonal imbalances from oral medications. Compounded formulations allow for:

Personalization: Adjusting the concentrations of minoxidil and finasteride to suit individual needs.
Additives: Including retinoic acid (RA) and fluocinolone (FLU) to enhance absorption and efficacy.

Minoxidil: Stimulating Hair Growth

Minoxidil is FDA-approved for female hair loss and works by prolonging the growth phase of hair. It also improves scalp blood flow, encouraging thicker hair growth.

Key Points:

Flexible Strengths: Available in concentrations of 2%, 5%, or compounded doses tailored to your needs. Our compounded minoxidil can go up to 10% for enhanced efficacy in stubborn cases.
Ease of Use: Liquid formulations are easy to apply and integrate into your routine.
Temporary Shedding: Some users experience initial shedding as dormant hairs are replaced by new growth. This is normal and temporary.

Finasteride: Addressing Hormonal Factors

Finasteride inhibits the conversion of testosterone to DHT, the hormone responsible for shrinking hair follicles. While oral finasteride is typically used in men, topical versions are gaining popularity for women due to fewer systemic side effects.

Key Points:

Targeted Action: Delivered directly to the scalp, reducing risks of hormonal disruption.
Customizable Dosages: Compounded versions let you fine-tune the concentration.
Combination Therapy: Works synergistically with minoxidil for better results.

The Role of Retinoic Acid (RA) and Fluocinolone (FLU)

Adding RA and FLU to compounded treatments can enhance their effectiveness. RA promotes cell turnover, ensuring that active ingredients penetrate deeper into the scalp. FLU, a mild corticosteroid, helps reduce inflammation and itching, which can improve adherence to treatment.

Benefits of Compounded Formulations

Compounded topical treatments are designed to address individual needs and preferences:

Adjustable Ratios: Modify the balance of minoxidil and finasteride for optimal results.
Custom Additives: Include RA, FLU, or other supportive agents to boost efficacy.
Minimized Irritation: Customization allows for formulations that suit sensitive skin.

Why Choose Topical Treatments Over a Hair Transplant?

While hair transplants can be effective, they are invasive, costly, and require significant recovery time. Topical treatments provide a much less drastic option, offering a non-surgical solution to stimulate hair regrowth and address hormonal factors. These treatments are ideal for women seeking noticeable improvements without the commitment of surgery.

Practical Tips for Use

Be Consistent: Apply as directed to see results within 3-6 months.
Start Low and Go Slow: Begin with lower concentrations if you’re prone to irritation, and adjust over time.
Consult Me: I specialize in creating customized formulations tailored to your specific needs. Together, we can design a treatment plan to address your hair loss effectively.
Be Patient: Hair regrowth takes time, but consistent use yields noticeable improvements.

Conclusion

Topical treatments for female hair loss, particularly compounded versions of minoxidil and finasteride, offer effective and flexible solutions. The ability to adjust active ingredient ratios and include enhancements like RA and FLU allows for a truly personalized approach. If you’re experiencing hair loss, I invite you to contact my office so we can arrange a consultation and explore how these treatments can work for you. Let’s find the best solution for restoring your confidence and achieving healthier hair.

The Upper Lip Lift: A Subtle Enhancement for a More Youthful Smile | Sam Jejurikar, MD

Posted on February 5, 2025 by admindalps

When we talk about facial rejuvenation, the focus often gravitates toward treatments that target the eyes, cheeks, or neck. However, one area that can have a profound impact on facial harmony is the upper lip. The upper lip lift is an increasingly popular surgical procedure that enhances the aesthetic of the lips and overall smile, offering subtle but impactful results. This procedure not only improves lip proportions but also pairs beautifully with non-surgical treatments like fillers for a comprehensive approach to lip enhancement.

In this blog post, I will explore the benefits of an upper lip lift, explain the details of the incision design—commonly referred to as the “bullhorn” pattern—and showcase a remarkable transformation with a six-month post-operative result. It’s worth noting that this procedure is commonly performed alongside facelift surgeries, enhancing the overall rejuvenation effect.

What Is an Upper Lip Lift?

An upper lip lift is a surgical procedure designed to shorten the distance between the upper lip and the base of the nose, known as the philtrum. Over time, aging can elongate the philtrum, which diminishes the appearance of the upper lip and creates a less youthful look. By addressing this elongation, the upper lip lift creates a more balanced and youthful appearance, enhancing the overall facial aesthetic.

The procedure works by removing a small strip of skin at the base of the nose in a precise pattern. This technique elevates the upper lip, creating a more defined cupid’s bow, improved tooth show when smiling, and a fuller, more youthful upper lip. It is especially effective for patients who want more upper lip definition but may not be achieving their desired results with fillers alone.

The Incision Design: The Bullhorn Pattern

The bullhorn incision, named for its resemblance to the shape of a bull’s horns, is meticulously designed to follow the natural contours at the base of the nose. This design ensures that the scar is well-hidden within the natural creases of the nostrils, making it virtually imperceptible over time. Precision is key, as the incision must be symmetrical and tailored to each patient’s anatomy to achieve the most natural-looking results.

During the procedure, I carefully remove a strip of skin, adjust the underlying tissue, and secure the incision. This strategic design minimizes tension on the wound edges, promoting optimal healing and ensuring a discreet scar. Most patients find that within a few months, the scar is difficult to detect, even upon close inspection.

Before and After: A 6-Month Transformation

One of the most rewarding aspects of the upper lip lift is the long-lasting, natural-looking results it delivers. Below, you can see the dramatic transformation of a patient who underwent the procedure. The “before” photo shows an elongated philtrum with limited upper tooth show, while the “after” photo—taken six months post-operatively—highlights a beautifully proportioned upper lip, improved tooth visibility, and a more youthful appearance.

This patient’s results demonstrate the subtle yet significant enhancements an upper lip lift can achieve. The incision is virtually invisible, blending seamlessly into the natural contours of the nostrils. This case exemplifies how the procedure can rejuvenate the smile and overall facial aesthetic while maintaining a natural look.

A Perfect Pairing: Lip Lift and Fillers

While fillers are an excellent option for adding volume and definition to the lips, they have their limitations. For patients with an elongated philtrum or those seeking more tooth show when smiling, fillers alone may not provide the desired result. The upper lip lift addresses these concerns by altering the structure of the lip, creating a lifted appearance that fillers can’t achieve.

When used together, a lip lift and fillers can produce a truly transformative outcome. The lip lift enhances the foundational structure of the upper lip, while fillers can be strategically placed to add volume or refine the shape. This combination offers a natural and balanced aesthetic, avoiding the overly augmented look that can sometimes result from fillers alone.

Why the Upper Lip Lift Is Gaining Popularity

One of the reasons the upper lip lift is becoming more popular is the growing preference for natural-looking enhancements. Patients are increasingly seeking subtle, long-lasting solutions that enhance their features without making them look “overdone.”

Additionally, advancements in surgical techniques and incision design have made the upper lip lift a highly reliable and effective procedure. The bullhorn incision pattern not only delivers excellent results but also ensures that the scar is well-concealed, which is a major concern for many patients considering facial surgery.

Is an Upper Lip Lift Right for You?

An upper lip lift is an excellent option for individuals who:

Have an elongated philtrum that detracts from their overall facial harmony.
Want to enhance their smile by improving upper tooth show.
Are seeking a more permanent solution than fillers alone can provide.
Desire a natural-looking rejuvenation that complements their facial features.

During a consultation, I will evaluate your unique anatomy and aesthetic goals to determine whether an upper lip lift is the right procedure for you.

Conclusion

The upper lip lift is a powerful yet subtle procedure that can significantly enhance the aesthetics of the lips and smile. With a well-designed bullhorn incision and careful surgical technique, the procedure delivers natural, long-lasting results with minimal scarring. When paired with fillers, it can create a harmonious and youthful look that highlights the lips’ natural beauty.

If you’re curious about whether an upper lip lift is right for you, schedule a consultation to learn more about this transformative procedure. Together, we can create a treatment plan tailored to your goals, helping you achieve a smile that radiates confidence and vitality.

Creating a General Skincare Regimen for Healthy, Radiant Skin

Posted on February 2, 2025 by admindalps

When it comes to skincare, one size does not fit all. Unfortunately, many patients attempt to create their own skincare regimens based on recommendations from friends or enticing advertisements seen on television or the internet. While these sources may seem helpful, they often overlook individual skin needs and the science behind effective skincare.

Establishing a well-rounded skincare regimen starts with understanding the foundational steps that work for everyone, regardless of skin type or concerns. These include sun protection, which is essential for preventing damage and premature aging; retinols, which promote cell turnover and enhance skin texture; antioxidants, which neutralize environmental stressors; and moisturizers, which maintain hydration and support the skin barrier. By tailoring these steps to your unique skin type and being consistent, you can achieve and maintain healthy, radiant skin. Here’s how to build a regimen that works for you:

Morning Routine

Cleanse: Start with a gentle cleanser to remove overnight oil and impurities. Cleansing ensures the skin’s surface is free from debris, which allows active ingredients in subsequent steps to penetrate more effectively.
Antioxidants: Use a serum containing antioxidants like vitamin C or niacinamide. Antioxidants neutralize free radicals—unstable molecules generated by UV radiation and pollution—that can damage skin cells and accelerate aging. They also brighten the complexion and promote collagen production for firmer skin.
Moisturize: Apply a lightweight moisturizer to hydrate and support the skin barrier. Hydration is key to maintaining skin elasticity and preventing dryness. Ingredients like hyaluronic acid attract moisture to the skin, while ceramides strengthen the protective barrier.
Sun Protection: The most crucial step in any morning routine is sunscreen. Use a broad-spectrum sunscreen with at least SPF 30 to shield your skin from both UVA and UVB rays. UVA rays penetrate deeply and contribute to premature aging, while UVB rays cause sunburn. Daily sun protection reduces the risk of hyperpigmentation, wrinkles, and skin cancer.

Evening Routine

Double Cleanse: If you wear makeup or sunscreen, start with an oil-based cleanser to dissolve these layers. Follow up with a water-based cleanser to remove dirt and sweat. Double cleansing ensures the skin is thoroughly clean without disrupting its natural oils.
Targeted Treatments: This is the time to incorporate retinol or other targeted treatments. Retinols, derived from vitamin A, accelerate cell turnover, reducing fine lines, acne, and hyperpigmentation. They stimulate collagen production, improving skin texture and firmness. However, retinols can cause side effects like redness, flaking, and dryness, especially when first introduced. These are not signs of an allergic reaction but are common as your skin adjusts. To manage this, consider using retinols less frequently (e.g., every other night) rather than stopping altogether.Retinols are often compared to tretinoin (a prescription-strength retinoid). While tretinoin works faster and may produce more dramatic results, it can also be more irritating. Retinols, on the other hand, are gentler and more suitable for sensitive skin or beginners. Both options stimulate collagen production and improve skin tone but require proper adjustment periods to minimize discomfort.
Moisturize: Evening moisturizers can be richer to replenish moisture lost during the day. Look for nourishing ingredients like peptides, which support collagen synthesis, or squalane, which mimics the skin’s natural oils and prevents water loss.
Eye Cream (Optional): If you have concerns about dark circles, puffiness, or fine lines around your eyes, consider using an eye cream. Eye creams often contain caffeine (to reduce puffiness) or retinol (to minimize fine lines). Gently pat it on with your ring finger to avoid tugging at the delicate skin.

Weekly Additions

Omnilux Mask or Similar Devices: Consider using an LED light therapy mask, such as the Omnilux mask, two to three times a week. These devices use red and near-infrared light to stimulate collagen production, reduce inflammation, and improve skin texture. They are non-invasive and can be an excellent addition to your routine for addressing fine lines and improving overall skin health.
Exfoliation: Exfoliate once or twice a week to remove dead skin cells and promote a smoother complexion. Chemical exfoliants like alpha hydroxy acids (AHAs) work by dissolving the bonds between dead cells, revealing brighter, more even-toned skin. AHAs, such as glycolic acid or lactic acid, are particularly beneficial for dry or aging skin as they also boost hydration.
Hydrating Masks or LED Therapy: Incorporate a hydrating mask or sheet mask weekly for an extra boost of moisture and relaxation. Masks with ingredients like aloe vera or glycerin can soothe and replenish the skin.

Additional Tips

Consistency is Key: Results take time, so stick to your routine and adjust as needed.
Know Your Skin Type: Understanding whether you have dry, oily, combination, or sensitive skin will guide your product choices.
Patch Test New Products: Before incorporating a new product, test it on a small area to ensure it doesn’t cause irritation.
Hydrate and Eat Well: Skincare isn’t just topical. Drink plenty of water and eat a balanced diet rich in fruits, vegetables, and omega-3 fatty acids to support skin health from within.

By following these steps and tailoring them to your individual skin needs, you can build a regimen that supports healthy, glowing skin at any age. Remember, consistency and protection from the sun are the foundations of great skin care. If you’re not sure to start, I always recommend starting with the amazing aestheticians at EpiCentre Skin Care and Laser Center – they’ve helped me identify the optimal products for my own skin and can do the same for you!

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