admindalps, Author at Dallas Plastic Surgery

Sleeping After Breast Augmentation: The Complete Guide to Comfort and Healing

Posted on August 17, 2025 by admindalps

Why Sleep Is So Important After Breast Surgery

Your body does most of its healing while you rest. The American Society of Plastic Surgeons has long recommended that patients get plenty of rest and sleep after breast augmentation to minimize the likelihood of healing with complications. That being said, after breast augmentation, sleep isn’t merely about feeling refreshed. It directly impacts your recovery. The right sleeping position helps reduce swelling, protects your implants, and supports the healing of delicate tissues around your chest. Many patients find sleep surprisingly challenging in the first few weeks, so knowing what to expect can make the process much easier.

The Best Sleeping Position After Breast Augmentation

On your back with slight elevation. This is the gold standard during the early stages of recovery. Sleeping upright with a wedge pillow or a few stacked pillows helps:

Minimize swelling
Prevent rolling onto your side or stomach
Protect your incisions and implants from unnecessary pressure

Why You Should Avoid Side or Stomach Sleeping (At First)

Side sleeping puts weight directly on your healing chest, which can increase swelling or shift the implant before the soft tissue has stabilized.
Stomach sleeping is an even bigger issue in the early weeks, as it places direct pressure on the implants and can interfere with incision healing.

Most patients can gradually return to side sleeping after 4 weeks, depending on their healing progress. Stomach sleeping is not recommended until at least 3 months post-op.

Week-by-Week Sleeping Timeline After Breast Augmentation

Weeks 1–2:

Back only, with your upper body elevated.
Expect some soreness when getting in and out of bed.

Weeks 3–4:

Many patients can begin lowering the angle of elevation.
Back sleeping remains safest.

Weeks 5–6:

Cleared to try side sleeping using a supportive body pillow.
Implants are starting to settle, but there is still healing in progress.

Weeks 12:

Most patients can resume their preferred sleeping position, including stomach sleeping.

Tips for Better Sleep After Breast Implants

Invest in a wedge pillow: Keeps your torso elevated without sliding during the night.
Use extra pillows: Place one under your knees for back comfort and one on your sides to prevent rolling.
Wear your support bra: It helps stabilize implants and reduce discomfort while you sleep.
Try a recliner: Many patients find a recliner chair easier than a bed during the first 1-2 weeks.
Train yourself early: If you’re not a back sleeper, start practicing before your surgery to make the transition easier.

Common Patient Concerns About Sleeping After Surgery

“What if I roll over by accident?”
Most patients naturally avoid this because of soreness, but pillows can also help keep you in place.

“Do I really need to stay upright the whole night?”
Elevation helps with swelling, but after the first couple of weeks, it’s okay to resume sleeping flat.

“When can I go back to stomach sleeping?”
For most, this isn’t safe until 3 months post-op. Because the tissues are healing, sleeping in a prone position can cause the implants to shift downward and outward.

Final Thoughts

Sleep plays a powerful role in recovery after breast augmentation. While it may feel restrictive at first, these adjustments are temporary and designed to give you the most beautiful long-term results.

Body Contouring in Dallas: Sculpt Your Dream Figure Post-Weight Loss

Posted on August 11, 2025 by admindalps

Body Contouring in Dallas: Sculpt Your Dream Figure Post-Weight Loss

Congratulations on your weight loss transformation! If you’re looking for solutions to address loose, sagging skin or areas of uneven contours post-weight loss, you may want to consider body contouring in Dallas. Dr. Sam Jejurikar is happy to personalize your treatment to address diet and exercise-resistant pockets of fat, skin laxity, or uneven contours, helping you achieve a more sculpted appearance from every angle.

What Is Body Contouring?

Whether weight loss is achieved through bariatric surgery, GLP 1 medications like semaglutide or tirzepatide, or a disciplined approach to diet and exercise, major changes in body size often come with an unexpected challenge – excess skin.

This happens because the skin and underlying tissues lose their elasticity and ability to contract, especially after massive weight loss. In most cases, no amount of strength training, cardio, or clean eating can fully address this loose skin. That’s where body contouring surgery becomes essential.
At our Dallas practice, body contouring procedures are designed to remove excess skin and fat while improving the shape and tone of the underlying tissue. Whether you want to address skin laxity in the abdomen, arms, thighs, or other areas, Dr. Jejurikar brings experience and precision to help you achieve a smooth and sculpted silhouette.

The following are some of the body contouring solutions we offer right here in our Dallas, TX practice:

Breast Lift and Augmentation: A breast lift (mastopexy) is designed to lift sagging breasts and restore a more youthful, uplifted appearance. Breast augmentation, on the other hand, aims to restore breast volume and fullness with the help of silicone gel or saline implants, leaving you with youthful, firm contours. The procedures are often done together or separately, depending on how much additional volume you desire and the degree of sagging present before surgery.

Upper Arm Lift: After weight loss or bariatric surgery, it is common for the skin along the underside of the upper arm to become loose and flabby, often resembling a “bat wing”. An arm lift procedure is designed to remove the excess skin and fat, leaving you with firmer, more toned, and more youthful upper arms.

Thigh Lift: If weight loss has left you with loose, sagging, or uneven skin on your thighs, a thigh lift can dramatically improve both shape and symmetry. This body contouring procedure removes excess skin and fat, tightens the underlying tissue, and smooths the outer contours of the legs. The result is a firmer, more sculpted appearance that restores balance to your lower body and helps your thighs look leaner, more youthful, and better proportioned to the rest of your figure.

Body Lift Surgery: Losing a significant amount of weight is a major achievement, but it can leave behind loose, sagging skin that does not improve with diet or exercise. A body lift is a more extensive contouring procedure than a traditional tummy tuck. While a tummy tuck focuses only on the abdominal area, removing excess skin and tightening the underlying muscles, a body lift addresses multiple areas of the trunk and lower body.

This procedure removes excess skin and tightens the tissue across the abdomen, lower back, buttocks, outer thighs, and groin. The result is smoother, more sculpted contours and a firmer, more balanced appearance. A body lift is often the ideal option for individuals who want a more complete transformation after major weight loss, helping them feel more comfortable and confident in their bodies.

Tummy Tuck: A tummy tuck helps reshape the abdomen and waist by removing excess skin and tightening weakened or separated muscles resulting from weight loss. This procedure helps restore a smoother, more toned appearance, leaving you looking and feeling your best.

Liposuction: Liposuction is a fat removal surgery that helps sculpt and contour areas with diet and exercise-resistant pockets of fat. The body contouring procedure permanently removes stubborn fat, providing stunning transformations. It is ideal for shaping the arms, abdomen, flanks, thighs, back, and even smaller areas, such as the chin and neck.

Ultrasound-Assisted Liposuction: VASER, which stands for Vibration Amplification of Sound Energy at Resonance, is an advanced form of ultrasound assisted liposuction designed to deliver precise body contouring with minimal trauma to surrounding tissues. It uses targeted ultrasonic energy to break down fat cells, making them easier to remove and allowing for smoother, more sculpted results.

This technology is especially effective in areas with dense or fibrous fat such as the back, flanks, chest, and male breasts, where traditional liposuction may be more difficult or less effective. During the procedure, a specialized probe delivers ultrasonic waves to emulsify the fat, turning it into a liquid form that can then be gently suctioned out.

Because VASER liposuction preserves important structures like nerves, blood vessels, and connective tissue, it often results in less bruising, less swelling, and a faster recovery. It is an excellent option for patients seeking enhanced definition, those with more challenging fat deposits, or individuals looking to refine the results of previous procedures.

Brazilian Butt Lift: If you’re looking for a more shapely derriere after losing weight, a Brazilian Butt Lift may be right for you. It involves removing fat from certain areas of your body using liposuction and implanting it into your buttocks, providing double benefits and enhanced body contours.

Body Contouring After Weight Loss Near Me in Dallas, TX

Looking for the best plastic surgeon in Dallas to help you achieve sculpted, youthful contours after weight loss? Located at the Dallas Plastic Surgery Institute, our accomplished plastic surgeon is celebrated for his skill and expertise in body contouring. Lauded for six consecutive years in D Magazine’s annual “Best Doctors and Pediatric Specialists in Dallas” list, Dr. Sam Jejurikar is recognized for his exceptional patient care and stunning transformations.

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

Dr. Sam Jejurikar Named to Newsweek’s List of America’s Best Plastic Surgeons for the Fourth Consecutive Year

Posted on August 3, 2025 by admindalps

Dr. Sam Jejurikar Named to Newsweek’s List of America’s Best Plastic Surgeons for the Fourth Consecutive Year

Dr. Sam Jejurikar of Dallas Plastic Surgery Institute has once again earned national recognition from Newsweek, being named to the publication’s 2025 list of America’s Best Plastic Surgeons. This marks the fourth consecutive year Dr. Jejurikar has been included, a rare distinction that underscores his consistent excellence in aesthetic surgery. For the 2025 rankings, he was honored specifically in two highly sought-after procedures: tummy tuck and liposuction.

The Newsweek rankings are developed in collaboration with global data firm Statista Inc. and are widely regarded as one of the most comprehensive peer-reviewed lists in the field of plastic surgery. The methodology is rigorous. Thousands of plastic surgeons, physicians, and hospital administrators across the United States were surveyed between March and May 2025. Respondents were asked to recommend the best surgeons in their field across six procedure categories: breast augmentation, eyelid surgery, facelift, liposuction, rhinoplasty, and tummy tuck.

In addition to general recommendations, participants rated each nominee based on several key dimensions:

Quality of surgical results
Continuity of care
Patient communication
Use of modern surgical techniques and technologies

Only the highest scoring physicians were named to the final list, making the ranking a reflection of true peer consensus. The full 2025 list of Newsweek’s America’s Best Plastic Surgeons can be found here:

Dr. Jejurikar’s inclusion for both tummy tuck and liposuction reinforces his reputation as a leading expert in body contouring procedures. These surgeries not only require advanced surgical precision but also a comprehensive understanding of anatomy, aesthetics, and patient goals. His results are known for being natural, balanced, and tailored to the unique body type of each individual.

In addition to the two categories highlighted by Newsweek, Dr. Jejurikar is also widely recognized for his expertise in breast augmentation, facelift surgery, and eyelid rejuvenation. These procedures make up a significant portion of his practice at Dallas Plastic Surgery Institute, where he is known for blending artistry with surgical precision to help patients look and feel their best. While these additional categories were not the specific basis for his 2025 Newsweek honors, they remain core areas of his clinical excellence and national reputation.

“To be recognized for the fourth year in a row is humbling,” said Dr. Jejurikar. “The fact that this list is based on the input of fellow surgeons and medical professionals makes it especially meaningful. These are individuals who understand the complexity and demands of aesthetic surgery, and their recognition is something I truly value. I also want to acknowledge my exceptional team at Dallas Plastic Surgery Institute. Their expertise and commitment allow us to maintain the highest standard of care every single day.”

Dr. Jejurikar continues to be at the forefront of innovation in plastic surgery, combining cutting-edge technology with compassionate, personalized care. Patients travel from all over the country to benefit from his deep experience, artistic eye, and patient-first approach.

To learn more or schedule a consultation with Dr. Jejurikar, contact us online or call the office at (214) 827-2814.

The 5 Biggest Myths I Hear About Breast Augmentation | Dallas Plastic Surgeon Dr. Sam Jejurikar

Posted on July 27, 2025 by admindalps

The 5 Biggest Myths I Hear About Breast Augmentation

As a plastic surgeon in Dallas, breast augmentation is one of the most common procedures I perform. Over the years, I’ve had thousands of conversations with patients about their goals, their bodies, and their concerns, and I’ve noticed that a lot of the same myths come up again and again.

If you’re considering breast augmentation, I want you to have real, trustworthy information. So let’s clear the air. Here are five of the biggest myths I hear and what’s actually true.

Myth #1: You have to replace your implants every 10 years

This is probably the most common misconception out there. There is no rule that says implants need to be replaced every decade. If you’re happy with your results, not experiencing any issues, and your imaging studies look normal, there’s no need to change anything.

Yes, implants can rupture or change over time, and some patients may eventually choose to replace them for personal or medical reasons. But the idea that you’re automatically due for new implants at 10 years simply isn’t true.

I tell my breast augmentation patients in Dallas that regular check-ins are important, but if everything looks and feels right, there’s no need to fix what isn’t broken.

Myth #2: Bigger implants always give better results

Let me be very clear. Bigger is not always better.

One of the most important parts of my job is helping you find the right implant for your body. That means looking at your chest width, your existing breast tissue, your skin elasticity, and of course, your aesthetic goals.

Overly large implants can lead to complications, discomfort, and a result that looks unnatural. On the other hand, choosing an implant that complements your frame leads to results that are balanced, beautiful, and long lasting. The goal is not to chase a number. It’s to find what will look and feel best on you.

Myth #3: Implants alone can lift sagging breasts

This one comes up all the time. Breast implants can restore lost volume, but they don’t fix sagging by themselves. If your breasts have significant droop, also known as ptosis, a lift may be necessary to reposition the tissue and nipples.

During your consultation, I’ll assess your breast shape, skin quality, and nipple position to determine if a lift is needed. Sometimes we’ll combine a lift with implants to restore both fullness and a youthful contour. It’s all about customizing the approach to meet your goals.

Myth #4: You won’t be able to breastfeed after surgery

Many patients are understandably concerned about this, especially if they plan to have children in the future. The truth is that most women with breast implants are still able to breastfeed, particularly when the procedure is done with techniques that protect the milk ducts and nerves.

I often place implants under the muscle and use incisions in the natural fold beneath the breast, which helps preserve breastfeeding ability. If this is important to you, we’ll talk about it during your consultation and make sure we plan accordingly.

Myth #5: Breast implants look fake

With the right technique and implant selection, breast augmentation can look incredibly natural. Gone are the days of a one-size-fits-all approach. Today, we have a wide range of implant types, profiles, and materials to choose from, including cohesive silicone gel implants that feel and move like natural breast tissue.

Some of the best compliments my patients get are things like, “You look amazing. I can’t even tell you had surgery.” That’s the sweet spot. I want your results to enhance your confidence, not draw unwanted attention.

Let’s Talk About Your Goals

If you’re considering breast augmentation in Dallas, I’d love to meet with you and talk through your options. Every body is different, and every surgical plan I create is personalized with care and precision.

Whether you’re looking for subtle enhancement or a more dramatic change, I’ll help you understand what’s possible and design a plan that fits your lifestyle and vision.

Schedule your consultation today and let’s start the conversation.

The Art of Subtle Rejuvenation: When Injectables Make More Sense Than Surgery

Posted on July 20, 2025 by admindalps

The Art of Subtle Rejuvenation: When Injectables Make More Sense Than Surgery
By Dr. Sam Jejurikar, Board Certified Plastic Surgeon, Dallas Plastic Surgery Institute

When most people consider facial rejuvenation, surgery is often the first thing that comes to mind. And yes, procedures like facelifts and brow lifts can create dramatic, lasting improvements. But not every patient needs surgery, especially in the early stages of aging. For many, nonsurgical options like fillers and neurotoxins offer a powerful way to refresh the face with little or no downtime.

At Dallas Plastic Surgery Institute, my team and I work with patients at every stage of their aesthetic journey. As a board certified plastic surgeon, I believe that great results come from personalized treatment plans. Sometimes surgery is the right answer, but other times, subtle and strategic use of injectables is the smarter choice.

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Early Volume Loss and the Power of Filler

One of the first signs of facial aging is volume loss. This often affects the cheeks, lips, and temples. As we age, we lose fat, collagen, and soft tissue support. The result is a tired or deflated look, even in people who are otherwise youthful and healthy.

Filler can restore this lost volume in a way that looks completely natural. Adding fullness to the cheeks lifts the midface and softens under-eye shadows. A touch of filler in the lips can bring back shape and hydration. Filling the temples can smooth hollow areas and restore facial balance.

When performed with precision, these treatments do not make you look different. They help you look like yourself, just more rested and vibrant. The goal is not to chase trends or exaggerate features, but to restore what has been lost and enhance your natural beauty.

Forehead and Brow Rejuvenation Without Surgery

The upper third of the face is another area where nonsurgical treatments can offer beautiful results. Deep lines in the forehead, heavy brows, or frown lines between the eyes can make you look older or more tense than you feel.

A surgical brow lift can address these concerns, but it is not always the right solution. In some patients, surgery can create an overly lifted or surprised appearance. That is why neurotoxins like Botox, Dysport, Xeomin, and Daxxify can be such valuable tools.

These treatments relax targeted muscles to smooth lines and gently lift the brows. A chemical brow lift with neurotoxin can open the eyes, soften expression lines, and create a refreshed, approachable appearance without surgery or downtime. For patients in their thirties, forties, or fifties who are noticing early signs of aging, this approach is often ideal.

Surgery Still Matters – But It Is Not Always the First Step

For patients with more advanced aging or significant skin laxity, surgery remains the most effective and long-lasting solution. A facelift or neck lift can reposition deep tissues, remove excess skin, and restore definition that cannot be matched by injectables.

But surgery comes with a recovery period. There is swelling, bruising, and an emotional adjustment during the healing process. For patients who are not quite ready to take that step, nonsurgical options can provide meaningful improvements without the downtime.

Experience, Skill, and Aesthetic Judgment Matter Most

At Dallas Plastic Surgery Institute, I am proud to work with a team of skilled injectors who deliver natural, balanced, and beautiful results every day. They understand facial anatomy and aesthetics and use injectables as tools to support, not replace, your natural features.

Whether you are just starting to explore facial rejuvenation or are seeking a more refined maintenance plan, we are here to help. The right approach is not about choosing between injectables or surgery. It is about choosing what is best for you right now, and building a plan that evolves with you over time.

Demystifying the Deep Plane Facelift: What It Really Means

Posted on July 8, 2025 by admindalps

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

Posted on July 1, 2025 by admindalps

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

Posted on July 1, 2025 by admindalps

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

Posted on June 12, 2025 by admindalps

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

Posted on June 8, 2025 by admindalps

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?

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.
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.
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

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