Check out our new Dallas Mommy Makeover Site!

Check out our new Dallas Mommy Makeover Site!

There’s so much to know before undergoing a Dallas mommy makeover, which usually consists of a tummy tuck, liposuction, and some form of breast surgery, including breast augmentation, breast lift or breast reduction.

A mommy makeover performed at Dallas Plastic Surgery Institute usually takes between 4 and 7 hours and is performed under general anesthesia. Most patient’s stay overnight after Dallas mommy makeover in a postoperative recovery facility and miss between 1-2 weeks of work. No strenuous exercise is allowed for six to eight hours after surgery.

To try to cover the nuances of Dallas mommy makeover in more detail, we are proud to announce the re-release of www.mymommymakeoverdallas.com, our site dedicated to all things mommy makeover! To learn more, don’t hesitate to click on to the site or call our office to schedule a consultation with Dr. Jejurikar.

Dallas Silicone Breast Implants & MRI – What you need to know

When the Food & Drug Administration (FDA) approved silicone breast implants for cosmetic breast augmentation in 2006, it did so with recommendations regarding screening for breast implant rupture. Specifically, the FDA recommended that patients get a screening magnetic resonance imaging test (MRI) for breast implant rupture three years after breast augmentation and then every two years thereafter.

The reason for this recommendation is that, often, ruptured silicone breast implants are not detectable on physical examination. In these cases, MRI is the most sensitive method for detecting silicone breast implant rupture. Unfortunately, though, MRI can be an expensive exam and the costs usually are not covered by third-party insurance companies. Furthermore, the significance of a previously undetected silicone breast implant rupture is not clear, as it is not certain that the risks associated with ruptured implants is greater than the risks of the operation needed to take them out.

Last month, an expert FDA panel spent two days re-visiting the safety of silicone breast implants. The FDA’s chief scientist for devices, Dr. William Maisel, reaffirmed the safety of silicone breast implants. The panel agreed that patients no longer need to be told that they should get an MRI three years after getting silicone breast implants and every two years thereafter. The panel confirmed that MRI remains the gold standard for screening for silent breast implant rupture. This recommendation, however, has yet to be adopted by the FDA at large.

So what’s the conclusion? For now, the FDA recommendations from screening MRI three years after silicone breast augmentation and every two years thereafter remain intact. This guideline, though is a recommendation – not a requirement. Given the recommendations of the FDA’s expert panel, every patient should determine their own comfort level for living with a silent rupture, and make their own decision based on this.

For more information, please see the original article from the New York Times.

Special Event at Dallas Plastic Surgery Institute – 09/29/11

Dr. Jejurikar is hosting a special event from 5:00 p.m. to 8:30 on Thursday, September 29, 2011 at Dallas Plastic Surgery Institute. Enjoy great deals on treatments with Botox Cosmetic, Juvederm, and SkinMedica skin care products. Representatives from Allergan (the makers of Botox Cosmetic, Juvederm, Latisse and breast implants) and SkinMedica will be on hand to answer your questions. Every patient who purchases a treatment will receive a free one-month’s supply of Latisse, the first and only FDA-approved treatment for inadequate or not enough lashes. In addition, take advantage of incredible savings on Dr. Jejurikar’s “must-have” skin care essentials from SkinMedica.
For one night, prices will be reduced for injections with Botox and Juvederm. Patients can also purchase Botox and Juvederm services on the night of the event and “bank” their purchases for up to 6 months. Space is limited to the first 30 callers, so to learn more, contact Dr. Jejurikar’s office at 214-827-2814.

Dallas Facelift – what do I need to know?

Facelift remains the gold standard for facial rejuvenation. Although many great noninvasive (Juvederm, Restylane. Botox, Ulthera, Thermage, etc.) and minimally invasive (Fraxel laser, chemical peel, dermabrasion) options exist for facial rejuvenation, none of these treatments can achieve the same level of improvement that are achievable with a facelift. So, assuming you accept this, and are prepared to undergo surgery, what do you need to know before your facelift at Dallas Plastic Surgery Institute?

First, don’t rush your recovery. Vitamin supplements, including Bromelain Sulfate and Arnica Montana, can help bruising and swelling resolve more quickly after surgery, but don’t expect miracles! You should expect bruising and swelling for at least 10-14 days after surgery and, in some cases, up to three weeks. Planning to have surgery a few days before a big vacation or an important work meeting is undoubtedly a set up for a problem.

Two, make sure your spouse or significant other is supportive of surgery. The swelling and bruising can be considerable after surgery. Having a demonstrably angry or agitated spouse can only add to natural anxiety that you will have immediately after surgery. In addition, it’s incredibly important to have someone trusted help you do relatively simple things, such as get out-of-bed or bathe.

Three, make sure you fill all prescriptions and have read your postoperative instructions prior to surgery. Dallas facelift surgery is commonly combined with other procedures, including eyelid lift (blepharoplasty), laser resurfacing, and brow lift. A variety of different treatments will be needed after surgery and it’s important that you have a thorough understanding prior to surgery.

Ultimately, Dallas facelift surgery remains one of the most popular plastic surgery procedures at Dallas Plastic Surgery Institute. With proper postoperative care, the results often are spectacular! For more information, do not hesitate to contact Dr. Jejurikar at Dallas Plastic Surgery Institute at 214-827-2814.

Cutting back on Botox does not compromise results after two-years of regular treatments

A new study from scientists at Oregon Health & Science University confirms what many patients have suspected for some time: After undergoing regular treatments with Botox, patient can space out the length of time between treatments without sacrificing results. In the study, 50 women between the ages of 30 and 50 underwent Botox injections every 4 months for 2 years. After that time, the patients only underwent injections every 6 months without sacrificing results. Furthermore, the study showed, as many patients suspect, that Botox is actually effective in preventing wrinkles from forming.

Treatments with Botox are one of the most popular cosmetic procedures worldwide, with millions of patients treated annually. It is FDA-approved for treatment of glabellar frown lines (the “elevens” or wrinkles between the eyebrows) and is commonly used off-label for treatment of forehead wrinkles and crow’s feet. This study demonstrates that patient’s undergoing chronic treatment can anticipate lowering the yearly cost of treatment after two years of regular treatments.

If you have questions regarding Botox or other facial injectables, do not hesitate to contact Dr. Jejurikar’s office Dallas Plastic Surgery Institute at 214-827-2814.

Source: http://www.surgery.org

Important Considerations Before Cosmetic Surgery

Many people ask preoperatively what they can do to minimize the chances of problems after surgery.  Although the possibility of complications always exists, there are very things that you can do to minimize complications and to speed up the recovery process.

First, it is very important to stop using tobacco. Many clinical studies have shown that tobacco usage significantly impairs wound healing and can lead to healing complications. Stopping all tobacco use at least 4-6 weeks before surgery will lessen the chances of wound healing complication and infection.  Although quitting tobacco is not easy, it is incredibly import to optimize the safety of surgery.

Second, it is important to eat well. A diet high in protein improves the ability of the body to heal large surgical incisions. The interval of time just before surgery is not the time to diet and to become malnourished, as it will increase your risk of complications.  In addition to adequate protein intake, a well-balanced diet supplemented with a multivitamin can be helpful.

Third, it is important to be in a good overall state of health.  What does this mean exactly?  It means that, if you have diabetes, make sure your blood sugars are well controlled. If have heart disease, make sure your blood pressure and cholesterol levels are optimizes preoperatively.  This may seem self evident, but having a major medical complication after elective surgery can not only be harmful to your health, but it could also lead to significant complications with healing after surgery.

Fourth, it is important that you have a support structure intact that allows you to recover after surgery.  What I mean by this is that patients who do not have help after surgery are oftentimes forced to do too much.  Straining and excessive movement can lead to increased swelling and to other potential complications after surgery.  In addition, if you do not give yourself enough time to recover from surgery and have to return to work prematurely, you can increase the risks of complications as well.

Should you have more questions about cosmetic surgery and aesthetic procedures at Dallas Plastic Surgery Institute, please contact Dr. Jejurikar’s office at 214-827-2814.

Nonsurgical nose job – case study

Here’s an interesting alternative to surgical rhinoplasty. This patient presented to my office a little more than a year after undergoing rhinoplasty (nasal surgery) in another city. He was unhappy with a depression along the left side of his nose, which, on my exam, seemed to be deficient or absent nasal cartilage. He was reluctant to undergo repeat surgery, but wanted to learn about nonsurgical options.

I recommended treatment with Juvederm, a hyaluronic acid filler. He was treated with one syringe of product. He is seen before the injection (left), immediately after the injection (center) and one week after the injection (right). The results are not permanent, but commonly last one year or more.

Discover Dallas Best Plastic Surgeon | Sam Jejurikar MD

To learm more about injections with dermal fillers, Juvederm, or nonsurgical rhinoplasty, do not hesitate to contact Dr. Jejurikar at 214-827-2814.

FDA Approves Competitor to Botox

Get ready for a new competitor to Botox and Dysport. The FDA has approved Xeomin (incobotulinumtoxinA) for temporary treatment of glabellar frown lines (wrinkles between the eyebrows, otherwise known as the “elevens”).

Merz Aesthetics will distribute the product in the United States. According to a company statement, the approval is based on the results of two multicenter clinical trials involving 547 patients . In both studies, Xeomin injections significantly improved the appearance of glabellar frown lines in a month when compared with placebo. The product was not compared to Botox or Dysport.

Under a different brand name (Bocouture), Xeomin is already approved in 14 European countries. Merz officials says Xeomin will be available throughout the United States in the spring of 2012.

Panniculectomy versus Tummy Tuck

Patients often come to the office seeking third-party insurance coverage for their abdominoplasty (tummy tuck). That almost never occurs, as, by definition, tummy tuck is an operation performed for cosmetic procedures, and, as such, is not medically necessary. With a tummy tuck, the abdominal wall is aesthetically re-shaped, the abdominal wall muscles tightened, the belly button is re-shaped, and liposuction is often used to recontour the love handles and upper abdomen. To see many examples of before and after tummy tuck pictures, see Dr. Jejurikar’s photo gallery.

Insurance companies may some times cover the cost of panniculectomy. Patients often believe that this is equivalent to a tummy tuck, which could not be further from the truth. Panniculectomy is a functional operation that is not cosmetic in any way. With extensive documentation of skin rashes or infection, nonhealing wounds, or interference with walking. This is a typical before and after picure of a panniculectomy; note the drastic differences compared to abdominoplasty.Discover Dallas Best Plastic Surgeon | Sam Jejurikar MDDiscover Dallas Best Plastic Surgeon | Sam Jejurikar MD

THIS IS NOT A TUMMY TUCK!

Panniculectomy only removes the lower abdominal skin (pannus) is removed – that’s it. Because of that, the abdomen still has excess skin, a misshapen belly button, fat excess of the love handles and upper abdomen, and an overall flaccid appearance. A panniculectomy can be combined with a tummy tuck, but the tummy tuck is, yet again, considered a cosmetic procedure, not eligible for insurance coverage.

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

The Results of Brazilian Butt Lift Do Not Appear on X-ray

Many of you have seen the picture posted all over the Internet: Kim Kardashian is proudly posed next to an x-ray, which reveals no evidence of buttock implants.  This is meant to be proof that she has not undergone any type of buttock augmentation or buttock enhancement.

I have no personal knowledge as to whether or not Ms. Kardashian has undergone buttock augmentation.  However, the most commonly performed method of buttock augmentation, the Brazilian butt lift, does not utilize buttock implants.  In this procedure, extensive liposuction is performed elsewhere in the body, most commonly the inner thighs, outer thighs, lower back, and abdomen.  After a purification process, the fat is re-injected into the buttocks.  With the Brazilian butt lift, patients experience a very natural result using their own fat.  Because the results are so natural, and no implants are utilized, there is no evidence on x-ray that the patients have undergone surgery.

Thus, although Ms. Kardashian may be telling the truth, and she may not have undergone buttock augmentation surgery, the x-ray proves little.

If you would like to learn more about the Brazilian butt lift or other forms of cosmetic surgery, please do not hesitate to contact Dr. Jejurikar of Dallas Plastic Surgery Institute at 214-827-2814.  He has offices in Plano and Dallas, TX.

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