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

FDA offers new warning about breast implants and cancer – Dr. Sam Jejurikar, Dallas Plastic Surgeon, Discusses the Significance

Tag Archives: Dallas Plastic Surgery Institute

Yesterday, the Food and Drug Administration (FDA) issued a warning that silicone and saline breast implants may be associated with a rare form of cancer. The cancer, known as anaplastic large cell lymphoma (ALCL), has been found in 34 women with breast implants. ALCL has been found in the capsule surrounding the implant, but not the breast tissue itself. The FDA concluded that there may be a link between breast implants and ALCL after examining scientific literature that described ALCL in 34 women with breast implants, as well as data from national and international regulatory agencies, scientific experts, and breast implant manufacturers. In most cases. ALCL was found years after breast implant surgery.

It is estimated that 5-10 million women worldwide have breast implants. With only 34 cases of ALCL described, it’s impossible to say at this time that breast implants cause ALCL. Even though the risks of getting ALCL with breast implants, if real, are exceedingly small, given that the usual incidence is around 1 in 500,000, it’s important to investigate this matter more thoroughly. To that end, the FDA and the American Society of Plastic Surgeons (ASPS) are establishing a registry of ALCL patients who have breast implants. FDA scientists hope the registry yields enough information to better understand what the risks for developing ALCL are for women with breast implants.

Ultimately, what’s a patient to do? If the risk of getting ALCL from breast implants is real, it is exceedingly small. Says Caroline Hove, spokesperson for Allergan in an article from the Wall Street Journal, “”A woman is more likely to be struck by lightning than get this condition.” That being said, ALCL has the potential to be fatal; the informed patient should be aware of this very small but possibly significant risk associated with breast implants.

Many patients like to pose the question, “Am I ready for a facelift?” The truth is that there is no good answer to this question. Face lift is an elective procedure. It is particularly good at treating hollowing of the cheeks, prominent nasolabial folds (parenthesis deformity), jowls, and general heavy facial sagging. The invasiveness of the procedure usually correlates to the amount of deformity that a patient has. Specifically, patients in their early 40s are oftentimes good candidates for minimally invasive face lifts, which would involve a short scar and less manipulation of the deep tissues of the face. More advanced facial aging oftentimes requires a full face lift, with extensive treatment of the neck and more extensive reshaping of the deeper soft tissues. The amount of swelling with both procedures can range anywhere from 10-21 days, and has much to do with a patient’s intrinsic physiology.

The bottom line is, if you are motivated to undergo a more permanent correction of your facial aging, it may be an appropriate time to consider facial cosmetic surgery. If you are not motivated, noninvasive treatment with products such as Botox, Dysport and facial fillers, including Juvéderm, Restylane, and Radiesse, may be a better option.

Ultimately, if you have questions about treatment to reverse the signs of facial aging, your best bet is to seek consultation with a board certified plastic surgeon. If you would like to contact Dr. Jejurikar, please call his office at 214-827-2814.

With the economic recession in the United States, more people are working longer and are seeking an advantage for maintaining a youthful appearance in the work place. Although this may not improve one’s job performance, many times, particularly when looking for new employment, a competitive advantage can be obtained by looking more refreshed and more youthful. In the last year, it has become apparent that Botox and its competitor, Dysport, are being performed with more and more frequency for precisely this purpose. These treatments help eliminate dynamic wrinkles, particularly crow’s feet around the eyes, frown lines between the eyebrows, and lines across the forehead. With relatively simple and quick office injection of Botox or Dysport, wrinkles can disappear within just a matter of days.

The cost of Botox and Dysport varies, depending on the amount of product used and the areas treated. In general, patients can expect to pay between $350-$700 per treatment. Results generally last from 3 to 6 months.

Should you have questions about this procedure or other noninvasive procedures to gain a competitive advantage in the workplace, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814. Dr. Jejurikar is a board certified plastic surgeon with convenient office locations in Dallas and Plano.

Many patients come to the office, complaining about the appearance of their nasal hump. Some of the patients want the hump to go away, but don’t necessarily want surgery to fix it.

The great news is that dermal fillers can be used to correct this. The most commonly used filler used for this is Radiesse, which is made out of calcium hydroxylapatite. Although the results are not permanent, they generally last 12-18 months. Radiesse is not a great treatment for and overly long or short nose, a wide or bulbous nasal tip, or an overly wide nose.

If you are troubled by the appearance of your nose, and you would like to learn more about nonsurgical nose jobs and surgical rhinoplasty, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

My mom always told me to get my beauty rest. Now science backs her up.

According to a recently published study from the British Medical Journal (link), sleep deprived people are perceived as less healthy, less attractive, and more tired than after a normal night’s sleep. Participants in the study were photographed after a normal night’s sleep (eight hours) and after sleep deprivation (31 hours of wakefulness after a night of reduced sleep). The photographs were randomized and rated by untrained observers. Participants were rated using a visual analog score. The findings were that sleep deprived people were perceived as less healthy, more tired, and overall, less attractive than after a normal night’s sleep.

Plastic surgeons, including me, usually give patients advice that focus on skin care and surgery. This study is a reminder that simple, basic things, including getting a good night’s sleep, are just as important for maintaining a youthful and attractive appearance.

To set up a consultation, don’t hesitate to contact Dr. Jejurikar at 214-827-2814.

I’ve seen many patients in their late 30s and early 40s who are interested in treating early facial aging. Most are familiar with Botox and fillers such as Juvederm, Restylane and Radiesse, but they want to learn about options with longer lasting results.

A facelift consists of repositioning deep facial soft tissue and tightening of the skin. Although it remains the gold standard for treating signs of facial aging, it is an invasive surgical procedure and requires 2-3 weeks of recovery. Some patients don’t have the time for this, or feel that they are too young for this option.

There are other options for signs of early facial aging in Dallas. The first is a new treatment called Ulthera, which is offered at EpiCentre Dallas and EpiCentre Legacy (Plano). This involves deep ultrasound treatment to reposition and tighten the deeper facial fat and soft tissue. Although the results are not as dramatic as those seen with a facelift, Ulthera offers proven clinical results with minimal downtime. Another treatment, which is effective for skin tightening, is Thermage. Thermage uses radiofrequency, or heat, to tighten the skin. This can effectively tighten the skin of the lower face and neck with virtually no downtime.

If you would like to learn more about surgery for facial aging in Dallas, as well as noninvasive treatments, including Ulthera, Thermage, Botox, Juvéderm, Restylane, and Radiesse, don’t hesitate to contact Dr. Jejurikar’s office at (214)827-2814.

Awake liposuction is now available for patients at the Legacy Plastic Surgery Institute, the home of the Dallas Plastic Surgery Institute in west Plano. Tickle liposuction involves utilizing a European system known as Vibroliposuction. This involves using a small cannula, which utilizes nutational movements to cause very little trauma and pain during the procedure, allowing for it to be performed while awake.

While it is a misnomer to think that this is not an invasive surgical procedure, it can be performed with patients being awake quite comfortably. Patients can expect to have between 2.0-2.5 liters of fat removed from the abdomen utilizing this system. The most commonly treated areas for this include the abdomen, love handles, thighs, and arms.

If you would like additional information, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Botox has recently been approved by the Food and Drug Administration for the treatment of migraine headaches. The specific patients approved by the FDA suffer from severe headaches at least 15 days per month. Many patients have been using Botox for treatment of headaches for several years as an off-label use, and have found tremendous benefit.

Botox works by blocking nerve signals to muscles, paralyzing muscles that can cause headaches. Often times 20-30 injections are required in the forehead, temples, and neck. The treatments can provide up to 3-4 months of relief from nagging and painful headaches.

If you would like additional information, please contact Dr. Jejurikar at the Dallas Plastic Surgery Institute.

Lower body lift, otherwise known as belt lipectomy or circumferential abdominoplasty, is a comprehensive and effective operation for patients who have lost large amounts of weight. This surgery essentially involves combining 3 commonly performed procedures: buttock lift, outer thigh lift, and tummy tuck (abdominoplasty). During this operation, patients are turned onto their front, back, and sides, and tissue is removed in a belt-like pattern circumferentially from the patient. With this, the outer thighs are tightened, the buttock is lifted, and a standard tummy tuck is performed.

This operation traditionally takes 6-8 hours and patients are asked to spend one or two nights in the hospital. Although it is more extensive than a standard or extended tummy tuck, assuming the patient is in good health and has undergone a thorough preoperative assessment, it is convenient and safe to perform lower body lift.

Should you have any questions regarding lower body lift, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Gynecomastia (male breast development) is very common condition in young adolescent males. It can be present in up to 40% of young males at the age of 14. Usually, it will have resolved in 75% of these teenagers by the age of 16, and in 90% by the age of 17.

Although relatively common, gynecomastia should still be evaluated by a patient’s pediatrician. Rarely, it can be associated with certain genetic disorders and metabolic disorders. Much more commonly, it represents a cosmetic deformity, and can be a source of social embarrassment for young men.

If there is no sign of regression by the age of 15 or 16, it is very likely that gynecomastia will not completely recede. If the breast has not changed for a period of several months, it is certainly reasonable to seek consultation with a board certified plastic surgeon to determine whether or not the young adolescent is an appropriate candidate for surgery. In most patients, this can be effectively treated with ultrasound-assisted liposuction, though there are a few circumstances in which larger incisions need to be made. If there are any signs of regression, the best bet is to continue to wait to avoid unnecessary surgery.

Should you have any questions, please do not hesitate to contact Dr. Jejurikar at the Dallas Plastic Surgery Institute. His office telephone umber is 214-827-2814.

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

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