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

Upper Lid Blepharoplasty (Eyelid Lift) – Dr. Sam Jejurikar at the Dallas Plastic Surgery Institute

Tag Archives: Dallas Plastic Surgery Institute

Upper lid blepharoplasty, otherwise known as upper eyelid lift, is one of the most popular facial surgical procedures performed by Dr. Jejurikar. When patients complain that their eyes make them look tired, an upper lid blepharoplasty may be used to create a more refreshed look. An upper eyelid blepharoplasty involves removing skin, as well as oftentimes muscle and fat, from the upper eyelid to eliminate heavy and sagging skin.

An important thing to determine is whether or not the sagging skin of the upper eyelid is truly the result of extra skin of the upper eyelid, or if it is the result of a sagging brow. Sometimes, droopy brows can create a heavy and tired appearance of the upper eyelids. If elevation of the brow helps correct the tired appearance, it is very possible that a brow lift may be necessary, either by itself or in combination with an upper eyelid lift.

Upper eyelid lift alone is a relatively straight forward procedure with minimal pain. It is very common for patients to have significant bruising and swelling for 7-14 days after the procedure. The utilization of over-the-counter supplements to reduce bruising can sometimes reduce this, as can the use of camouflage makeup. The operation can be performed under general anesthesia or under local anesthesia, depending on the extensiveness of the procedure and patient preference.

Should you require more information, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.

Brow lifts can be a very rewarding procedure for many patients. Not only can the brow position be reshaped, but prominent furrows of the central forehead (frown lines) can be improved for many patients. Although the final results can be quite pleasing, the operation does have significant down time associated with it, and many patients simply do not have the time to recover from it.

Treatment with either Botox or Dysport can be used as a chemical brow lift in many cases. Not only can this be used to reduce wrinkles of the central forehead, as well as frown lines, but the outer portion of the brow can also be elevated mildly with Botox. This can lead to a more youthful appearance around the brows and eyes, and avoid the need for aggressive surgery.

The only real downside to these treatments is that they must be repeated every 3-4 months. However, the procedure can generally be performed relatively quickly, in 10-15 minutes.

Should you have any questions regarding brow lift, Botox, or Dysport treatment at the Dallas Plastic Surgery Institute, do not hesitate to contact Dr. Jejurikar at 214-827-2814.

Virtually no patient comes to the office requesting a long scar. In fact, this is the major draw back to abdominoplasty (tummy tuck) surgery for most patients.

Although the scar cannot be eliminated with this operation, Dr. Jejurikar’s goal is to place it in as cosmetically acceptable position as possible. He asks his patients to wear either a bathing suit bottom or an undergarment they would like to be able to wear after surgery, and makes every attempt to design the incision to fall in this location. In addition, he attempts to close the scar as meticulously as possible, leading to as fine a scar as possible. Even with this, in some cases, the scars heal thicker and wider than desired. In these cases, topical medications or corticosteroid injections may be needed to improve the scar. In rare cases, a scar revision in which the scar is excised is required. In some patients, scarring must be treated aggressively for several months to 2 years after the procedure.

Should you have any questions regarding abdominoplasty, the location of the incisions, or scarring, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.

After virtually all types of liposuction, patients are asked to wear compression garments. The rationale for this is that it helps the swelling improve faster after surgery, thereby allowing realization of the postoperative result faster. In addition, in many areas of the body, compressive garments actually help the skin’s natural elastic properties work better, and can actually promote better skin re-contouring. This is particularly true in the chin and arms.

Most patients are more than anxious to get out of their compressive garment, as they complain about getting hot and sweaty, particularly during the summer months. Nonetheless, failure to wear the compressive garments can affect the final postoperative results adversely.

Should you have any additional questions, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.

Many patients complain about fat upper arms. It makes clothing choices difficult, particularly when contemplating wearing anything sleeveless. Many patients come in wishing to know which contouring procedure is best to create a youthful and slim arm.

It is important to differentiate between extra skin and extra fat of the upper arms. Many arms have a selective excess of fat, and these patients are excellent candidates for liposuction alone. Through very small incisions in the underarm and elbow region, the arm can be effectively contoured, and, with utilization of postoperative compression garments, very pleasing results can be noticed just a few weeks after the procedure.

Other patients, particularly those that have lost large amounts of weight, tend to have extra skin. They need some type of additional procedure to remove the extra skin, known as a brachioplasty. In some versions of this operation, incisions can be limited to just the underarm area. In the most complete version of this procedure, an incision is made down the length of the arm, usually along the inner service.

Dr. Jejurikar’s goal is to minimize scarring while providing patients with the best postoperative result.

Should you like more information regarding liposuction or upper arm contouring, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Treatment of lower eyelid wrinkles and tear troughs with dermal fillers is a frequently performed procedure. The most popular agents used for this are Juvéderm and Restylane, which are hyaluronic acid derivatives. Restylane and Juvederm injections are performed in the office without the need for anesthesia. Dermal filler injections are performed relatively quickly, in usually less than 60 minutes. Results typically last 6-12 months.

Some patients are prone to bruising after Restylane and Juvederm injections into the lower eyelids. To minimize the risks of bruising, patients should refrain from using alcohol, aspirin, ibuprofen, or any other blood-thinning agent for at least 10 days prior to dermal filler injections. In addition, utilizing the over-the-counter herbal supplement Arnica Montana, either topically or in pill form, can help reduce post-procedure bruising.

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

There are many advertisements on the internet for “awake breast augmentation”. Many of the surgeons that offer this procedure are not truly board certified plastic surgeons, and thus do not have privileges to perform breast augmentation or breast implant placement at an accredited surgical facility. For that reason, their only recourse is to perform the procedure in their office without general anesthesia.

Make sure that your provider is a board certified plastic surgeon. The process to achieve accreditation by the American Board of Plastic Surgery is quite rigorous, and you can be assured that a surgeon that has achieved these credentials has the necessary expertise and training to perform this operation. A variety of other doctors who have not achieved this presentation, may not even be plastic surgeons.

Should you have any additional questions, please do not hesitate to contact Dr. Jejurikar at 214-827-2814. Dr. Jejurikar is accredited by the American Board of Plastic Surgery.

The terms “closed rhinoplasty” and “open rhinoplasty” are thrown around frequently by plastic surgeons. The difference between these two operations is actually quite small. In an open rhinoplasty, an incision is made across the columella (base of the nose) and extended into the nostrils. In a closed rhinoplasty, incisions are made just within the nostrils. This is sometimes also called an endonasal rhinoplasty. Thus, the only real difference between these operations is the presence of a very small scar across the base of the nose.

So, what are the implications for patients? First, with an open rhinoplasty, visibility of the cartilaginous and bony portions of the nose is much improved. This oftentimes allows surgeons to perform substantially more intricate work to the tip and base of the nose. Because there is such greater visualization, and the skin is lifted much more during this procedure, swelling tends to be worse after this procedure and it can take longer to achieve the final result

The scar at the base of the nose tends to be forgiving and, in most patients, tends to fade considerably over time, to the point of being virtually unnoticeable.

Should you have any other questions regarding rhinoplasty, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.

Many patients have asked me about precautions I take to prevent infection in my cosmetic surgery patients. As everyone knows, cosmetic surgery is completely elective; infections after any surgical procedure can cause significant complications. It is therefore imperative to minimize the risks of infection.

Methicillin resistant Staphylococcus aureus, commonly referred to as MRSA, is becoming more prevalent in the community. Several years ago, this antibiotic resistant bacterium was present only in hospitals. Many healthy people are now colonized with MRSA. It can cause significant problems with delayed postoperative wound complications and infection. For that reason, I routinely screen my patients for bacterial colonization with MRSA before any type of cosmetic surgery procedure. Screening is done by performing a simple nasal swab and determining whether any resistant Staphylococcus aureus grows.

If patients have positive cultures, there is a simple decolonization protocol that is performed to reduce their risks of postoperative infection with MRSA. For five days, patients are asked to cleanse their body with 4% chlorhexidine solution. It is applied in the shower every day, with care taken to focus on the underarms, groin, and into any folds of skin. The antiseptic soap needs to remain on the skin for at least 5 minutes before it is washed off. In addition, patients are asked to apply 2% Mupirocin (Bactroban) antibiotic nasal ointment inside the nostrils 3 times a day.

After this protocol, most patients have been effectively decolonized and can safely proceed with cosmetic surgery.

Should you have more questions regarding this or other cosmetic surgery procedure, contact Dr. Jejurikar’s office at 214-827-2814.

Gynecomastia, or male breast development, is a common, yet embarrassing, condition for many men. There is oftentimes a social stigma associated with gynecomastia, which limits clothing choices and can cause men to avoid removing their shirts in public. Many men are too embarrassed to seek medical treatment for this condition.

Ironically, male breast reduction surgery is one of the most commonly performed procedures for men. In the most common variety of this operation, ultrasound-assisted liposuction is used to remove excessive breast tissue and fat, to provide a flatter, less feminine contour to the chest. In more severe cases, because of significant droopiness to the nipple and areola (pigmented skin around the nipple), incisions need to be made to remove extra skin.

Obviously, the goal with every patient is to provide the best cosmetic results with the least amount of scarring. For that reason, every effort is made to achieve the final result with liposuction and utilization of a compression garment to facilitate postoperative skin shrinking.

If you have any questions, call Dr. Jejurikar’s office at 214-827-2814 to schedule a consultation.

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

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