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

Breast Lift Dallas – What Incision is Right for Me? Dr. Sam Jejurikar, Board-Certified Plastic Surgeon

Tag Archives: Dallas Plastic Surgery Institute

Many women experience changes in the appearance of the breasts after massive weight loss, pregnancy, or breast-feeding. Oftentimes, these women will come in for consultation, looking for either a breast lift or placement of breast implants. It is important to realize that breast implants are primarily aimed at increasing lost volume in the breasts, particularly in the upper portion of the breasts, and have very little effect on sagging breast skin and on downward-pointing nipples and areolas.

For patients that do suffer from severe droopiness of the breasts, as well as sagging breast tissue, breast lift (mastopexy) tends to be the best option. Oftentimes women are resistant to hearing this, as they do not want the scars that are associated with the operation.

There are a large variety of incisions that can be utilized for performing a breast lift. In the most limited incision form of breast lift, known as a circumareolar lift or Benelli mastopexy, an incision is made just around the areola (the pigmented skin surrounding the nipple). This operation is useful only for very mild forms of breast droopiness, and is best performed in combination with placement of a breast implant. The reason for this is that be Benelli mastopexy does very little to restore lost volume in the upper portion of the breasts, which is usually seen in association with mild droopiness. For mild forms of droopiness (ptosis), however, the performance of a Benelli mastopexy in combination with breast implants can lead to a very pleasing shape.

The next form of mastopexy is known as a circumvertical, or lollipop mastopexy. In this form of breast lift, an incision is made around the areola, and a vertical incision is made from the areola along the middle portion of the breast to the crease at the bottom of the breast. This is far and away the most common type of incision utilized for mastopexy. This access allows the surgeon to reshape breast tissue, and place a large portion of breast tissue from the bottom portion of the breast into the upper pole of the breast, where breast volume is lacking. It can be utilized for mild to severe forms of breast droopiness. It can be performed in combination with either saline breast implant or silicone breast implant placement, but can also be performed without breast implant placement.

The last form of mastopexy is known as a Wise pattern mastopexy or anchor pattern mastopexy. This involves an incision around the areola, a vertical incision from the areola to the crease at the base of the breast, and an incision along the very base of the breast. This is the traditional type of incision utilized for mastopexy, and is most often reserved for patients that have lost massive amounts of weight, and have a severe amount of extra skin. Like the lollipop mastopexy, it can be performed with or without the placement of breast implants.

If you have any questions, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Many patients ask me if their breast implants have any type of warranty. The answer is yes. Here are the details of Allergan’s ConfidencePlus® breast implant warranty program:

Lifetime Product Replacement – regardless of the age of the implant, Allergan provides product replacement in the event of a deflation or rupture
10 years of guaranteed financial assistance
Up to $1200 in out-of-pocket expenses for surgical fees, operating room and anesthesia expenses not covered by insurance
Silicone filled and saline filled breast implants covered

If you’d like more information on breast augmentation in Dallas or Plano, or would like to schedule a consultation, please contact Dr. Jejurikar’s office at 214-827-2814.

Facial injections with Botox and Dysport are becoming increasingly popular with patients because they can be administered in as few as 15 minutes, there is virtually no downtime, and results are apparent within just a few days. So are there significant differences?

To start with, there are more similarities than differences. Both are derivatives of Botulinum Toxin and paralyze muscle to smooth facial wrinkles. The costs are similar between the products.

In some patients, Dysport does last longer than Botox (4-5 months as compared to 3 months). The results often times are apparent more quickly, often times being seen in 24 hours, as opposed to 2-3 days with Botox. Both products work great on the forehead. Dysport injections into the glabella (frown lines) must be performed carefully, as the product diffuses more than Botox and theoretically has a higher risk of causing eyelid ptosis (droopiness).

If you’d like more information, or would like to schedule a consultation, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

Despite the downturn in the economy and the nationwide drop in invasive cosmetic surgery procedures, an American Society of Plastic Surgeons survey of physicians found that minimally invasive procedures, such as facial injections of Botox, Juvederm, Restylane, Radiesse and Dysport, rose 6 percent this year. Not only are patients finding these treatments to be less costly options to surgery, but are utilizing these treatments as an effective way to appear youthful in the work place.

Facial injections can be used to treat marionette lines around the mouth, smooth eyelid wrinkles, treat forehead wrinkles and frown lines, and treat early jowls. Results of treatments with Botox and Dysport generally last from 3-6 months, whereas those with facial fillers such as Juvederm, Restylane and Radiesse can last 9-18 months. These treatments can be performed with minimal to no downtime with results that are visible shortly after the procedure is performed.

For more information, call Dr. Jejurikar’s office at 214-827-2814 to set up an appointment.

Buttock augmentation with fat, or the Brazilian Butt Lift, is being performed with increased frequency. The concept is quite simple; patients undergo liposuction in various locations and the fat that is removed is then re-injected to create a fuller, shapelier buttock.

The most common sites for liposuction include the love handles, inner and outer thighs, abdomen and lower back. The fat that is removed is processed prior to reinjection to remove natural oils and serum. Even with this, the body reabsorbs some of the fat that is injected in the first few weeks after surgery. To compensate for that, if possible, Dr. Jejurikar overinflates the buttocks initially after surgery. To try to minimize the amount of fat reabsorbed, patients are asked to avoid placing any pressure on the buttocks for 10-14 days postoperatively. They are also asked to minimize sitting as much as possible and to pad the buttock while sitting for six weeks thereafter.

For more information, check out the photo gallery or contact Dr. Jejurikar’s office at 214-827-2814 to set up an appointment.

I’m struck by the number of patients who come in seeking liposuction, but really need abdominoplasty surgery (tummy tuck). There are important differences between tummy tuck and liposuction, which help determine which procedure is right for you.

During liposuction, a blunt cannula is used to suction fat through multiple tiny incisions. Although many types of liposuction are available, including standard tumescent liposuction, ultrasound liposuction (VASER), power-assisted liposuction, tickle liposuction (vibroliposuction), etc., no skin is removed with any type of liposuction. The best liposuction candidates maintain a healthy lifestyle and have focal fat deposits not responsive to diet and exercise.. Liposuction is not effective as a means for major weight loss. Liposuction is not effective in treating skin with stretch marks, which are signs of irreversible skin injury, or muscle looseness, all of which is common after pregnancy or massive weight loss. In fact, in a patient who really needs a tummy tuck, liposuction may worsen the patient’s appearance. However, in patients close to their ideal body weight, without significant stretch marks, liposuction can be highly effective in treating extra fat of the love handles, thighs, back, arms, neck, calves and ankles.

Abdominoplasty (tummy tuck) is usually a far better option for patients who have experienced massive weight loss or multiple pregnancies. Most of these women have extra abdominal skin with stretch marks, and separation of the abdominal wall muscles (rectus diastasis). The muscle looseness gives the impression of an upper abdominal bulge and a lower abdominal skin apron. These women are great candidates for a tummy tuck, particularly if they are close to their ideal body weight. With removal of the extra abdominal skin, tightening of the abdominal muscles, and reshaping of the belly button, achieving a youthful appearance to the abdomen is often possible!

Questions? Feel free to call 214-827-2814 to schedule an appointment today!

A commonly asked question during Dallas breast augmentation consultations is whether breast-feeding is affected by the placement of breast implants. The most definitive answer is…maybe….but probably not! The official position of the American Society of Plastic Surgeons is that breast-feeding is not affected by placing silicone breast implants or saline breast implants. There are countless women in the world who have successfully breast fed their babies after breast augmentation.

There are some important facts to know, though. First, it’s well accepted that certain incisions are more prone to causing nipple and areola (the pigmented skin surrounding the nipple) numbness. The periareolar incision is the most likely to do this. It is reasonable to assume that nipple numbness, although not preventing breast-feeding can impede the mother’s ability to do so. Second, there is debate about whether silicone from implants can leak into breast milk, and if it does, whether it’s harmful to a baby. Despite repeated attempts to prove so, no large studies conclusively demonstrate higher levels of silicone in breast milk of mothers with silicone breast implants, nor do they show a higher incidence of autism, autoimmune disorders, swallowing dysfunction, or other disease.

So, in a nutshell, it’s more than reasonable for mothers with breast implants to attempt breastfeeding and to feel comfortable that they are not negatively impacting the health of their babies. For more information, or to schedule a consultation, don’t hesitate to contact our office at 214-827-2814.

Breast augmentation is an intensely gratifying procedure for patients, as they see immediate results after the procedure. Like any surgical procedure, though, patients need to allow some time for recovery.

Recovery is variable from patient to patient. Most patients feel tired and sore after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week. After a week, most patients have mild fatigue and soreness, but no other significant symptoms.

Surgeons vary in the amount of time they restrict their patients from exercising postoperatively. I ask my patients to refrain from all vigorous exercise for 2 weeks postoperatively and from all upper body exercises for 4 weeks. Patients don’t always want to comply with this, as they feel relatively normal well before their postoperative restrictions are lifted.

Scars from breast augmentation incisions will begin to fade in a few weeks and will continue to fade for months or years.

This story is taken from the Wall Street Journal

A Johnson & Johnson (JNJ) unit has decided to stop making and selling a product called Evolence, used to fill facial lines in cosmetic procedures.

Ortho Dermatologics, a division of J&J’s Ortho-McNeil-Janssen Pharmaceuticals, has a note on its Web site regarding the withdrawal, which it said was announced on Tuesday. The company confirmed the move in a statement.

The Evolence halt is part of an effort “to refine strategic priorities and focus investment on other growth opportunities,” Ortho Dermatologics said.

Many options for future management were explored before this decision was made, the company said. It added that patients and medical professionals can be assured that Evolence “remains effective for the correction of moderate to deep wrinkles and folds with a favorable safety profile.”

The facial filler gained approval from the U.S. Food and Drug Administration in June 2008, but it has been available in certain international markets since 2004. The U.S. arrival coincided with a rough time in the market for cosmetic medical products, which usually are not covered by insurers and came under pressure due to the recession.

J&J announced on Tuesday that it plans to lay off as many as 8,200 workers worldwide as part of a plan to save up to $1.7 billion in 2011.

-By Jon Kamp, Dow Jones Newswires

Awake Liposuction

Wide-awake liposuction is one of the newest trends in body sculpting surgery. Dr. Jejurikar can perform liposuction on selected areas of the body without his patients needing general anesthesia. Not only does this lower the costs, but it avoids some of the side effects traditionally associated with general anesthetic agents. The procedure is performed at EpiCentre Park Lane (Dallas) as well as at EpiCentre Legacy (Plano).

Technique

Dr. Jejurikar utilizes vibroliposuction for wide awake liposuction. In this system, which was invented in Beligum and is now used extensively in Europe, Asia and South America, the liposuction cannula is activated by air pressure, producing a complex movement of the tip. The complex cannula movement allows local anesthetic to infiltrate more evenly in the patient’s fatty tissue, creating less patient discomfort. In addition, the cannula movement causes emulsification of the patient’s fat, allowing for quicker and more uniform fat removal. In addition, this technique promotes much less post-procedure swelling and bruising.

Recovery and Results

After wide-awake liposuction, patients may experience mild swelling, bruising and discomfort in the treated area. Compression garments or elastic bandages may be used to help reduce these symptoms while the area heals. Patients usually can return to work in one or two days. Exercise and other strenuous activities should be avoided for two weeks.

Call 214-827-2814 to arrange a comprehensive consultation for body contouring surgery

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

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