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Gluteal Augmentation With Fat: The Brazilian Butt Lift at the Dallas Plastic Surgery Institute with Dr. Sam Jejurikar, Board Certified Plastic Surgeon

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One of the most commonly sought out procedures in Dallas and Plano is the Brazilian butt lift.  This procedure involves performing extensive liposuction elsewhere on the body and using the removed fat to augment and lift the patient’s buttocks.  It is a well-tolerated procedure that generally takes about 3-4 hours.  Areas that undergo liposuction traditionally involve the inner and outer thighs, abdomen, love handles, and lower back.

One of most important thing a patient needs to know before the procedure is the expected recovery time.  Patients are asked to refrain from lying on their back, so as to avoid pressure on their buttock, for 2 months after the procedure.  Patients are also asked to avoid directly sitting on their buttock for 2 weeks after the procedure.  After 2 weeks, patients are asked to place a rolled towel or a pillow under the back portion of the thighs, specifically where the hamstrings lie.  With this, the pressure on the buttock is off-loaded, and this is thought to help fat heal quicker after the operation.

If you would like to learn more about one of the most popular procedures in Dallas, please do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.

How much swelling and bruising you have after Dallas laser resurfacing depends entirely on how much time you have to recover from the procedure. Laser resurfacing in Dallas and Plano must always be individualized to the needs of the patient.  If you have a few weeks, I can be very aggressive with the procedure. This will lead to dramatic improvement in facial wrinkles and pigmentation; redness may last 3-6 months after the procedure. If you only have 3 or 4 days, there are still excellent laser treatments I can perform, with much less redness thereafter. Ultimately, the specific laser treatment must be tailored to the amount of time you have to recover after the procedure.

So, what are the different options for laser resurfacing in Dallas?  One of the ways we classify different laser resurfacing procedures is by whether or not they are fractional or full field resurfacing.  Full field laser resurfacing includes some traditional types of laser treatments, including carbon dioxide and erbium lasers.  With these types of procedures, all of the skin on the face is treated. Although the results can be beautiful, if the treatment is done at a deep depth, it will take longer to heal.  A full field laser can be done at a more superficial depth to speed up the recovery.  Fractional lasers treat some of the skins but leaves tiny islands of skin cells untreated.  Two of the most commonly used fractional lasers used in my practice is Fraxel re:pair and Fraxel re:store.  While all the differences between these lasers are too much for this blog entry, the re:store is non-ablative, which means it is not destructive, and the re:pair is ablative, which means that it destroys columns of skin. Re:pair usually is performed in the operating room and re:store is usually performed with the patient awake in a treatment room.

Regardless of the amount of time you have to heal, there are great treatments available to you.  Benefits of all of these laser treatments include elimination irregular pigmentation, treatment of fine or deep wrinkles, and a healthier glow to the skin.

If you would like to learn more, please do not hesitate to contact Dr. Jejurikar at 214-827-2814.

Rhinoplasty, or nose reshaping surgery, can be performed for many reasons, but most commonly is done to improve appearance, improve breathing, or after an accident or trauma.  Although specific medical insurance policies vary, many medical insurance plans will cover some of the costs of nasal surgery if it can be documented that it is being done for functional reasons (i.e. to improve breathing). Any aspect of the procedure done to improve appearance, however, including reshaping of the tip, removal of a hump, narrowing of the nose, etc., generally is not covered by these same insurance policies.

To learn more about rhinoplasty, including its risks and recovery, don’t hesitate to contact Dr. Jejurikar’s office at the Dallas Plastic Surgery Institute or at Legacy Medical Village in Plano at 214-827-2814.

It is not uncommon to have patients come in seeking liposuction for major weight loss.  It is important to clarify with these patients, and to the general public, that liposuction is not a great option for weight loss.  Liposuction gives much better and more predictable results for patients close to their ideal body weight who are looking to sculpt their body. 

 

If a considerable amount of weight loss is required, other surgical options are better.  Specifically, bariatric procedures, including LAP-BAND, gastric bypass, gastric switch, etc.  These procedures allow for much greater and predictable amounts of weight loss, which then can be followed by body contouring surgery to help sculpt the body. 

 

If you have any questions about body sculpting or body contouring surgery, please contact Dr. Jejurikar at the Dallas Plastic Surgery Institute at 214-827-2814. 

Capsular contracture can be a relatively common complication after placement of silicone breast implants or saline breast implants. Scar tissue normally forms around breast implants in all circumstances. In some cases, over time, it can tighten and compress the implant, making it feel firm and painful, causing what is called a capsular contracture. Capsular contracture is more common following infection, hematoma, or seroma, and the chance of it happening may increase over time. It occurs more commonly in revision breast augmentation than in primary breast augmentation.

Capsular contracture is also a risk factor for implant rupture, and is the most common reason for re-operation after breast implant placement. Symptoms of capsular contracture can range from just mild firmness and discomfort, to severe pain, distorted appearance of the breast, and the ability to feel the implant. It is classified into 4 levels, depending on its severity:

Baker Grade I: The breast is soft, and looks natural.

Baker Grade II: The breast is a little bit more firm, but looks normal.

Baker Grade III: The breast is firm and looks abnormal.

Baker Grade IV: The breast is hard, painful, and looks abnormal.

The data for both silicone and saline breast implants says that about 1 in 6 women will develop a severe capsular contracture, either grade III or IV, through 7 years after breast implant placement. For women receiving revision breast augmentation, this risk increased to about 1 in 5. When pain and firmness or abnormal appearance is particularly severe, additional surgery may be required. This usually requires removal of the breast implant capsule and replacement of the breast implant.

Should you be developing firmness, hardness, or distorted appearance after your breast implant placement, you may have a capsular contracture. To learn more about this condition, please contact Dr. Jejurikar at 214-827-2814, at the 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.

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.

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