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    Working Toward Painless Treatments with Injectable Fillers

    Tag Archives: Sam Jejurikar

    Treatments with injectable fillers, such as Juvederm, Restylane, Radiesse, and Sculptra, not to mention others, can restore a youthful appearance to the lips, nasolabial folds, marionette lines, midface, jowls and lower eyelids, with minimal to no downtime.  Many patients avoid these treatments, though, because they have heard horror stories from friends or colleagues about the pain associated with these treatments.  Suffice it to say, this needn’t be the case – there are steps your plastic surgeon can take to make these treatments more comfortable.

    Recently, BioForm Medical, Inc., makers of Radiesse, received approval from the Food and Drug Administration to mix the filler with lidocaine, an injectable local anesthetic, prior to injection into the skin.  This approval was based on a large study of patients, in which 100% of patients reported feeling less pain when Radiesse was pre-mixed with lidocaine.  Many plastic surgeons, including me, have begun to pre-mix lidocaine with all fillers, including Juvederm, Restylane, and Evolence, not to mention Radiesse, prior to injecting into patients.  The results of treatment are still great, but patients are significantly more comfortable during treatment.

    Others things your plastic surgeon can do to make your treatment with injectable fillers more comfortable include:
    •    Using topical anesthetic gel for at least 30 minutes prior to commencing any injections.
    •    Augmenting treatment with topical anesthetic gel with injections of local anesthetic into nerves above and below the lips.
    •    Using small gauge needles and slow injection techniques

    Combining all of these treatments can ensure that you’ll not only look great after your treatment with injectable fillers, but you’ll feel pretty great during the treatment too!

    Understanding the Risks Associated with Breast Implants

    Breast implants are a popular option for enhancing breast size and shape, but like any medical procedure, they come with risks. These risks can range from mild to severe, depending on individual circumstances, implant type, and surgical technique. Here, we break down the potential complications and discuss differences among textured and smooth implants as well as saline, silicone, and Motiva implants.

    Mild Risks

    1. Pain and Discomfort:
      • Some patients may experience mild pain or tightness in the chest following surgery. This usually subsides within a few weeks as the body adjusts. (Occurs in approximately 20-30% of patients)
    2. Swelling and Bruising:
      • Swelling and bruising around the surgical site are common and typically resolve over time. (Occurs in up to 50% of patients post-surgery)
    3. Changes in Sensation:
      • Temporary changes in nipple or breast sensation, such as numbness or heightened sensitivity, can occur. (Reported in 10-15% of patients)

    Moderate Risks

    1. Capsular Contracture:
      • This occurs when scar tissue around the implant tightens, causing the breast to feel firm or appear distorted. It may require revision surgery. (Affects approximately 10-15% of patients)
    2. Rupture or Leakage:
      • Saline implants may deflate if ruptured, while silicone implants may require imaging to detect silent ruptures. (Rupture rates range from 1-5% over 10 years)
    3. Infection:
      • Infections around the implant site can occur, potentially requiring antibiotics or implant removal. (Occurs in 1-2% of cases)
    4. Seroma Formation:
      • Fluid accumulation around the implant may lead to swelling and discomfort. This may require drainage. (Reported in 2-5% of patients)

    Severe Risks

    1. Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL):
      • A rare but serious cancer of the immune system linked to textured implants. (Estimated at 1 in 2,200 to 1 in 86,000 for textured implants)
    2. Breast Implant Illness (BII):
      • A collection of systemic symptoms, such as fatigue, brain fog, and joint pain, reported by some patients. While not officially recognized as a medical condition, it has gained attention in recent years. (Prevalence unclear, but widely discussed in patient communities)
    3. Severe Implant Rupture Complications:
    • In rare cases, implant rupture can lead to significant pain and the need for immediate surgical intervention. (Rupture rates are low, with significant complications being exceedingly rare)

    Textured vs. Smooth Implants

    • Textured Implants:
      • Pros: Reduced risk of capsular contracture and better adherence to tissue, which helps them stay in place.
      • Cons: Higher association with BIA-ALCL and slightly rougher feel.
      • Risk of BIA-ALCL: Approximately 1 in 2,200 to 1 in 86,000, depending on the manufacturer and type.
    • Smooth Implants:
      • Pros: More natural feel and lower risk of BIA-ALCL.
      • Cons: Higher likelihood of shifting position over time and potentially increased capsular contracture risk.

    Saline vs. Silicone vs. Motiva Implants

    • Saline Implants:
      • Pros: Filled with sterile saltwater, easily detectable leaks, and lower surgical costs.
      • Cons: Firmer feel and higher likelihood of rippling. (Rippling reported in up to 10-15% of cases)
    • Silicone Implants:
      • Pros: More natural feel and appearance. Silicone gel maintains shape better in case of rupture.
      • Cons: Requires regular monitoring (e.g., MRI) to detect silent ruptures and higher initial cost. (Silent rupture rates estimated at 1-2% per year)
    • Motiva Implants:
      • Pros: Advanced technology with a natural feel, lower capsular contracture risk, and innovative safety features like microchip tracking.
      • Cons: Limited availability and higher cost compared to traditional silicone and saline implants. (Capsular contracture rates as low as 1-2%)

    Conclusion

    Understanding the risks associated with breast implants and the differences among implant types is crucial for making an informed decision. Patients should discuss their goals, medical history, and concerns with their surgeon to determine the best option for their needs. While risks exist, choosing an experienced surgeon and following post-operative care instructions can significantly improve outcomes and minimize complications.

    The Differences Between Silicone and Saline Implants: Understanding Your Options

    When considering breast augmentation, choosing the right type of implant is one of the most important decisions you’ll make. While saline and silicone implants have both been widely used for decades, advances in silicone implant technology have made them the more popular choice among patients and surgeons today. In this blog, we’ll explore the differences between saline and silicone implants, discuss the decline in popularity of saline implants, and highlight the innovations in silicone implants, including gummy bear implants and the latest Motiva implants.

    Silicone vs. Saline Implants: What’s the Difference?

    Breast implants are classified based on their filling material: silicone gel or sterile saline (saltwater). Here’s how they differ:

    Silicone Implants

    • Composition: Filled with cohesive silicone gel that mimics the feel of natural breast tissue.
    • Look and Feel: Silicone implants are often preferred for their more natural appearance and softer texture.
    • Durability: Modern silicone implants are highly durable and designed to hold their shape even if the outer shell is compromised.
    • Detection of Ruptures: Silicone implant ruptures are considered “silent,” as the gel typically remains within the implant shell or surrounding tissue. Routine imaging (e.g., MRI or ultrasound) is recommended to detect issues.

    Saline Implants

    • Composition: Filled with sterile saltwater after being inserted into the breast pocket.
    • Look and Feel: Saline implants tend to feel firmer and may create a less natural look, especially in patients with thinner breast tissue.
    • Detection of Ruptures: If a saline implant ruptures, the saltwater is harmlessly absorbed by the body, and the deflation is immediately noticeable.
    • Customization: Saline implants allow for adjustments in size during surgery since they’re filled after placement.

    Why Has Saline Lost Popularity?

    Although saline implants were once the go-to choice for breast augmentation, their popularity has significantly declined for several reasons:

    1. Less Natural Appearance and Feel: Saline implants are more prone to visible rippling and tend to feel firmer, which can detract from a natural look, particularly in patients with less natural breast tissue.
    2. Advances in Silicone Technology: Modern silicone implants, particularly gummy bear implants, provide superior aesthetics and a more lifelike feel, making them the preferred option for most patients and surgeons.
    3. Higher Capsular Contracture Rates: Capsular contracture, a condition where scar tissue tightens around the implant, is more common with saline implants. Studies estimate capsular contracture rates for saline implants at approximately 10–15% within the first few years after surgery.

    The Evolution of Silicone Implants: Gummy Bear and Motiva Implants

    The latest advancements in silicone implant technology have revolutionized breast augmentation, offering options that are safer, more durable, and more natural-looking than ever before.

    Gummy Bear Implants (Including Allergan Soft Touch)

    • What Are They? Gummy bear implants are made with a highly cohesive silicone gel that maintains its shape, even if the implant shell is compromised. Allergan Soft Touch implants are a popular option within this category.
    • Capsular Contracture Rates: Allergan Soft Touch implants have shown capsular contracture rates of approximately 5–8%, significantly lower than saline implants.
    • Benefits: These implants provide a natural teardrop shape, softer feel, and reduced risk of complications such as rippling or leakage.

    Motiva Implants

    • What Are They? Motiva implants represent the next generation of silicone implants, offering state-of-the-art technology for enhanced safety, aesthetics, and patient satisfaction.
    • Capsular Contracture Rates: Motiva implants boast some of the lowest capsular contracture rates in the industry, with studies reporting rates of 1–2% in primary augmentations.
    • Key Features:
      • ProgressiveGel: Provides a soft yet stable feel for a natural look and texture.
      • SilkSurface™ NanoTexture: Reduces the risk of complications like capsular contracture while maintaining implant integrity.
      • Ergonomix™ Shape: These implants adjust naturally to body movement, mimicking the look and feel of natural breast tissue.
      • Smart Technology: Some Motiva implants include an integrated microchip for non-invasive identification and tracking, providing peace of mind for both patients and surgeons.

    Which Implant Is Right for You?

    Choosing between saline and silicone implants—or even selecting among the various types of silicone implants—depends on your unique anatomy, aesthetic goals, and lifestyle. During your consultation, your surgeon will evaluate factors such as:

    • Your natural breast tissue and body type.
    • Desired breast size and shape.
    • Long-term maintenance and imaging preferences.
    • Concerns about implant texture, durability, and safety.

    Final Thoughts

    The advancements in silicone implants, such as gummy bear and Motiva implants, have made them the leading choice for patients seeking natural-looking, long-lasting results. While saline implants are still an option, their diminished popularity reflects the growing demand for the superior aesthetics and feel that modern silicone implants provide.

    If you’re considering breast augmentation, consult with Dallas’ best plastic surgeon, Dr. Jejurikar, to explore your options and find the implant that best suits your needs. With extensive experience and access to the latest innovations in breast surgery, Dr. Jejurikar can help you achieve your ideal results.

    Schedule your consultation today to take the first step toward the look you’ve always wanted!

    What Do People Value Most About Beauty? Insights for 2024

    Beauty is a personal and evolving concept, with different features holding more importance as we age. A recent survey from Beauty for Life, a collaboration between leading plastic surgery organizations, sheds light on what individuals value most about themselves and others, as well as their primary concerns about their appearance.

    What People Find Most Appealing

    When asked about the most appealing aspects of beauty in others, responses varied by age:

    • In their 20s, 30s, and 40s, individuals tended to prioritize a fit, well-proportioned body.
    • For those in their 50s and 60s, youthful skin became the most valued feature.

    When reflecting on their own concerns, however, respondents showed different priorities. For example, in their 30s, many individuals focused on their abdomen and hips, while in other decades, concerns about the face took precedence.

    Body Concerns Through the Decades

    When it came to personal concerns, the focus on specific areas of the body also changed with age:

    • 30s: Abdomen and hips were the most commonly cited areas of concern.
    • 40s: Abdomen and hips remained the top concern, but the percentage shifted slightly.
    • 50s and 60s: While concerns about the abdomen and hips persisted, these areas consistently outpaced concerns about the breasts or chest.

    These results suggest that priorities shift over time, but the abdomen and hips often remain areas of focus for those seeking aesthetic improvements.

    Motivations for Maintaining Appearance

    When asked why maintaining physical appearance was important, self-confidence was the leading motivator across all age groups. Other reasons, however, changed with life stages:

    • Younger respondents often prioritized attractiveness to potential partners.
    • In their 30s and 40s, individuals increasingly viewed appearance as a factor in professional opportunities.
    • Later in life, social factors like forming friendships became more significant.

    These insights highlight how personal and professional contexts influence our approach to beauty and self-care over time.

    Factors Contributing to Beauty

    When it comes to maintaining beauty, respondents emphasized the importance of a well-rounded approach:

    • Healthy habits like regular exercise, a balanced diet, and good skincare were consistently valued.
    • In later decades, many respondents also recognized the role of cosmetic medical procedures in maintaining a youthful appearance, with these treatments becoming increasingly important as part of an overall beauty routine.

    Understanding Evolving Priorities

    These survey results underscore that beauty concerns and priorities evolve throughout life. For younger individuals, the focus may be on certain physical attributes or relationship goals, while older adults may place greater importance on maintaining a youthful appearance for social and professional reasons.

    Recognizing these shifts is important for anyone considering aesthetic treatments, helping individuals make choices that align with their personal goals and values at every stage of life.

    If you’re interested in exploring options for enhancing your appearance, it’s helpful to consult with a board certified plastic surgeon like Dr. Jejurikar who can guide you through the best approaches to meet your needs and priorities.

    Becoming a mother is a transformative experience, but the journey can take a toll on your body. Many women find that even with dedicated exercise and healthy eating, certain post-pregnancy changes to their body remain difficult to address. This is where a Mommy Makeover can help. Combining procedures tailored to restore a woman’s pre-pregnancy body—or enhance it further—a Mommy Makeover is one of the most sought-after cosmetic surgeries today. With Dr. Sam Jejurikar, a highly experienced and board-certified plastic surgeon at the Dallas Plastic Surgery Institute, you can achieve stunning, natural-looking results.

    What is a Mommy Makeover?

    A Mommy Makeover is a customizable combination of procedures designed to address the physical changes caused by pregnancy, childbirth, and breastfeeding. The most common areas of focus include the abdomen, breasts, and body contour. However, the specific procedures included depend on each patient’s unique goals.

    Common components of a Mommy Makeover include:

    • Abdominoplasty (Tummy Tuck): Tightens abdominal muscles and removes excess skin, especially after multiple pregnancies. Dr. Jejurikar often incorporates multidirectional muscle tightening to achieve a flatter, firmer abdomen.
    • Breast Augmentation and/or Lift: Restores volume lost after breastfeeding and corrects sagging to create a youthful, lifted appearance.
    • Liposuction: Removes stubborn fat deposits resistant to diet and exercise, sculpting a more contoured silhouette.
    • Fat Transfer: Enhances curves, such as augmenting the buttocks or hips, using your own fat.

    Additional procedures like labiaplasty or facial rejuvenation may also be included based on the patient’s preferences.

    Dr. Sam Jejurikar: A Trusted Expert in Mommy Makeovers

    Dr. Sam Jejurikar is a nationally recognized plastic surgeon known for his precision, artistry, and patient-centric approach. As a member of the prestigious Dallas Plastic Surgery Institute, Dr. Jejurikar combines advanced techniques with a personalized touch to deliver outstanding results.

    Why choose Dr. Jejurikar for your Mommy Makeover?

    1. Expertise in Complex Procedures:
      Dr. Jejurikar has extensive experience in body contouring and breast surgery, two critical components of a Mommy Makeover. His expertise ensures optimal results tailored to each patient.
    2. Focus on Natural Results:
      With a keen eye for aesthetics, Dr. Jejurikar prioritizes creating natural, balanced results that enhance your body without appearing overdone.
    3. Comprehensive Care:
      From your initial consultation to post-surgical follow-ups, Dr. Jejurikar and his team are committed to providing compassionate, thorough care.
    4. Cutting-Edge Techniques:
      Dr. Jejurikar utilizes advanced surgical methods, such as VASER liposuction for enhanced fat removal and refined body contouring.

    Benefits of a Mommy Makeover

    A Mommy Makeover offers numerous physical and emotional benefits, including:

    • Restored Confidence: Regain your pre-pregnancy body—or an even better version of it—helping you feel confident and empowered.
    • Customizable Approach: Tailored to address your specific concerns, from sagging skin to stubborn fat.
    • One Surgery, Multiple Improvements: Combining procedures reduces overall recovery time compared to undergoing surgeries separately.
    • Long-Lasting Results: With a healthy lifestyle, the effects of a Mommy Makeover can be enjoyed for many years.

    The Ideal Candidate for a Mommy Makeover

    While every patient is unique, the ideal candidate for a Mommy Makeover typically:

    • Has completed their family or does not plan to have more children (additional pregnancies can reverse some of the procedure’s effects).
    • Maintains a stable weight and is close to their goal weight.
    • Is in good overall health with no medical conditions that could impair healing.
    • Has realistic expectations about the results.

    Recovery and Results

    The recovery process for a Mommy Makeover varies depending on the procedures included. Typically, patients can expect:

    • Initial Recovery: Most patients take 2-3 weeks off work and daily activities. You’ll need help with childcare and household responsibilities during this time.
    • Swelling and Bruising: These are common but subside significantly within the first few weeks.
    • Final Results: While initial results are noticeable soon after surgery, full results become apparent as swelling diminishes, usually around 3-6 months.

    Dr. Jejurikar provides detailed post-operative instructions to ensure a smooth recovery and maximize your results.

    Frequently Asked Questions

    Q: How much does a Mommy Makeover cost?
    A: Costs vary based on the procedures included. During your consultation with Dr. Jejurikar, you’ll receive a detailed quote tailored to your treatment plan.

    Q: Can a Mommy Makeover address stretch marks?
    A: While a Mommy Makeover isn’t designed to treat stretch marks specifically, a tummy tuck can remove skin affected by stretch marks in the lower abdomen. Stretch marks outside of this area may still remain.

    Q: Can I combine a Mommy Makeover with other procedures?
    A: Absolutely! Many patients add treatments like facial rejuvenation, labiaplasty, or fat transfer to complement their results.

    Schedule Your Consultation with Dr. Sam Jejurikar

    A Mommy Makeover can help you reclaim your body and confidence, empowering you to feel like the best version of yourself. With Dr. Sam Jejurikar, you’re in expert hands every step of the way. From personalized consultations to transformative results, his dedication to excellence ensures your journey is as rewarding as your outcome.

    If you’re ready to take the next step, schedule your consultation with Dr. Sam Jejurikar at the Dallas Plastic Surgery Institute. Contact us today to learn how a Mommy Makeover can transform your life!

    Neurotoxins, including Botox, Dysport, and others, are some of the most popular and effective treatments for reducing wrinkles, fine lines, and other signs of aging. These injectables work by temporarily relaxing targeted muscles, giving the skin a smoother, more youthful appearance. Let’s explore the key neurotoxins used in the U.S., their FDA-approved indications, off-label uses, and the pros and cons of each.

    How Neurotoxins Work

    Neurotoxins are derived from botulinum toxin, a purified protein that blocks nerve signals to muscles. By inhibiting muscle contractions, neurotoxins effectively reduce dynamic wrinkles—lines that form due to repetitive facial movements.

    FDA-Approved Neurotoxins in the U.S.

    1. Botox Cosmetic (OnabotulinumtoxinA)

    • FDA-Approved Indications:
      • Glabellar lines (frown lines between the brows)
      • Crow’s feet (lines around the eyes)
      • Forehead lines
      • Axillary hyperhidrosis (excessive underarm sweating)
      • Chronic migraines
      • Overactive bladder
      • Cervical dystonia (neck muscle spasms)
    • Off-Label Uses:
      • Lip flip (upper lip enhancement)
      • Gummy smile correction
      • Jaw slimming (masseter muscle relaxation)
      • Bunny lines (nose wrinkles)
      • Neck bands (platysmal bands)
      • Perioral lines (smoker’s lines)
    • Pros:
      • Most studied and widely used neurotoxin.
      • Predictable, reliable results.
      • Versatile with a broad range of applications.
    • Cons:
      • Slightly higher cost compared to competitors.
      • Results can take 5-7 days to become noticeable.

    2. Dysport (AbobotulinumtoxinA)

    • FDA-Approved Indications:
      • Glabellar lines (frown lines)
      • Cervical dystonia
    • Off-Label Uses:
      • Similar to Botox, including crow’s feet, forehead lines, and masseter reduction.
    • Pros:
      • Diffuses more readily, making it ideal for treating larger areas.
      • Results may appear faster (within 2-3 days for some patients).
    • Cons:
      • Diffusion can be a disadvantage in small, precise areas, potentially causing unintended muscle relaxation.
      • Requires slightly more units than Botox for equivalent results.

    3. Xeomin (IncobotulinumtoxinA)

    • FDA-Approved Indications:
      • Glabellar lines
      • Cervical dystonia
      • Blepharospasm (eyelid spasms)
    • Off-Label Uses:
      • Crow’s feet, forehead lines, and masseter reduction.
    • Pros:
      • Contains no additives, reducing the risk of developing resistance or immunity over time.
      • Results are comparable to Botox.
    • Cons:
      • Effects may take slightly longer to set in (5-7 days).
      • Some providers find it less versatile than Botox or Dysport.

    4. Jeuveau (PrabotulinumtoxinA-xvfs)

    • FDA-Approved Indications:
      • Glabellar lines
    • Off-Label Uses:
      • Crow’s feet, forehead lines, and other facial wrinkles.
    • Pros:
      • Marketed as a “modern” alternative to Botox with similar efficacy.
      • Competitive pricing compared to Botox.
    • Cons:
      • Limited FDA-approved uses compared to other neurotoxins.
      • Less long-term data compared to Botox and Dysport.

    5. Daxxify (DaxxibotulinumtoxinA-lanm)

    • FDA-Approved Indications:
      • Glabellar lines
    • Off-Label Uses:
      • Similar to Botox but not as widely adopted yet.
    • Pros:
      • Longer duration of results—lasting up to 6 months, which is twice as long as other neurotoxins for many patients.
      • Ideal for patients seeking fewer treatments per year.
    • Cons:
      • Limited availability and higher cost.
      • Newer product with less widespread use and clinical data.

    Comparing Neurotoxins: Choosing the Right Option

    Neurotoxin Onset Duration Best For Price Point
    Botox 5-7 days 3-4 months Precision and versatility $$
    Dysport 2-3 days 3-4 months Larger areas with faster onset $$
    Xeomin 5-7 days 3-4 months Patients prone to resistance $$
    Jeuveau 5-7 days 3-4 months Cost-conscious patients $
    Daxxify 5-7 days 4-6 months Long-lasting results $$$

    Weighing the Pros and Cons of Neurotoxins

    Pros:

    • Quick, Non-Surgical: Minimal downtime and immediate return to daily activities.
    • Customizable Results: Treatments are tailored to each patient’s needs.
    • Preventative Benefits: Early use can prevent deeper wrinkles over time.

    Cons:

    • Temporary Results: Maintenance treatments are required every 3-6 months.
    • Potential Side Effects: Includes bruising, swelling, or asymmetry if improperly administered.
    • Cost: Ongoing treatments can add up over time.

    Conclusion: The Right Neurotoxin for You

    Each neurotoxin offers unique benefits, and the best choice depends on your specific goals, treatment area, and preferences. It’s essential to consult with an experienced provider to determine the ideal option for your needs.

    If you’re ready to explore neurotoxin treatments, schedule a consultation with our office today to learn more about how Botox, Dysport, and other options can help you achieve your aesthetic goals!

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