Archive for April, 2012

Year after year, cosmetic surgery continues to grow in popularity among Americans. According to the American Society for Aesthetic Plastic Surgery, the number of cosmetic surgery patients in the US has increased over 197 percent since 1997. Below is a list of some of the most demanded cosmetic procedures last year. We offer all of these procedures in our AAAHC- accredited, surgical facilities.

Breast Lift (Mastopexy)

A breast lift, also known as a Mastopexy, is a surgical procedure intended to position “sagging” breasts higher on the chest. It is a very popular procedure among mothers who have experienced undesirable changes in their breasts after weight fluctuation and breast feeding.

A breast lift is typically a two hour procedure in which an incision is made around the nipple, vertically under the nipple and in the horizontal crease of the breast. Then, the breast tissue is reshaped and excess skin is removed. Before the incisions are closed with sutures, the nipple and areola are repositioned. Following this procedure, scarring at the incision will be present. However, scarring should significantly fade after laser treatment, which we include in the patient’s procedure costs. Scarring also fades with time.

Breast Augmentation with Implants

For added fullness and volume, many patients elect to combine a Mastopexy with breast implants. This provides optimal results for patients who have experienced both volume loss and dropping of lax skin. Breast implants are ideal for increasing the size of the breast, balancing size asymmetry or restoring post-pregnancy volume loss. This outpatient procedure takes only one to two hours to complete. Once an incision is made, a saline or silicone implant is inserted. The incision can be made under the breast, around the nipple, in the armpit or in the belly button.

Cosmetic Eyelid Lift (Blepharoplasty)

Cosmetic eyelid lift surgery is effective in correcting droopy, hooded or puffy eyelids. This procedure continues to gain popularity because the eyes are such a prominent facial feature. Tired or droopy eyes can add years to one’s perceived age. Luckily, Blepharoplasty surgery has been proven to erase years from one’s face.

During an eyelid lift, fat, excess skin and muscle are removed from the upper and lower eyelids. The procedure eliminates the eye’s droopy and puffy appearance and can improve the patient’s vision. In fact, insurance often covers the cost of Blepharoplasty surgery if the patient can prove loss of vision due to droopy eyelids. In many cases, patients combine eyelid lift surgery with brow and face lifts.

Abdominoplasty (Tummy Tuck)

Considered one of the most popular procedure for mommies, a tummy tuck is especially effective for patients who have stretched the abdominal muscles and skin beyond non-surgical repair . During a tummy tuck, the abdominal area is tightened and the excess skin covering the abdominals is removed. Before undergoing this procedure, it is important for patients to accept that they will have a horizontal scar at the incision site in the pelvic region (which can often be concealed even in relatively revealing swimwear).


Liposuction is the most commonly performed cosmetic procedure in the United States. This procedure involves the removal of fat from deposits beneath the skin using a hollow stainless steel tube (called a cannula) with the assistance of a powerful vacuum. Liposuction should not be used as a “weight loss” tool but as a means to provide a better contour to those healthy individuals that exercise, eat healthy and have a BMI of 30 or below yet still have “fatty deposits” in trouble areas. Common areas treated by liposuction include upper and lower abdomen, the flanks (love handles), outer and inner thighs, inner knees, arms, “bra rolls”, and under the chin.

If you are interested in any of these procedures, call 423-648-4011 to schedule your private consultation.

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According to new data projected by the American Society of Plastic Surgery, chin implant surgery is the fastest growing cosmetic procedure in the United States. Both men and women are expressing a desire to undergo this procedure as the chin is a very important feature of one’s face.

If you feel your chin is almost non-existent, you may be an ideal candidate for chin augmentation. Ideal candidates are generally men and women who are in good health and non-smokers. Chin implants are effective in providing proportion to an unbalanced face or “weak-looking” profile. Chin implant surgery at our practice typically starts at $3,000.

Chin Augmentation Surgery: What to Expect

During a chin augmentation (mentoplasty), a small incision is either placed under the jawline, lower lip or inside the mouth at the gum line. A solid, silicone implant is then inserted into the stretched incision. Finally, the incision is sewn together with sutures. When the incision is made inside the mouth, sutures are not visible.

Unlike breast implants, which are not intended as permanent devices, chin implants are intended to last a lifetime which means the patient will not ever have to replace the chin implant device.


After the surgery, the chin may become tender, bruised, swollen or sore. However, pain will be minimized by the pain medication your cosmetic or plastic surgeon prescribes. Recovery usually lasts for a week and it is recommended that mentoplasty patients refrain from strenous activities for 3 to 6 weeks following the surgery.

If you would like more information on chin augmentation surgery, call 423-648-4011 and schedule your consultation with our cosmetic surgery experts.

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With summer just around the corner, many of us are eager to put on our shorts and bathing suits to expose our legs to the light of day that we have longed for all winter. But for the estimated 80 million adults in the United States who suffer from spider veins, summer may be a time to draw attention away from the legs. Luckily, spider veins can be treated and eliminated.

Before we discuss the two major forms of spider vein treatment, lets explore what spider veins are and why they form.

What are spider veins?

Spider veins, also known as telangiectasia, are broken capillaries that form when groups of blood vessels, close to the surface of the skin, dilate and break. As a result, fine-lined networks of red, blue or purple veins — each barely more than the width of a hair — appear on the thighs, calves and ankles. The veins may form patterns resembling a sunburst, a spider web, or a tree with branches, but can also emerge as short, unconnected lines.

What causes spider veins?

Although physicians don’t know exactly what causes spider veins, they do know some risk factors for developing them. Spider veins tend to run in families. If your mother or sister has them, you likely will too. Estrogen also may play a role (by relaxing the vein walls), which could explain why women are more likely to get spider veins than men. The upsurge of hormones at puberty, birth control pills, pregnancy and hormone replacement therapy all have been connected to the development of spider veins. Age also makes one ripe for the condition. And an injury, such as being hit in the leg with a softball, increases the chance of developing spider veins later in that same area — even if that injury occurs early in life.

Spider Vein Treatment

Spider veins can be treated and eliminated with two major forms of therapy: sclerotherapy and surface laser light treatments. Before treatment is executed, however, a physical and ultrasound examination should be completed to determine the source of the spider veins. Without determining the source of the problem, treatment may be ineffective.

Sclerotherapy for spider vein treatment

Sclerotherapy is a technique that involves the injection of a foamy solution into spider veins which causes the spider veins to shrivel and gradually disappear. Sclerotherapy solutions have been around since the turn of the century. Saline — strong salt solutions — were used until more advanced sclerosant medications yielded better results and better patient comfort. Although most people find sclerotherapy injections only mildly uncomfortable, very small “baby” needles are used to inject the solution into the veins. These “baby”needles further minimize discomfort .

Following sclerotherapy treatment, the spider veins may be hard and tender for a few weeks . Brown staining of the skin is sometimes seen where the veins were located, but this can fade within a few months. Small spider veins require about 2 months to completely fade, whereas larger varicose veins may require 3 to 4 months to disappear.

Ultrasound-Guided Sclerotherapy

Often time patients have sclerotherapy or laser procedures completed with some results and decrease of the spider veins, just to have the veins reappear in a few months. In these cases, the source for the vein pressure wells from below the skin surface in a web of veins called reticular veins. If the larger reticular veins are not dealt with, the surface spider veins will never go away.

In this case, larger reticular veins and spider veins can be closed using ultrasound guided foam sclerotherapy. A foamy sclerosant solution is injected directly into the larger reticular veins and spider veins. Ultrasound guidance is used for the deeper veins. The foam sclerotherapy solution causes a chemical burn to the small veins. The veins collapse and with compression stick together. The vein walls heal together causing the vein to no longer act as a vein. The body absorbs the tissue over a few months.

Intense Pulsed Light (IPL) Therapy

Small, fine spider veins or telangiectic matts can be addressed with topical lasers or intense pulsed light (IPL). Laser therapy for spider veins is mainly directed at post sclerotherapy clean-up to address veins that are so small a needle can not be placed into the vessel for solution injection. IPL uses intense light in the laser range to safely penetrate the outer surface of the skin. Varicose veins and spider veins have different coloration than the surrounding skin. Red and blue colors absorb the energy from the laser light, causing the vein walls to be super heated. The heat causes the veins to collapse and ,with
compression, stick together.

Physician review and ultrasound mapping are primary to determine the best approach for the elimination of unsightly spider veins. Call 423-648-4011 to eliminate your spider veins and prep your legs for bathing suit season.

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