Botox® or Fillers? Your Non-Surgical Options

If you’re looking at your non-surgical options for refreshing your holiday look, then injectables can be a great solution. If you don’t have any experience with injectables, however, it can be a little overwhelming. Injectables are generally categorized into two types: dermal fillers and neuromodulators. There are pros and cons to each, so here’s an overview to help guide your choices.

Botox

Botox, Dysport®, and Xeomin® are all classified as neuromodulators that are derived from botulinum toxin. This means that it can block signals from the brain that cause facial muscles to move. This can have many benefits, including that it can prevent muscles in the face from further causing wrinkles and relaxing their wrinkle-causing position. Botox is one of the most popular cosmetic treatments available because it only requires and quick and easy treatment session and produces results for around 3-6 months. It’s most effective in smoothing wrinkles in the upper face, including frown lines in the forehead and crows’ feet around the eyes.

Dermal Fillers

There are many different types of dermal fillers available, but they can all accomplish different results for different areas of the mid and lower face. Most fillers are made with hyaluronic acid, a protein naturally found in the skin that is responsible for moisture and elasticity. Fillers can also be made with other substances which are carefully placed underneath the skin to restore volume. A loss of volume is responsible for many signs of aging, so fillers can smooth out wrinkles or augment the features. Fillers can last from a few months to a year, depending on the brand.

Which one is best for me?

Fillers, neuromodulators, and even skin treatments can be performed in the same session for additional rejuvenation if you want the best of both worlds. However, if you’re looking at one option, then the best way to determine your ideal injectable is through a consultation with our expert injectors. As a general rule, Botox can benefit the upper face while fillers can benefit the mid and lower face. This is an important thing to consider when thinking about your results and your options.

To begin getting ready to make a big impression this holiday season, be sure to schedule a consultation at Salzman Cosmetic Surgery and Spa by calling or filling out our online form. We can recommend the best options for you and your goals to boost your confidence and refresh your look.

Understanding Tummy Tuck

If you have excessive skin and fatty deposits on your abdominal area which has refused to give in to exercise and diet, it is time to consider a tummy tuck. Aging, obesity, or pregnancy can leave you with excessive fat or skin in addition to the underlying muscles going lax. Abdominoplasty, or commonly called the tummy tuck procedure, helps eliminate this excess skin and fat in addition to tightening the underlying muscles.

Who is a good candidate for tummy tuck?

Anybody who has sagging or loose skin on the abdomen is a good candidate. You could also have fatty deposits or loose abdominal muscles. These changes are usually due to a significant weight fluctuation because of bariatric surgery or after a pregnancy.

What is the procedure like?

A tummy tuck is performed as an outpatient procedure under general anesthesia. During your procedure, the excess skin will be removed, and the abdominal muscles will be tightened; while liposuction is used to remove the excess fat from the abdominal walls, hips, and flanks. In case there are large amounts of excess skin, an extended tummy tuck may have to be performed using both a vertical and a horizontal cut resulting in a “T” shaped incision.

The technique and results of your tummy tuck depend largely on your choice of surgeon. When you choose an extremely experienced surgeon like Dr. Salzman who has been performing tummy tucks since 1989, you can be assured of stunning results and comfortable post-operative experience. Dr. Salzman adds a tumescent fluid containing numbing medication as well as epinephrine that narrows your blood vessels, thereby reducing blood loss. We also inject Exparel into the abdomen which will last for about 3 days and helps you with pain management.

Different kinds of tummy tuck

Contrary to the traditional tummy tuck, Dr. Salzman offers the no-drain tummy tuck which does not require the use of drains after your surgery. It is done with progressive tension sutures that dissolve with time. Due to the use of this technique, the development of seroma (built up fluid) is prevented and that is why drains are not required. In the absence of this technique, you would require drains for about a week after your surgery; this collects the built-up fluid and blood. Unfortunately, it makes the recovery period cumbersome since you need to keep a tab on the amount of fluid being collected, routinely clean the drains; and their use restricts movement too. No doubt then, the no drain tummy tuck offered by surgeons like Dr. Salzman is revolutionary.

If you are suffering from excessive skin and fat or muscle weakness in the lower abdomen, then we offer a mini tummy tuck to give you the best results. In order to ensure you get a slim and toned appearance, we also use liposuction to slim down your hips and waist.

Stunning results from a tummy tuck

Abdominoplasty creates a tighter and slimmer waist and you can enhance your appearance with other procedures like liposuction or lower body lifts or breast augmentation. It takes about 10 to 12 weeks to completely recover from your tummy tuck. In addition to the Exparel, oral pain medication is given to help you with any discomfort. If you have a desk job, you will be able to return to your work within 2 weeks. If you underwent a mini tummy tuck, you will be able to return to your desk job within 7 to 10 days. And with no drains, you can shower the next day too. Dr. Salzman is ready to help you feel your best self with the amazing results his tummy tucks give.

Liposuction – what to expect?

Come summer everybody wants to show off their best figure in a swimsuit. However, it is not always easy to achieve a toned appearance simply with dieting and exercising. Liposuction is a safe and effective treatment to recontour your body as excess fat is suctioned away.

What is the procedure like?

Liposculpture procedures at Salzman MD are done under a laryngeal mask anesthetic and a tumescent local that numbs the area as well as makes the blood vessels smaller so as to limit any bruising. The laryngeal mask allows us to give you just the right amount of anesthesia that can keep you asleep during the procedure and still wake up quickly without any hangover effects of anesthesia.

During every liposuction procedure with us, a dilute solution of local anesthesia and adrenaline is placed around the area through tiny incisions. A gentle power assisted suction tube removes the fat cells and fat contained in it. This is the Vaser liposuction technique. It is easier on the patient and also leads to fewer bruises as well as faster recovery. For a smaller area of treatment, microcannulas are used which are like a syringe.

What does getting liposuction feel like?

The areas that have been treated remain swollen and sore for a few days. For most patients, it feels like getting a rigorous workout. You will be required to wear a compression garment for about 2 weeks, and this will help with the healing and keeping the swelling to a minimum. Any bruising from the treatment will last for about 10 to 14 days. You will see your results improving over the next 5 to 6 months as the skin keeps contracting and taking up the slack of the removed fat.

The best liposuction technique

There are several body parts that can be addressed with the help of the liposuction procedure. Depending on your individual requirements, the body part to be treated and your desired results, there are different kinds of liposuction techniques and treatments we offer:

  • Vaser liposuction – this is the gentlest technique. These use Tumescent Resonance Ultrasound followed by Fat Extraction. Dr. Salzman uses the 3D Vectra system during your consultation to stimulate how you look after the surgery. Those who are near their ideal weight will get the best results from this procedure. It is effective for larger areas and the most commonly treated areas include the abdomen, hips, thighs, back, arms, calves, and chest.
  • LiteShape laser liposuction – it is best for those who have small to moderate localized fat deposits which are resistant to exercise and dieting. Patients who need a tummy tuck make for good candidates for the LiteShape procedure. Some of the commonly treated areas include the neck, abdomen, arms, legs, and back.
  • Lipodissolve – This is an injectable made with a combination of several agents. Very tiny amounts of this are injected in the area to be treated at about half an inch gap to melt the fat to effectively thin out the fat layer directly beneath your skin. Some of the common areas are the neck, back, arm, and lower abdomen. This treatment works slowly and hence several treatments spaced at 4 to 6 weeks are required for achieving optimal results.

Liposuction is a great way to achieve a toned and slimmer appearance with lesser downtime and faster healing than a surgery. In the hands of an experienced surgeon like Dr. Salzman, you can achieve the most stunning results with the best combination of techniques.

The Truth About Common Facelift Myths

Although the facelift is one of the oldest plastic surgery procedures, there are still some common myths and tropes about it and the patients that pursue it. The truth is that the facelift is one of the most effective facial rejuvenation methods available. Here are some common misconceptions to dispel as you consider your options.

You need to be over a certain age to get one

The truth about this statement is that there is no limit on who can get a facelift when it comes to age. In fact, trends are showing that many patients are pursuing facelifts at younger and younger ages, hence the popularity of the mini facelift. Because everyone ages at different rates and because of different causes, there’s no hard and fast rule about being over a certain age. As a general rule, patients that are beginning to show signs of aging can benefit from facelift techniques.

It freezes your face in place

Although there are some notorious examples of facelifts gone wrong, plastic surgery techniques are constantly evolving. The facelift and the aging process are much better understood than they were a few decades ago, and you may even know someone who has secretly had a facelift. Most board-certified facial plastic surgeons now practice techniques that produce subtle, natural results that reflect a younger version of yourself. For this reason, you should always screen your plastic surgeon’s credentials and prior results to see whether they can achieve the natural results you want.

Non-surgical treatments are just as good

Non-surgical treatments can be a great option for some patients, but in most cases, it can’t beat the deep rejuvenation that accompanies a facelift. One of the most important steps of a facelift is tissue repositioning and muscle tightening, which can restructure the contours of the face. Although some non-surgical treatments can be effective at smoothing wrinkles, they can’t accomplish the long-term results of a surgical facelift. In some cases, a facelift can remove a decade or two from the facial profile. However, many patients still benefit from a combination approach to facial rejuvenation.

The facelift can be one of your best options when it comes to rewinding signs of aging and refreshing your look. To see what facelift options are available to you, schedule a consultation with Dr. Salzman by calling or filling out our online form.

Why Get a Tummy Tuck?

A tummy tuck, or abdominoplasty, is a common procedure used for tightening the abdominal muscles and removing loose skin and fat found at the abdomen. This helps the stomach to look toned and flat.

Many women undergo a tummy tuck procedure during a mommy makeover. The mommy makeover procedure allows women to restore their figures after pregnancy. Abdominoplasty can also help patients who have undergone a dramatic weight loss in a short period of time. While many people undergo a tummy tuck mainly for cosmetic reasons, this procedure also boasts other benefits, including:

Easier to Maintain Weight Loss

With the removal of excess skin and tissue, many patients find physical activity to be more comfortable. Many patients also report feeling more encouraged and motivated when it comes to their exercise routine now that the tummy tuck has removed excess skin that was hiding their results.

Better Posture and Abdominal Tone

After losing a significant amount of weight or after many pregnancies, the stomach muscles may weaken, resulting in sagging that cannot be fixed with diet and exercise alone. The tummy tuck will tighten the weak muscles as well as remove the extra fat and skin in order to flatten the abdomen.

Weak abdominal muscles are mostly associated with a sway back and lordosis. After getting the procedure done, many people will enjoy an improved posture. This is because the muscles will be tightened, and they will support the spine better. Improved support with better posture will be an added benefit in order to relieve back pain.

Ventral Hernia Correction

A ventral hernia can occur if the abdominal and intestine tissue has come out of the abdominal wall and forms a sack pocket. There are many reasons why people may suffer from this problem, and one of them is weakened abdominal muscles. During the hernia repair, the doctor may consider performing an abdominoplasty at once to tighten the muscles.

To learn more about the tummy tuck procedure and how you can benefit, contact our office and schedule your consultation with Dr. Salzman.

How is Breast Revision Performed?

When a woman undergoes a breast augmentation surgery, most of the time, she does not plan on getting a second surgery for some time. However, it is good to be aware that breast implants are not lifetime devices. Breast implants can last for 10 years or longer, but eventually, a revision may be required.

Most of the time, a breast implant revision requires getting rid of the breast implants and placing new implants. Usually, the goal is to improve or change the appearance of your breasts while updating the material of the implants. The changes sought by a breast revision surgery include:

  • A concurrent reduction or breast lift
  • Reshaping of the breast implant pocket in order to reposition the implants in the chest
  • Decreasing and increasing the style, shape, and size of breast implant

The Desire to Undergo a Breast Revision Procedure May Stem from:

  • Desire of changing the breast size
  • The pain caused by capsular contracture
  • Concern of migration or rupture of the implants
  • Desire for a different implant type

Breast implant revision must be tailored according to the desires and goals of the patient. The surgery should also always be performed by a board-certified plastic surgeon with experience and training in different types of breast surgery procedures. Your surgeon should start by listening to your desires and goals and then developing a surgical plan to address the issues arising from the first surgery.

What to Expect from a Revision Surgery

A revision breast augmentation can offer certain challenges due to the scar tissue present from the initial procedure. The surgeon will be dealing with tissue stretching and an anatomical change that took place because of the old implants. A skilled surgeon like Dr. Salzman has the experience necessary to deliver safe and satisfying results from your revision procedure.

Are you interested in learning more about breast revision surgery? Contact our office today to schedule your consultation appointment!

All the Things Botox Can Do for You

When it comes to plastic surgery, there are many different procedures out there that help people with a multitude of concerns such as excess fat, excess skin, wrinkles, scar tissue, breathing problems, back pain, and more. If you pay attention to popular culture, then you have heard of Botox. It is one of most popular nonsurgical treatments available, helping thousands of people each year around the world. Actually, Botox is so popular that it is administered in 98 countries around the world. Botox initially was created to help people with crossed eyes; it was created to help relax the muscles around the eyes to straighten them out. Nowadays, it is most popular for helping to rid people of facial wrinkles. But that is not the only thing that Botox can be used for.

The Different Uses of Botox:

When you begin researching Botox, you will find that there are so many ways that it can help you out. It is not only used for wrinkles and cosmetic issues, but it can be used for multiple problems. The different uses are:

  • Cross Eyes
  • Wrinkles
  • Eyelid Spasms
  • Excessive Sweating
  • Headaches/Migraines
  • TMJ
  • Drooling
  • Bell’s Palsy

As you can see from this list, there are many uses for Botox outside of just getting rid of wrinkles and crow’s feet. The toxin is able to help prevent muscles from contracting , essentially freezing them, which helps to take care of a lot of issues associated with the neck and head. If you are suffering from any of these problems, then Botox is a great way to help care for it.

Make It Work for You

Botox is well-known for helping to achieve firmer, younger looking skin, but it can also help with so much more. If you are struggling with an issue such as sweating, drooling, headaches, or eyelid spasms, then talk with Dr. Salzman, and he will help to find the best treatment for you. Botox isn’t only for wrinkles, but it might be an added benefit to the care that you need. Contact Dr. Salzman today to make an appointment and get ready to find a way that Botox can help you.

 

 

 

Getting a Flatter Abdomen: Why A Tummy Tuck is The Best Option

Fat cells can accumulate rather rapidly in certain areas of the body, such as the abdominal region. This can be frustrating to deal with, especially after experiencing childbirth. There are so many different ways to get rid of excess fat. Exercising and a healthy diet are great options, but they can’t always get rid of all the excess fat. Thankfully, there are multiple cosmetic procedures that address this problem. A few of the most popular procedures that address a flabby stomach are liposuction, body lifts, and a tummy tuck. All of these procedures can help you achieve a flatter stomach in different ways.

What Are the Procedures?

The different procedures performed at our office are all to help you in feeling more confident, but what do they entail?

Liposuction

This procedure is done by using a small cannula, which is inserted through small incisions, to suction out the fat with a surgical vacuum. This type of procedure is good for smaller amounts of fat and doesn’t usually help with large amounts of loose skin. It is often paired with a tummy tuck procedure to address these issues.

Body Lift

A body lift is a surgical procedure that helps to remove excess skin and fat around the abdominal region, including the hips and thighs. It is more commonly done on patients with massive weight loss. It is a more extensive procedure, so it often has more recovery time than liposuction or a tummy tuck procedure.

Tummy Tuck

A tummy tuck is one of the most popular forms of cosmetic surgery. There are multiple options for a tummy tuck including mini, full, and extended. The tummy tuck is a surgical procedure done under anesthesia that helps to get rid of excess skin and some fat cells, as well as tighten any weakened abdominal muscles. By making discreet incisions around the bikini line, the surgeon can then remove the excess skin on the stomach, forming it to contour to your natural body. It helps to create a firmer, smooth abdomen and can help in overall body contouring.

How to Choose?

All of these different cosmetic procedures help achieve a flatter stomach differently. If you are self-conscious about your abdominal region due to excess skin and fat, then a tummy tuck would be most helpful. Although liposuction is a mildly invasive procedure, it cannot address loose skin on the abdomen the way a tummy tuck can. A body lift can be helpful as well, as it is a procedure that addresses fat and skin excess all the way around the waist. The tummy tuck is one of the top five cosmetic procedures performed in 2017 and is performed on around 120,000 people per year. It has given proven results and is a long-term solution for reconstructing your abdomen to be firmer, smoother, and smaller.

Regain your confidence in your tummy by contacting Dr. Salzman today to schedule a consultation.

Dr. Salzman in the News: Introducing Allura

If you struggle with chin fat, it can feel like nothing short of surgery will work. Dr. Salzman recommends the new Allura system by Sciton, designed to reduce submental fat and tighten loose skin with laser techniques— producing results in only a few weeks! Read more about Dr. Salzman’s expertise with this exciting new technology [here]

What to Expect from Your Tummy Tuck Procedure

Excessive fat of the abdominal area, sometimes combined with loose abdominal skin and laxity of abdominal muscles, can be a cause for frustration for many patients who find diet and exercise to be ineffective. This change in appearance is often caused by fluctuations in weight, pregnancies, or surgeries for weight loss. The most effective way to correct this problem is surgically, through a tummy tuck procedure. Here’s what you can expect from your surgery day and recovery.

The Procedure

In a traditional tummy tuck procedure, excessive skin around the abdomen is removed, the abdominal muscles are tightened, and liposuction is sometimes performed on the excess fat of the flanks, hips, and abdominal wall. This procedure is also known as abdominoplasty, and it is performed under general anesthesia. An incision is a necessary part of the procedure and, if there is a large amount of skin to be removed in a horizontal and vertical direction, then a ‘T’ shaped incision is made. Blood vessels are narrowed with the help of numbing medicines and epinephrine, combined to make a tumescent fluid. Surgeons also use pain managing injections like Exparel.

A no-drain tummy tuck procedure is the one in which drains are not required during the recovery period. Progressive tension sutures or TissueGlueâ are used for this purpose, as they dissolve with time. The advantage of this technique is that it diminishes the chances of seroma development so drains are not required. This technique is very popular because dealing with drains during recovery time can be very uncomfortable. Dr. Salzman is an expert in performing no-drain tummy tuck surgery.

The Recovery

The standard recovery time for tummy tuck procedure takes about 10 to 14 days. The Exparel injection given by anesthesia under ultrasound, (TAP Block) can last for up to 3 days, allowing movement and managing pain for a quicker recovery. Patients can usually return to their non-stressful work routine after two weeks; however, some patients who have physically-challenging jobs may require an additional couple weeks before they can feel fit enough to resume their work.

Consulting with Dr. Salzman before your surgery is the most important step of your procedure process because the suitability for every individual is different. Dr. Salzman can also make sure you’re aware of the specific risks and factors involved with a tummy tuck procedure and plan the best surgical technique for you. To schedule a consultation, contact our office by calling or filling out our online form.

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