What’s new in Plastic Surgery

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Your Plastic Surgery Must-Haves

istock 1217412939 Having plastic surgery can be incredibly rewarding, regardless of the procedure you choose. The point of plastic surgery is to nurture a connection between a person and their body. Many people who have plastic surgery generally like their bodies but have one or two aspects of their appearance they would like to improve. Whether it’s to correct the signs of aging or enhance a part of the face or body that was never in harmony with surrounding anatomy, your plastic surgery journey is in good hands with Dr. Salzman. Your recovery, however, is in your hands. Here, we discuss a few must-haves that will see you through.

Must-Have #1 – Support

It may seem obvious that you will need some help after undergoing surgery. The interesting thing about this is that many patients underestimate how much help they will need. They also underestimate how difficult it may be to accept help. For this reason, we encourage you to begin the mental preparation for your recovery well in advance of your surgery. Recognize that, for a few days at least, you may need someone to help you to the bathroom. You may need someone to give you your medications on time. Someone may need to cook or bring healthy food to the house. You can also benefit from some good old-fashioned visiting. The more prepared you are for this temporary interruption to your normal routine, the better you will handle your recovery.

Must-Have #2 – Helpful Remedies

Before surgery, patients are relieved to know that prescription pain medication will keep them comfortable. Another crucial detail that needs to be known is that the medication that prevents pain may cause a particularly uncomfortable side effect, constipation. There are two helpful remedies you can acquire before surgery to keep the risk of constipation to a minimum. You should need only one. The first is a good fiber supplement. When taking fiber, it is essential to drink at least 64 ounces of water throughout the day. Another option is to take magnesium citrate daily while you are taking prescription pain medication. Each of these remedies is convenient and has been shown effective at managing constipation.

Are you ready for the rewards that plastic surgery has to offer? Contact our Louisville office at 502-425-5200 to schedule your consultation with board-certified plastic surgeon Dr. Salzman.

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Should I Have Plastic Surgery?

istock 1140016992 1 Plastic surgery procedures continue to be popular even with the many non-surgical treatments we have available today. It’s easy to understand why. First, not every cosmetic concern can be handled non-surgically. Those that can be, such as facial aging, get better results from surgery than other modalities, including injectables.

If you’re considering plastic surgery, we imagine you’re quite aware of the problem it is you want to correct. If that is a droopy, saggy belly, you may find that you tug your waistline upward to cover it. You may wear loose tops as another strategy. If you are unhappy with the way your face is aging, you might try to smile all the time so you look friendly and happy. You may raise your eyebrows because you can feel the heaviness of your upper face. These strategies can be put to bed with the right treatment; but to get the right treatment, you might have to overcome a few ideas that are holding you back.

What Do You Think About Plastic Surgery?

We all develop certain perspectives in life without realizing how these come to be. If you’re hesitating about plastic surgery, it could be because you’ve got a few ideas that are simply not true. For example,

Plastic surgery is trying to take a shortcut.

It wasn’t very long ago when plastic surgery was something people did in secret. Prominent plastic surgeons had secret entrances to keep patients’ visits discreet. We’re far more open about surgical enhancement today but that doesn’t mean some people don’t still hold on to this idea that plastic surgery is an easy out. Easy out of what, we don’t really know. Most of the people we meet have done a lot to manage their appearance. They live healthy lifestyles, exercise, and take good care of their skin. Plastic surgery isn’t a shortcut to anything, it is a way to feel like your best self.

I should just be happy with my body.

This is an idea that gets perpetuated by well-meaning loved-ones. If you’ve tossed out the idea of having plastic surgery or admitted that there is something about your body that you would like to change, you may have heard something like “you look fine just the way you are!” These statements are spoken in love, but they aren’t helpful. Plastic surgery is not about fixing something. Wanting plastic surgery doesn’t mean you’re not happy with your body. It means you want to be happier with your body!

In recent years, we’ve become much more aware of the value of dumping beliefs that don’t serve us. These and other ideas about plastic surgery don’t have to keep you from feeling your best. Kick them to the curb and give our Louisville office a call at 502-425-5200 so we can discuss the treatment that would be perfect for you.

Wintertime is a Great Time for a Reboot

The holiday season may be one of the busiest times of the year, but luckily the festivities only last a few weeks. After that point, the remainder of the winter months can be spent rejuvenating and revitalizing for the coming seasons. During this time of year, even before all the holiday hoopla begins, cosmetic treatments often increase in popularity. It makes sense why people may be interested in visiting an experienced provider for a quick lunchtime wrinkle-reducing treatment. But is there more to wintertime beauty treatments than you’re thinking? There might be.

Go Big or Go Home

Not surprisingly, the cosmetic surgeries that are popular year-round often get a boost of appreciation after the holidays. The most sought-after treatments include breast augmentation, facelift surgery, and liposuction.

Breast Augmentation

Enhancing the breasts often involves improving volume and shape. This is often achieved with breast augmentation. This procedure inserts breast implants into a pocket beneath natural breast tissue to increase size. There are numerous types of breast implants available today, and characteristics that expand far beyond choices like saline or silicone. With the help of an experienced team, our patients confidently choose the form of implant they want, the shape, and the profile. The culmination of these choices is a renewed, well-proportioned body.

Facelift Surgery

There are several nonsurgical solutions to facial aging. As of this moment, none can achieve the degree of lifting comparable to a facelift. Some come close, but there are reasons to consider how nonsurgical skin-tightening technologies compare to a meticulous surgical lift. When it comes to the longevity of results, surgery continues to perform much better than other treatment options. This is why facelift surgery continues to be one of the leading plastic surgery procedures throughout the year.


Losing weight can be a challenge that only gets more difficult as one comes to those last stubborn pounds. To put the icing on the weight-loss cake, many people turn to liposuction. However, this fat-reducing procedure isn’t limited to the primary fat-holding areas like the abdomen and the buttocks. Liposuction can also be a great procedure for getting rid of a double-chin or fat around the bra line.

Why Wintertime?

Why would procedures like these get a boost in popularity during the winter months? There may be several reasons. Increased motivation to look and feel our best may be one of them. Another advantage, though, is that we do have a bit of hibernation-mode going on when the weather is colder. This provides us with an excuse to be out of the limelight. To take a short vacation from work and social obligations to reset, aka recover from plastic surgery in the most discreet way.

Make the most of your winter “hibernation.” Call 502-425-5200 to schedule a plastic surgery consultation in our Louisville office.

Dr. Marc Salzman Explains Louisville, KY Plastic Surgery Trends

Plastic surgery is an evolving science, with newer and safer methods for enhancement being developed yearly. At Salzman Cosmetic Surgery and Spa in Louisville, KY, plastic surgery trends follow the latest safe and effective technologies. Dr. Marc Salzman dedicates his time to staying up to date with medical research so his patients have access to the latest technological advances. We spoke with Dr. Salzman about the latest developments in plastic surgery, breast implants, and how his patients benefit from access to more options for enhancement.

Why Choices Are Important In Plastic Surgery

We asked Dr. Salzman why he offers a wide variety of plastic surgery options, including the newest breast implant, the IDEAL IMPLANT® Structured Breast Implant. Dr. Salzman is one of the exclusive surgeons in the Louisville, KY area to offer IDEAL IMPLANT among other new technologies. 

Dr. Salzman explains, “I’m always surprised when I read online or patients tell me they’ve been to other places and physicians are giving them one choice or is telling them, ‘Don’t worry, honey, I’ll pick your size, you’re going to look fine,’  And I’m aghast when they tell us, ‘Well, doctor so-and-so didn’t say anything about that.’ You can still do a tummy tuck like they did in 1975, that’s fine, but there have been some advances. There are some newer ways of doing it. The same thing with the IDEAL IMPLANT. If you’re not willing to accept the fact that something’s new and present that as an option just because you think it’s no good or you don’t want to do it, that’s probably not a great thing. You can say, ‘I choose not to’ for whatever reason, but I really don’t like when the physician poo-poos something that they don’t have because it either costs money to do or it takes time to learn. They say, ‘Oh, that you don’t need. That’s an advancement that doesn’t matter.’ And that’s not really true because some of these things do matter.”

Louisville, KY Plastic Surgery Trends And Breast Implant Options

Since Dr. Salzman does not approach cosmetic surgery as “one size fits all” we asked him how he helps women pick the best breast implants for their bodies. Every woman is different, so Dr. Salzman takes his time with each patient to find out exactly which breast implant will give her the results she wants.

According to Dr. Salzman, “We’ll start out the conversation saying there’s a right implant for you, but there’s also probably a few right implants for you. We’re going to show you on a three-dimensional image of yourself, so that really there’s no guesswork. This is exactly what it’s going to look like. 3D imaging has been around for eight years or so. We had it when it first came out. The primary thing that we do is to try and get a feel for what the patient wants. And I think it’s helpful if the patient brings in a photo. Almost every patient will bring a few photos of what their goal is, what they want to look like, and then that kind of starts the ball rolling.”

After learning about his patient’s cosmetic goals, Dr. Salzman provides information about breast implant options, Louisville, KY plastic surgery trends, and the new technologies he offers. He explains the process of looking at these options, “What kind of implant are we looking at? High profile, extra high profile, more of a modest, rather than just say, “this is what you need.” We have all the implants lying on the table. And I say, there is a reason to use every single one of these.

“I present the option of the IDEAL IMPLANT. It’s the most expensive one, it’s the most modern one, it’s really the only new type of implant that’s been introduced in years. And we show them the implant underneath the little cloth. It feels just like a silicone gel implant. Yet it has some sizing interoperability that you don’t have with a fixed volume silicone gel. The incision is a little bit smaller, the warranty is really as good or better than anything else that’s out there. My patients ask, ‘well, what’s the negative?’ It costs more, and my patients say, ‘you get what you pay for.’ And a lot of times the patients will select the IDEAL IMPLANT, never having heard of it before they come in.”

When talking to his patients about Louisville, KY plastic surgery trends and the benefits and compromises of the IDEAL IMPLANT, Dr. Salzman says “I think the only downside that I’ve seen is it takes longer to put the thing in. You have to pump all the saline, both lumens, where for me it takes me 15 seconds to put in a silicone gel implant. But, I think patients like the fact that this is the newest, latest, and greatest state-of-the-art implant. There really hasn’t been any big changes in silicone gel implants in a long time, other than the consistency of the gel. So this is revolutionary. I think the patients understand that you have something that feels like a silicone gel implant, which is why we like the silicone gel implants. That doesn’t wrinkle like a silicone gel gel implant, which this does not. That has the longevity that’s as good or better than most of the silicone gel implants. That has a warranty that’s as good or better than all of the silicone gel implants. And it has a smaller incision because you roll it up like a cigar and stuff it in a smaller hole. What are the negatives? Well it costs more. So my patients understand that and say, ‘well that’s why it costs more.’”

Breast Augmentations And Louisville, KY Plastic Surgery Trends

In addition to offering the latest breast implant options Dr. Salzman approaches breast augmentation surgery in a new way. His methods typically lead to less downtime and reduced pain during recovery. Dr. Salzman explains, “I’ve been doing pectoralis muscle blocks for two and a half years now. That’s under high-resolution ultrasound, putting a long-acting numbing medicine. We use ropivacaine, and we put that in between the pectoralis major and pectoralis minor muscle, where the nerves that supply the muscles come out of the underarm, and that’s the spasm that you get when you create this pocket. Three years ago when I would go back to the patient in the recovery room and say, ‘How are you feeling?’ the thinner patient with bigger implants would say, ‘I feel like an elephant is on my chest and I can’t breathe.’ That’s the response of the muscle tightening and having this implant underneath it. Well, when you paralyze it, so to speak, by using the long-acting numbing medicine, we don’t get that rapid tension and the patients don’t feel like an elephant sitting on their chest. I’ve also noticed that because of that block, we don’t see implants way up in the underarm. All these massage things and special bras and all that, we don’t have any of those things. Patients can pretty much do what they want the next day.”

Salzman Cosmetic Surgery And Spa

We asked Dr. Salzman how his practice, Salzman Cosmetic Surgery and Spa, compares to other practices around Louisville, KY. Plastic surgery trends are just one aspect of a cosmetic surgery practice. Safety, efficiency, and personalized care are also needed to give patients lasting results and the best experience possible.

Dr. Salzman tells us, “I think our office is a little bit unique in most parts of the country. We have a AAAASF, nationally certified operating room. We use board certified anesthesiologists and certified registered nurse anesthetists. We practice under the guidelines of the American Society of Plastic Surgeons and American Aesthetic Society. So it’s a state of the art operating room. We have ultrasound, we’ve got up to date things for liposuction. We’re doing BBLs, Brazilian butt lifts, under ultrasound. We’re doing tummy tucks with no drains, a painless, drainless tummy tuck. I do my own tap blocks, putting in numbing medicine in between the muscles of the abdominal wall, which really has helped for patients because it lasts for three days, it revolutionized their post-op care. We’re doing some state of the art things that not everybody’s doing and we have a beautiful facility and fantastic staff that is there to cater to our patients. And we have nurse practitioners taking care of our patients. It’s just a different type of practice.”

Considering breast implants in Louisville? Contact Dr. Marc Salzman today to discuss your options. Simply call 502-425-5200, or visit https://www.itbecomesyou.com/. Dr. Salzman’s office is located at 4702 Chamberlain Lane Louisville, KY, 40241. Call today for more information on IDEAL IMPLANT® Structured Breast Implants.

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]

Buttock Augmentation (BBL)

The Brazilian butt lift, or BBL, has become more popular in recent years. In this body enhancement procedure, fat usually from around the hips, bra strap roll, and thighs is removed with liposuction, processed to remove the water and non-viable cells and then injected into the buttock to increase its projection. Its advantage over that of an implant is that it is natural fat, that once survives the transplant, will last forever without some of the added risks of a foreign body such as a silicone buttock implant. The American Society of Plastic Surgeons (ASPS) has been closely following this procedure’s meteoric rise as well as its associated complications.

In the USA, over the last few years, there has been a concerning number of deaths associated with this procedure. Most have been caused by fat that has been injected deeply into muscle that makes its way into large veins that then can pass this fat through the heart and into the lungs, (fat embolus). The national societies associated with Aesthetic Plastic Surgery, (ASPS and ASAPS), have made recommendations from the data associated with these cases. It seems the trick is to not inject deeply into the gluteal muscles where these large veins are located. The technique, as it is used now, is done by feel without any corroborative visual evidence of injection location. Ultrasound can be used easily in an operating room, under sterile conditions, to easily observe the location of the injected fat. That is just what I have begun doing since mid 2017. Under ultrasound, the injection cannula can be visualized, and the actual dispersion of the fat can be watched in real time. There is a tremendous safety advantage in doing Brazilian butt lifts using this technique. In the coming years, I would hope that this would become the way this procedure is done by all plastic surgeons.


Slim Your Silhouette with Vanquish ME

Have you been hitting the gym and eating well, but still have stubborn areas of abdominal fat staring back at you in the mirror? If so, you don’t have to opt for invasive surgery such as liposuction. The new and improved Vanquish ME is a non-surgical body contouring option. Using radiofrequency heat, the device heats and destroys fat cells without contact with the skin. This means no downtime and permanent results for a slimmer and more confident you! Also, along with the new and more powerful Vanquish ME is a new attachment that is FDA cleared for circumferential reduction for thighs!

Benefits Vanquish ME

  • No Limits- Because Vanquish ME has the largest treatment area in the industry, there are no BMI limitations. This means that everybody is a candidate!
  • Even Results- This treatment also reaches full hip to hip, which leaves no unevenness or lines for a beautiful result.
  • Safe- The Vanquish ME treatment meets strict safety standards, and safety has been confirmed by numerous independent clinical studies.
  • Painless- There is no pain involved because Vanquish ME is completely contactless. Many patients describe the experience as waves of comfortable heat. There is also no downtime required, so you can continue with your everyday routine as soon as you feel comfortable!
  • Affordable- Vanquish ME is more affordable than other body contouring treatments, since it can remove more fat for a lower cost.

If you are ready to take the first step towards a slimmer you, contact our office today! Many patients report better fitting clothes and an increase in self-confidence after undergoing the Vanquish ME treatment. Salzman Cosmetic Surgery and Spa serves patients in the Louisville and Lexington, KY areas.

What is a Drainless Tummy Tuck?

One of the most common procedures done by plastic surgeons is an abdominoplasty or “tummy tuck.” Commonly, after weight loss from childbirth or diet, the abdominal wall, including the muscle and skin will be stretched and unable to contract back to its prior state. There may also be some extra fat that is accumulated around the belly button. In a modern tummy tuck, liposuction of the front of the belly, as well as the hips and flanks is one of the components. The extra skin is removed and the muscles underneath tightened.

Classically, when abdominal skin and fat is lifted off the muscle to allow sutures to be placed, a drain, a plastic tube hooked to a reservoir that withdraws the extra fluid that accumulates in that space, is placed at the time of the operation and removed within two weeks. These drains can be cumbersome to deal with and provide some degree of anxiety both in their day-to-day presence, as well as the uncomfortable feeling when they are removed.

One of the newer advances in body cosmetic plastic surgery, is to do a “drainless tummy tuck.” Instead of placing a drain to remove the potential accumulating fluid, multiple sutures are placed to reattach the overlying skin and fat to the muscle over the entire area in which they were separated. Some progressive tension can be placed in a downward fashion such that there is less pulling on the final closure at the bottom. We have done this “drainless” method for many months now and have had the opportunity of looking at all of the patients with our in-house ultrasound after their first week. We have not found any significant accumulations of fluid that needed to be removed with an additional procedure. Our patients have been quite pleased to avoid the use of drains and have raved about the more tolerable recuperation period.

Your Fat May Be Your Best Filler

We all have often thought, “If only I could move this stubborn fat around my waist to somewhere else where it might look better.” That concept today in Plastic Surgery is becoming more of a reality. The process is called fat transfer and has exploded in its usefulness in our Plastic Surgery practice. The technique involves removing fat from where it is in excess, like around the midsection and transferring it to where it may help increase the size or fill in areas where fat has been depleted. Common areas to place fat are for increasing breast size, matching size or shape of breasts, making buttocks larger, and filling out of the face that has sagged with weight loss or age. Several rather new modalities have made fat grafting better over the last few years. We now know that the addition of growth factors from platelets, when added to fat grafts make the fat grafts heartier and more likely to gain a blood supply and survive the transfer. In our office, we have used PRP (platelet rich plasma) as a source of these growth factors for over 2 years now and have seen better results with fat grafting since its implementation. Also, it has been recognized that placing fat into muscle which has a better blood supply makes it easier for the fat to survive. We have used ultrasound now to actually see where the fat goes and place in places that will make it more likely to survive. There have also been fair amounts of research into better ways to both harvest the fat and separate out those components that represent the cells most likely to survive.

At the Salzman Institute of Plastic Surgery in Louisville, KY we have been utilizing these advanced techniques with great success in the last few years. One of the new concepts this fat grafting has helped is in High Definition Liposculpting. The fat is removed from the areas where it is in excess and replaced into where accentuation of natural underlying muscle mass is needed. Under ultrasound guidance, these fat grafts can by placed directly into the underlying muscles safely. We also use this same technique in reshaping of the breast. Rather than relying on breast implants alone, fat usually taken from around the belly and hips can be placed into the breast to enlarge and reshape it. Nice contours of natural feel and look can be accomplished in this way.

Fat, it turns out, can be a nice commodity if moved to a more desirable location with newer plastic surgery techniques.

Dr. Salzman as an expert on Exilis

Recently I was interviewed by a trade journal for my thoughts on a relatively new non invasive body shaping modality called Exilis. The holy grail for plastic surgeons is a totally non invasive method of shaping the body by reducing the amount of fat in areas of the body that are disproportionally large. Liposuction of some type, usually utilizing some power assist, presently is the gold standard in fat removal. This new Exilis machine, while not as effective as a surgical result can be used after liposuction to help skin retract and to smoothe out the result. There are those patients that either can not, or will not, opt for an invasive procedure like liposuction and yet still want to reduce some areas of the body. The Exilis treatment is perfect for these patients. You can read more about it and my comments here.

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