Cosmetic Surgery Without Leaving Telltale Tracts Behind!

Today’s cosmetic surgery seeks more than a good result. It also seeks to produce the result without leaving telltale tracts behind. This article will describe some of the ways the modern plastic surgeons like Dr. Brian Evans MD perform to accomplish that dual goal.

 

The most significant innovation in facial rejuvenation in the past several years has been the adaptation of endoscopic techniques. An endoscope is a surgical tool that incorporates a miniature video camera. It provides surgeons access to deeper layers with visualization of essential anatomy through minimal incisions. For example, the old forehead lift operation required a long incision across the top of the head from ear to ear. Surgeon can do the endoscopic assisted forehead lift through small incisions, all hidden within the hair and provide the same benefits of forehead and brow area rejuvenation, all without removal of any scalp and therefore no hair loss. Not even your hairdresser need know.

 

The middle-third of the face is that part of the anterior cheek area below the eyes and above the lips. Plastic Surgeons perform mid-face lifts by combining the endoscopic forehead lift described above with an incision under the lip. And can then lift all layers together, and support them in place. The result is a more harmonious rejuvenation, including reduction in circles under the eyes, all without a single visible scar on the face.

 

Other areas of the face can also be improved without leaving any sign that you have had surgery, other than the fact that you look better. Lower eyelid fat bags can be removed from the inner, backside of the eyelid, leaving no scars. Jowl fat can be removed from inside the mouth. Cheek implants, which can have the effect of enhancing and balancing facial features as well as producing a more youthful look, are generally inserted through incisions under the lip inside the mouth. Double chins and poorly defined necklines can be recontoured with very small liposuction instruments passed through tiny incisions behind the earlobes and in the crease under the chin. Even neck muscle tightening can be done with only a slightly longer incision under the chin. The same approach is used for chin enhancement, using implants that plastic surgeon custom design to your particular need.

 

Another approach to facial contouring and rejuvenation is fat injection. Fat is harvested from your own body stores (like it or not, an almost inexhaustible resource), and prepared for reinjection. It is then used to fill in lines and wrinkles, correct hollows, and enhance structures such as cheekbones, jaw lines, and lips. Often, several sessions are needed to achieve the final result. The great attraction is that the material comes from your own body so that allergic reactions are impossible, the material (your own fat) is free, and the process uses needle injection so that surgical scars are avoided. Alternatively, there are permanent grafts that are well tolerated by the body that can also be implanted without leaving noticeable marks behind.

 

Breast augmentation has reemerged as one of the most popular cosmetic surgery procedures. An important decision is the location of the incision. Modern plastic surgeons prefer to avoid a scar on the chest, for obvious reasons. And prefer the axillary incision, and place the implant under the large pectoral muscle to obscure the upper margin of the implant. The final scar, which is high in the armpit, usually fades to a fine white line mimicking a natural skin fold. Other surgeons use the umbilical approach that also leaves the breast unscarred.

 

The plastic surgery profession has always, with good reason, prided itself on its attention to detail and on minimizing scars. Our traditional, more extensive procedures, including major facelifts and tummy tucks, achieve these goals and are still the best choice in many cases. The newer techniques described above build on that tradition. We truly can achieve great results in a stealthy fashion.

 

If you are interested in any of these cosmetic surgery facial lifts, contact Dr. Brian Evans Plastic Surgery for a consultation to determine the best treatment for your situation. call at (818) 676-4001

To know more, please visit: http://www.drbrianevansplasticsurgery.com/meet-dr-evans.html

Understanding Proper Surgical Wound Care – Dr. Brian Evans

There are various types of surgical procedures. Of these, the more common are appendectomy, cesarean section, episiotomy, hysterectomy, and laparoscopy. In the area of plastic surgeries, breast augmentation, rhinoplasty, and liposuction are three of the most popular procedures today. During a surgery, the surgeon basically makes an incision on the area and after performing the necessary procedure, closes it off using various methods. The varying ways with which doctors close a surgical wound will now serve as the most important consideration in proper wound management.

 

Different Types of Wound Closures

With advancements in this area of medical practice, various technologies have been applied in closing off surgical wounds. In the old days, only sutures were used for this purpose, nowadays, doctors have also begun using clips, staples, and skin glue. Some of these may be used to close off the muscle tissues and the rest used to close off the skin layer. Depending on the wound, a doctor may also prefer using a combination of these. In case a doctor used staples or sutures, removing them should be painless, depending on the proper wound care you have performed.

 

Proper Wound Care

Post-operation, the wound will be covered by bandage to alleviate pressure and protect it from contaminants that could infect the wound. The surgical dressing is normally removed after the first day. Having a nurse or doctor remove the surgical dressing after the first day and checking if the wound looks like how it should is an important step in ensuring proper healing. This is also why it is important that the wound be kept clean and dry for the first 72 to 96 hours.

 

Afterwards, daily cleaning and bandage replacement must be performed as required. When doing so, one’s hands must always be washed with soap and water. The dressing must also be clean and contaminant-free-you want to keep the wound clean and not introduce things that could cause an infection. Depending on the wound closure, the doctor may also advice that daily bandage replacement be foregone as long as the area has been checked. In cases when the doctor used dissolvable sutures, ideally, these should gradually disappear from one to three weeks and minimal management could be performed in such a case. As for non-dissolvable stitches, these should be removed by the GP.

 

Problems and Other Concerns

The major problem associated with improper sound care is infection. Some of the tell-tale signs of infection include excessive pain in the affected area, blood or pus discharge, unpleasant odour, and swelling and extreme redness. If these are observed, contact your GP immediately and schedule an appointment. If a patient has diabetes, know that it could also affect the healing period he or she must undergo.

 

Another problem, although a minor one, is itching. In such cases the wound must not be scratched at all costs. If the itch proves to be too be unbearable, a doctor can prescribe a topical cream to alleviate the discomfort.

 

Understanding proper wound care is certainly the best way to ensure that any surgical wound heals well and on time.

 

Consult Dr. Brian Evans Plastic Surgeon for more details.

Reconstructive procedures are designed to repair wounds and trauma to the tissues. Your wound may need a skin graft, tissue expansion, or flap surgery/microsurgery. The treatment for your wound will be individualized to your specific wound. Contact Dr. Brian Evans Plastic Surgery Clinic to schedule a consultation for your reconstructive plastic surgery procedure today.

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Rhinoplasty

The Criteria Discussed by Dr. Brian Evans for a Good Rhinoplasty Patient

Dr. Brian Evans is a Board-certified plastic surgeon whose private medical practice has been divided between cosmetic and reconstructive surgery and the care of the burn-injured patient. Dr. Evans is currently a surgeon at the renowned Grossman Burn Centers at West Hills Hospital in West Hills, CA. Here is what his experience tells us about Rhinoplasty Surgery:

Rhinoplasty

Patient’s Personal Checklists: Am I a Good Candidate?

If you want to ensure that you attain success at the end of your nose surgery, it is important that you first assess yourself if you are the right patient. If you are unaware of what your odds are about the outcome of the procedure. So read on and see how you fare so far. This way you can also arm yourself with the right questions when you go for a consult.

 

Patient must be generally healthy. The moment that you think about having your body sliced open for elective purposes, you must assess if it is healthy enough to withstand that and recover from it. If you think that you have a rather questionable lifestyle, see to it that you try to manage this first and get your body healthy to sustain the healing process, creating better chances for a successful result.

 

Patient must not have any pre-existing conditions (e.g. cardiac anomalies, pulmonary problems and clotting disorders). Any pre-existing disorder can pose a serious risk for you during and after rhinoplasty surgery. That is why, if you are well aware of this, you need to disclose this to your surgeon. This will also allow him to work collaboratively with your primary care physician, so that they can come with a surgical plan that just might work for you.

 

Patient should not smoke or drink alcoholic beverages at least 4 weeks before the surgery. If you are a habitual smoker or alcoholic drinker, it would be good for you if you lay off these things weeks before surgery. This is not to punish you, but rather to prevent any complication. Alcohol can increase your tolerance for anesthesia, which is not good. Nicotine, on the other hand, can deplete the oxygen content of your blood, which impairs the healing process. These two can put you at risk for a poor outcome and sometimes even serious complications.

 

Patient must inform any maintenance medication he/she is taking. There is nothing wrong if you are taking maintenance medications. You just have to disclose everything to your surgeon, so that he can take the proper precautions. This is also important because maintenance drugs could react negatively to anesthesia, or it could impair your ability to heal properly.

Patient must have realistic expectations. Those who undergo surgery should have achievable goals in mind. If you are looking for perfection, then with all honesty, rhinoplasty may not be right for you. Yes it does provide excellent outcome, but this surgery also has limitations. And it takes a good amount of time to heal before final results can be actualized. By that, it can run from months to a year. But don’t think that it will cause you to just hide and recuperate that long. What this means is that, there will be minor issues which takes more time to go away than others.

Patient must not have any personality disorders. Doctors would not clear any patient for any cosmetic enhancement if they are diagnosed with personality issues (e.g. body dysmorphic disorder).

 

Patient must be financially able to afford the procedure. Quality rhinoplasty surgery can send a person back thousands of dollars. In fact, nose job cost in Sydney and Melbourne is around $8000, and a revision would run around $10000. So make sure that you have adequate budget, not only to afford the surgery itself, but other incidental expenses as well.

However some rhinoplasty surgeries are covered by insurance, but granted that there is a medical cause behind it, such as a deviated septum.

 

At Brian Evans MD in West Hills Hosptial & Medical center, Dr. Brian Evans performs rhinoplasty procedure for cosmetic enhancement and also to correct breathing difficulties associated with a deviated septum. If you feel your nose is crooked, too large, too wide, or if you would like to get rid of a bump or raise a droopy tip, our Brian Evans Plastic Surgery center can help. During a rhinoplasty procedure, we will sculpt and shape the nose, contouring both the cartilage and bone until we reach optimum size and shape.

To know more, please visit: https://brianevansplasticsurgery.wordpress.com/about/

Breast Augmentation 1

Breast Augmentation Surgery Problems: Dr. Brian Evans’s Advice

Breast augmentation surgery is extremely popular. Generally, it is quite safe. However, surgery is never risk free. This article will help you discover the common problems with breast surgery and give you to on how to solve them.

In more than 20 years of private practice as a board certified plastic surgeon, Brian Evans MD has encountered lots of patients with a wide variety of problems after breast augmentation surgery.

 

Rupture of the implants is a main issue. Fortunately, this is fairly rare but it does happen. Older implants were more prone to rupture than today’s implants. If your implants are more than 12-15 years old you should have them checked. Rupture is not always that easy to detect. For a definitive diagnosis, an MRI is required. A rupture should be taken care of immediately, but they are not terribly dangerous as was once feared.

 

The concerns raised in the ’90′s about ruptures leading to increased auto immune diseases have been proven false in the research. Fears of ruptures and auto immune disease linger, but Dr. Brian Evans MD assures you those particular fears can be put to rest due to extensive, positive research results.

 

Some problems boil down to disappoint with the aesthetic results of breast augmentation surgery. Women may feel they were not placed correctly, are the wrong size or are asymetrical.

 

What often happens to cause these problems?

 

The best way to perform the surgery is to place the implant behind the muscles and the breast tissue, not just the breast tissue. Unfortunately, some surgeons do not do it the right way; they do it the easy way.

 

If you have not yet had surgery, avoid these problems by requesting a retro-muscular placement, not a retro-glandular implant.

 

Shift in the body over time is more likely if the implants are not under the muscle too. so if a woman experiences significant weight loss or gain, or pregnancies after implantation, the stretching of the skin causes capsular contraction.

 

Capsular contraction is a condition characterized by scar tightening around the implants that makes them hard to the touch or cause an uneven shape, or both. The result is an augmentation that is obvious or simply not natural.

 

Other problems worth mentioning here are:

  • Poorly selected implants in terms of shape and form
  • Over-inflated implants
  • Implants that slip under the breast
  • Ugly scars
  • Breast asymmetry
  • Implants that are placed too high;
  • Developing the “double bubble” effect (this occurs when the muscle still attached to the underside of the breast produces a visible crease across the bottom half of the breast);
  • Implants migrate laterally over time into the armpit, thereby losing the projection in front and desired cleavage.

 

When these problems show up over time, it can often be traced back to mistakes made during the original surgery. Another reason why choosing a quality plastic surgeon is critical

 

If you experience any of the issues described above, you can visit Dr. Brian Evans MD a competent, board certified plastic surgeon. Call at (818) 676-4001 to learn more!

To know more, please visit: http://www.drbrianevansplasticsurgery.com/meet-dr-evans.html

chemical-peels

Recovering from Cosmetic Surgery – Dr. Brian Evans

Well, the terms plastic surgery and cosmetic surgery are often used interchangeably. But in reality there is a difference between the two procedures. Cosmetic surgery is usually elective, a choice. People choose cosmetic surgery to fix a part of their body that they are not happy with. Plastic surgery, on the other hand, can also be called reconstructive surgery. Plastic surgery is used to correct birth defects and in the case of accident victims plastic surgery is used to rebuild. Sometimes plastic surgery is medically necessary. However, both plastic surgery procedures and cosmetic surgery procedures change the way a person looks and should only be performed by doctors that are Board certified.

 

While the outcomes of plastic and cosmetic surgery are quite desirable it is a long road to get there. By definition cosmetic surgery itself is a medical procedure. Like any other surgery the procedure can be painful, often requiring stitches to close up incisions. Like a magician, the cosmetic surgeon will strategically place these cuts in parts of the face or body that are not immediately apparent to other people. This way any scarring as a result of the surgery will remain hidden. Pain medications and local and/or general anesthesia will be administered as needed.

 

Many people instinctively know what we have just told you – but what is often overlooked is the recovery period after the operation is complete. Once again a cosmetic surgery is just that – surgery. That means that the patient will need time to heal and get better. After the surgery, if anesthesia was administered, time will be needed in the hospital or doctor’s office for the anesthesia to wear off. The affected area will be wrapped in gauze and there may be some bruising as well as some swollen areas. The site of the surgery will need to be treated tenderly so the stitches are not compromised and the incisions do not tear. Not only will the patient need to relax for a period of days but it may be necessary to have someone, like a close family member, around to assist and care for the patient.

 

There will be follow up visits to the doctor over the course of the next few days. Also, the patient will want to have emotional support during the healing process. Usually the desired results are not apparent until much later, which can be discouraging.

 

The time needed for healing will vary by procedure. But having a good rapport with the cosmetic surgeon and having a strong personal network available will go a long way towards improving the patient’s morale and the overall cosmetic surgery experience.

 

Dr. Brian Evans MD Plastic Surgery is Board Certified in plastic surgeon, whose private medical practice has been divided between cosmetic and reconstructive surgery and the care of the burn-injured patient. Dr. Brian Evans is currently a surgeon at the renowned Grossman Burn Centers at West Hills Hospital in West Hills, CA. He co-founded the Skin Deformities and Research Foundation and has lectured on Burn Reconstruction, Skin Cancer reconstruction and Aesthetic Surgery.

 

Here are a few plastic surgery procedures Dr Evans specializes in:

  • Rhinoplasty (nose job)
  • Facelift
  • Blepharoplasty (eye lift)
  • Butt lift
  • Breast augmentation (breast enhancement, enlargement, or reduction)
  • Tummy tuck
  • Liposuction

 

Call for free consultation (818) 676-4001 today.

For more details please visit: http://brianevansmd.strikingly.com/

C

Facial Rejuvenation for a More Youthful Appearance – Dr. Brian Evans

As we age our skin becomes more tires in its appearance and this will often show our age more clearly than anything else about our appearance. When you are trying to achieve a more youthful look, it is in your best interest to find a facial rejuvenation product that will bring your skin back to life and give the impression of youth and vitality.

 

Take a look at some of the ingredients that are available to help your skin look and feel better. The texture of your skin will also change with age and you will need a good product that delivers moisture to your skin and helps to eliminate the dead skin cells at the same time. Moisture is one of the most important parts of a high quality skin care routine. You must keep your skin well moisturized to avoid the effects that will result on the skin when it is allowed to remain too dry. Wrinkles and the fine lines that are associated with age are more prevalent when the skin is dry than when it is kept well moisturized.

 

Caring for your skin will require you to look in a variety of different areas. Your skincare routine is the first area where you will want to begin your work. Make sure that you have a good skincare routine that you follow with consistency. You should have a good method for cleaning the skin and keeping it well moisturized. A skincare routine is only good if you are using it. Filling your shelves with expensive products will not help with facial rejuvenation if you don’t use the products.

 

Make sure that you are following a good routine and keeping your skin clean, free of dead cells and well moisturized. You should also look to add some of the more intensive treatments to your routine as your skin ages. There are some wonderful products on the market that can provide you with very good skin conditioning if you do some research on the right ingredients. Check to be sure that your facial rejuvenation products contain these ingredients in the right quantities to make sure that you are actually providing a benefit to your skin.

 

Next, your facial rejuvenation plan will need to include a healthy well balanced diet. Your skin is an organ and will need to be given the right nutrition to function in the best possible way. Make sure that your diet is balanced first and also includes foods that are rich in antioxidants and vitamins. It is also important that you drink plenty of water every day to provide your body with the proper hydration. Facial rejuvenation must have a healthy body to produce good results.

 

Finally, do some investigation on your own about how the skin works and the recent developments in skincare. Many times we are only left with the advertisements that we see for skincare products to give us information about ingredients. This is not the best way to learn about your skin. The ads are designed to sell the product to you and you will need more unbiased information than this to make good choices in your facial rejuvenation treatments.

 

Learn more about Facial Rejuvenation; contact Dr. Brian Evans Plastic Surgery near Encino.

Contact today 818-665-3585 to learn more about plastic surgery in the Tarzana area and the plastic surgeons at cosmetic surgery center.

For more details please visit: https://drbrianevansplasticsurgery.shutterfly.com/34

acne

Get Rid Of Acne Once And For All – Contact Brian Evans Plastic Surgery

Skincare products only reach the surface of the skin, and cannot always change the skin’s behavior. You may be able to shrink pores and reduce inflammation temporarily, but if you have severe acne, the problem lies deeper within the skin’s surface.

Fortunately, there are several treatments and plastic surgery procedures that can help treat acne and improve your skin’s texture, contact Brian Evans Plastic Surgery for more details. These treatments include photofacials, laser skin resurfacing, chemical peels, and microdermabrasion. Brian Evans Plastic Surgery center facility will help you choose the right acne treatment for your skin. acne

ACNE SURGERY: This treatment method really speeds up acne clearing and appearance by manually getting rid of blackheads and whiteheads. A round loop extractor is used to apply uniform smooth pressure to dislodge the material. Lesions that offer resistance are loosened by inserting a pointed instrument to carefully expose the contents.

INTRALESIONAL CORTICOSTEROID THERAPY: If one or a number of painful acne cysts develop, instant relief is on hand with this very painless treatment procedure. Each cyst is given a single injection of a dilute cortisone solution, using an ultrathin needle.
Laser and light therapy. Laser- and light-based therapies reach the deeper layers of skin without harming the skin’s surface. Laser treatment is thought to damage the oil (sebaceous) glands, causing them to produce less oil. Light therapy targets the bacterium that causes acne inflammation. These therapies may also enhance skin texture and decrease the appearance of scars, so they may be good treatment choices for people with both active acne and acne scars.

Dermatologists will make use of very aggressive treatment methods to try to stop the progression of serious acne. They will try to stop it in its tracks while at the same time, work to prevent permanent scarring.

Oral antibiotics and medications such as accutane, may be used at this stage as well as drainage techniques and surgical incision, also known as Acne Surgery. Other acne treatment methods like injections of corticosteriods can be utilized.
Melting away cysts over a number of days is what this is mainly used for. The acne therapy selected by your doctor will be matched to the seriousness of the condition affecting your skin.

 

Acne laser treatment for scars
Acne laser treatment has also been tried recently in a related form of skin disease called Acne Inversa, caused by sweat gland inflammation. This chronic disease is identified by inflamed abscesses inside the groin and underarms, and rarely on the scalp. The normal acne treatment of oral antibiotics usually assist you by controlling the condition, but the scarring left by the abscesses can be severe enough to limit movement, and is not always helped by cortisone injections. Acne laser treatment may offer a less invasive treatment than full surgery, and together with other acne medications such as Isotretinion, acne scars may be a thing of the past for these patients.

 

Acne Treatment Guide
Chemical Peels and Dermabrasion
This includes the application of an efoliate, like glycolic acid, to the affected areas. Sometimes, microdermabrasion is used as an alternative. The result is the peeling off of the top skin layers that opens comedones, and since the pores are no longer clogged, acne is eliminated.

If you’re frustrated with acne products, consider contacting Dr. Brian Evans to get your acne under control.
Call at 818-665-3585 or go online www.drbrianevansplasticsurgery.com

 

Facelift for a young pretty woman, isolated, white background

Getting the Best Facelift – Visit Dr. Brian Evans Plastic Surgery

A facelift is designed to reverse the visible effects of aging by eliminating excess skin and tightening the muscles of the face and neck. With a facelift, skin that has lost its elasticity can be lifted to reveal new facial contour, and tightened to create a fresh, rested appearance.

Not all faces begin to show signs of age at the same rate. Heredity, environmental and lifestyle factors have a large effect on our facial appearance, as we grow older.
However, starting at around age forty, most faces begin to undergo a change. Features begin to sag as the muscles become weaker and the skin less elastic. Wrinkles and lines begin to form, becoming more apparent on the forehead, near the eyes and around the mouth and neck. The jaw line can disappear into an excess of fat, and droopy skin.

 

The most effective way to reverse these obvious signs of aging is with a facelift (Rhytidectomy). At Brian Evans Plastic Surgery West Hills Hosptial & Medical center practice, we believe a facelift can provide some of the most dramatic, comprehensive results that plastic surgery has to offer.
Facelift Surgery
Facelift surgery is designed to treat the face as a whole.
During a facelift, the skin and underlying musculature are tightened; excess skin and fat are removed. A facelift involves making incisions around the jaw, hairline, or ears to pull back and tighten the facial skin.
The whole face is, in essence, lifted, smoothed, and made more youthful-looking.
In certain situations, an additional procedure, such as rhinoplasty can be performed at the same time as the facelift.
Facelifts come in several types, based on the extent of work being done: the Mini Facelift, the Mid-face Lift, and the Traditional Facelift.

 

Mini Facelift
The Mini Facelift is sometimes called the “weekend facelift” because the procedure is relatively short and less invasive than the other two types of facelifts.
During a mini facelift, only specific areas will be targeted, not the face as a whole. Your surgeon may address the neck and jowl area (mini neck lift), or concentrate on the part of the face that includes the cheeks and lower eyelids (mini facelift).
The procedure is done on an outpatient basis, often under local anesthesia and takes from one to two hours.

 

Mid-Face Lift
A mid-face lift refreshes the area of the face between the upper lip and the lower eyelid, improving deep smile lines and sagginess of the cheeks.
As we get older, the fatty tissue that drapes over the cheekbones can begin to drop and sag. The cheekbones become less prominent as the cheek fat gives in to gravity’s pull. This can also accentuate any bagginess of the lower eyelids.
Frequently a mid-face lift is done in conjunction with another cosmetic surgery procedure, such as lower eyelid surgery (blepharoplasty) or a rhinoplasty.
Mid-face lift surgery is normally performed on an outpatient basis.
A mid-face lift is a shorter operation than a full facelift and has a faster recovery time.

 

The Traditional Facelift
The traditional facelift addresses the face as a whole, from brow to chin, including jowl line and neck.
Some of the problems a traditional facelift addresses are:
• Mid-face sagging in the area of the cheeks
• Deep creases along the sides of the nose extending down to the corners of the mouth
• Creases, puffiness or “bags” below the lower eyelids
• Loss of tone with drooping fat and skin around the jaw line

The healing and recovery period from a full facelift can be from a week to several weeks, depending on the extent of the surgery and the response of the individual patient. Most patients can return to non-physically strenuous work within ten days to two weeks.
You will have follow-up appointments with your surgeon to check the progress of your healing.

 

Dr. Brian Evans Plastic Surgery
Brian Evans Plastic Surgery is experienced and board certified in all aspects of cosmetic surgery. Dr. Brian will be able to show you before and after photos of surgeries he’s personally performed and help you understand what to expect, and the real benefits and risks of the procedure. And also offers a wide selection of non-surgical skin care procedures at West Hills Hosptial & Medical center practice that can be combined with a facelift to reveal smoother, softer skin.

Contact Brian Evans MD today 818-665-3585 to schedule your facelift consultation
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Breast Implants

Breast Implants – Consult Dr. Brian Evans Plastic Surgery

So you want to get breast implants. Whether it was a difficult decision or a no-brainer, you’ve got more choices to make related to the actual procedure, California, to explain. Here are the four basic — but critical — decisions explained by Dr. Brian Evans (An Experienced Plastic Surgeon) you need to make when you choose to have breast implant surgery.

 

01. SALINE OR SILICONE?

Supports the American Society of Plastic Surgeons (ASPS) position that silicone gel-filled implants offer a more natural feel than saline implants. The gel feels and moves much like natural breast tissue. To this point he adds, “… saline implants sometimes form ripples, like the ridges of an old-fashioned washboard, which can be felt — or even seen under the skin. This is mainly a concern for thin and small-breasted women.” He adds that this occurrence is less noticeable in women who have a fair amount of breast or fatty tissue to begin with.

The difference

The main disadvantage of silicone implants is that it’s harder to detect when an implant breaks — “whereas a saline-filled implant leak is readily apparent by virtue of loss of volume in the breast. That’s why, the FDA recommends that women with silicone implants have an MRI examination three years post-implantation and every two years thereafter.

 

2. SIZE AND SHAPE

Decision on size includes various factors that are, in part, determined by a woman’s “tissue characteristics,” including how much stretch she has in her skin, the width of her chest, and the amount of fatty tissue she has under the skin.

Tissue characteristics certainly play a role, many plastic surgeons, myself included, feel that the patient’s desire regarding size is far and away the most important consideration. If a woman desires large implants, and she understands the implications of such, in terms of the long-term effects on her breasts, then size should be her personal decision.”

 

Shape, Dr. Brian Evans MD explains, is determined to a large extent by the inherent form of the breasts. But, he adds, “Shape can also be influenced by implant dimension: Implants of an identical size can result in a different appearance, depending on whether her doctor uses high-profile implants (narrow but producing significant projection) versus low-profile implants (wider but with less projection.)” He also adds that breast lift (mastopexy) can significantly reshape breasts that sag.

 

03. LOCATION

Breast implants can be placed over or under the chest (pectoralis major) muscle. According to, over-the-muscle placement results in less pain, while under-the-muscle placement offers less interference with mammograms, less chance of being able to feel the implant, better long-term support, and perhaps less chance of capsular contracture, the most common complication of breast augmentation surgery, which distorts the appearance of the breast. Dr. Brian Evans adds that “there is also a further distinction between a complete and partial approach with the sub-muscular method.” Ultimately, choosing the appropriate implant location, he points out, is a decision best made between you and your surgeon, based on advantages and disadvantages of each approach, relevant to your personal anatomy.

 

4. INCISION TECHNIQUE

Fact

According to Dr. Brian Evans MD, there are four main options for incision placement in breast augmentation: Under the breast (inframammary), around the nipple (periareolar), through the armpit (transaxillary) and through the belly button (transumbilical). Each incision method has its advantages and disadvantages.

 

If the incision goes under the breast or around the nipple, your doctor can directly see the pocket for the implant as it’s created, which maximizes the chance for proper implant positioning. If subsequent operation becomes necessary, the same incision can be re-used. However, while the incision is well-hidden around the nipple, it is more apparent under the breast. If your incision goes through the armpit, it may be well-hidden, but other challenges present themselves. It’s harder to place the implant properly, it’s difficult to insert a silicone implant of any size and there’s a small risk of damaging nerves traveling to arms. And finally, an incisional approach through the belly button has multiple limitations. Not only is it impossible to insert silicone implants with this approach, but placement from this larger distance is difficult and subsequent procedures require one of the other incisions.

 

Dr. Brian Evans Plastic Surgery at West Hills Hosptial & Medical center features several breast augmentation procedures to choose from, including breast implants, breast lift, or breast reduction. Dr. Brian Evans uses only the safest techniques and materials during breast augmentation surgery, and all of our breast enhancement procedures are performed within a safe, certified operating facility. If you are unhappy with the shape or size of your breasts, visit Dr. Brian Evans Plastic Surgery for a breast augmentation consultation.

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Cosmetic Surgery

Is Cosmetic Surgery Right for You? Ask Dr. Brian Evans MD

Is cosmetic surgery something that has been on your mind? If might be if you have an imperfection, like excess fat, excess skin, or wrinkles, that you want to fix. As great as cosmetic surgery is, it isn’t something that is right for everyone. So, is cosmetic surgery right for you?

 

Dr. Brian Evans is a plastic surgeon in West Hills, California and is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital.

 

Here is what Dr. Brian’s experience is stating:

 

The first step in determining if cosmetic surgery is right for you is by examining the cost. Can you afford it?  Unless you are going in for reconstructive surgery, like to repair a serious burn or serious cuts and scrapes from an accident, your health insurance provider may not cover the costs. With that said, be sure to check.  There are a small number of cosmetic procedures, such as breast reduction surgery, that are occasionally covered and possibly in full. On the back of your health insurance card, there should be a phone number. Call that number and make an inquiry.

 

Another sign that cosmetic surgery may be right for you is if you are looking to improve your health. Although many individuals opt for cosmetic surgery to only improve their appearance, there are some exceptions. Liposuction and gastric bypass surgery can be used to help you achieve your weight loss goals. Typically, liposuction isn’t considered a weight loss plan, like gastric bypass surgery, as you only have around five to ten pounds of fat removed from your problem areas. If you opt for gastric bypass surgery or another similar procedure, you can reduce your risk of heart complications, diabetes, and high blood pressure.

 

Cosmetic surgery may also be right for you if you don’t feel that you have any other options. As it was previously stated, liposuction is ideal for those who have a little bit of extra weight and fat that they would like to have removed. If you have tried eating healthy and exercising, you may not feel like you don’t have any options left. The same can be said for slowing the signs of aging. If you have tried numerous over-the-counter products to reduce or eliminate your wrinkles and you haven’t seen success, you may see a surgical facelift as your only option. In these instances, cosmetic surgery is usually best.

 

In keeping with limited options, it is also important to examine that hopelessness you may be feeling. As previously stated, cosmetic surgery is often used to improve one’s physical appearance. While you may be told that beauty is more than just your physical appearance, it may have a negative impact on your life. Those who are down or feel like they don’t have any other options are likely to suffer from depression, low self-esteem, and have a poor sense of self-confidence. Dr. Brian Evans MD says that if you are feeling this way, cosmetic surgery is something that is worth looking into.

 

Perhaps, the most important point to take into consideration is the recovery process. Depending on the cosmetic procedure you undergo, recovery can take a few hours to a few weeks.  Be sure to determine this time frame ahead of time. Also, what steps will you need to take to care for yourself? If you undergo a surgical facelift, moisturize or antibiotic cream may need to be applied multiple times a day. Can you remember to do so? If not, cosmetic surgery may not be right for you, as the recovery process can be just as important as the surgery itself.

 

As a recap, cosmetic surgery is not right for everyone. With that said, if you are looking to improve your self-confidence, your health, and if you can afford the cost of cosmetic surgery, it may be right for you. To see if you are an ideal candidate, contact one of your local cosmetic surgery centers or a surgeon who runs their own private practice. You will want to schedule a consultation appointment. If you are an ideal candidate for surgery, you should get all of the information you need. This information should include a detailed explanation of the procedure, the recovery process, and the total cost.

 

Consult Dr. Brian Evans Plastic Surgery for more details and call him 818-665-3585

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