The Fundamentals of a Leg Lift and a Thigh Lift by Dr. Brian Evans

Thigh LiposuctionAlthough the popularity of face lifts has general knowledge of this type of lift fairly common; most people do not have the same type of knowledge when it comes to other types of mechanical bodies. A type of body lift many people benefit from thigh lift is also known as a leg lift. There are several types of lifts and thigh many reasons a person may require one or more of these procedures.

 

Types of Thigh Lifts

 

There are several types of leg lifts, inner thigh, including elevators, lifts and bilateral median thigh lifts. These elevators may also be complemented by body lifts and buttock lifts. Lifts exact requirements vary from person to person.

 

The inner thigh lift to reduce the amount of skin in the thigh and it strengthens. May this be done with liposuction at the same time? Because this area of the body can be very difficult to cut through diet and exercise, this type of lift can be useful for many people – women in particular. If a person has long been a significant amount of weight is also a good option. This is because, if a person loses a significant amount of weight, in may this person be left with a large amount of excess skin as diet or exercise program can help to eliminate.

 

The bilateral thigh lift helps to tighten the skin on the outside and front legs. May it be done in addition to other thigh lifts (at the same time) or by itself. With this type of surgery the surgeon makes an incision in which the merits of a person suffering from underwear and removes excess skin and strengthens what is left. This type of surgery is also good for people who cannot cut anything he wants with diet and exercise or if they have lost much weight and excess skin. This type of surgery can be performed with liposuction as well.

 

A median thigh lift is performed in the upper inner thigh region. It may be done for the same reasons as other thigh lifts (excess skin from weight loss or stubborn weight) or it may be done simply because a person is not like the way upper thigh of his appearance or form.

 

What to expect

 

Any person who proposes to raise the thigh should know what to expect before, during and after the procedure. First, to be considered a good candidate for this type of surgery a person must be healthy, and preferably a non-smoker. It may be the healing of a procedure to lift the thigh, but the scar is usually hidden in the underwear line. Plastic surgeons may advice the patient to get liposuction thigh lift to reduce the amount of fat in a region before lifting. Thigh lifts are usually performed under general anesthesia, most often in the context of a hospital. Anyone considering a thigh lift will probably need someone to drive home after. The time taken off work is usually about two weeks.

 

Brian Evans MD established his practice in California with the goal of enhancing natural beauty. He goes out of his way to avoid giving patients the “operated” look of the past, and instead focuses on dramatic, but natural looking transformations. Dr. Brian Evans believes that your features can be best improved using a combination of surgical and non-surgical measures. He has assembled a team of plastic surgeons and skin care specialists to perform procedures such as Body Contouring, breast augmentation, Blepharoplasty, Rhinoplasty and much more in to provide patients with comprehensive aesthetic care.

Call at (818) 676-4001 for free consultation and appointment today!

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Is Cosmetic Surgery Covered By Insurance? Dr. Brian Evans

Is cosmetic surgery covered by insurance? This is a question that many people have and have asked Dr. Brian Evans MD, when planning to undergo a cosmetic surgery procedure. It is a fact that plastic surgery is expensive. The cost is a big factor that influences your decision whether to undergo cosmetic surgery or not.

 

Financing Options for Cosmetic Surgery

 

Well, before committing to any procedure, most plastic surgeons will ask you to pay a deposit. Plus, there are additional fees that you have to incur in the facility. The good news is that your insurance may help cover part of your procedure cost. There are many financing companies that offer easy and convenient loans to pay for medical expenses associated with plastic surgery. Insurance providers assist patients seeking cosmetic surgery with financing for their desired procedure. With the help of these financing companies, you can pay for your surgery costs in easy installments over time.

 

There are certain procedures that the insurance companies refuse to cover. As far as eligibility for insurance is concerned, plastic surgery is categorized into two: cosmetic and reconstructive. Certain cosmetic surgery procedures are undergone for reasons other than aesthetic ones. Cosmetic procedures that are performed to improve function rather than aesthetic aspects are eligible for an insurance cover. For e.g. when a person chooses to have blepharoplasty or eyelid surgery for cosmetic enhancement, then the procedure will not get insurance coverage. At the same time, the same procedure performed to correct drooping eyelids that are causing vision problems is eligible for insurance coverage. Breast augmentation, when performed to meet aesthetic goals is not covered by insurance.

 

 

Cosmetic Surgery and Insurance

Some of the cosmetic surgery procedures covered by insurance:

 

Abdominoplasty: If performed for an obese person to improve or eliminate health problems.

Breast surgery: It is eligible to get financial coverage for breast surgery procedures, if performed to reduce large breasts that cause back pain, shoulder pain, and related conditions.

Ear surgery: If performed to correct ears deformed by disease or injury, or those deformed at birth.

Blepharoplasty or Eyelid surgery: Is covered, if performed to correct drooping eyelids, which cause vision problems.

Nasal surgery: If performed to correct nasal deformities and nasal birth defects.

 

Find out whether the cosmetic surgery procedures you have opted for are eligible for insurance coverage. It is important to have a talk with both your surgeon and your insurance provider. They can explain to you whether your desired procedure is covered by insurance or not. Coverage for specific procedures and coverage levels might vary. You can receive full or partial coverage for your plan. Choose a reliable insurance company to consolidate and manage your healthcare expenses and make your body contouring dreams a reality.

 

Your insurance company may cover a portion of the cost of cosmetic surgery if your plastic surgeon reports to them that the surgery is necessary to modify or for some other type of medical need. If you must cover the entire surgery price yourself, our staff at Dr. Brian Evans Plastic Surgery will offer financing options to make affordable cosmetic surgery available to you. For more questions, visit Dr. Brian Evans Plastic Surgery Clinic and get a free consultation at our facility near Canoga Park.

Cleaning Your Incision After a Surgical Procedure – Dr. Brian Evans

This is a plastic surgeon’s perspective on wound care and cleaning your incisions. We are going to discuss how to clean your incisions after any surgical procedure where an incision is required suggested by Dr. Brian Evans MD a Board Certified Plastic Surgeon. The key for healing is to remove all crusting and to start with an incision that has the skin edges as close as possible together, which is partly up to your surgeon. The crusting is very important to remove because the crusts can be nourishment for bacteria that can proliferate and cause more scarring. They do so because bacterial overgrowth can extend the healing process.

 

The longer the healing process takes the more scarring. Dr. Brian Evans usually suggests to his patients that they use vinegar and distilled water in a 1:3 dilution to clean the incisions. Stronger dilutions with less water will make it sting more. He tells people to do this twice a day. But, you should do this for at least once a day. Sometimes it takes more than 2 times a day if there are a lot of crusts. If the crusting continues you may need to see your doctor. The goal is to get there incision to look like a fine wrinkle and as clean as possible. If they keep doing this during the first 2 weeks the incision has the potential to heal incredibly.

 

Always have vaseline over the incisions at all times. It has been scientifically shown that skin cells grow faster when they have two surfaces to grow on. The vaseline serves as the other surface and this promotes the healing. You want the skin cells to grow over the incision as fast as possible. This reduces the scarring and decreases the healing time. Some people advocate hydrogen peroxide for cleaning. Dr. Brian would caution that the use of this can be risky. He uses the same dilution with hydrogen peroxide and distilled water in a 1:3 dilution. The important thing to remember with the use of hydrogen peroxide, if you are going to take the risk, is to use it sparingly. You just want to use it to take the crusting off and then stop. If you do this more than that you can have more scarring. So being conservative is very important. If in doubt don’t use the hydrogen peroxide due to the risk. And if you do use it, do so for only the first week and that is it.

 

During your care for your wound / incision, you should continue to clean your incision for about the first two weeks and keep vaseline on the incision at all times. After this you can do regular skin care and use sunscreen during the day (approximately 12 hours) and then silicone gel during the evening for 12 hours. The silicone gel can be found at any pharmacy or drugstore, like Bartells or Safeway pharmacy. Dr. Brian would do the silicone gel for the next 3 months and it wouldn’t hurt to do it for the first 6 months. Silicone gel is one of the only things that have statistically shown to make a difference in preventing scarring. Vitamin E, Aloevera, Mederma based on my knowledge and recent literature search (05 / 2010) does not make a scientific difference. Following up with your doctor is really important to do, so that they can make sure that you are on the way to healing the right way!

 

Wound care and the process of cleaning your incisions after a procedure is extremely important to the end results of your incision. Although a surgeon can put together your incisions as perfectly as possible, the after care can determine the ultimate outcome. Plastic Surgery and plastic surgeons are ideal at making these incisions turn out the best that they can be.

 

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. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice for more than 20 years.

 

Dr. Brian Evans MD aims to increase the confidence of patients and to improve their appearance by performing procedures of a high standard. A thorough first consultation is scheduled to understand the requirements of patients before procedures are performed. Services provided by Dr. Brian Evans Plastic Surgery Clinic include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.

 

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

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Forehead Lift

Forehead Lift and Brow Lift Surgery @ Dr. Brian Evans

Plastic surgery has become more and more a staple of our culture in the United States. We see it in the celebrities we watch in movies and on TV. We even see TV shows dedicated to plastic surgery, such as Nip/Tuck. The popularity of these cosmetic surgeries has surged into the twenty-first century and at the fore-front of this wave is the ever-popular face or forehead lift. Forehead Lift

People who have deep frown lines or worry lines across their forehead can use a number of different cosmetic procedures. One that can be done is a brow lift or forehead lift. In this procedure, the skin of the forehead is literally lifted, making the eyebrows higher and tightening the skin. The result can be a younger looking face. But there can be complications as well, so it is essential to do your research if you are considering this.

 

During a brow lift, your hair will be tied back, and may be trimmed at the hairline. The incisions are made either in front of the hairline or at the temples. In a conventional forehead lift, excess skin is removed, and what remains is lifted, and then sutured into place. A brow lift can also be done endoscopically, using a thin tube with a tiny camera attached to it. This camera is inserted under the skin, so the surgeon can watch what is going on during the procedure without making as large an incision.

 

The typical candidate for a forehead lift is a man or woman over the age of 40, who has drooping eyebrows, sagging skin on the forehead, or a lot of deep wrinkles on the forehead. A brow lift can help enhance the appearance, making the eyes look larger and the face look younger. But there are risks to consider. Potential complications include infection and nerve damage. This is also done under anesthesia, so there is that to consider.

It’s also important that after a brow lift, you try to minimize scowling, frowning or furrowing your brow. These are the facial expressions that created the problem in the first place, and they can un-do the changes made by your cosmetic surgery.

 

Visit Brian Evans Plastic Surgery Beverly Hills in California where surgical and non surgical cosmetic procedures are offered by a qualified and experienced Board certified plastic surgeon. Brian Evans MD aims to increase the confidence of patients and to improve their appearance by performing procedures of a high standard.

 

Call today 818-665-3585

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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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