Dark Circles the Under Eyes – Is Surgery the Answer? Consult Dr. Brian Evans MD

Filler or Surgery?

 

There are a variety of means to address dark circles under the eyes, and surgery is often the best recommendation. In many cases, especially when the presence of dark circles under the eyes is pronounced, surgery may be advisable as the most beneficial option. Many people need surgery but are too apprehensive to seek it – perhaps they had a negative prior experience and are emotionally traumatized, or they may not be prepared for surgery for other personal or financial reasons. In these cases, a surgeon should recognize the importance of respecting emotional limits.

 

Both fillers for under eyes and surgeries, such as the midface lift and arcus marginalis release, have been demonstrated to be safe and highly effective in treating under eye problems. Find a surgeon who specializes in the treatment of dark circles under eyes to see what he or she recommends. Your doctor should help you decide the best approach that is right for you. When you make your decision, remember that surgery is longer-lasting and may yield more powerful results, while under eye Restylane is a flexible, long-lasting but not permanent, and necessitates little-to-no recovery time, making it a great option for those whose personal or work situation may limit their ability to undergo surgery, as well as those who have a less pronounced need for dramatic treatment.

 

Whether you and your midface surgeon ultimately decide to opt for surgery, a filler, or no treatment, the key to a successful outcome will be planning an individual treatment and then performing it with skill and precision so that enough treatment is given without overdoing it, and so that the look is natural and suits your face.

 

How Surgery Helps

 

Surgery addresses lower eyelid contours that contribute to the dark circle. The effect is a less haggard appearance. While no surgery lasts forever, the effects of surgery last longer than the non-surgical treatments.

 

Find a facial cosmetic surgeon who specializes in midface and particularly under eye treatments that also has the training, experience, and great results to make him or her highly qualified. This is important because your surgeon will need to customize your surgery. When working in the midface areas, an assembly-line-style treatment approach is not a good idea. The key to a great outcome is careful planning and performance of the surgery to make it suit you on an individual basis.

 

One problem with the midface area that is frequently overlooked is the descent of the malar fat pad. This worsens the hollow under the eye, the midcheek groove, and even the nasolabial fold. You may interpret what you see as a simple hollowing around the eyes, but often this is truly an entire midface concern. A midface lift can address all of these areas to smooth out your features and restore the fullness associated with youth.

 

There are different kinds of midface lifts, and the vertical midface lift can be a great way to lift the soft tissue in the cheek back into the lower eyelid where it belongs.

 

Another option may be the arcus marginalis release, which is suitable for people who have too much lower eyelid fat while also experiencing an under eye deficiency that creates a hollow. To address this, your surgeon may make a small incision behind the lower eyelid so that the scar is hidden, and then he or she surgically rotates the lower eyelid fat to place it over the orbital rim, filling the hollow naturally and relieving your eyelid of excess tissue. This is a comfortable surgery that should usually be performed under local anesthesia, followed by ten to twelve days of recovery time.

 

Dr. Brian Evans has had multiple fellowship trainings in both cosmetic surgery and eyelid plastic surgery, making him especially knowledgeable about how general facial treatments interact with specialized eye area treatments. As a specialized eyelid plastic surgeon, he is qualified to customize your treatment in this sensitive under eye area in ways that a generalist may not be able to. Dr. Brian is attuned to your need to carefully decide whether a surgery or a filler is better for you, and he can help you make an informed decision. Contact him today to find out how a private consultation can help you plan a course of action that improves your physical appearance and meets your needs.

Also read: Which Eyelid Cosmetic Treatment is Right for Me – Consult Dr. Brian Evans

Plastic Surgery – Reconstructive Vs Cosmetic Surgery

Who are you? Who do you want to be? Are the best days behind you, are they still to come? When you dream, is it of the past or the future? These are all important questions that go to the very heart of who we are and what we want out of life. There are, despite what people may say, no right answers to these questions. The answers we give say little about our character but rather reflect how we choose to deal with life itself.

 

These concerns can most prominently be expressed through our appearances. Are we trying to recapture the look of our youth, or are we trying to improve on a lifetime of physical cosmetic deformities? Either way, plastic surgery is there to help, depending upon how you answer these questions.

 

The two major types of surgery to consider are cosmetic or reconstructive surgery. Cosmetic surgery is a general term that describes surgeries designed to selectively alter your natural appearance. These surgeries are designed to improve your natural appearance and fight the effects of aging on your body. Elective surgeries such as these are often not covered under most insurance plans.

 

Reconstructive surgery, on the other hand, involves dramatic changes to your body to due to injuries or birth defects. Not only do these surgeries help patients achieve a normal appearance, they are also frequently used to help patients achieve the full range of motion and function for their body parts. Since these types of surgeries can restore or repair body functions, these surgeries may be covered under your health insurance plans.

 

When considering which path may be right for you, it’s important to deeply consider what you are looking for. When you have thought long and hard, you should seek out a trained surgeon in your area that focuses on the areas you are most concerned with. You can find these surgeons through asking friends, family, or community members. If they have no information, the Internet is also an excellent source of information.

 

When you find someone that sounds good for you, set up a non-committal consultative session. They should be able to give you a good idea of what to expect from it. Once it is committed to, these doctors will be able to lay out a simple operation schedule that will get you back on your feet as soon as possible without compromising the success itself.

 

No matter where you see yourself in the future, it’s important to be master of your destiny by finding just the right one to meet your needs.

 

Still not convinced then consult with Dr. Brian Evans a plastic surgeon in West Hills, California. He is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital.

At Brian Evans Plastic Surgery Clinic he 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 include the surgical reshaping or augmentation of facial features such as Otoplasty, facelift and surgical body sculpting procedures such as breast augmentation, Tummy Tuck, stem cell therapy, surgery for skin cancer and wound care surgery.

All about Cosmetic Mole Removal by Dr. Brian Evans

Laser surgery is the best way to go about cosmetic mole removal. This method is done when a mole interferes with a person’s life. If you have a mole on your face or other prominent area that is troubling you, you can have it surgically removed with laser surgery. Consult Dr. Brian Evans a Board Certified plastic surgeon for the best guidance. It is usually painless and the mole will be gone.

 

If you have a flat mole that is troubling you and you want to try to fade it, you can try to use a bleaching cream to lighten it up. This may work to not remove the mole, as the mole is imbedded in the skin, but it will at least fade the mole so that it is not as noticeable. For the most part, to completely get rid of the mole you are better off to see a plastic surgeon or a dermatologist.

 

The younger you are when you get the mole removed; the less of a scar there will be when you get older. At first, there may be a slight lightening of the skin during cosmetic mole removal, but it will fade over time. Many people feel that it is better to cover up a small white discoloration than the mole, especially if the mole is very large.

 

Most cosmetic mole surgery is performed on children who have rather disfiguring moles that are on their face. As you can imagine, this can hamper their self esteem and make them feel as though they do not want to go out of the house. Parents may feel that their children will be teased by other kids if they have a disfiguring mole on the face. For this reason, cosmetic mole removal is often performed. The as the child gets older, the area where the mole was once located will gradually fade so that the area is hardly noticeable. As he child grows into an adult, it may not be noticeable at all. This depends on the size of the mole, how deep it was imbedded into the skin and how it was removed. In order to minimize any scarring at all, laser surgery is usually performed to for cosmetic mole removal.

 

Cosmetic mole removal is done purely for cosmetic purposes. In most cases, people are born with these moles that end up hampering their appearance. Moles on other parts of the body, unless they are very noticeable, are often left alone.

 

A suspicious looking mole may be examined by a dermatologist and removed with punch biopsy to check for cancer cells, although this is extremely rare, if not non-existent in children. Some doctors will recommend cosmetic mole removal for moles that are atypical just as a precaution so that the mole does not turn into a problem later in life.

 

Cosmetic surgery such as mole removal surgery can greatly enhance the quality of your life. If you have a mole that needs attention, don’t hesitate to address it immediately, just visit Brian Evans Plastic Surgery at West Hills, CA clinic today.

Contact Dr. Brian Evans 818-665-3585 today for more information about mole removal

Acne Laser Surgery Can Help Clear Up Your Skin: Dr. Brian Evans

Acne laser surgery is no longer just a fantasy. For the millions of men and women who are bothered by severe acne, it has become a very real option for restoring their complexion and improving their flagging self-esteem.

acne-surgeryFor generations, acne has been the scourge of teenagers. We all experienced that errant pimple which invariably showed up the day of the big dance. But in recent years, acne has become more of a problem for adults as well. Natural oils in the skin, the effects of stress, and reactions to diet and lifestyle choices can all produce uncomfortable and unsightly facial blemishes. The cosmetology industry has been striving to address the problem, offering everything from crèmes and ointments to acne surgery.

 

Those attempts have resulted in a variety of surgical options for removing the most stubborn of acne blemishes. Currently, there are three main types of laser surgery for acne scars: Ablative, Non-ablative and Fraxel. Ablative surgery uses a carbon dioxide laser to remove pimples one layer at a time. By resurfacing the skin, this procedure leaves a smooth, blemish free layer which fits in seamlessly with surrounding skin. It can also be used for reducing the effects of scars or repairing areas of discoloration.

 

Non-ablative acne laser surgery literally works from the inside out, destroying blemishes and also killing any bacteria which may be a contributing cause of the acne. This treatment, gentler and less destructive than ablative, also adds a topical medication to the skin to further reduce blemishes.

 

Fraxel laser treatments involve only destroying certain areas of the skin, leaving the healthy surrounding skin untouched. Much less invasive than the other two types of acne surgery, fraxel or fractional laser surgery is a relatively new alternative but one which holds a lot of promise. Aside from pinpointing the area to be destroyed, fraxel surgery also reduces the healing process as it doesn’t require a cooling down period afterward.

 

While the latest developments in surgical treatments are cause for optimism, acne laser surgery is not something which should be undertaken lightly. As the name suggests, it is very much a surgical procedure and not just a quick cosmetic fix. Before considering laser surgery for acne scars, it is imperative that you consult your doctor. Like any medical procedure or treatment, not every patient will respond the same and you need to consider the possible ramifications in your individual case. Generally, laser surgery is only recommended in the most severe cases when other, more standard, treatments have proven unsuccessful.

 

Before undergoing acne surgery, you’ll want to take all of the potential drawbacks into consideration. Once again, this is a serious surgical procedure and as such it should only be performed by a licensed physician. Though often considered a cosmetic procedure, you should never rely on a cosmetologist to perform it. You’ll also want to consider the cost, which can sometimes be prohibitive, especially since many insurance companies don’t consider laser surgery to be a necessary medical expense. Make sure that your insurance company will cover the cost of your treatment or be prepared to pay out of pocket.

 

As with most medical procedures, acne laser surgery should never be considered a quick fix. Laser surgery will address the surface issue, acne scarring, but in order to have a really effective cure you have to treat the underlying causes of the condition as well. In order to fully address your acne problem, you need to adjust your diet, control stress levels and you may also need some hormonal treatment as well. Laser surgery can make you look and feel better, but it will only be truly effective as part of an overall treatment plan to prevent any further acne breakouts.

 

Acne can be a frustrating and embarrassing fact of life, but now more than ever there is hope. If severe and persistent acne is a problem for you, consult Dr. Brian Evans today and find out what options exist for treatment. Before you know it, acne will be a thing of the past and you’ll be able to truly put your best face forward.

 

Brian Evans Plastic Surgery has great success in helping women overcome adult acne by restoring hormonal balance and optimizing their diet. Your doctor at our West Hills Hosptial & Medical center facility will help you choose the right acne treatment for your skin.
If you’re frustrated with acne products, consider contacting Dr. Brian Evans to get your acne under control. Call us (818) 676-4001 today!
To read more, please visit here: https://brianevansplasticsurgery.wordpress.com/about/

Brian Evans Plastic Surgery Offers Advanced Procedures For The Treatment Of Acne Scarring

Acne skin care center of Dr. Brian Evans MD offer more advanced procedures for the treatments control and eradication of acne scarring. The center offers skin care products and performs some specialized facial treatment procedures under the auspices of the team of cosmetic surgeons and other professional skin care specialist.

Brian Evans Plastic Surgery Center is staffed by highly trained doctors who specialize in all area of cosmetic dermatology, skin enhancement and skin care procedures.

 

The Center is a specialty service department within a Cosmetic Skin care center that is staffed by aesthetic experts and offer facials, skin peels and other skin enhancement and skin care procedures along with providing specific acne care products. They are skin care specialist or cosmeticians who have certificates as makeup artist, skin care specialist of aestheticians. They are trained to maintain and enhance their clients’ skin.

Brian Evans Plastic Surgery Clinic offers cutting edge procedures in non-invasive cosmetic enhancements. Housed within Cosmetic Skin Care and Surgery Centers provide acne patients with a wide array of options to rid themselves of acne.

 

The Services and products offered vary from general skin care treatments, maintenance of the skin and aesthetic services. Laser surgery, skin peels and other non-invasive surgery procedures are often performed. Skin care is a general term for maintaining the skin, however our specialist in acne care are dedicated to providing more intensive acne treatments.

When individuals are frustrated with over the counter results for acne they will usually go to an acne skin care center as a referral from their primary physician. Acne skin care centers offer a vast selection of state of the art equipment for the treatment of acne including light therapy, laser, skin peels and more that can improve, correct and enhance the skin for acne sufferers.

 

There are several treatments and plastic surgery procedures that can help treat acne and improve your skin’s texture. These treatments include photo facials, laser skin resurfacing, chemical peels, and microdermabrasion. Your doctor at our West Hills Hosptial & Medical center facility will help you choose the right acne treatment for your skin.

 

Brian Evans Plastic Surgery clinic is on the cutting edge of science and technology in a search to find a way to help acne sufferers and also to increase their bottom line.
If you’re frustrated with acne products, consider contacting Dr. Brian Evans to get your acne under control. Or call at (818) 676-4001
For more details, please visit here: http://brianevansplasticsurgery.blogspot.com/

What Results Can I Expect From Blepharoplasty: Ask Dr. Brian Evans

Eyelid Surgery

Blepharoplasty – Look Smarter and More Beautiful with Eye Lid Surgery

 

As you age, you tend to lose the youthful appearance and have more chances to develop puffy eyes, eye bags or drooping skin around the eyelids. Such changes can affect the facial appearance and make you look dull or tired. By undergoing blepharoplasty surgery, you can regain your confidence and get back your vibrant youthful appearance. This cosmetic surgery, also known as eyelid surgery, is used to remove the fat deposits and tighten the loose skin around the upper or lower eyelids. “How do I undergo the surgery and what results can I expect from blepharoplasty,” are among the common questions asked by those who plan for this surgery. This article focuses on giving you a better idea about this cosmetic surgery and the risks associated with it.

 

Normally, blepharoplasty surgery is performed as a single procedure but doctors and surgeons may also recommend it along with other cosmetic procedures like brow lifts, facelifts, or skin resurfacing. This cosmetic eye lid surgery can correct the imperfections of the eyelids to give you a fresh look but it cannot eliminate dark circles or completely remove the wrinkles around your eyes.

 

Know in Detail about Blepharoplasty Procedure

Blepharoplasty is a surgical procedure performed by a licensed medical professional like Dr. Brian Evans (A Board Certified Plastic Surgeon). Make sure you choose a blepharoplasty plastic surgeon who is experienced in providing this surgery. An expert surgeon will initially examine your eyelids and check to see how much fat is to be removed. During the surgical procedure, local anaesthesia is administered and the surgeon makes an incision on the eyelid to remove the accumulated fat deposits. In the case of drooping eyelids, the sagging muscles are carefully trimmed and the small incisions are closed with stitches.

 

Types of Surgeries Performed

Blepharoplasty plastic surgery can be performed to correct both upper and lower eyelids. The lower eyelid surgery focuses on removing excess skin, muscle, or fat. It also helps to reposition the corner of the eye or the entire eyelid. In the case of upper eyelid surgery, corrugator hyperactivity or glabellar frown lines can be improved. Moreover, it removes the puffiness around the eyelid. Sometimes when upper eyelid marginally interferes with the vision, surgeons may recommend both upper and lower blepharoplasty procedure at the same time.

 

After the surgery, it is common to experience temporary numbness of the eyelid skin, swelling and occasional bruising. The stitches will remain for about a week and scars may take a few months to fade away. You can return to your routine activities or work quickly.

However, it is always essential to get an expert’s answer for the query “what results can I expect from blepharoplasty”.

 

Dr. Brian Evans Plastic Surgeons at Beverly Hills in California is specialized in providing lower eyelid and upper eyelid blepharoplasty. A thorough first consultation is scheduled by Brian Evans MD to understand the requirements of patients before procedures are performed. Services provided 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 him today!
Or go online at http://www.drbrianevansplasticsurgery.com

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/

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

 

Body Contouring

Achieve the Body You Desire with Body Contouring by Brian Evans Plastic Surgery

There are several body contouring plastic surgery procedures out there but the main three, and probably most known are liposuction, abdominoplasty, and the contouring of the body after massive weight loss. It is important to remember that no cosmetic or plastic surgery procedure is able to simply get rid of your unwanted body fat. All body contouring plastic surgery procedures are designed to assist you in getting the body you desire. The assistance can be a great help, but you need to lose your unwanted weight before you receive any body contouring plastic surgery procedure. Only a Board Certified Plastic Surgeon can give you the results you desire.

Body Contouring

Liposuction is a procedure that removes localized areas of excess fatty tissue. Liposuction can be performed on many area of the body to include: face, neck, chest, abdomen, back, arms, hips, and legs. Liposuction is not a weight loss procedure but rather a body contouring procedure. It is designed to address those areas of fatty tissue that are resistant to diet and exercise. The ideal candidate is at or near their ideal body weight and in good physical condition. Dr. Brian Evans Plastic Surgery a Board Certified Plastic Surgeons uses the tumescent technique when performing liposuction. Brian Evans MD will help you determine if you are a good candidate for liposuction during your consultation.

 

Abdominoplasty is a procedure designed to contour the abdomen. This is accomplished by removing excess skin and fat as well as tightening the abdominal muscles. A tummy tuck is not a weight loss procedure, and the best results are achieved in those patients who are at or near their ideal body weight. Ideal candidates are those who have had children or lost a significant amount of weight and are in good physical condition. The technique used depends on several variables that will be discussed with a Board Certified Plastic Surgeon during your consultation.

 

Body contouring after weight loss is designed to address the excess skin that develops after a patient loses a significant amount of weight. Despite the weight loss and exercise, the stretched out skin often will not shrink back adequately. This can lead to difficulties with exercising, finding clothes that fit properly, hygiene and discouragement that the transformation is not complete. Areas of the body that are often addressed during body contouring after weight loss include: abdomen, arms, buttock, and thighs. Dr. Brian Evans Plastic Surgery will discuss the different options that are available during your consultation.

 

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

 

Learn more about our plastic surgery procedures near Encino.

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

For more details please visit: http://brianevansplasticsurgery.webs.com/

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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