Standard BBL vs Nonsurgical Mini BBL

Key Takeaways: 

  1. Brazilian Butt Lift (BBL) is a popular cosmetic procedure that increases the fullness, roundness, and projection of the buttocks, creating superb feminine curves. 
  2. It can be done with a Standard Brazilian Butt Lift (BBL) which is a fat transfer procedure or with a Non-surgical Mini BBL which is a more subtle, non-invasive procedure. 
  3. Politis Plastic Surgery offers personalized BBL that is tailored to the individual and can be done either with surgery or non-surgically with injectable dermal fillers.

Brazilian Butt Lift (BBL) is a popular cosmetic procedure that increases the fullness, roundness, and projection of the buttocks, creating superb feminine curves. It silhouettes the hips to a perfectly feminine shape and makes the buttocks perkier and more attractive.

At Politis Plastic Surgery, we offer personalized BBL to help you achieve your desired butt size and shape, feel more comfortable in your clothing, and more confident in your appearance. And we do so with the least discomfort, minimal recovery time, and maximum results.

The benefits of getting a butt lift include:

  1. It is a perfect remedy for flat, sagging, or uneven butt.
  2. It creates superb curves.
  3. It delivers a more youthful and attractive look.
  4. It produces a more balanced, proportionate look.
  5. It reduces fat in other body areas when liposuction is part of the procedure.

Standard BBL vs. Non-Surgical Mini BBL

There are two broad options for enhancing the buttocks through the Brazilian Butt Lift: Standard Brazilian Butt Lift (BBL) and non-surgical mini Brazilian Butt Lift (BBL).

With the standard BBL, you undergo a simple, minimally-invasive surgery that involves fat transfer to augment the buttocks and achieve results that last years or even decades. But with the non-surgical mini BBL, you go through a more subtle, non-invasive procedure.

So how do the two options compare?

  1. Standard Brazilian Butt Lift

A Standard Brazilian Butt Lift (BBL) is a fat transfer procedure where fat harvested by liposuction from an area of the body with excess fat is processed for purity then injected into the butt. It is an alternative to implant-based butt augmentation, which increases butt size using silicone implants.

Standard BBL uses fat from the love handles, waist, back, hips, or thighs. Once harvested, the fat is centrifuged and filtered to separate it from blood and other non-fat materials. The processed fat cells are kept in syringes and then carefully injected at various levels into the buttocks.

Like with other fat transfer procedures, not all the injected fat cells survive. But the ones that survive produce a permanent result, creating a rounder, more voluptuous bottom. Plus, it has the added advantage of making the area where fat is obtained slimmer, tighter, and well-toned.

There will be some pain and recovery time involved after a standard BBL. Even so, the pain is easily managed using pain medication. As for the recovery time, you’ll need at least 10-14 days off work. Adequate recovery time is critical for lasting results. Follow the simple instructions your plastic surgeon will give you regarding what to do and what to avoid after the procedure.

Results of the standard BBL are apparent as soon as swelling, bruising, and soreness are gone. But it usually takes 3-6 months for the full results to set in and be fully visible. And if you maintain a healthy lifestyle, your buttocks will remain as shapely as ever for at least 10 years.

  1. Non-surgical Mini Brazilian Butt Lift

Non-surgical Brazilian Butt Lift is a cosmetic treatment that enhances buttock shape and size through injectable dermal fillers. It is a subtle lift that does not create more dramatic changes, but it can produce a more rounded, lifted, attractive butt.

In performing non-surgical butt enhancement, there are several safe and effective options.

Some of the most common options are:

  1. Sculptra

This dermal filler is one of the most effective in creating immediate, striking, and long-term results. The FDA-approved, injectable poly-L-lactic acid filler works by stimulating natural collagen production deep within skin layers, resulting in plump and firm buttocks.

A non-surgical mini BBL with Sculptra is completed as an outpatient procedure that takes one hour or less to perform. However, you may need several appointments to achieve your desired butt size. Once the treatments are completed, the results last up to 3 years.

  1. SculpSure

SculpSure is a proprietary device used to remove volume from areas you don’t want it to be, which in turn maximizes volume in areas you want it to be. The non-invasive body contouring butt lift procedure is done in a series of 25-minute treatments with results evident after 6-12 weeks.

  1. Radiesse

The use of Radiesse dermal filler is a rapid and effective sculpting procedure that reduces cellulite while increasing butt volume. It is performed in treatments spaced out every 4 weeks. Results are seen after the first 2 treatments and are long-lasting, seen for up to 5 years. As opposed to SculpSure, it does not reduce fatty deposits.

  1. Renuva and EZGEL

Renuva and EZGEL non-surgical mini BBL blends two different dermal fillers to achieve desired curvier buttocks. Both Renuva and EZGEL contain crucial growth factors that restore lost butt volume and enhance skin quality.

EZGEL is made by obtaining and spinning your own blood. Renuva is a product that contains collagen, growth factors, and proteins found in body fat. When the two are combined, they work together to create a more voluminous bottom while improving skin texture and tone.

  1. Vacuum therapy

Vacuum therapy is the suctioning of skin and fat from the buttocks in order to achieve desired volume and shape. The therapy involves the use of suctioning and ultrasound waves to break down fatty deposits, increase blood flow, and stimulate elastin and collagen production. The result is a firmer, rounder butt with less cellulite.

Standard BBL vs. Non-surgical Mini BBL: Which one is right for you?

None of the options suits everyone. While a standard BBL may be ideal for one person, non-surgical mini BBL may be perfect for another person.

For example, a standard Brazilian Butt Lift is ideal if you have a significant amount of sagging that needs surgery to remove the excess loose skin. It is also appropriate if you are looking for more dramatic results, want a significant increase in buttock size, or want results that last more than 5 years.

In contrast, non-surgical mini BBL is right for you if you don’t want to undergo surgery or if you don’t have sufficient fat required for a standard BBL.

At Politis Plastic Surgery, we treat you as a unique individual. So before you make the decision regarding the type of BBL to undergo, we encourage you to come for an in-person consultation.

During the consultation session, Dr. Effie Politis will explain the options and help you make the choice depending on the degree to which you want to enhance your buttocks. She has a reputation for excellence, unmatched surgical skills, and remarkable warmth, compassion, and dedication.

If you’re ready to enhance your buttocks and want treatment that will produce the results you expect, whether by standard BBL or non-surgical BBL, book your consultation today.

For more information on Brazilian butt lift, visit the site “Politis Plastic Surgery.”

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The Difference Between Cosmetic and Reconstructive Surgery

Key Takeaways:

  1. Cosmetic surgery is an elective choice, while reconstructive surgery is medically necessary.
  2. Reconstructive surgery is often focused on restoring function or appearance, such as for breast cancer patients after a mastectomy.
  3. It is important to consider the costs and potential risks associated with cosmetic surgeries, as these are not usually covered by insurance.

This video features Jamie Hill, Practice Coordinator/Manager of Politis Plastic Surgery, who provides an explanation of the difference between cosmetic and reconstructive surgery. Jaime states that cosmetic surgery is an elective procedure that individuals opt for to enhance their aesthetics, such as breast augmentation or liposuction. These procedures are typically not covered by insurance and require payment in cash. On the other hand, reconstructive surgery is meant to treat medical conditions, birth defects, burns, or injuries, and it is usually covered by insurance as it is medically necessary. In their practice, breast reconstruction for breast cancer patients is a predominant reconstructive procedure.

Jaime Hill’s explanation is crucial in understanding the significant differences between the two types of plastic surgeries. Cosmetic surgery is a choice, a luxury, while reconstructive surgery is often a necessity. Cosmetic surgery is meant to enhance one’s appearance, while reconstructive surgery is meant to restore function or appearance, such as after a disease or injury.

Plastic surgery has become increasingly popular, and it is critical to understand the differences between the types of surgeries. Jaime Hill’s explanation helps to clear the confusion and misconception about the two surgeries. Jaime Hill’s distinction between the two types of plastic surgery highlights the essential nature of reconstructive surgery and its importance in restoring people’s lives.

It is important to note that while cosmetic surgeries are an elective choice, they also have their benefits. Cosmetic surgery can improve an individual’s self-esteem, enhance their self-image, and boost their confidence. Individuals may choose to undergo cosmetic surgery to help them feel better about themselves, and there is nothing wrong with this. However, it is important to consider the costs and potential risks associated with cosmetic surgeries, as these are not covered by insurance.

Reconstructive surgery, as highlighted by Jaime, is primarily focused on restoring function or appearance. One of the critical examples of reconstructive surgery is breast reconstruction, which is often performed for breast cancer patients who have undergone a mastectomy. This procedure not only restores the physical appearance of the breast, but it also helps patients regain their confidence and sense of femininity. Other examples of reconstructive surgery include repairing cleft lips, restoring damaged tissue after an injury, or reconstructing parts of the body after a disease.

In conclusion, plastic surgery plays an important role in society, and understanding the differences between cosmetic and reconstructive surgery is essential. While cosmetic surgery is a luxury, reconstructive surgery is often a medical necessity. Jaime Hill’s explanation helps to clarify the difference between the two types of plastic surgery, and how they can have a positive impact on individuals’ lives. It is important to consider the costs and potential risks associated with cosmetic surgeries, while reconstructive surgery can restore function, confidence, and appearance to patients who have suffered from diseases, birth defects, or injuries. Ultimately, it is up to the individual to decide whether they want to undergo plastic surgery, and it is essential to consult with a qualified plastic surgeon to make an informed decision.

TRANSCRIPTION:

My name is Jamie Hill and I’m with Politis Plastic Surgery.

A lot of people wonder what the difference is between cosmetic and reconstructive surgery.

We provide both at this practice.

The difference in cosmetic and reconstruction is cosmetic is usually an elective procedure

that you choose to have done to enhance your aesthetics.

Maybe you want to be just the best version of you that you can be and maybe that means

you have larger breasts or a flatter stomach.

So those are cosmetic surgeries.

Typically those are not covered by insurance.

Those are cash pay procedures versus reconstructive surgery is used to treat usually a disease

process or a birth defect or something, a burn, something that insurance is going to

cover because we’re fixing, you know, something medically indicated for you.

In our practice, the bulk of what we do when it comes to reconstruction is breast reconstruction

because of breast cancer.

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What Does a MOXI Laser Treatment Do?

Key Takeaways: 

  1. MOXI Laser is a non-ablative laser treatment suitable for all skin tones, providing tonal and textural improvements with minimal pain and recovery time. 
  2. Preparations for MOXI Laser include scheduling a consultation, eating a healthy diet, avoiding smoking, increasing physical activity, and wearing broad-spectrum SPF 30+ sunscreen post-treatment. 
  3. At Politis Plastic Surgery, Dr. Effie Politis offers safe, effective MOXI Laser treatments with natural-looking results.

Are you looking for a safe, efficient way to blast away unpleasant wrinkles, dark spots, freckles, or fine lines from your face? Would you like to restore a brighter, rejuvenated, youthful-looking skin complexion? Or do you have a darker skin tone and want a quick, painless alternative to peels or bleaching creams? If so, the MOXI Laser is a worthy option for you.

What is a MOXI Laser?

 MOXI Laser is a non-ablative laser treatment that delivers fractionated laser energy to the skin. Upon contact with the skin, the laser energy creates micro-coagulation zones on the top layer of the skin. Through the micro-injuries, the pigmented areas are pulled out and the skin’s natural repair process sets in to produce a smoother, rejuvenated appearance. The laser energy goes beyond the skin surface through thousands of tiny, deep channels, stimulating collagen production while speeding up cell turnover. In turn, the pigmented cells are damaged, removed, and replaced with new ones, resulting in tonal and textural improvements.

MOXI is an entry-level laser treatment characterized by low-intensity, short-lived application of laser energy. Due to the less intense laser energy used, it is great for all skin tones, including those with tones as dark as a 4, 5, or 6 on the Fitzpatrick scale. It also requires a significantly shorter time to heal when compared to ablative laser.

What are the benefits of a MOXI Laser treatment?

  1. It produces a brighter, smoother, more rejuvenated skin appearance.
  2. It is suitable for all skin types—not causing scarring and pigmentation on those with deeper skin tones.
  3. It does not require much preparation—hence ideal for even those with a busy lifestyle.
  4. It is fairly painless from start to finish.
  5. It is a safer, more effective alternative to peels and bleaching creams for those with deeper skin pigmentation.
  6. It is effective for lightening melasma—a skin darkening condition that often occurs due to hormone changes, such as pregnancy.
  7. It is a quick-recovery procedure that is gentle enough to allow resumption of daily routine soon after treatment.

What does it feel like to get a MOXI Laser treatment? 

MOXI Laser is a quick, easy, and almost painless treatment. Before the laser is applied, your plastic surgeon administers a numbing cream. The cream sets in for 30 minutes and helps to reduce pain during application of laser. With the skin now numb, laser energy is applied to targeted areas using a handheld laser machine. The laser is first passed to areas with the most pigment, such as the cheeks, before less pigmented areas are treated. The intensity of the laser energy used depends on your skin tone, pain tolerance, and concerns. The whole treatment takes 1-2 hours and usually involves applying a cool cloth on the treated areas of the skin in between the laser passes to lower the skin temperature. The skin will be a little warm and sensitive by the end of treatment, but it will not be excessively red.

How do you prepare for a MOXI Laser treatment? 

MOXI Laser treatment requires no major preparations. And it is a simple procedure with minimal physical demands. However, before the procedure, you need to schedule a consultation with a plastic surgeon to assess whether the treatment would help you achieve your cosmetic goals. You should also eat a healthy diet, avoid smoking, increase your physical activity, and drink plenty of water. Plus, you need to prepare in terms of bearing the cost—a MOXI laser treatment may cost $625 per session. And while you’ll see positive results after one session, your plastic surgeon may recommend up to 3 sessions spaced 4-6 weeks apart for best results, especially if you have extreme pigmentation. On the day of the treatment, make sure to show up with a makeup-free face.

How is the post-treatment recovery for MOXI Laser? 

With MOXI laser, you go home immediately after treatment. But the delicate skin must be protected soon after treatment. So right away, make sure to wear a physical sunscreen with broad-spectrum UVA and UVB protection and to use an SPF of 30 and above. Your skin will feel a little rough and sore the first 48 hours after MOXI laser application. Scabs may also form within the first 3 days, though they will fall off the skin by day 5. To protect the treated area, avoid harsh ingredients like sulfates and acids. Instead, apply repairing serums with growth factors. Serum application will help heal the wounds and repair the skin faster. You can follow the serum with a gentle moisturizer to soothe the skin. But always make sure to wear SPF 30 and above in the morning, and to reapply it throughout the day. By day 6, you can start incorporating gentle retinol and acids back into your skin care routine. It will take 4-6 weeks to see the full results of the laser treatment—that is how long it takes for skin cell turnover.

Sparkly, revitalized skin with MOXI laser

Are you new to lasers and want to begin with a mild treatment? Or would you like to brighten your face, lighten melasma, or boost your skin’s collagen levels? At Politis Plastic Surgery, we offer MOXI Laser Treatment to help you achieve a smoother, rejuvenated skin within a month. We comfortably administer non-ablative laser energy to reduce pore size, correct initial signs of photo damage, and reduce pigmentation.

You can trust Dr. Effie Politis to deliver safe, effective MOXI Laser treatment. She is exceptionally competent, professional, candid, and friendly. And you’ll love her expert eye and the natural-looking results she’ll deliver.

For more information on MOXI Laser and other surgical and non-surgical cosmetic treatments, visit the site “Politis Plastic Surgery.”

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What is Forever Young BBL?

Key Takeaways: 

  1. Forever Young BBL is a non-surgical, laser therapy that can be used to address signs of skin aging, such as wrinkles and fine lines, and pigmentation issues like age spots and melasma. 
  2. The laser energy penetrates deep into the skin, stimulating the body to naturally regenerate healthy, new skin. 
  3. It is a fast, easy, and natural treatment with no needles or knives that delivers immediate and long-lasting results, with no downtime required.”

As your skin changes with age, it becomes thinner, loses fat, and becomes dry, rough, and itchy. It also loses elastin and collagen, becomes slack, and hangs loosely. Plus, it becomes more fragile, easily bruised, and prone to skin lesions, age spots, wrinkles, and fine lines.

Are you struggling with signs of aging skin and would like to restore a clearer, smoother skin complexion in a natural, non-surgical way?

If so, then Forever Young BBL is a perfect option for you.

What is Forever Young BBL?

It is an innovative, non-surgical rejuvenation procedure that uses the Sciton Joule BroadBand Light (BBL) System to deliver laser therapy. The laser energy penetrates deep into the skin surface, where it changes the expression of genes linked to aging and stimulates the body to naturally regenerate healthy, new skin.

Forever Young BroadBand Light (BBL) has the double benefit of stimulating the skin’s ability to reverse existing damage and to prevent occurrence of new damage. The procedure can be used to revive skin of the face, chest, neck, arms, back of the hands, and other parts of the body. It addresses some of the most common patient skin concerns, such as sagging skin, wrinkles, and fine lines.

How does Forever Young BBL work?

Forever Young BroadBand Light (BBL) produces and directs mild light energy to the upper layers of the skin. The laser energy is absorbed by skin cells, which are in turn stimulated to produce new collagen and elastin fibers.

With more collagen and elastin being produced, the natural beauty of the skin is restored, making the skin appear naturally toned, even, and smooth, glowing, and rejuvenated.

Also, the photo-thermal energy eliminates fine blood vessels responsible for redness, and reduces excess melanin that causes pigmentation changes and discoloration.

During the procedure, your eyes are protected with special glasses or shields. Then, laser energy from the machine is directed to the treated areas of the face. You’ll feel some warmth or a slight burning sensation as the light is absorbed by the skin. The procedure takes 30-45 minutes, depending on the treatment area. Local anesthesia is not necessary, but anesthetic cream may need to be applied on the more sensitive areas.

What are the benefits of Forever Young BBL?

  1. It is a fast, easy, non-invasive procedure that uses the power of light to penetrate layers of the skin and destroy damaged or unwanted cells—no needles or knives.
  2. It gives immediate and dramatic results that last 10 years or longer.
  3. It is a natural, chemical-free treatment that stimulates the skin to protect and heal itself without drugs and chemicals.
  4. It triggers production of elastin and collagen, which restore skin structure, strength, and resilience, and brings back natural plumpness and tightness.
  5. It stimulates skin cell renewal, which in turn rejuvenates the skin, brightens tone, shrinks pores, and smoothes out wrinkles.
  6. It eradicates pigmentation problems by targeting and heating the source to the point of destruction, removing age spots, dark patches, rosy cheeks, freckles, redness, broken blood vessels, and melasma.
  7. It rids the skin of acne by neutralizing bacteria, clearing out pores, and controlling oil production.
  8. It permanently eliminates unwanted hair by destroying the follicles under the skin.
  9. It requires no anesthesia and has no downtime—only mild redness and dark spots may occur, which clear within a couple of days.
  10. It is an excellent preventive therapy that delays the signs of aging.

What can you expect after your Forever Young BBL treatment?

After treatment, you leave your doctor’s office with a mild red, flushed appearance, which goes away within a few hours. In the case of a highly pigmented skin, the treated pigmented areas may appear darker, but will brighten, fade, and flake off within 1-2 weeks.

You should be able to return to work, apply makeup, and resume your routine immediately after the procedure. Also, because your skin will be more sensitive to ultraviolet light, avoid direct exposure to the sun until the skin heals. Use sunscreen whenever you are outdoors.

At Politis Plastic Surgery, we have a full line of treatments to help you achieve a more youthful appearance. We offer the Forever Young BroadBand Laser (BBL) treatment to address several facial concerns at once and deliver significant age-defying results and a clearer, more even complexion.

Working At Politis Plastic Surgery: Jaime Hill, RN

Jaime Hill works at Politis Plastic Surgery, she has always had an interest in healthcare and went to a medical High School, she got her CNA at 16 then went on to study nursing in college. She worked in labor and delivery for 17 years before deciding to change to a less stressful environment and found her way to plastic surgery. Coincidentally, her sister was diagnosed with breast cancer during this time, she was able to use her knowledge and skills to guide her sister through the process of dealing with breast cancer and breast reconstruction at Politis Plastic Surgery.

Video Transcription:

My name is Jaime Hill and I am with Politis Plastic Surgery. I have always been interested in healthcare, and I attended a medical high school. I became a CNA at 16 and then went on to study nursing in college, earning my bachelor’s degree. My first son was born in a traumatic birth experience, which led me to focus on labor and delivery for 17 years. During that time, I also earned my master’s degree in nursing. However, I decided I needed a change and a less stressful environment. I found my way to plastic surgery and it coincided with my sister’s diagnosis of breast cancer. I was able to use my knowledge and skills to guide her through the process of dealing with breast cancer and breast reconstruction, which is something we do at Politis Plastic Surgery.

Introducing Dermapose

Micro fat transfer is a skin rejuvenation procedure that involves harvesting fat from elsewhere in the body and injecting it into the face to plump out lines, wrinkles, and other signs of aging. It uses a micro-injection technique to obtain and inject tiny droplets of fat with the utmost precision to restore volume in areas where it has been lost. The process is focused on injecting both fat cells and regenerative cells to affected areas of the face, and it can be performed almost anywhere on the body to restore collagen production and volume.

The main advantages of micro fat transfer are that it produces remarkable results, eliminates fine lines and wrinkles, and creates a smoother face. It also gives permanent results that only diminish over many years with the natural aging process. However, it may have mild and temporary adverse effects, such as slight redness, tenderness, swelling, or tingling, and there is a risk of allergic reaction or immune rejection. 

Dermapose is a specific type of micro fat transfer procedure that uses a person’s own body fat to boost volume and appearance in areas with volume deficits, and it is effective for treating thinning lips, smoker’s lines around the lips, nasolabial folds, hollows under the eyes, and a lack of definition around the jawline. The treatment involves injecting fat into the desired areas of the face, and it takes about an hour to complete, with minimal downtime required afterwards. However, there may be mild swelling and bruising at the injection sites, and the results may take a few weeks to become fully visible.

On the day of treatment, your plastic surgeon will greet you, explain the process, and go over how the treatment will work. Then, you will be given local anesthesia to numb the areas where injections will be made, and you may also be given sedation to make the process as painless as possible. Using a syringe, your plastic surgeon will remove fat from a fat-rich area of your body, such as the tummy, love handles, or muffin tops. The extracted fat will be centrifuged and filtered to separate it from water and blood.

Then, the fat will be placed in multiple syringes and injected into the desired areas of the face for anti-aging benefits and a renewed appearance. As the fat is injected, drop by drop, the plastic surgeon will build it layer by layer to achieve a perfect plumpness. Dermapose treatment takes roughly one hour from start to finish, and you will be able to go home the same day. Apart from the small incision at the fat donor site, no other incisions are made.

There may be mild swelling and bruising at the injection sites, and the results may take a few weeks to become fully visible. However, these side effects should resolve within a few days. You should be able to resume your normal activities immediately after the procedure, although you may be advised to avoid strenuous activities for a few days.

Overall, micro fat transfer and Dermapose are effective and natural alternatives to plastic surgery for adding subtle volume and fullness to the soft tissues of the face. They offer a quick and minimally invasive treatment option for eliminating wrinkles and fine lines on the skin and producing a natural, long-lasting, youthful-looking appearance. If you are considering these treatments, it is important to speak with a qualified plastic surgeon to determine if they are right for you and to discuss any potential risks or side effects. Your surgeon will be able to assess your individual needs and recommend the most appropriate treatment plan to help you achieve your desired results.

Call us today to discuss Dermapose and other surgical and non-surgical treatments with Dr. Effie Politis. For more information on our plastic surgery treatments, visit the site “Politis Plastic Surgery.”

What is ERAS Protocol?

ERAS stands for Enhanced Recovery After Surgery.  

An ERAS protocol refers to a series of pathways designed to be followed to ensure improved patient experience before, during, and after surgery.  They are a bundle of evidence-based interventions that ensure more rapid surgical recovery, shorter length of hospital stay, greater patient satisfaction, and reduced cost of both open and minimally invasive surgeries.

In the last 10 years, ERAS has become increasingly popular in different surgical specialties as a means of ensuring faster recovery and reducing complication rates following surgical procedures.

The key elements of ERAS are patient education, patient optimization before admission, minimal fasting before anesthesia, multi-modal analgesia with the right use of opioids when indicated, return home soon after the procedure, and return to normal diet and activities usually the day after surgery.

At Politis Plastic Surgery, we have made efforts to incorporate the tenets of ERAS in our reconstructive and aesthetic surgery operations during the last 5 years. And with  increased implementation, we have been able to achieve faster recoveries, minimized post-surgical pain, and a speedier return to day-to-day life.

How does the ERAS protocol work?

With the ERAS protocol, the medical team works together with you before surgery to learn about your medical history and pain tolerance. This enables the medical team to create a surgical care plan that includes strategies to minimize pain after surgery, speed up recovery, and reduce narcotic usage. 

By design, the ERAS interventions help to reduce negative experiences related to surgery. It includes a multi-modal approach to treatment of post-operative nausea and vomiting and to pain management. 

For instance, as a patient, you may be given a scopolamine patch prior to surgery to prevent nausea and vomiting. Then once under anesthesia, you are given additional medications through IV for enhanced management of nausea, including steroids and anti-nausea medications.

Pain management is approached in a similar manner. For example, you may be started with Tylenol (an anti-inflammatory drug), together with a neuro-modulator, before the surgery. Then while already under anesthesia, a long-acting local anesthetic may be given to help numb the surgical area. 

And so, by beginning anti-nausea and vomiting medication before surgery, these negative reactions are prevented. 

Also, by administering pain medication before surgery, there is reduced body response to pain and less need for anesthesia and narcotics after surgery. 

Therefore, when used, ERAS almost always results in less post-operative pain, nausea, and vomiting.  

It results in faster recoveries, though recoveries still depend on the type of procedure a patient undergoes. 

How is the ERAS protocol applied before surgery?

As part of ERAS protocol prior to surgery, the surgeon works with an anesthesiologist to determine and set the expectation of pain. 

Since not all patients experience pain in the same manner, setting pain expectations through pre-operative assessment of the patient helps to tell how much pain the patient will experience and how to minimize it.

According to ERAS principles, the surgeon has to discuss with you how you generally tolerate pain, how you recovered from previous surgeries, and how you see yourself recovering from the impending operation.  This helps the team to set your pain expectations. Then, after setting your pain expectations, the medical team will provide you with a blend of non-opioid medications that target how your nerves function. 

A critical part of ERAS before surgery is educating you about what to expect and how to prepare. That’s because educating and preparing you for surgery reduces fear and apprehension. 

 It also helps to optimize your diet and exercise routine, to stop smoking for at least 1 month before surgery, reach a BMI of less than 30, and abstain from alcohol.All of these  are steps that reduce the risk of complications after surgery.

How is the ERAS protocol applied during and after surgery?

As part of ERAS protocols, you are provided with medications to reduce nausea and vomiting during surgery. 

A local anesthesia and a pain-relieving technique are applied to numb the area where the procedure is performed. The result is a blockage of nerves associated with the area from activating, which results in minimal discomfort during surgery.

After surgery, you will receive medications similar to the ones used before surgery to control pain. The drugs continue to keep the nerves associated with the surgical site from firing strongly. 

Nevertheless, since pain tolerance differs from one person to another, there will be a need for continuous communication between you and your plastic surgeon regarding the pain. 

Be sure to speak with your doctor when you have concerns and make sure to attend follow-up appointments.

ERAS protocols and the management of pain

One of the key pillars of ERAS is eliminating opioid medications in pain management—due to increased deaths caused by opioid overdosing. So plastic surgeons that follow the protocol avoid prescribing opioids to patients unless it is entirely necessary based on pre-operative assessment, pain expectation, and pain tolerance. Surgeons use alternatives to opioids, such as local anesthesia and non-narcotic medication. 

In case you decide that it is necessary to take opioid medication for pain tolerance after plastic surgery, your plastic surgeon will inform you of the possible side effects and the appropriate dosage you should take. It is advisable that you speak with your doctor about anything you are not sure regarding prescribed pain medications.

Safe, quick-recovery plastic surgery

While pain is part of any plastic surgery procedure, the ERAS protocol helps to significantly reduce the amount of pain experienced.  

At Politis Plastic Surgery, we follow the ERAS principles to develop effective pain management plans and minimize complications related to surgery. We have embedded the ERAS protocol as a standard model of care in our practice.  

We continuously refine our interventions and measure our outcomes to ensure we achieve the highest standards of care. We are proud that the protocol has helped us achieve more rapid surgical recovery, shorter hospital stays, enhanced patient satisfaction, and reduced costs of care. 

For more information on plastic and reconstructive surgery procedures, contact us.

Getting Pregnant After A Tummy Tuck

Tummy tuck or abdominoplasty is a minimally invasive procedure involving  the removal of excess fat and tissue from the abdominal area to produce a tighter, more toned stomach. It is a perfect procedure for restoring your body shape and contour. 

Generally, plastic surgeons recommend that women undergo tummy tuck after they are done with having children. In some cases, there may still be a desire to get pregnant after getting the procedure. For these women, there may be some apprehensions as to whether it  will be safe to do so. 

 Can you get pregnant after a tummy tuck?

Yes. A pregnancy after a tummy tuck is safe for both you and your unborn child.  The pregnancy will also not adversely affect the results achieved through the procedure.

A tummy tuck does not adversely affect your abdominal walls and can still stretch and widen seamlessly to accommodate a growing fetus.  If you don’t experience any complications after abdominoplasty, your fertility will not be affected and you’ll have no problems getting pregnant. 

How soon can you get pregnant after a tummy tuck?

Since tummy tuck is a major surgery, it is important to give your body enough time to heal and recover from the side effects of the procedure. a A pregnancy is quite demanding on the body, you will need to be fully recovered for it. 

In general, you need to wait for at least one year after abdominoplasty to consider  a pregnancy. This period will not just allow your body to heal and improve, but will also help you and your doctor to rule out potential complications from the surgery. Nevertheless, before you get pregnant, make sure you speak with both your plastic surgeon and gynecologist about it.

For some mothers, the belly may not stretch out enough after a tummy tuck and may not look the same as their previous pregnancies.  tThis is completely safe and harmless to the growing child. 

 As long as the abdominal wall is able to stretch enough for the baby, there is no need for revision surgery. A tummy tuck revision is only necessary if and when the skin and abdominal muscles stretches too much during pregnancy, especially in the case of a twin pregnancies. 

Will a pregnancy affect your tummy tuck results?

Provided you stay healthy, the results of the tummy tuck procedure will last long after the pregnancy. 

In some cases, a touch-up procedure might be required after a pregnancy. It is also important to keep in mind that the effects of pregnancy depend on the body type and the extent of muscle repair that occurs before and after the pregnancy. 

 A tummy tuck leaves a scar that is usually hidden below the lower abdomen But, during pregnancy, the skin on the belly can stretch and expose the scar, which one may find unsightly. 

 If you need a caesarian section (C-section), the incision will be made along the tummy tuck scar, making the scar even more visible. However, you should know that having a C-section after a tummy tuck is not much different from having it before the procedure. Usually, your gynecologist has to work with a scar from a previous procedure, whether from a prior C-section or from a tummy tuck. 

 The gynecologist will not have any issues working with the abdominoplasty scar.  The only minor problem is that the gynecologist may not close the new C-section with the skill of a plastic surgeon and that may affect the appearance of the scar.

Informed plastic surgery decision-making

Would you like to get pregnant after a tummy tuck?  If so, schedule your consultation with a plastic surgeon today to discuss your options.

At Politis Plastic Surgery, we ensure that you consult with both an OB-GYN and a plastic surgeon so that you are better guided on how to plan for pregnancy after a tummy tuck. 

As a practice, we often offer abdominoplasty to women who are done having children. However, we still ensure that those who have undergone the procedure can have a safe, successful pregnancy. 

For more information on tummy tuck and other plastic surgery procedures, contact us today.

The Benefits of Combining Facial Rejuvenation Procedures

Facial cosmetic surgery: Benefits of having more than one procedure at the same time

Having more than one facial cosmetic surgery at the same time is not only convenient but for many increases overall satisfaction and improves results. 

Combining two or more procedures guarantees all the problematic issues are addressed simultaneously. There will be fewer issues left unresolved, which delivers a better outcome. 

 What are the benefits of combining facial rejuvenation procedures?

  1. Delivers more transformative results

Combining facial rejuvenation procedures addresses multiple areas of the face and neck produces more dramatic results. 

For example, when a facelift is blended with an eyelid or brow lift, the surgery can produce a more balanced and proportional face. In this combined procedure, the facelift treats the lower and middle regions of the neck and face, while the eyelid surgery or brow lift procedure rejuvenates the eyes. 

Another example is combining chin augmentation with rhinoplasty to balance the proportions of the chin and nose. Since the nose is usually a primary area of focus on the face, having it in proportion with the chin ensures a more attractive, aesthetically-pleasing face. 

In this combined procedure,  rhinoplasty is the more complex part.  It needs to be performed in a safe manner and  must also be done to address both its cosmetic and functional aspects.  When done by a doctor who has perfected the techniques and steps involved and by using general anesthesia, it delivers amazing results and comes with the shortest and most comfortable recovery process. 

With chin augmentation synthetic implant or dermal fillers are used. There are multiple shapes and sizes of chin implants, allowing plastic surgeons to match the augmented chin to the operated nose, delivering  more elegant results.

  1. Comprehensive anti-aging remedy

When struggling with aging, a blend of surgical procedures can help address both minor and advanced signs of aging, such as deep creases, jowl formation, and hollowing in the mid-face. Though a single procedure can be effective, combining procedures gives even better results. 

For instance, combining a facelift with facial fat grafting restores youthful volume in the mid-face and other key locations.  It also removes redundant skin to create a more vibrant, youthful-looking face. 

Combined with fat grafting, it can make the results of a facelift last longer while producing  firmer skin. 

Another combination is using laser technology alongside Botox to produce comprehensive anti-aging results in a single treatment session. 

A laser technology, such as CoolPeel or CO2 laser resurfacing, can be used to address fine lines, facial wrinkles, enlarged pores, irregular skin texture, brown spots, mild skin laxity, and other pigmentation irregularities.

Botox injected as a neuro-modulator can help  minimize dynamic wrinkles that usually appear around the eyes and on the forehead. By relaxing the facial muscles, Botox helps to smooth out wrinkles. 

The laser and Botox combination can be done without anesthesia or downtime and with results that are fully evident within about one week. Of course, the laser component of the treatment may require sessions spaced across 4 weeks apart to ensure the best possible results.

  1. Eliminates a wide range of irregularities at once

For patients who desire to accentuate a firmer facial appearance with full skin rejuvenation, a combination of procedures can help create  smooth, radiant skin.

 A combination of a facelift with a chemical peel can help eliminate facial irregularities and boost appearance. 

A chemical peel is a wonderful addition as it helps fully exfoliate the skin   for optimal rejuvenation. 

And because the patient is already asleep for the facelift, a deep chemical peel can be comfortably performed to eliminate lines and wrinkles, pigmentation irregularities, uneven skin texture, and tone. 

With a chemical peel, such as trichloroacetic acid (TCA) peel, applied alongside a surgical facelift, the deep peel would help to remove the outer layers of the skin in order to reveal the smoother, softer skin beneath. 

About one week of flaking and peeling follows the treatment before a dramatic improvement of the overall skin is achieved. 

  1. A single recovery time and less downtime

With combined facial cosmetic surgery, only a block of time is needed for consultation and recovery instead of having to schedule multiple surgeries with different recovery periods. This allows a patient to undergo one surgery and recover from all the procedures simultaneously. 

Of course, the single recovery period may be a little longer than needed to recover from a single procedure, but ultimately the recovery period is much shorter than when you undergo each procedure and its recovery period separately.

  1. Saves money and reduces complications

When multiple cosmetic surgery procedures are combined there are reduced financial implications, including saving money on repeat consultation sessions, operating room costs, and expenses related to anesthesia. 

Combining the procedures means many fees are paid only once, saving money in the process.

, When implemented as a single surgery with a single round of anesthesia, there are reduced risks of infection and adverse reactions to anesthesia.

Safe, effective facial cosmetic surgery

At Politis Plastic Surgery, we offer a wide range of cosmetic enhancements to help you look your best at  every stage of your life. With our array of choices, including surgical, nonsurgical, and many aesthetic enhancements, and our ability to combine them efficiently and effectively, we are able to deliver natural, beautiful results for our patients. 

Schedule your consultation today to find out how we can tailor a safe and effective combined cosmetic surgery treatment plan for you.

Should I Remove or Replace Breast Implants?

As a woman, your breasts are an integral part of your overall appearance. And whether they are small or large, perky or not, their appearance can cause a feeling that impacts all areas of your life. 

Plus, the psychological fallout that follows when you’re dissatisfied with the way your breasts look can be devastating for some women, including a nose dive in confidence, loss of self-esteem and feeling unattractive.

Fortunately, through breast augmentation using breast implants you can:

  1. Make your breasts larger, fuller, perkier, and higher on your chest, achieving an enhanced, more youthful appearance.
  2. Correct asymmetry and eliminate embarrassing difference in size between your breasts.
  3. Enjoy psychological and lifestyle benefits, including a renewed freedom in shopping for clothes, enhanced capacity to embrace new opportunities and engage in relationships, and an overall feeling of being more attractive, more confident, sexier and happier overall.

How long do breast implants last?

While breast implants can help restore feminine curves and boost self-image, they don’t last a lifetime. 

Generally, the lifespan of breast implants—whether saline or silicone—is 10-20 years after initial augmentation surgery.  But since every patient heals and responds differently to surgery, the actual life of your implants would depend on your body and how well you take care of them.

Before surgery, your plastic surgeon will explain to you how to care for the implants and the necessary check ups you should undergo to ensure they last longer. Nonetheless, no matter how well you care for them, you should still understand that the implants will need to be removed or replaced at some point.

What are the common reasons for implant removal or replacement?

  1. Capsular contracture

Sometimes, no matter how skilled and experienced your plastic surgeon is, complications still arise after surgery due to the unique healing process that every patient undergoes. Capsular contracture—the development of a thick and hard scar tissue around one or both implants—is one such potential complication.

When you have unusually hard capsules of scar tissue around the implants after surgery, you will have aesthetic problems and, in extreme cases, pain in the breasts. So in rare instances you may need to undergo revision surgery to remove or replace the implants, particularly if the scar tissue causes tightness, pain, tenderness and changes in breast size and shape.

  1. Implant rippling

Breast implant rippling refers to formation of wrinkles and folds around an implant. When the folds and wrinkles are extreme, they become noticeable on the skin and may require revision surgery to correct. Causes of rippling include poor tissue coverage of the implants, scar capsules that are too loose, under-filled or overfilled saline implants, or round-shaped implants.

Rippling may arise after breast reconstruction with saline or silicone implants and tends to develop on the outer perimeter (side, bottom, near cleavage) of the reconstructed breasts. It is also associated more with saline-filled implants than with silicone implants.

When the rippling is visible on the skin, your surgeon may recommend revision surgery. The revision options your surgeon may consider include an operation to replace an undersized implant, tighten the scar capsule, replace saline implant with silicone implant, reposition the implant, change shape of the implant, or remove under-filled or over-filled implants.

  1. Saline or silicone implant rupture

New saline and silicone implants rarely rupture. 

But in older models it can sometimes happen so in those instances saline implants may deflate quickly like balloons. The saline solution then leaks out through the tear and is absorbed harmlessly into the body. In turn, breasts lose size and shape, and look different. Though the risk of saline rapture is rare, it increases by 1-percent every year after the surgery.

Silicone gel-filled implants have a thick silicone gel inside that stays either inside the implant or surrounding tissue even after implant rupture. So it is difficult to notice when a silicone implant ruptures; except that the breasts show uneven appearance and have changes in breast sensation, such as swelling, tingling, numbness, or burning.

When a saline or silicone gel-filled implant has ruptured, your plastic surgeon may recommend surgical removal or replacement. In some cases, your surgeon will also remove the capsule of scar tissue surrounding the implant or just remove the capsule by making small incisions. Typically, implants in both breasts are removed even if only one has ruptured, then replaced during the same surgery.

  1. Positional change

Implant malposition is one of the common reasons for revisionary breast surgery. Generally, breast implant malposition is caused by the implant pocket being too large for a given implant, resulting in the implant not being centered inside the breast. 

To correct implant malposition, your surgeon can opt to perform revision surgery to replace the implant, and then follow that with a precise suturing of the pockets from the inside of the breasts to have the implants properly fitted. Plus, the doctor may switch the implant pocket location or add a lifting procedure to create the desired breast appearance.

  1. Personal desire to change breast appearance

Tastes and preferences are never constant and tend to change with time. So some years after your breast augmentation, you may feel that you need to change the appearance of your breasts or to remove them entirely.

Your plastic surgeon will listen to you, carefully assess your goals and expectations, and guide you on making an informed decision. Then, the surgeon may recommend that you undergo revision surgery to replace the implants with larger or smaller implants, or to remove them entirely based on your lifestyle and aesthetic priorities.

What should you expect during breast implant removal?

Since your implant can be removed or replaced by any qualified plastic surgeon, you won’t necessarily have to go to the surgeon who did the first surgery.  During your consultation session with the surgeon, the implant will be evaluated and your surgical options explored. 

Depending on the problem with the implant and on your preferences, the surgeon will:

  1. Do implant removal alone.
  2. Remove the implant and perform a breast lift.
  3. Remove lumpy or hardened tissue

Since implant removal can lead to cosmetic abnormalities, such as sagging, dimpling, deflation, or asymmetry, your surgeon may recommend replacing the removed implants with those of a different shape or size.

What should you expect from breast implant replacement?

Implant replacement is the procedure in which your doctor replaces your problematic implants for newer implants. You may stick to the same type, size, and shape or go with different implants altogether.  

The replacement can be combined with a breast lift or with scar tissue removal. But usually, the cost of implant replacement is higher than that of implant removal as you will need to pay for the initial removal, replacement implants, and any other related procedures.

How do you care for your implants to make them last longer?

One of the best steps to take to ensure your implants last longer is to consider carefully and choose the right size and shape the first time. That’s because most cases of implant removal or replacement arise from unhappiness with implant size and shape.  

So pick breast implants of the size and shape you feel you can live with for 10-20 years—remember your tastes will change over the course of your lifetime. 

Speak with your plastic surgeon about your cosmetic goals and implant preferences, and request broad advice and recommendations. By being open with your plastic surgeon and following recommendations, you will make a better choice. 

Because implant removal or replacement may be necessary due to local complications, such as ruptures, deflations, wear and tear, or surgical error, you need to choose a skilled, experienced surgeon who performs the procedures regularly. A surgeon with experience in the removal or replacement is ideal.  

At Politis Plastic Surgery, we make sure that you are aware of the lifespan of implants and that they aren’t guaranteed to last a lifetime. In fact, during your consultation, our board-certified surgeon will explain to you what to expect from different types of implants and help you to choose the right implant. 

For more information on breast augmentation, breast reduction, breast lift, and other plastic surgery procedures, visit the site “Politis Plastic Surgery.”