How Much Botox do I Need?

 
 
 
 
 
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A common question asked by most Botox patients: “𝘏𝘰𝘸 𝘮𝘶𝘤𝘩 𝘉𝘰𝘵𝘰𝘹 𝘥𝘰 𝘐 𝘯𝘦𝘦𝘥?” ⁣

Understandably so, since this is an important consideration before going through the treatment, as the amount of Botox you need determines the overall cost of the procedure.⁣

Every patient is unique in terms of both facial characteristics and desired result. ⁣

Individual facial muscle requires different amounts of Botox in order to fully relax & prevent wrinkle formation. ⁣

There are also other characteristics that influence how your body reacts to Botox injections: your gender, size and strength of your facial muscles, and your metabolism.⁣

It’s important to make sure that you receive the proper amount of Botox units required for your individual needs and goals. Dr. Effie will make sure you meet your needs and desired results. ⁣

The goal is always to achieve balance on the needs of what the patient wants, and what the plastic surgeon advises to give as the best result. ⁣⁣⁣
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Attempting to save money by undertreating an area will not create a satisfying result and could end up costing you more money if a fix is needed. An experienced Botox injector will determine the right amount of Botox needed to deliver the results you are looking for.⁣

If you want to know more, consult with @dreffiepolitis today! ⁣

Call us: (813) 542 – 2587⁣⁣⁣⁣⁣⁣⁣⁣⁣
Check our website: politisplasticsurgery.com⁣⁣⁣⁣⁣⁣⁣
Visit us: 5016 West Cypress Street, Suite 200, Tampa, FL 33607⁣⁣

“Rejawvenation” with Radiesse

 
 
 
 
 
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With CaHa biostimulator called Radiesse. ⁣

It works by placing calcium hydroxyapatite microspheres in an organic vehicle or carrier which provides both volume replacement and collagen biostimulation creating long-lasting improvements for >18 months resulting in tighter and more elastic skin with increased skin thickness. ⁣


This is like bone putty and works really well for building up the posterior jaw given we lose skeletal support to our facial buttresses each decade. This leads to loss of soft tissue support and descent inferiorly. ⁣

Unfortunately, many injectors are performing this on people of all ages given its popularity on social media which can also masculinize the jaw when applied to the wrong patient. ⁣

As a board-certified plastic surgeon, I provide each patient with a customized beauty plan that best suits their needs and long term goals. This involves analyzing the face from top to bottom in thirds, and medial to lateral in fifths. ⁣

Our customized beauty plan ensures gradual improvement so patients look natural and refreshed. ⁣

What is midface augmentation?

 
 
 
 
 
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Maintaining the golden ratio or phi in this patient by mid-face augmentation. ⁣

This hyaluronic acid filler has inherently high lift capacity (Vycross technology) which helps maintain the inverted triangle of youth. ⁣

This will maintain fullness by expanding the midface centrally while using the bony support of the zygoma (bony arch of the cheek) laterally as a scaffold to detract from forming deep central wrinkles like the nasolabial folds (commonly known as smile/laugh lines). ⁣

She had 1 cc Voluma to right and left mid and lateral face for a total of 2 cc. ⁣


A few things to know about fillers : ⁣

–– Smooths fine lines & facial wrinkles⁣
–– Restores youthful volume to areas like the midface and jawline⁣
–– Creates balance in areas that are slightly asymmetrical⁣
–– Reverses mild skin laxity due to aging⁣
–– Fills out shallow scarring for a smoother look⁣
–– Rejuvenates the area under the eyes to produce a refreshed, awake appearance⁣
–– Requires little to no recovery time⁣
–– Results are temporary & requires repeat injections⁣
–– Results are dependent on the experience & qualifications of your injector⁣

Always consult with a board-certified plastic surgeon. ⁣

What is a butt lift?

Do you have loose, sagging skin in your buttocks? Are you uncomfortable with the excess fat? Have you just had dramatic weight loss and feel self-conscious about your gluteal area?

Well, you don’t have to let this situation hurt your self-confidence and frustrate your efforts to achieve a slimmer, more sculpted body. You can get a butt lift and have smoother, more youthful buttocks!

What is a butt lift?

A buttock lift is a procedure to remove excess fat and skin through surgical excision and liposuction. It helps with loose, sagging skin, extra fat from aging, or mobility problems. It also alleviates discomfort due to the excess skin, makes the buttock area smoother and more toned, and gives long-lasting results.

A butt lift surgery can help you to:

  • Remove the loose skin and cellulite below your waistline after pregnancy
  • Eliminate skin laxity and sagginess (ptosis) of your buttocks
  • Make your butts proportionate to the rest of your body, particularly after significant weight loss or bariatric surgery
  • Make your buttock area smoother and more toned

Continue reading about Butt lift surgery here.

Interlocking Cogwheel Suture for Mastopexy

 
 
 
 
 
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The Interlocking Gore-Tex periareolar suture technique is used for periareolar closure to avoid postoperative widening of the nipple-areola complex. ⁣

The GORE-TEX® Suture is a microporous, monofilament suture of flexible biomaterial for excellent handling, reduced hole-leakage, and minimal irritation in soft tissue approximation. ⁣

This permanent suture helps in stabilizing the nipple-areolar complex over time to prevent widening or stretch deformity.⁣

Swipe for a video of Dr. Effie using this technique and an uncensored version of this photo! ⁣

What defines the perfect breasts?

 
 
 
 
 
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According to Dr. Malluci of the Royal Free and University College London Hospitals, it is the relative size of the upper and lower halves of breasts that holds the secret of the perfect bust.

He believes the most-appealing female breasts should be only slightly smaller above the nipple than below.

To support his hypothesis, he asked more than 1,300 people to rank four breast types with different proportions. Board-certified plastic surgeons have championed the adoption of this aesthetic principal.

This golden ratio for breasts is not just a modern phenomenon.

Throughout history, from the earliest representations of women to the statues of antiquity, from Renaissance masters to modern photographers, artists have chosen the same proportions.

Abdominoplasty Procedure with Dr. Effie Politis

 
 
 
 
 
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Here I showed the steps of an abdominoplasty procedure which includes:⁣

1. preoperative evaluation and marking⁣
2. excision of the lower abdominal skin⁣
3. undermining of her abdominal flap to her costal margins⁣
4. recruitment of superior and lateral tissue⁣
5. excision of sub-scarpal fat ⁣

 
 
 
 
 
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6. repositioning of the umbilicus⁣
7. liposuction of the flanks ⁣
8. and finally, sewing of the superior and inferior flaps in a layered closure. ⁣

The various steps of an abdominoplasty as shown here is a methodical process that needs to be precisely executed. ⁣

Preoperative evaluation is key, as well as obtaining ideal weight with diet and exercise. ⁣

Before and After: Abdominoplasty or ‘Tummy Tuck’

 
 
 
 
 
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This lovely patient is 41 years old and has lower abdominal laxity and skin changes consistent with having two children. She was interested in abdominal rejuvenation.

During her evaluation, her diastases were evaluated as well as any previous surgeries and possible hernias. Skin tone and skin laxity were also assessed. With diet and exercise, she was able to get down to her ideal weight. This allowed us to remove more skin during the abdominoplasty and perform a tighter plication. With our enhanced recovery protocols, the patient was back to work within 7 days. ⁣Typically these procedures require drain but there are some patients who are a candidate for drainless abdominoplasty. Please come see me, and find your best option!⁣ Watch out for upcoming posts this week on some behind-the-scenes for this procedure! ⁣

What is the 14 Point Plan?

 
 
 
 
 
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During your consultation, an important question that you need to ask your surgeon is whether or not they follow the 14-Point-Plan. ⁣

What is the 14-Point Plan

The 14-Point-Plan is designed to minimize the number of bacteria that can contaminate breast implants at the time of surgery. It was first published in 2013 and has since been widely adopted all around the world. Bacterial contamination of breast implants at the time of surgery has been shown to cause capsular contracture – hardening, pain, and deformity following breast implant surgery. ⁣

The 14-Point-Plan outlines strategies that can be incorporated into breast implant surgery that reduce the number of bacteria that can contaminate the breast implant surface. ⁣

Here you can see a funnel is being used to place the breast implant into the dissected pocket.⁣

Bioengineered Breast: Hybrid Breast Reconstruction

 
 
 
 
 
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𝘋𝘦𝘷𝘦𝘭𝘰𝘱𝘪𝘯𝘨 𝘢 𝘩𝘺𝘣𝘳𝘪𝘥 𝘤𝘰𝘯𝘤𝘦𝘱𝘵 𝘪𝘯 𝘪𝘮𝘮𝘦𝘥𝘪𝘢𝘵𝘦 𝘴𝘵𝘢𝘨𝘦 𝘣𝘳𝘦𝘢𝘴𝘵 𝘳𝘦𝘤𝘰𝘯𝘴𝘵𝘳𝘶𝘤𝘵𝘪𝘰𝘯. ⁣⁣⁣

I was first introduced to the concept of “bioengineered breast” in 2009 by Dr. Pat Maxwell and colleagues. He originally coined this term to describe an enhanced breast form consisting of a combination of cohesive gel breast implant, regenerative scaffold, and regenerative cells. ⁣⁣⁣

The implant and the soft tissue covering it can both be enhanced to achieve the optimal female breast form.

Enhancing the soft-tissue cover not only supplements volume and shape but also further alters how the recipient’s host tissue responds to the foreign body implant. ⁣⁣⁣

This powerful combination of constructs better allows us to achieve the ultimate goal of breast reconstruction: to recreate a breast that appears and feels like the natural breast. ⁣⁣⁣

This patient had large breasts and underwent bilateral skin-sparing mastectomies. She opted for one-stage reconstruction to minimize downtime. This was achieved using a hybrid concept after the mastectomy flap perfusion was evaluated. ⁣⁣⁣

I was able to pair an anterior acellular dermal matrix sheet with a posterior stable Galaflex base to provide the patient with both softness and stability. ⁣⁣⁣

She plans on having fat grafting during her nipple-areolar reconstruction to further augment her soft tissue envelope and soften her breast borders.⁣⁣⁣
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