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All Posts Tagged: plastic surgery

“Do You Offer ‘Short Scar’ Breast Reduction?

A prospective patient asks, “Do you offer ‘short scar’ breast reduction?”

 

Thanks for asking about breast reduction and “short scar” surgery.

 

The type and length of the scar in a breast reduction surgery (or breast lift surgery, for that matter) has to do with how much breast tissue needs to be removed and what the size and shape of the breasts are before surgery. I also discuss your expectations about the size and shape of the resulting breast.

 

All of these things will influence the resulting scar.

 

I’d be happy to discuss your specific options with you during a consultation. As you know, insurance companies may have very strict requirements for covering breast reduction surgery, so that may influence what surgery (and therefore what type of resulting scar) I can offer you.

 

Many patients are opting to cover the surgery out of pocket, because their insurance company explicitly excludes coverage for it, or because they want more control over the amount of breast tissue that is to be removed.

 

Come in for a consultation to discuss it. Thanks for your question.

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Dr Shawn Birchenough Men Body Specialties and Surgeries

Early 50’s Male: “Anything I Can Do to Keep from Looking Older Than I Am?”

“I’m a guy in my early 50’s, and I’m wondering if there’s anything I can do to keep from looking older than I am?”

 

I am glad to hear from and treat male patients! Men of all ages are asking about plastic surgery, to the point where men represent the fastest growing population of those receiving plastic surgery over the past 5 years!

 

Men want to look younger (just like our female companions!) and have more confidence in our lives. Many men work hard to stay in shape physically, and eat healthfully, but have areas of concern.

 

I want men to know that I will discuss their issues with them personally, professionally, and discretely.

 

Here are a few things to think about…

Men are prone to lines and wrinkles in the forehead and between the eyebrows because of the strong action of the muscles in this area. Botox is a great way to soften some of that “mean” or “scowling” look.

 

For further facial rejuvenation, upper eyelid surgery is a common procedure that can significantly improve the “tired” or “droopy” eyelid look. This surgery could possibly be done in the office with oral sedation only. Lower eyelid rejuvenation is a bit more difficult, but there are ways to treat that too.

 

“Love handles” are a guy’s nemesis! Especially if you have been working out at the gym and watching what you eat, this can be a frustrating area that stays after other fat deposits go away! These areas of fat deposit are more prominent on men than women, typically. Liposuction can contour these areas to help you match the rest of your abdomen.

 

Similarly, male breasts can be treated with liposuction if diet and exercise just aren’t doing it. For men that have undergone significant weight loss through diet or surgery, and have significant excess skin, this needs to be removed in the OR with procedures like abdominoplasty, thigh-plasty, or brachioplasty (upper arm skin excision). While more involved, these surgeries greatly improve the fit of clothes, and the overall body contour.

 

So come in to discuss what Dr. Birchenough can do for you guys too!

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What is a Mommy Makeover? (Am I a Candidate for One?)

“Mommy makeover” is a term used generically for a number of different combined surgical procedures. There is no single mommy makeover surgery, but a general concept of helping regain some of the shape you had before pregnancy. The surgeries may be done in combination, or over more than one setting.

Typically, I am addressing concerns women have with changes they have from pregnancy and breast feeding. However, it can extend to facial changes that women go through due to the stresses of raising kids!

For the breasts, one changes that many women see is deflation, or drooping and flattening of the breasts after pregnancy or when breast feeding stops. This occurs because the enlarged breast ducts start to shrink back down, causing the breasts to get smaller. The constant stretching of the breast skin and breast tissue over the many months of pregnancy and breast feeding eventually leave the tissue very lax (stretch marks are one sign of this).

Most of the time the skin and breast tissue won’t have the same elasticity or “snap back” it used to have. For some women, a breast augmentation (implant enlargement of the breast) is enough to restore the lost volume, shape, and contour of the breast. Sometimes a mastopexy, or breast lift, is needed in addition to the implants. A breast lift can mean any one of a number of different specific surgeries and can involve any one of a number of different incisions and approaches, tailored to you. At a minimum, a breast lift will help relocate the nipple-areola to a more aesthetically pleasing location on the breast mound. Typically, a breast lift will also help round out the entire breast and more the breast tissue back up on the chest.

The belly is another area that goes through a lot of changes too. Stretched, lax skin and additional fat deposits can be a long term issue after pregnancy. Also, many women have diastasis recti – a term for stretched muscle and fascia in the lower abdomen. This is the “bulge” or “pot belly” or “beer belly” of the lower abdomen you may see, even if you are very thin and back to your pre-pregnancy weight. These areas can be helped with a mini-abdominoplasty (mini-tummy tuck) or a regular tummy tuck. These surgeries will address the lax muscle and remove the lower abdominal skin and fat (and stretch marks if they are low on your belly). Liposuction of the flanks / love handles can help contour the waist in addition.

Some women only need liposuction to remove the excess fat of lower abdomen, without removing skin, because their skin has enough elasticity to snap back after removing the extra fat.

Facial lines and wrinkles become more prominent and noticeable after pregnancy, long sleepless nights, and many stressed-out days! Botox and Juvederm filler can help restore some of the look of the face, and reduce those lines and wrinkles.

So! What can I do to help “mommy”? Breast implants and/or lift? Tummy tuck or liposuction? Botox? There are many options depending on which areas concern you the most. Come in to discuss what I can help you with!

For additional information, you may also visit birchenoughmd.com/mommy-makeover/.

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