Nonsurgical Options to Improve Chin and Neck Contour

Nonsurgical Options to Improve Chin and Neck Contour
A well-defined chin and slim, smooth neck create symmetry to frame the face. Aging or weight gain can cause fat to accumulate in the neck and jaw area, ruining facial appearance with a double chin or turkey neck. Exercises can tone the face, but may not provide the desired results. Cosmetic surgery can address these concerns effectively. According to 2018 American Society for Dermatologic Surgery consumer survey, 73% of all Americans turn to cosmetic procedures to resolve excess fat under the chin/neck. Manhattan cosmetic surgery practices offer a variety of nonsurgical options for neck and chin contouring.

Traditional body contouring procedures come with considerable downtime and side effects, Fortunately, today, there are a variety of minimally invasive and noninvasive aesthetic modalities to address concerns such as double chin, a weak or saggy chin, a receding chin due to a congenital deficiency, or age-related bone reabsorption. Available in leading Manhattan-based plastic surgery practices, these procedures can reshape and improve chin contour and come with short downtime and quick recovery. They include:

  • EmbraceRF: Invented by Dr. Spero Theodorou, a NYC-based bodySCULPT® plastic surgeon, EmbraceRF is a breakthrough procedure that uses radiofrequency energy to get rid of unwanted fat in the lower face. It combines two powerful technologies from InMode – FaceTite and Morpheus8 – to effectively treat the subdermal adipose tissue of the face. The procedure treats skin laxity and excess fat accumulation in the face and neck area caused by factors such as aging, genetics, weight gain and loss, sun exposure and gravity – without surgery.
    EmbraceRF is an ideal option for patients who are not ready for a facelift, with or without underlying fat concerns. What makes EmbraceRF special is that, unlike other treatments, it offers precise sculpting of the face and neck by allowing the physician to balance the amount of fat removed, molded, and retained.
  • Kybella: This is the latest nonsurgical cosmetic treatment for a double chin or submental fullness. The first and only FDA-approved double-chin injectable treatment, KYBELLA in Manhattan can provide a noticeable reduction in submental fullness and define the chin profile. KYBELLA contains synthetic deoxycholic acid, a naturally occurring molecule in the body that promotes the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, KYBELLA destroys the fat cells, and once destroyed, these cells can no longer store or accumulate fat. Performed by skilled surgeons, KYBELLA double chin treatment offers patients the same advantages as surgery, but without the scarring and lengthy recovery time.
  • Chin liposuction: Traditional liposuction procedures involve surgical incisions and lengthy downtime. But now, with technological advancements, chin liposuction is performed in a minimally invasive way. Surplus fat deposits under the chin and along the sides of the neck are suctioned out using advanced lipo techniques. Leading plastic surgeons use modalities such as Smartlipo Triplex, BodyTite™, or VASERlipo to perform the procedure. Benefits of the treatment include minimal blood loss, and negligible surgical trauma and downtime. As it involves local anesthesia and small incisions, chin tuck in Manhattan, NYC is usually done as an outpatient procedure. In most cases, the treatment can be completed in just one session.
  • Neck Lift: If loose skin and lax neck muscles are more of a concern than excess fat, a neck lift can help. A neck lift involves a set of procedures and plastic surgeons determine which would be the right option for the patient based on the extent of laxity and correction required. These procedures include:
    • Liposuction – removes excess fat deposits
    • Botox injections – addresses the horizontal lines or bands on the neck

    Combining a neck lift and facial rejuvenation procedures can bring about a dramatic and positive change in appearance.

All of these options come with evident benefits and the best way to know which would be right for you is to consult a skilled and well-trained plastic surgeon who has extensive experience in performing chin and neck contouring procedures. Choose a reliable AAAASF-accredited cosmetic surgery practice in Manhattan, NYC for safe, effective and customized treatment.

Benefits of EmbraceRF – a Unique One-time Facial Rejuvenation Solution

Benefits of EmbraceRF - a Unique One-time Facial Rejuvenation SolutionAn emerging cosmetic trend in facial contouring, EmbraceRF in NYC is a one-time treatment that improves facial balance and proportion to create an attractive appearance. If you are looking for a quick and efficient way to address fat and sagginess in the face and neck area, this breakthrough procedure is an ideal option.

A conventional facelift in New York City can address excess fat, jowls, creases, and loss of muscle tone and improve sagging. But it involves incisions and recovery time, while an increasing number of people now want minimally-invasive cosmetic surgical procedures that don’t involve long recovery times. Moreover, a conventional facelift is not an option for “treatment gap patients” – those who have aging signs or skin laxity in the lower face and neck, with or without underlying fat concerns.

Minimally-invasive EmbraceRF can address all of these concerns and provide optimal results without a long recovery time. The procedure treats skin laxity and excess fat in the face and neck area caused by factors such as aging, genetics, weight gain and loss, sun exposure and gravity. It allows the surgeon to remold the fat to improve definition of the jaw line, jowls and neck, while retaining the fullness necessary to maintain a youthful appearance.

EmbraceRF is unique in that it combines radiofrequency-assisted FaceTite and Morpheus8, a new FDA-approved technology for “subdermal adipose sculpting” or strategic fat remodeling. A non-invasive RFAL (Radio-Frequency Assisted Lipolysis) facial contouring solution, FaceTite provides superior internal and external liposuction and allows three-dimensional remodeling of the fibrous tissues. With its depth of 4 mm and additional 1 mm heat signature, Morpheus8 allows the surgeon to also remodel the adipose (fat) tissue. Depending on how deep the dermis is in different parts of the face the surgeon can preserve fat and tighten skin or remold the fat into the contours so as to improve definition of the jaw line, jowls and neck, while retaining the fullness necessary to maintain a youthful appearance.

bodySCULPT plastic surgeons, Dr Spero Theodorou and Dr Chirstopher T Chia are experienced in performing the EmbraceRF procedure. The EmbraceRF technique was developed by Dr. Spero Theodorou and Dr. Paolo Rovatti.  The major benefits of this facial rejuvenation treatment are:
Benefits of EmbraceRF - a Unique One-time Facial Rejuvenation Solution
The core of the EmbraceRF procedure is that it uses radiofrequency energy to remodel and mold the fat in addition to tightening the skin for optimal results. Unlike other treatments, this new concept of facial rejuvenation allows the surgeon to strategically determine how much fat is to be removed, left behind, or molded.

Performed using local anesthesia in the office in approximately 45 minutes, the treatment has a downtime of about 48 hours or a long weekend. EmbraceRF patients usually report seeing the best results after about 6 weeks.
Benefits of EmbraceRF - a Unique One-time Facial Rejuvenation Solution

If you are considering a facial rejuvenation treatment, consult Dr Spero Theodorou or Dr Christopher T Chia, expert Manhattan cosmetic surgeons, to see if EmbraceRF will work for you. After confirming your candidature for the treatment, a reliable surgeon will utilize this novel FDA-approved technology to resolve your aesthetic concerns with optimal results.

Who is an Ideal Candidate for Male Breast Reduction?

Who is an Ideal Candidate for Male Breast Reduction?

Gynecomastia or abnormal enlargement of male breast tissue occurs due to the presence of excess fatty and glandular tissue in the male chest area. This condition can impair a man’s confidence and can affect his quality of life. Losing fat through diet and exercise may help to a certain extent, but getting male breast reduction in Manhattan, NYC can provide a long-lasting solution to “man boobs”.

Swelling of the breast tissue in boys or men is usually caused by the imbalance of the hormones estrogen and testosterone. Genetic traits, intake of certain medications, and obesity are other factors that might cause gynecomastia. One or both breasts can be affected, sometimes unevenly. The condition can occur at any stage of a man’s life, but its causes and recommended treatment options may differ based on the patient’s age and other considerations.

Male breast reduction surgery or gynecomastia surgery involves removing unwanted fatty and glandular tissue, and even skin, from the breast. It is an ideal option for men who are self-conscious about their appearance and want a chest that is flatter, firmer, and better contoured.

Male breast reduction in Manhattan is an individualized procedure and you should only consider it if you need it for yourself and not to please someone else or to achieve any sort of ideal image. Although the procedure is relatively simple, not every man with gynecomastia is a suitable candidate. If you are considering male breast reduction surgery, you need to know if you are a suitable candidate for the procedure. In general, the procedure is a good option for men who are concerned about their enlarged breasts. Other criteria that go to determine candidature for the treatment include:

  • The condition cannot be corrected through alternative medical treatments
  • Are at an age where breast growth has stabilized – if male breast reduction is performed before breast growth is complete, the breasts may continue to grow, which will affect the results.
  • Are healthy and do not have a life-threatening illness or medical conditions that can impair healing
  • Are not on any medications that can lead to gynecomastia; you should also let your surgeon know if you are on medications such as blood thinners that may affect healing from the procedure.
  • Nonsmokers and non-drug users
  • Have a positive outlook and specific goals in mind for improving the physical symptoms of gynecomastia
  • Are close to their normal weight
  • Have good skin elasticity
  • Have realistic expectations
  • Are emotionally stable

After determining your candidature for male breast reduction surgery, you will need to discuss your condition with your surgeon and provide a complete medical history. This will allow your surgeons to check and understand the range of conditions that may be the underlying cause of your gynecomastia. This can include impaired liver function or the use of steroids of medications containing estrogen. Smoking marijuana and drinking alcohol excessively can also lead to gynecomastia. It is important to address these conditions prior to surgery. When male breast reduction is performed correctly on the right candidate, the results of the treatment would be almost permanent in most cases.

Leading NYC plastic surgeons use advanced FDA-approved liposuction technologies such as BodyTite RFAL (radiofrequency assisted) or SmartLipo Triplex (laser assisted) to perform the procedure. Gynecomastia treatment involves removing excess glandular tissue and fat, and tightening loose skin. The treatment may also include improving the size and position of the areola.

Choosing the right surgeon is crucial for the success of male breast reduction in NYC. Make sure that the surgeon you choose has extensive experience in performing the procedure. In an AAAASF-accredited plastic surgery practices, you can expect end-to-end care and support all through the treatment, right from the initial consultation up to full recovery.

RealSelf Reports rise in Wedding-Related Cosmetic Procedures in 2019

RealSelf Reports rise in Wedding-Related Cosmetic Procedures in 2019

For many people, presenting an attractive, positive self-image is the best possible way to boost confidence. Reputable plastic surgery centers in the US offer a wide variety of safe and effective aesthetic treatments. This has made body contouring in NYC a popular option for men and women. People also rely on experts to help them look their best on special occasions. A new report from RealSelf reveals that more people are getting cosmetic procedures as part of their wedding preparation, with wedding-related reviews up 30 percent in 2019.

The analysis was based on the reviews that mention “wedding” or “getting married” that were posted on the RealSelf site between March 1, 2018 to February 28, 2019 and the previous 12 months, March 1, 2017 to February 28, 2018.

According to the report, reviews for nonsurgical treatments in particular are on the rise, making up 46% of all wedding-related reviews posted on RealSelf over the past 12 months. This is an increase of 10% compared to a year earlier, when surgical procedures accounted for higher percentage of reviews (64%) compared to nonsurgical ones (36%). The report lists the top three most reviewed nonsurgical treatments I 2019 as:

  • Nonsurgical Fat Reduction (23%)
  • Toxins (15%)
  • Injectable Fillers (14.15%)

The new data also reveals which general categories of nonsurgical cosmetic treatments are the most popular among pre-wedding patients. Nonsurgical fat reduction (which includes treatments like Kybella, SculpSure, CoolSculpting, and Emsculpt) ranked first for the second consecutive year, accounting for 23 percent of all nonsurgical pre-wedding treatment reviews posted on RealSelf during the last 12 months. Orthodontics, which includes teeth-straightening treatments, had ranked No. 2 in 2018, but did not figure in the list this year. The analysis did not segment reviews based on gender, age, or location.

Kybella is the latest cosmetic treatment for a double chin or submental fullness. The first and only FDA-approved double-chin injectable treatment, KYBELLA can address this concern without surgery. KYBELLA contains synthetic deoxycholic acid, a naturally occurring molecule in the body that promotes the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, KYBELLA destroys the fat cells. This results in a noticeable reduction in submental fullness and leads to an improved chin profile. Performed by skilled surgeons, KYBELLA double chin treatment in NYC offers patients the same advantages as surgery but without the scarring and lengthy recovery time. CoolSculpting, another popular nonsurgical body contouring option eliminates unwanted fat by freezing it.

Talking about the surge in nonsurgical treatments, RealSelf chief brand and marketing officer Jani Strand said, “Technology is making it easier and less expensive to feel our most confident. New nonsurgical treatments create options for people who want meaningful results but don’t want the downtime or expense of surgery, and RealSelf makes the information about them accessible to anyone, anywhere. No appointment necessary.”

The 2019 Wedding Trends report also lists the top 5 most reviewed cosmetic treatments. Breast augmentation and rhinoplasty share the top spot of surgical treatments reviewed before weddings, together accounting for 14% of all wedding-related reviews posted on RealSelf over the last 12 months. Breast augmentation ranked first in both 2018 and 2019, while rhinoplasty’s rank rose from No. 5 in 2018 to No. 1 in 2019.T

The Brazilian butt lift, another popular cosmetic surgical procedure, was the third most reviewed cosmetic treatment in 2019. The Brazilian butt lift (BBL) in NYC is a customized procedure that improves the appearance of a woman’s buttocks using her own fat. The latest annual statistics report of the American Society of Plastic Surgeons (ASPS) reveals that the popularity of buttock augmentation with fat grafting grew by 19% from 2017, with a total of 24,099 procedures performed in 2018.

According to a RealSelf Chief Medical Officer Dr. Lara Devgan, “Cosmetic interventions are real medical procedures that require serious thought and consideration. While a major life event such as a wedding might motivate a patient to move forward with a procedure, that individual has likely been contemplating and researching for months or even years leading up to that point.”

Men and women planning body contouring in NYC before the wedding season should choose an AAAASF-accredited plastic surgery practice that provides the service of expert plastic surgeons. The right surgeon will provide the right guidance and recommend the best solutions to help patients achieve their goals.

Tips to Maximize Fat Survival after a Brazilian Butt Lift

Tips to Maximize Fat Survival after a Brazilian Butt Lift
The Brazilian butt lift procedure involves removing unwanted fat from different areas of the body and transferring to buttocks to enhance size and shape. Plastic surgery practices offering Brazilian butt lift in Manhattan, NYC, NY offer customized solutions to help patient meet their specific goals.

No matter how carefully the surgeons perform the procedure and how advanced the techniques are for fat transfer, not all of the fat transferred will survive. Only a portion of the fat graft will survive in its new location. The proportion of fat cells that will survive would depend on various factors such as the total volume of fat transferred, the tightness and elasticity of skin in new site, and how you care for yourself during the recovery process.  Fortunately, there are several things that you can do following Brazilian butt lift surgery to maximize the survivability of the fat graft:

  • Wear the Compression Garment – After the procedure, your surgeon will most likely advise you to wear a support garment around-the-clock. You will be given instructions on how long you need to wear the garment and about wearing any other garments during your recovery.  It’s important not to wear tight or restrictive clothing during your healing process as it will squeeze and destroy the newly transferred fat.  One option is to use a compression garment with the rear end cut out so that the garment will not kill the fat grafts before they have a chance solidify (
  • Eat healthy –  Your body needs extra calories to supply blood to new fat cells and to recover from the surgery.  Eat nutrient-dense foods will provide your body with all the vitamins and minerals it needs to support its recovery.  In addition, adding more healthy fats to your diet may be beneficial during your recovery.
  •  Avoid Driving – You need to take at least 2 weeks off from driving after BBL. The reason is sitting on your newly transferred fat will squish the fat cells. Other reason may be as you operate your car, you need to push down on the pedals, which also pushes back against your buttocks and lower back. Therefore, BBL patients should not drive for at least a few weeks after surgery. This will help keep a larger percentage of the transferred fat intact.
  • Do not sit directly on your buttocks You should avoid sitting directly on your buttocks and minimize sitting time for at least eight weeks (or more) after the procedure. In fact, this is one of the most important recovery tips for BBL.  When you want to sit, use a donut pillow or inflatable pillow. To avoid putting pressure on the fat graft, place the pillow behind your legs. You will be also instructed to sleep on your stomach or sides for the first eight weeks after your surgery.
  • Do not smoke You should avoid smoking after BBL, as smoking affects the flow of oxygen and nutrients through the blood stream, which in turn, will destroys your body’s ability to heal. After the fat transfer procedure, the newly transferred blood cells need to re-establish blood supply in order to survive. Smoking makes it harder for the body to build new blood vessels and affects the quality of blood which the fat cells receive during their recovery.
  • Exercise – Avoid high impact activities, especially any type of bouncing immediately after surgery. Light activities such as fast-paced walking can be performed after one month. Most patients return to normal activities six to eight weeks after the surgery. More strenuous activities can be performed after the fat cells have stabilized.
  • Drink plenty of fluids In addition to drinking, you need to provide your body with electrolytes, the salts and minerals to keep it hydrated.
  • Maintain a stable weight Once you have healed and the fat cells are established, the shape of your butt will be permanent and the fat cells will work like any other fat cells in the body. If you lose weight, you may lose some of the volume in the buttocks as the fat shrinks, and if you put on weight, the fat in your buttocks may grow. If you gain weight, the areas that underwent liposuction will be the last to accumulate fat. Staying at a healthy weight is the best way to maintain BBL results.

If you are planning to undergo BBL, make sure to choose a surgeon who has extensive experience in performing the procedure. This is very important for your safety and to achieve optimal outcomes. Following your surgeon’s post-op instructions will promote smooth recovery.

Frequently Asked Questions about “Brazilian Tummy Tuck”

Frequently Asked Questions about Brazilian Tummy Tuck

Tummy tuck surgery is a popular cosmetic surgical procedure performed to remove excess fat and skin from the abdominal area and also tighten the muscles to result in a smoother, trimmer mid-section. According to the latest annual statistics report of the American Society of Plastic Surgeons (ASPS), a total of 130,081 tummy tuck procedures were performed in 2018 which is 328 more procedures than last year. While tummy tuck surgery is safe and effective, plastic surgeons in NYC are offering an even more advanced treatment – Brazilian tummy tuck surgery. In addition to all the benefits of a traditional abdominoplasty, this treatment offers better outcomes, greater efficiency, and reduced downtime. Here are the answers to frequently asked questions about the Brazilian tummy tuck:

  • What is a Brazilian tummy tuck?

Brazilian Tummy Tuck surgery is a combination of liposuction and abdominoplasty, the traditional elliptical excision of excess skin and fat from the lower abdomen. Invented by a Brazilian surgeon, this liposculpture technique is intended to significantly reshape the abdomen and central torso. It can provide superior waist contouring outcomes for patients who have large amounts of loose skin and fat in the abdominal area, such as that caused by multiple pregnancies.

  • What is the difference between the Brazilian tummy tuck and conventional tummy tuck surgery?

Though the basic procedure and the idea are similar to the traditional tummy tuck surgery, the Brazilian technique focuses on additional areas to deliver a better outcome. This superior surgical technique can restore a smaller waist and well-shaped abdominal appearance in a way that a traditional tummy tuck cannot. It combines abdominoplasty with liposuction for smoother and more attractive results. Advanced, minimally-invasive liposuction modalities such as VaserLipo, BodyTite, and Smartlipo Triplex are used to remove the excess fat and tighten the skin. Rather than just abdominoplasty, this is an innovative waist re-contouring technique.

  • Where is the Brazilian Tummy Tuck incision made?

Unlike traditional tummy tucks that cause scars high up above the waist, the Brazilian Tummy Tuck incision is located in the lower abdomen in the area below the “bikini line.” Liposuction of the entire abdomen and flank is performed through very small skin incisions with a small, delicate cannula.

  • Will the procedure leaves scars?

Though scars are an inevitable part of any surgery, Brazilian Tummy Tuck minimizes the scarring and keeps the scars inconspicuous as possible because incisions are generally made on the bikini line. The scar is very low on the pubic area, allowing you to wear a low cut bikini.

  • Am I a good candidate for this procedure?

Women who meet the following criteria may be good candidates for Brazilian tummy tuck surgery:

  • Are close to their normal body weight, but have a protruding and sagging tummy
  • Do not smoke
  • Have realistic goals and expectations
  • What are the unique benefits of Brazilian tummy tuck?

The main benefits of this abdominoplasty procedure are:

  • The surgery pulls up the pubic area that usually drops with age and pregnancy
  • Along with trimming the abdomen, it rejuvenates the inner thighs
  • Reduces bouts of incontinence that occur after pregnancy
  • With a downtime of just 10 days, recovery is much faster than the traditional approach
  • What is recovery like after a Brazilian Tummy Tuck?

Recovery time will vary depending on individual considerations and total treatment plan. Going by your surgeon’s instructions is crucial for smooth healing and optimal results.

  • Mild to moderate discomfort is common after the surgery. You will have some swelling and bruising, and may experience some tightness for the first two weeks.
  • Follow your surgeon’s instructions about care of your drains, taking the prescribed antibiotics, and level and type of activity that is safe.
  • Incisions typically heal in about two weeks and the swelling, in about six weeks.
  • You will be advised to wear an abdominal binder during the first week post surgery until most of the swelling resolves and a compression garment in the second week which has to be worn for 6 to 8 weeks to support your tissues as they heal.
  • You should inform your plastic surgeon if symptoms such as pain, redness and swelling take too long to resolve.

In leading NYC plastic surgery practices, the ON-Q PainBuster® pain relief system is used to help their patients recover quickly from tummy tuck surgery. The pump delivers local anesthetic continuously to the treatment site so that there is no pain for the first five days. The use of this non-narcotic automatic pump significantly reduces downtime, improves mobility, and speeds up return to normalcy.

  • When can I return to normal activities after a Brazilian Tummy Tuck?

Most of patients are able to return to work in 2 to 3 weeks post-op. However, it would take about 4 weeks to return to all normal activities and exercise.

  • How long will the results from a Brazilian Tummy Tuck last?

The longevity of the results completely depends upon how you take care of yourself. Unless you gain weight or become pregnant, you can retain your shapely figure for years to come. Expert surgeons advise their patients to begin an exercise program to maintain that new look and to increase their health and fitness beginning at week 8.

As Brazilian tummy tuck is a relatively new and advanced procedure, it is crucial that the surgery is performed by a surgeon with expertise in this specific technique in an AAAASF-accredited plastic surgery practice. The right surgeon will evaluate your considerations and goals and provide customized treatment.

bodySCULPT’s Surgeons Publish Study on Utility of RF Microneedling-Bipolar RF Combination for Skin Laxity

bodySCULPT’s Surgeons Publish Study on Utility of RF Microneedling-Bipolar RF Combination for Skin LaxityRF Microneedling (Fractora modified to Morpheus8) combined with Bipolar RF (FaceTite/BodyTite for Skin Laxity) is an effective combination treatment for skin laxity, according to a paper published 8 April, 2019, in the Aesthetic Surgery Journal. Titled “Adjustable Depth Fractional Radiofrequency Combined With Bipolar Radio frequency: A Minimally Invasive Combination Treatment for Skin Laxity”, the publication written by leading plastic surgeons Dr. Erez Dayan, Dr. Chris Chia, Dr. Jay Burns, and Dr. Spero Theodorou. Dr. Chia and Dr. Theodorou are leading plastic surgeons at bodySCULPT, NYC.

In a press release, InMode announced the results of the study which described the utility of combining two of its technologies to treat fat and skin laxity – Morpheus8, a subdermal adipose remodeling device (SARD) with adjustable depth, and FaceTite, a minimally invasive radio frequency (RF) based technology. This treatment combo is called EmbraceRF.

The demand for minimally invasive skin tightening and adipose reduction treatments is rising with the patient’s desire to avoid major surgery. Multiple energy-based technologies including laser, high-intensity focused ultrasound, and radio frequency (RF) have evolved in response to this demand. Of these, RF technology has steadily gained popularity with consecutive increases in use of 10% or more annually, according to the study.

In the article, authors note that a large treatment gap is prevalent among three cohorts of patients:

  • The younger demographic, who increasingly desire soft tissue tightening without traditional operations, scars, and downtime
  • Patients with soft tissue laxity who are not “severe enough” to justify an excisional procedure, but not “mild enough” to rely on liposuction with soft tissue contraction alone
  • Those with recurrent laxity who already underwent traditional excisional procedures

The use of traditional methods in such patients can lead to under treatment or over treatment. The study found that RF microneedling in combination with bipolar RF can address this treatment gap.

Morpheus8, one of InMode’s newest products, is a fractional radio frequency device with adjustable micro needles up to 4 mm depth, programmable according to the treatment area.  FaceTite is InMode’s clinically proven Radio-Frequency Assisted Lipolysis (RFAL) device that is used for the treatment of facial and body areas. EmbraceRF is a minimally-invasive treatment that combines these powerful technologies to provides a long-lasting solution to the effects of facial aging. The article highlights clinical applications, such as early facial aging, recurrent laxity after a facelift, brachioplasty, and focal areas of excess skin adiposity. The authors point out that complications are rare when employed judiciously in the appropriately selected patients.

The article describes the treatment procedure – pretreatment, anesthesia, treatment and post-treatment. For pretreatment, a detailed history and physical are obtained to determine if there are any contraindications to treatment (such as, collagen disorders, active infection, immunocompromised state, pregnancy, poor wound healing, unrealistic expectations). There are various options for anesthesia and type used would depend on energy employed, depth of treatment and patient tolerance. After the treatment, cooling of the skin immediately is important to reduce discomfort and erythema/edema.

The authors concluded, “In our experience, combination RF technology (RF microneedling and bipolar RF) advances and broadens our ability to achieve tissue retraction that does not reliably occur with other energy-based devices and liposuction alone.”

What to Expect after Brazilian Butt Lift Surgery

What to Expect after Brazilian Butt Lift Surgery
Brazilian butt lift (BBL) is a great way to achieve a curvy, sensual body profile and a youthful, lifted look. Plastic surgeons offering BBL surgery in NYC are experts in performing this buttock augmentation procedure that combines liposuction and fat grafting. This procedure is an ideal solution for women whose buttocks are flat, small, asymmetrical, saggy, or disproportionate due to massive weight loss. Women who are generally unhappy about the appearance of their derriere can also opt to have BBL. When performed by an expert surgeon, the procedure provides attractive, natural-looking results. Here are some important things you should know about the recovery phase and life after BBL:

  • Butt shape and volume will appear quite enhanced in the initial phase  Immediately after the procedure, the appearance of the buttocks will be quite enhanced. There are two reasons for this: the post-operative swelling which is normal, and the overfilling of the buttocks by the surgeon to compensate for drop off some of the transferred fat. Based on patient goals, a good amount of fat in the order of several hundred CCs or even more per buttock may be needed. This is because not all of the fat will survive no matter how carefully the surgeon performs fat transfer. Due to the swelling and overfilling of fat, the buttocks will look quite enhanced in the initial post-op phase. Pain and swelling can be managed with prescribed medications.  To maximize the survivability of the graft take, patients are advised to minimize the amount of pressure or sitting or time spent sitting. Once it settles and matures over time, the fat will last several years or longer.
  • Follow recovery instructions diligently – Each person’s body responds differently to procedures, so there is no set time for recovery. Your surgeon will advise you on how long you need to wear the compression garment, based on a variety of factors, especially how well your skin is contracting. For smooth recovery and the best results, you need to follow all of the recovery tips and instructions that your surgeon gives you, including sleeping on your stomach for six weeks and using your BBL pillow when sitting. You can return to work in as little as a few days or in two weeks.
  • Maintain a healthy lifestyle – Maintaining a healthy lifestyle will help keep your butt looking perky and firm. After healing and the establishing fat cells, the shape of your butt will be permanent and the fat cells will work like any other fat cells in the body. If you lose weight, you may lose some of the volume in the buttocks as the fat shrinks and if you put on weight, the fat in your buttocks may grow. Therefore, staying at a healthy weight by exercising regularly and eating right is the best way to maintain the results from your BBL surgery and liposuction. Doing aerobic exercises along with squats with or without weights as well as other strength-training exercises for your muscle groups will help you continue to look and feel your best.

As BBL involves removing excess fat from areas or arm pit, the mid back of bra rolls, flanks, outer thighs, inner thighs, and abdomen through liposuction, the procedure slims down these areas. A skilled NYC plastic surgeon can reshape these areas in a way that it decreases waist size and improves the projection of the buttocks even before the fat is injected.

Inmode’s Votiva Radiofrequency Device Found Safe for Pelvic Floor Dysfunction Treatment

Inmode’s Votiva Radiofrequency Device Found Safe for Pelvic Floor Dysfunction TreatmentA new study, “Role of Radiofrequency (Votiva, InMode) in Pelvic Floor Restoration”, published on April 25, 2019 in the Plastic and Reconstructive Surgery – Global Open Journal highlights the safety and efficacy of using Radiofrequency (RF) energy for Pelvic Floor Restoration (PFR) after vaginal delivery. Authored by plastic surgeons Spero J. Theodorou of bodySCULPT® in NYC; Erez Dayan, MD; Henry Ramirez, MD; and Lacy Westfall, RN, the research reviews the use of a radiofrequency device, Votiva, InMode for postpartum pelvic floor restoration using an electrostimulator to objectively measure treatment effect.

Around 24% of women in the United States are estimated to get affected by postpartum pelvic floor disorders. The occurrence of these conditions surges significantly with age, with a lifetime risk of undergoing a single operation for prolapse or incontinence of 11% and a reoperation rate of 30%. Studies indicate that providers are unsure of therapeutic options and are inadequately trained to manage these problems. Current treatment options for PFD are limited and include biofeedback, laser, electrical muscle stimulation, and in certain cases, operative intervention. However, advancements in the aesthetic field have introduced a number of energy-based devices, that include RF and laser (CO2, Er:YAG) devices which have been used for PFR to improve external genital appearance, vaginal laxity, and stress incontinence.

The American Society of Plastic Surgeons estimated a 39% increase in plastic surgeons performing vulvovaginal restoration procedures in the US from 2015 to 2016. Among both surgical and nonsurgical procedures, nonsurgical vulvovaginal therapy has been one of the fastest growing areas in plastic surgery and urogynecology over the past 10 years. This is mainly due to the attractive benefits – less downtime, discomfort, and cost – when compared to invasive surgical treatment.

The study points out that there is a surging interest in PFR which is a reflection of decreased stigmatization of female health issues and demonstrated safety and efficacy of energy-based devices. Despite this, there are barriers preventing sound scientific evaluation of these devices including: lack of objective outcome measures, use of unvalidated surveys, paucity of case/control studies, and inadequate follow-up. The researchers explain how the RF workstation, Votiva by InMode may potentially fill a treatment gap of pelvic floor disorders.

What is Votiva?

RF treatment may provide particular benefit in cases of disturbance to the genito-pelvic floor, where stretching of the vaginal introitus can lead to decreased sexual function, lubrication, genito-pelvic sensation, stress urinary incontinence, bowel incontinence, chronic pelvic pain, and pelvic organ prolapse. Votiva is a versatile radiofrequency workstation for women’s health and wellness, combining gentle volumetric heating with fractional coagulation of tissue. Used for vaginal rejuvenation, it is the first and only device on the market that helps to revive both the internal and external tissue of the vagina without the need for painful surgery or significant downtime. Votiva treatment combines 2 innovative radiofrequency devices – FormaV™ and Morpheus8 ™- to tighten loose tissues and reinforce vaginal skin structure and elasticity.

Inmode’s Votiva Radiofrequency Device Found Safe for Pelvic Floor Dysfunction Treatment

  • Votiva with FormaV is 510k cleared for temporary improvements in blood circulation, muscle pain relief and muscle relaxation and is an adjunct to Kegel exercises (tightening of the muscles of the pelvic floor to increase muscle tone)
  • Morpheus8 is fractional device for use in dermatologic and general surgical procedures for electrocoagulation

In this RF workstation study, a retrospective evaluation was conducted between April 2017 and May 2018 of consecutive patients (50 women with an average age of 32 (29-40) years old, average of 2.6 pregnancies, and 1.8 vaginal deliveries) undergoing vaginal radiofrequency treatment. Inclusion criteria were patients at least 6 weeks post vaginal delivery with symptoms of pelvic floor dysfunction. Resting pelvic floor muscle tone and maximal pelvic floor contraction were measured.

The study notes that there were no adverse events from the Votiva treatment and found a significant correlation between treatment and maximal contraction of pelvic floor muscles. Moreover, the patients say they felt subjective improvement correlated to number of treatments.

The study concludes mentioning a prospective randomized study that is being conducted to further evaluate the efficacy and role of this technology.

Brazilian Butt Lift: Latest ASPS Data Reflect a Surge in Demand

Brazilian Butt Lift: Latest ASPS Data Reflect a Surge in DemandBrazilian butt lift (BBL) in NYC is a buttock augmentation procedure that enhances and improves a woman’s buttocks by using her own fat. The latest annual statistics report of the American Society of Plastic Surgeons (ASPS) reveals that the popularity of Buttock augmentation using fat grafting grew by 19% from 2017, were a total of 24,099 procedures were performed in 2018. This surge in procedure shows the popularity of BBL among women in the United States who wanted to look and feel good.

Being a new option, buttock augmentation with fat grafting is a “dual-benefit” body contouring procedure. That is, fat is removed via liposuction from waist and other parts of the body where you have excess fat pockets and reshapes these areas, and is carefully injected into the gluteal region to enhance and improve its appearance. For the right candidate, Brazilian butt lift can provide a tremendous transformation. Unlike implant surgery where silicone implants are inserted into the buttocks, BBL adds volume and visual appeal to the buttocks using the patient’s own fat.

Buttock augmentation with autologous fat grafting, or gluteal lift (currently marketed as the “Brazilian butt lift in NYC), is described as one of the most rapidly evolving and increasingly popular cosmetic surgical procedures.  The popularity of the treatment has soared as it provides beautiful natural-looking outcomes without the hassles associated with implants.  The 19% surge for BBL could be mainly due to the celebrity-inspired plastic surgery procedures. Celebrities like Kylie Jenner, Nicky Minaj and Kim Kardashian West have inspired many women with their voluptuous curves and many women consider BBL to get these prominent, youthful-looking, curvy buttocks using their own fat to look like them.

However, another reason could also be the new trend Snapchat Dysmorphia, which is a disorder that involves an obsession with selfies. Celebrity “belfies” that are flooding Instagram feeds would also have contributed to BBL’s popularity. Plastic surgeons are expressing concern about Selfie Dysmorphia fuelled by heavily filtered online photos on social media. In a 2017 survey by the American Academy of Facial Plastic and Reconstructive Surgery, 55% of surgeons said patients’ motivation was to look better in selfies, up from just 13% in 2016.

Moreover, along with the procedure benefits, the aneshsia used also play a major role in growing demand. That is, traditional BBL under general anesthesia can have devastating and even fatal consequences if the fat is injected into and below the muscle, either intentionally or unintentionally. Fortunately, two plastic surgeons of bodySCULPT in NYC, Drs. Spero Theodorou and Christopher T. Chia invented Brazilian butt lift under local anesthesia (BBLULA). Local anesthesia is the safer option because it presents minimal complications or risks for the patient. Extremely successful as a safer alternative to the traditional technique, BBLULA is a relatively short procedure that allows patients to remain awake throughout the procedure, heal faster, and get back quickly to their normal routine.

Choosing an experienced and skilled plastic surgeon in an AAAASF-accredited plastic surgery practice is also a crucial step while you are considering Brazilian butt augmentation in New York. This is important because, if not performed by a skilled surgeon, chances of getting bumps and deformities are high. So, for your overall safety and optimal outcomes, consider undergoing BBL under an expert supervision.