Can Areola Size Be Reduced?

Are you embarrassed or unhappy with the size of your areolas? You’re not alone. In fact, many women feel insecure with the aesthetics of their breasts. Often times, areola or nipple size can appear disproportionately large on one’s breast as a result of genetics, pregnancy, or increasing age.

For those experiencing proportion issues, asymmetry between the right and left nipples, or stretching of the areolas following an augmentation, areola reduction repair is a surgical option for correction. Areola reduction surgery removes the pigmented area from the outside of the areola to achieve a reduced circumference as well as symmetry between both breasts.

Although this surgery is performed by making a direct incision, the proper placement of incisions and meticulous surgical techniques should leave minimal scarring. This procedure is usually performed under local or general anesthesia, and when performed on its own the recovery phase is quite tolerable. Patients may be instructed to wear a supportive bra during the relatively short healing process.  Exercise and physical activity should be kept to a minimum.

Areola reduction repair is sometimes performed in conjunction with other breast procedures such as a breast augmentation or a breast lift. In addition to reducing the size of the areola, nipples can also be reduced if they appear too long or project too far out. This particular procedure is called nipple reduction surgery.

In addition to areola and nipple reduction surgeries, there are a number of plastic surgery options available for repairing or restoring the breasts. A thorough examination and careful evaluation performed by a board-certified plastic surgeon will determine which type of procedure will provide the best results for the desired outcome.
For additional information, or to schedule a consultation at Amae Plastic Surgery Center, call (855) 335-7200.

Can “Bat Ears” Be Corrected With Surgery?

Rewind back to your elementary school days… do you recall anyone being called “bat ears” or being poked fun at because of their prominent ears? Prominent ears, or “ears that stick out” are one of the most common types of ear deformities. Although they don’t pose a threat to one’s health, they directly affect many people’s appearance and self-esteem throughout their entire life – not just in their younger years.

There is a surgical solution to “bat ears” and it’s called otoplasty. An otoplasty procedure can improve the shape, position and/or proportion of the ear and can be performed on people of all ages by a board certified plastic surgeon.

Because this operation has no harmful effects on hearing, and discomfort is minimal, the procedure is relatively popular among those that are unhappy with their ears. This procedure also results in minimal scarring because incisions are made on the back side of the ear.

Once a small incision is made, cartilage is thinned or cut so that the ear can be placed in the desired position. Immediately following the procedure, a bulky type dressing is wrapped around the head, covering both ears for protection. This also helps to minimize swelling and discomfort. Patients are usually required to wear a headband or bandana for a few weeks following the procedure as their ears heal.

It’s important to note that perfect symmetry is not a reasonable expectation. Both ears are never 100% alike, even on people with proportional-looking ears.

If you are considering an otoplasty procedure, we encourage you to contact Amae Plastic Surgery Center and schedule a complimentary consultation with Dr. Ali. Just call (855) 335-7200.

 

Trend Alert: Performing Fewer Nips and Tucks, More Non-Invasive Procedures

We know what you’re thinking based on the title of this blog: the number of cosmetic procedures is declining. But, that’s not the case! The industry is busier than ever – we are just performing fewer “nips and tucks” than we have in the past. Why? Patients and doctors alike are migrating toward non-invasive procedures that utilize lasers, ultrasounds, and filler injections. Various technologies and innovations over the past several years have made achieving various cosmetic results faster and simpler.

The benefits of non-Invasive procedures include:

  • Shorter procedure time

  • Shorter recovery times

  • Less expensive

  • Results

But, it’s important that expectations of non-invasive procedures remain realistic. Just because they are “non-invasive” does not mean they are free of risks or side effects; these are still medical procedures. And, minor procedures don’t often yield major results. Many are not as long-lasting and dramatic as the results of surgical procedures.

Let us look at non-invasive liquid face lift procedures, for example: while with most products, results can be seen immediately, they are not permanent like a surgical facelift. A liquid face lift will only improve the look of aging for six months to a year, depending on the product(s) used. Liquid face lifts require touch-up procedures over time to maintain the patient’s desired appearance. Patients seeking more permanent results which will change the elements of their face or their body may instead consider a surgical procedure.

It is for these reasons that choosing a board certified plastic surgeon is extremely important, whether you’re having a surgical procedure or a non-invasive procedure. Because the number of patients desiring non-surgical procedures has increased, the number of professionals performing these procedures has also increased. Not all are board certified or properly trained in cosmetic procedures – only a licensed and skilled plastic surgeon can tell you what the best options are for achieving your desired results. And, ensure that your procedure is a safe one!

If you are interested in a non-surgical or surgical cosmetic procedure, contact us at Amae Plastic Surgery Center.

 

Juvederm Voluma™ XC Facial Filler

Amae Plastic Surgery Center is currently evaluating Voluma™, a new facial filler from Allergan. Voluma is an injectable gel that adds volume in the check area. This filler provides a subtle lift, which give the face a more youthful profile. Results have been shown to last up to two years.

Voluma is different from Juvederm® XC; Voluma works on the cheek area while Juvederm XC works on the folds around the nose and mouth.

The product is the first and only Hyaluronic Acid (HA) filler FDA-approved to instantly add volume to the cheek area. Within 24 hours of the application you should be able to resume normal activities.

Side effects are moderate and generally last 2 to 4 weeks. Common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching.

Dr. Ali is evaluating Voluma™ to understand the results of in-market usage. If you are interested in learning more, please contact us or call (855) 335-7200.

Top Five Considerations for Choosing a Plastic Surgeon

You may have heard that it’s important to do your research and insure that your surgeon is qualified before undergoing a plastic surgery procedure. While that’s sound advice, it can sometimes be challenging to sift through the information you’re getting to insure that you’re doing your homework properly. Here are five areas where not asking the right questions can result in answers that could be confusing.

Ask your surgeon if he or she is certified by the American Board of Plastic Surgery. Follow up by asking if they are a member of ASPS (American Society of Plastic Surgeons), which requires its members be certified by the American Board of Plastic Surgery.

The one can be tricky. Anyone with an M.D. can claim they are a plastic or cosmetic surgeon. That means a pediatrician, family doctor or a gynecologist. They often can also claim board-certification, because they are board-certified in their specialty. If these the two statements are made in conjunction with one another, it can sound like they are saying they are “certified by the American Board of Plastic Surgery.” Also, there is an American Board of Cosmetic Surgery, which is not the same as the American Board of Plastic Surgery. Your surgeon should be able to state that he or she is “certified by the American Board of Plastic Surgery” and a “member of the American Society of Plastic Surgeons” and he or she should be able to show you their certification.

Ask how many of the procedures they have performed.

This will help ferret out surgeons that have recently gotten into plastic surgery as a way to offset decreasing insurance payouts. Because plastic surgery is often paid for directly by patients, many doctors from other specialties have recently gotten into the “plastic surgery business.” Make sure to not only ask about plastic surgery procedures in general, but to ask about the specific procedure you are considering.

Does your surgeon have hospital privileges?

This means the surgeon has the right to do surgery at a hospital. Because hospitals vet surgeons carefully, this is another assurance that your doctor has the proper credentials to perform plastic surgery. If your doctor says “yes,” ask which hospital(s) and contact the hospital to verify.

Is your surgical facility accredited by a national or state accrediting agency?

Some surgeons perform certain procedures in their office or a private clinic. Remember that plastic surgery, while becoming increasingly common, is still major surgery. If these facilities are accredited, it means they have the necessary equipment and staff to handle an emergency in the rare event that something goes wrong.

Do you have patients that I can talk with and before and after photos that I can look at?

Just as with any professional, your doctor should be able to provide references and show results of his or her work. Don’t hesitate to ask for this information while you’re doing your research.

Remember, plastic surgery is a very personal decision, and it is important that you be completely comfortable with your physician. After all, you are putting your physical aesthetic, and possibly your life, in their hands. You may find a doctor that meets all the qualifications, but with whom you are simply not comfortable. Keep looking. The relationship between patient and doctor is a close and personal one, and you need to be comfortable.

To view a recent PSA announcement from the ASPS by clicking here.

Anti-Aging Regimen: Strategies and Techniques

Injectables, fillers, Botox®, creams, treatments…what is all of this and how does it work? Anti-aging is not a one-shot solution. Battling the signs of aging is a multi-stage, multi-level effort.

As we age, environmental factors cause skin damage; sunlight, airborne pollution, cosmetics and other factors all take a toll on skin. The basis of an effective anti-aging routine includes using a good, high quality cleanser every night to insure that your skin is clean.

Masks and facials are treatments typically administered at a spa that provide deep cleaning and de-stress the skin, important for keeping lines and wrinkles at bay. Skin can also be rejuvenated and dead or damaged skin removed via microdermabrasion, chemical peels and/or laser resurfacing, all of which actually remove the top layer of skin, promoting healing and skin regrowth.

Many anti-aging creams and serums also help counter signs of aging by reversing the damage done to skin. These products use a variety of natural elements to replace collagen and restore elasticity and strength to the skin. There are general creams for daytime and nighttime application as well as specialty serums that treat specific areas (i.e. under the eyes).

Eventually–despite our best efforts–gravity, age and genetics result in lines, wrinkles and folds that simply can’t be eliminated or even minimized to your satisfaction. At this point many people turn to injectables and fillers, the most popular of which are Botox®, Juvederm®, Restalyne® and Sculpra Aesthetic®. These products may be used individually or in a combination, depending upon the results you are trying to achieve and your specific situation. Botox relaxes the muscles and is often used for severe frown lines in the brow and crows feet around the eye area. Fillers use a variety of elements found in the skin to replace lost volume and “plump up” areas of the face. This is particularly effective for deep folds such as those that stretch from the edge of the nose down around the mouth area.

As you can see, anti-aging skin care is really a process, and there are a variety of options which may be right for your skin. The professionals at Amae Plastic Surgery Center can work with you to discuss what you hope to achieve, and help determine the best regimen to keep your skin and healthy and as youthful as possible.

Does Insurance Cover Breast Reconstruction for Cancer Patients?

Many breast cancer patients are not aware that breast reconstruction is a viable option–both financially and physically–after a mastectomy.

Since 1998, the Women’s Health and Cancer Rights Act (WHCRA) has helped women with breast cancer who wish to have breast reconstruction surgery following a mastectomy. The WHCRA mandates that insurance companies that offer mastectomy coverage must also cover:

  • Reconstruction of the breast(s) on which the mastectomy was performed,
  • Reconstruction of the other breast to produce a symmetrical appearance (if only one breast underwent a mastectomy), and
  • The actual breast implant(s) used in the reconstruction of the breast.

WHCRA applies to group health plans for plan years starting on or after October 1, 1998, when the WHCRA was passed. However, the WHCRA is a complex law. It does not apply to Medicare and Medicaid, and several states have their own laws surrounding health plans and mandated coverage for mastectomies and reconstructive surgery. It is recommended that you contact your insurance company, your state’s insurance department and/or the US Department of Labor for more information.

If you are considering post-cancer breast reconstruction, contact Dr. Ali to discuss your options and learn more. Dr. Ali is highly recommended by oncologists and frequently gets involved with patients pre-mastectomy so that the reconstruction can be planned for.

For more information, download Dr. Ali’s free white paper, Introduction to Breast Reconstruction: Understanding Your Options.

What Are BRCA Gene Tests?

Recent media concerning actress Angelina Jolie and her decision to undergo a bilateral mastectomy after discovering a BRCA gene mutation has a lot of women wondering: What is the BRCA gene? What does a BRCA gene test reveal?

BRCA1 is a human caretaker gene that produces a protein called breast cancer type 1 susceptibility protein. BRCA1 can be found in the cells of the breast and other tissues, where they help repair damaged DNA and destroy the cells in which DNA cannot be repaired. However, if BRCA1 itself is damaged this increases one’s risk for various cancers, because it cannot help repair damaged DNA.

 

BRCA2 (breast cancer type 2 susceptibility protein) is also a protein found in cells, although this protein belongs to the gene family that help suppress tumors through the repair of chromosomal damage. Similar to BRCA1, if this protein is damaged itself and not helping to support repair, one’s risks for various cancers are increased.

Several different types of BRCA gene tests are available. Some are tests that look for a known mutation that has already been identified in another family member, while others can check for all possible mutations in both genes. A blood or saliva sample is needed to provide the laboratory with DNA for the mutation testing. Upon arriving at the lab it is analyzed and you are then provided with the results/findings.

In Angelina Jolie’s case, she decided to undergo the test, and tested positive for BRCA gene mutations. She made an individual decision about how to manage her diagnosis. But, a celebrity speaking out on their own choice and diagnosis does not make it the right option for everyone. Every woman is different, and any woman considering a BRCA1 and BRCA2 gene test should consult with their primary caretaker.

Solutions for “Sleepy Faces”

This morning you woke up after a restless night of sleep and a long week of work. You can’t help but shrug when you look in the mirror. Puffy eyes, dry-looking skin, fine wrinkles, dark circles … even the corners of your mouth are turned-down. Unfortunately, being fatigued isn’t just a feeling on the inside – your body gives away the telltale signs on the outside so that everyone you encounter today can see that you’re tired.

A recent report published in the September issue of Sleep shared the results of a study conducted by Tina Sundelin from the department of psychology at Stockholm University. The study revealed that looking sleepy can result in others making false character judgments. Those that observed someone who simply “looked sleepy” associated their look with irresponsibility and the concern of whether or not this sleepy person was competent or trustworthy.

So, is there a solution for “the sleepy face?” The solution for facial features that are directly related to fatigue is quite simple; it’s more sleep. Everyone should get at least 8 hours of sleep a day and if you aren’t, the effects will likely worsen over time. Sleep deprivation is linked to occupational injury, stress, decreased performance, memory and cognitive impairment and more in addition to what shows on your face.

However, it’s important to note that some facial features associated with sleep deprivation can’t necessarily be “slept away.” They may be associated with aging, which takes its own toll on the elasticity and health of your skin.

Some patients choose to undergo cosmetic surgeries such as eye lifts or facelifts to gain more permanent improvements for deep cheek folds or that “sunken” feeling in the face, both of which occur naturally with age. Less invasive solutions (in addition to getting enough sleep) include liquid face lifts, which use injectables and fillers to smooth out and/or “fill in” folds, wrinkles and marionette lines (the lines at the corner of your mouth that can make you appear sad).

We can’t stress enough that everyone is different and it takes a professional board certified plastic surgeon to help analyze your “facial health” and the health of your skin. If you currently feel as if you have a “sleepy face” day after day, and 8 hours of sleep each night does not seem to help, consider scheduling a consultation with Dr. Ali. We look forward to hearing from you.

BRA Day – October 16th

Once again the staff of Amae Plastic Surgery will be observing Breast Reconstruction Awareness (BRA) Day. This is the second annual BRA Day, which is designed to raise awareness among women and medical professionals of the options for breast reconstruction that are available to women who have undergone a mastectomy. October 16th is designated as BRA day in order to coincide with breast cancer awareness month.

For more information on BRA Day and Breast Reconstruction Awareness, visit http://www.bradayusa.org/