Infomation provided by the ASPS and New Beauty Magazine

For more information about plastic and reconstructive surgery, call us at (310) 275-6600  Beverly Hills Plastic Surgery Group

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Are you lids sagging and making it difficult to see?

Due to the effects of time, heredity, and environmental influences the upper eyelids can start sagging and become heavy.  As the lids progressively get heavier they can limit our ability to drive and conduct simple tasks of every day life.  I(n cases of functional impairment, a very straightforward and rather simple operation called an upper blepharoplasty can remedy the problem and lead to a much improved quality of life.

Upper eyelids may become sagging due to excess skin, drooping of the eyebrows, congenital or senile ptosis or a combination.  A thorough examination will determine the cause and treatment.

When upper eyelids become heavy enough, peripheral (side) vision may be impaired.  Improving one’s side vision does not help with reading or seeing letters on an eye chart but rather helps us appreciate objects to the side and above. Prior to surgery we commonly refer to an ophthalmologist for a proper visual fields test to determine the severity.  This test is required if an attempt is to be made to obtain insurance coverage of upper blepharoplasty surgery.

Upper eyelid treatment is usually performed in an outpatient surgery center or sometimes in the comfort of our office procedure room depending on the severity. Sedation is typically administered intravenously so that patients do not feel any discomfort during the procedure. The procedure typically takes about 45 minutes and is outpatient.

The recovery after an upper blepharoplasty is very easy and uncomplicated. There is minimal swelling and bruising and Tylenol is usually sufficient to alleviate minor postoperative pain.  Patients are asked to use cold compresses on their eyelids for the first 24-36 hours after surgery and to avoid heavy bending and lifting for one week. While complications can occur following any surgical procedure, when upper blepharoplasty is performed by an experienced surgeon the likelihood of a serious problem developing is low.

Call us for a consultation – (310) 275-6600

www.bhpsg.com

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Want to know more about Breast Augmentation? Here are five commonly asked questions about Breast Augmentation and the answers that correspond.

1.)       Q: How painful is the procedure, and length of recovery?

A: Everybody has a different tolerance of discomfort, but certainly the majority of post breast augmentation patients will say that discomfort from the surgery wasn’t nearly as hard as they imagined. In fact, many patients say that it is very tolerable and that very little-to-no pain medication was needed after surgery. Tightness and a heavy sensation on the chest is how most patients describe it for the first couple of days following surgery.

It is also very dependent on the surgeon and the type of breast augmentation performed.  At Beverly Hills Plastic Surgery Group, we prefer the subfascial placement of breast implants due to the faster recovery time and less pain associated with the operation

In regards to recovery, it is suggested that you allow yourself at least 72 hours to rest with minimal physical exertion. Within a week, most patients feel well enough to drive and return to work (considering their job doesn’t entail anything too strenuous). Resuming physical activity with the upper body is reserved to at least 1 month after the surgery. It is always advised that patients be seen by their treating physician for their personalized post operative instructions.

2.)       Q: What is the difference between saline and silicone?

A: There are many difference between saline and silicone yet the outer shell of the implants are the same (except that saline implants have a value so they can be manually filled with saline water, whereas silicone gel implants have no value and are pre-filled with cohesive gel). Further differences between the implants are cost (silicone being worth more) how long they last, how they feel, and what happens to the implants when they are in need of replacement.

3.)       Q: Where is the incision made for implant placement?

A: At Beverly Hills Plastic Surgery Group, Dr. Layke and Dr. Danielpour prefer using either the peri-areolar approach or the inframammary approach to breast augmentation.  The Doctors feel that by using those incisions the pocket for the breast implant will be made under direct vision and therefore lead to a better result.  

4.)       Q: Will you ever need to redo your surgery, replace the implants?

A: At Beverly Hills Plastic Surgery Group we always fully educate our patients prior to each procedure and want them to know what to expect in the future.  If there are no complications with the procedure that require the implants to be removed then the implants are safe as is and can remain until a problem is encountered.   Breast implants do not last forever and will require updating but usually for not at least 10 years.  The warranty from the implant companies is 10 years!

5.)       Q: Will I be able to breast feed in the future?

A: The best way to really determine this is if you’ve successfully breast-fed prior to surgery. Not every female is born with the ability to breast-feed, or at least breast-feed well. The likely-hood and potential risk of not being able to breast-feed due to breast augmentation is low.

 To find out more about Breast Augmentation or any surgical treatments that we offer, please call us to schedule your personalized consultation.

Beverly Hills Plastic Surgery Group  (310) 275-6600

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The Mentor Volume Sizing System, enables you to select the implant volume that best meets your desired result. The Sizing System includes a set of 18 uniquely shaped volume sizers (nine per breast) and provide a realistic preview of the breast size. Using the sizing system, along with Dr. Danielpour and Dr. Layke you will be able to simulate 24 different volumes, ranging from 150cc-775cc, and will help you as the patient feel more invested in and satisfied with your size decision.

During your completely customized consultation, Dr. Danielpour and Dr. Layke will help to fit the different sizers into the bra that you would like to fit into or even a selection of bras that you are interested in, and then put the bra on. Once you have the desired bra on, you can then select one of the major sizes and insert it over your breast (it is curved on the inside) and into the bra.  Once you have the rough size selected you can fine tune your selection by adding some simple add on pieces (also called cutlets) over the main implant sizer until you are satisfied.  And if you start off with two different sized breasts – which most women have – you can select different sizes for each side.

You can really play around with large sizes even if you aren’t interested in going big and also get a rough idea of how much the implants will weigh and how it feels to move with a larger bust. The great thing about this sizing system is it also works with patients who have already had a breast augmentation previously and may be interested in going to a larger size as the sizers are contoured to work on breasts with implants as well. 

Come in to BHPSG today and try out our new breast implant sizing system and start your path to a new you!

Call and schedule a consultation today!

Beverly Hills Plastic Surgery Group

(310) 275-6600

The post How To Pick The Right Size Implant For YOU With The Mentor Volume Sizing System! appeared first on Beverly Hills Plastic Surgery Group.

• Have you ever cancelled on a friend, date or colleague because you were worried about sweating through your clothes?
• Have you lost out on a promotion at work due to flop sweat?
• Have you tried every antiperspirant on the market with no luck?
• Can you not wear certain colors like grey because you are worried that it will show your super sweatiness?

If so, you are not alone. It is shown that 1 in 5 adults in this country are bothered excessive underarm sweat. For those who suffer from hyperhidrosis , a condition where the sweat glands overreact to stimuli such as nerves, hormones or exercise, it’s literally debilitating. In the past, your only option was to suffer in silence. But no more.

Well, then, isn’t it time to take control of your life and stop sweating and start living life?

We all sweat. Some of us sweat more than others, and more than we’d like to expose. The most dreaded area of exposed sweat for most of us is in the armpit area.  It can be embarrassing and humiliating. With treatments provided by both Dr. Danielpour and Dr. Layke at Beverly Hills Plastic Surgery Group, excessive sweating in the armpits (and hands) can be a thing of the past!

Hyperhidrosis, the medical term for excessive sweating, can be treated and controlled with Botox, Xeomin, and/or Dysport injections. By injecting one of these medicines into the armpits, the secretion of sweat greatly subsides and last up to 6 months. Most patients will require approximately 50 units a side to obtain the best results and effectiveness from the treatment.

Botox is approved for treatment of excessive sweating under the arms and sometimes can be covered by your health insurance.  Take the self assessment survey at http://www.botoxseveresweating.com/UnderarmSweating/SelfAssessment.aspx#/

Call us now and take control of your life and stop sweating

Beverly Hills Plastic Surgery Group (310) 275-6600

www.bhpsg.com

The post Afraid of Exposing Sweaty Armpits? Problem SOLVED with Beverly Hills Plastic Surgery Group appeared first on Beverly Hills Plastic Surgery Group.

Upon your consultation with Dr. Layke and Dr. Danielpour, they will review your medical history and provide you with a clinical physical examination. They then will formulate the best surgical plan for your aesthetic goals. If over the age of 45, it is necessary to receive medical clearance from your Primary Care Physician that may include an EKG, Chest X-Ray and laboratory blood work.

A staged procedure might be recommended for someone that is opting for a flat midsection that has borderline loose skin but extra fat in the abdominal area. By staging procedures where liposuction is first performed, this can help achieve deflation of fat  volume  in the abdominal area which may also cause the skin to possibly become more loose which may allow  a tummy tuck at a later time to have a more ideal outcome.

Larger breasts that would benefit from a reduction and lift might also be ideal for a staged procedure if volume in the upper breast area  is also desired. Though frequently both reduction/lift and augmentation are performed simultaneously , by staging the surgeries with a reduction/lift and then augmentation at a later surgery can allow for more accurate sizing, and possibly less tension on the incisions.

For patients opting for multiple surgeries, it might be recommended that the surgeries be separated depending on the length of time that the surgeries could take, or if the different surgeries can be done properly together. For example, if someone is opting for a tummy tuck but also wants a butt lift (or lower body lift) it could be very hard on the patient to sleep on their back as well as their stomach or sides. Though in some cases the surgeries can both be done at the same time, many plastic surgeons might not recommend this for their patients.  This is due to the prolonged time it would take to do the surgery as well as the limitations and strenuous recovery that  a patient might endure.

Combination surgeries are performed routinely, and they are sometimes even recommended to be done together. For more information about surgeries or services that you are interested in, call us today and schedule your consultation!          Your safety is always our first priority! (310) 275-6600

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What is a “Mommy Makeover”?

A surgical Mommy Makeover  is a combination of body contouring procedures that allow moms to regain the figure they used to have prior to having children. The most common of aesthetic surgeries performed to obtain the complete Mommy Makeover typically consists of a tummy tuck and breast enhancement procedure that are performed simultaneously. Nonetheless, a Mommy Makeover may also be split into more than one surgery if needed or desired.  These operations may include additional procedures such as a breast lift, breast reduction, and body contouring with liposuction. Mommy Makeovers are custom made to fit and fulfill every patient’s individual needs.

Due to maternal hormones and the weight gain that during pregnancy, and post pregnancy, that the female body changes. These changes are often due to hormones and the expansion and deflation that the body and skin go through.

The most evident changes that the female body goes through are typically apparent in the abdomen and breast.  During pregnancy, the abdominal muscle wall is put on stretch as the baby grows inside the mother’s uterus. This frequently creates a separation of the abdominal muscles. Though some women might find that their body returns to the way it was pre-pregnancy, more times than not women are left with a weakened abdominal wall and sagging, loose, and stretch-marked skin.

There is hope!

Some women experience extensive expansion of their breasts during pregnancy, which may subsequently decrease following delivery. This may leave the breasts sagging or empty due to volume loss. No exercise will re-tighten this skin without having a breast lift performed. This surgery entails removing excess skin and raising the position of the areola and nipple to a more youthful and ideal position on the breast. The incisions on the breasts vary based on the type of lift being performed.

For women who have (or develop during pregnancy) large breasts, a breast reduction surgery can be the key to the best mommy makeover results.               Breast reduction surgery is extremely similar to a breast lift, with the difference being that it involves removing some breast tissue. The incisions for a breast reduction can be identical to that of a breast lift (depending on the type of mastopexy) , as a breast lift is giving simultaneously with a breast reduction.

The biggest piece to the ultimate Mommy Makeover is a Tummy Tuck ! This is a procedure that can remove the sagging, loose, and stretch-marked skin of the abdomen which is caused 99.9% of the time by pregnancy.  A tummy tuck can even remove a  C-section scar by converting it into a single tummy tuck incision. This surgery can give women a body they had before pregnancy or even a better, flatter, tighter abdomen than they ever had!

The length of the tummy tuck incision varies from person to person but typically runs hip to hip and is easily covered by a bikini or underwear.  The abdominal muscle that stretches and sometimes splits during pregnancy is typically always repaired or sewn together during a tummy tuck procedure. This helps the overall abdominal contour by flattening the mid section.

Additionally, women who have or develop an umbilical hernia during their pregnancy can also have this repaired while undergoing a tummy tuck procedure. A hernia repair is typically medically necessary to have corrected and  is usually covered by most health insurances.

Last but not least, liposuction is also part of the mommy makeover plan. Liposuction removes unwanted fat that cannot be resolved with diet and exercise alone. Moms often request liposuction of their hips, back, thighs, arms and/or under the chin.

Dr.  Layke and Dr. Danielpour offer innovative and safe plastic surgery procedures to bring the sexy back in mothers. Whether it’s just breast augmentation alone, or in conjunction with other body contouring procedures, both doctors assess every patient on an individual basis to come up with a surgical plan that is most suitable and appropriate for that specific patient.

If you deserve or desire a  Mommy Makeover , what are you waiting you’re your next step is to call BHPSG and schedule your personalized and detailed consultation. During your visit with us, you will personally meet with Dr. Layke and Dr. Danielpour who will discuss the benefits and risks to having surgery. Both doctors will thoroughly review your concerns and create an operative plan that suits your needs.

Call our Beverly Hills office at  310-275-6600 to make your appointment, or you may simply email us at info@bhpsg.com.

The post Are You A Hard-Working Mom Who Deserves A Mommy Makeover? appeared first on Beverly Hills Plastic Surgery Group.

Breast lifts rejuvenate the breasts by trimming excess skin and tightening supporting tissues to achieve an uplifted, youthful contour. After a breast lift, the breasts are higher on the chest and firmer to the touch. Breast lifts can also reposition and reduce the size of the areola-the dark skin surrounding the nipple-which may have stretched or drooped. For those looking to change the size, fullness, or roundness of their breasts as well, it may be necessary to consider a breast augmentation or breast reduction in conjunction with a breast lift.

The best candidates for breast lift are women whose breasts meet some or all of the following conditions:

•  Breasts sag
• Breasts have lost shape or volume
• Breasts are flat, elongated, or pendulous (hanging)
• Breast skin and/or areola is stretched
• Nipples or areolas point downward
• Nipples or areolas are located in the breast crease when breasts are unsupported
• One breast is lower than the other

Most breast lifts can be performed in an outpatient surgery center rather than a hospital. Dr. Danielpour and Dr. Layke will perform your surgery in an outpatient surgery center located in the same building as our office. On the day of your surgery, you will be put under general anesthesia and the procedure will last anywhere from 1 ½ to 3 ½ hours but can run longer if a breast augmentation is being performed at the same time. There are several types of incision methods that can be used when performing a breast lift. The technique Dr. Danielpour and Dr. Layke choose will depend on the patient’s breast size, shape, degree of sagging, position of the nipples, amount of excess skin and skin quality. Which technique will be best for you will be discussed during your personalized consultation with the doctors  prior to your surgery.  The three most common types of incisions are:

1. Periareolar/Circumareolar Breast Lifts- Both of these breast lifts are done solely through an incision around the areola. With a periareolar or crescent lift, the incision only goes partway around the upper edge of the areola and a small amount of skin is removed. This allows the nipple and areola to be re-positioned slightly higher. It is the least invasive breast lift procedure but is not intended to produce dramatic lifting results. With a circumareolar, or “donut,” breast lift, the incision is made all the way around the areola. A donut-shaped area of skin is removed from the breast around the nipple. The edges are then drawn in toward the areola and sutured in place. This technique allows the surgeon to provide a modest amount of lifting and also provides an opportunity to reshape or re-size the entire areola if that is what the patient wants. A circumareolar incision permits the placement of a breast implant as well if the patient is having a breast augmentation performed at the same time

2. Vertical lift- also known as s “lollipop” breast lift, combines a circumareolar incision with a vertical incision down the underside of the breast to the breast crease. Women who have larger breasts with some sagging from skin laxity are the usual candidates for this procedure. Unwanted skin is removed from both sides of the vertical incision. This technique reduces drooping by creating a tighter “pocket” of skin to hold the existing breast tissue. The result is a breast that appears more youthful with a rounded cone shape rather than an elongated shape. The circular incision is used to move the nipple complex upward so it is positioned properly on the newly-reshaped breast mound.

3. An anchor or inverted-T breast lift- this approach combines the lollipop incision described in the vertical breast lift with a crescent-shaped incision along the width of the breast crease where the breast meets the rib cage  This is the most extensive mastopexy surgery and is usually reserved for patients with advanced ptosis. It may be performed in combination with a breast reduction for women with very large breasts. For women with small breasts that have very pronounced drooping, either a saline or silicone implant can be readily placed through the anchor incision. Because of the placement of the incisions, the surgeon can remove more excess skin and reshape the breast dramatically. There is more extensive scarring with this technique and healing may take longer.

After Dr. Danielpour and Dr. Layke have removed the excess breast skin, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast. The nipples and areolas remain attached to underlying mounds of tissue, and this usually allows for the preservation of sensation and the ability to breast-feed.

When Dr. Danielpour and Dr. Layke complete the procedure, the skin is closed with stitches and covered with surgical tape. Some of the incisions are hidden in the breast crease. Others will be visible. All scars will mature with time and once ready, Dr. Danielpour and Dr. Layke will begin you on a scar cream to help the scars fade. After surgery, the breasts are wrapped with gauze dressings, and you may need to wear an elastic bandage or a surgical bra. After a few days, this is replaced with a soft support bra, which is worn 24 hours a day for about a month. The breasts will probably be bruised, swollen, and uncomfortable after surgery, but this will pass in a few days. Any numbness in the breasts and nipples should lessen as swelling subsides. Stitches are removed after 7- 10 days. After breast lift surgery, it is often possible to return to work within a week or so, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You will be able to see the results of your breast lift immediately after surgery, and you may become even more satisfied as swelling goes down and incision lines fade.

Interested in a breast lift? Give us a call today to schedule your COMPLIMENTARY consultation!

Beverly Hills Plastic Surgery Group

(310) 275-6600

The post Breast Lift – The Answer to Gravity! appeared first on Beverly Hills Plastic Surgery Group.

Periareolar Incision

The periareolar incision is made around the bottom half of the nipple areola complex edge where the lighter skin meets the darker skin surrounding the nipple.  It  is one of the most common incision sites for inserting breast implants. This incision site allows the surgeon to both directly see and access the areas under the glands and under the muscles. This incision site also allows for the surgeon to have control over implant position and placement.  Many people refer to this incision as “through the nipple”, though that is incorrect, as the incision is actually made along the bottom of areola complex.  It can be used for silicone or saline implants and can be placed under or over the muscle.  The only restriction to this incision is if the diameter is too small.  Generally this incision heals very well, although scarring is variable due to skin type and color.

Inframammary  Incision

The inframammary incision is the most common approach for inserting breast implants. The incision is made just above the inframammary fold/crease of the breast, (same place that the wire would rest against the chest when wearing an under-wire bra.). This incision site has no visible scars near the areola or nipple which helps prevent the scar from being easily seen. It is well hidden and very difficult to detect when in a swimsuit or lingerie.  The major advantage of the inframammary incision is that it allows the surgeon to work closely to the breast implant pocket, providing  excellent visibility and accuracy of  implant placement.  It can be used for silicone or saline implants and can be placed under or over the muscle.  The incision heals very well and fades to skin color over time.

The two other  incision methods for breast implants insertion is the trans-umbilical and the trans-axillary (through the armipt) approach. Though silicone gel cannot be done through the belly button incision, only saline can, not every Plastic Surgeon is familiar or comfortable with this technique and we believe that the formation of the pocket is inadequate.

The TUBA or trans-umbilical breast augmentation is a so called minimally invasive approach where the implants are placed through the belly button.  In our practice, we do not perform this type of augmentation because we feel that it has many shortcomings and therefore leads to an inadequate result.

Generally speaking, Dr. Layke and Dr. Danielpour use the periareolar and inframammary incisions for breast augmentation because it gives them the most accurate and safest way to create the implant pocket, which in turn is the most important aspect of breast augmentation.

Visit us for a consultation and see which incision is right for you.

Beverly Hills Plastic Surgery Group

(310) 275-6600

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Treatments for scars may vary based on the type and degree of scarring and can include, simple topical treatments, minimally invasive procedures or surgical revision. With surgical revision, Dr. Danielpour and Dr. Layke will minimize the scar under local anesthetic so that it is more consistent with your surrounding skin tone and texture.

Scar revision can be performed on people of any age and is a good option for you if:

• You are bothered by a scar anywhere on your body
• You are physically healthy
• You do not smoke
• You have a positive outlook and realistic goals for your scar revision surgery
• You do not have active acne or other skin diseases in the area to be treated

At Beverly Hills Plastic Surgery Group, we can speak with you about the possibility of improving unsightly surgical scars. Whether steroid injections may be offered or surgical revision, we can address these options to suit your needs. Often a period of scar maturation is necessary before scar revision can be performed.

The initial healing phase of a surgical scar revision may include localized swelling, discoloration or discomfort and may take 1 to 2 weeks. Healing will continue for several weeks and as the new scar heals it will slowly refine and fade. With dermabrasion, chemical peel or laser resurfacing, you will experience similar conditions at the treated area, in addition to overall sensitivity.

The final results of your scar revision surgery will be long-lasting, however it may take several months for your final results to become apparent and in some cases it may take a year for the new scar to fully heal and fade. It is of vital importance during the healing process to keep the new scar protected from the sun with sunscreen or clothing if possible. At Beverly Hills Plastic Surgery Group, we offer multiple sunscreen options that will keep your new and much less noticeable scar protected. Dr. Danielpour and Dr. Layke will also recommend that you use a silicon scar cream, sold at our office, during your healing process in order to help with healing.

Interested in revising your unsightly scar? Give us a call today to schedule your COMPLIMENTARY consultation!

Beverly Hills Plastic Surgery Group

(310) 275-6600

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