Facial Fat Transfer

facial fat transfer / plastic surgery

Facial Fat transfer is also referred to as facial fat grafting or facial fat injections. Plastic surgeons often call harvested fat “liquid gold,” because of its creamy gold like appearance. Simply put, facial fat transfer is a procedure involving fat removed from areas of the body with excess fat, which is then injected into areas of the face to add volume.

How is facial fat transfer performed?  Dr. Breister Ghosh typically harvests fat from areas of the body such as the upper and lower abdomen, hips, and outer thighs. The fat removal process is essentially liposuction. The area is first injected with a local anesthetic, followed by a small incision made to insert a cannula connected to a syringe to extract the fat. Once the fat has been removed, it goes through a purification process to remove any impurities. The fat is then transferred to small syringes which are used to inject it into the face. A tiny incision is made at the site receiving the fat. A tiny needle or cannula is used for depositing the fat beneath the skin within the tissue layers. This is repeated until the appropriate amount of volume has been added. Facial fat transfer is safe, long-lasting, and produces natural-looking results. Not all fat will “take”, but the fat that does will be there permanently.

Who should consider facial fat transfer?

You have areas of the face that look creased or sunken in

You want a more permanent correct than fillers can provide

You want to add volume to further enhance your appearance

You want to improve scarring or asymmetry

What areas of the face can be improved with fat transfer?

Forehead

Upper or lower eyes

Temples

Nose

Cheeks

Jowls

Lips

Chin

Advantages

Fat used from your own body is a natural alternative compared to dermal fillers. There are reduces chances of allergic reactions or other complications resulting from a manufactured substance.

Fat transfer is safe, long lasting, and more cost effective

Fat transfer is a minimally invasive procedure which can be performed under local anesthesia

Are you a good candidate for facial fat transfer?

The purpose of fat injections is to add volume. You are a good candidate if you have facial creases or lines, thin lips, hollowing of the eyes or temples, flat cheeks, mild skin laxity around the jawline, acne scars, uneven nose, or other irregularities. The best way to know if you are a good candidate is to schedule a consultation with plastic surgeon Dr. Breister Ghosh.

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift.

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®.

Facelifts for Younger Patients

facelift / kybella / plastic surgery

Facial aging can begin as early as one’s 30’s and may be accelerated by lifestyle habits such as sun exposure or smoking. For patients that have the beginning signs of aging, they may not be satisfied with the level of correction that dermal fillers provide. When choosing a facelift for younger patients, it’s best to start with a more targeted approach, rather than augmenting the skin and tissues that do not need it. The following will describe the type of facelift that is recommended for a younger candidate.

What Facelift is Best for a Younger Patient?

For the majority of patients, early aging starts in the midface.  A mini facelift is the best option for patients that are showing early signs of aging in the face or neck.  The mini facelift provides patients an overall refreshed and rejuvenated appearance without the downtime of a traditional facelift. The scars are also minimized with this procedure.

Factors to Consider Before Having a Facelift

Risk & Complications

Before any cosmetic procedure, you need to consider the potential risks or complications that may come with it. To lower your risk of complication, it’s important to refrain from smoking for one year prior to surgery and avoid any medication that could increase bleeding. Additionally, a patient preparing for a facelift should make proper hydration a priority during this time. Taking these necessary steps will help you to lower any associated risk and aid in recovery.

The Possibility of a Second Facelift Later in Life

A mid facelift performed by a qualified surgeon will provide you with the right amount of correction you may desire in your 30’s and 40’s. However, as you age you may decide to have another procedure, making it even more essential that your surgeon has a certain level of training like Dr. Breister Ghosh. This is because going back in and working with previously operated tissue can be more complex. Dr. Breister Ghosh’s finely tuned skill and deep understanding of facial anatomy have established her as a leader in his field and sought after by patients.

Schedule a Consultation

If minimally invasive procedures are unable to provide just the right level of correction for your concerns, a facelift may be right for you. Patients interested in learning more about options for facial surgery are encouraged to contact DBG Plastic Surgery today to schedule a consultation.

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift.

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®.

Earlobe Repair: What to Expect

earlobe repair / plastic surgery

Split earlobes can occur for a variety of reasons. Sometimes, the condition happens suddenly when an earring becomes caught and causes a torn earlobe. At other times, the earlobe becomes split gradually as a pierced hole slowly enlarges to the point that earrings can no longer be held within it. While the condition is mostly common in women, it can certainly occur in men as well. It may also occur if the ear has been pierced in the wrong place, such as too low on the lobe. A recent trend has involved placing large plugs, discs or gauges in the earlobe to stretch the area.

Many people think they just have to live with this problem and can never wear earrings again, but that is not the case. Today, there is a plastic surgery procedure that can repair split ear lobes.

Dr. Breister Ghosh repairs split earlobes, as well as enlarged earlobes and stretched earlobes. The procedure can be done under local anesthesia with minimal downtime.

Split earlobe repair takes only about onehour, and following the healing process, the earlobe returns to its normal shape and size.

Split Ear Lobe Repair Recovery

The healing process often takes several weeks and must be complete before the ear can be re-pieced. It is important to attend your post-op appointments with Dr. Breister Ghosh, so shecan determine at what point it is safe for you to re-pierce the ear.

You can expect some minor swelling and soreness for the first few days, but most patients are pleasantly surprised by ease with which you recover.

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift.

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®.

Allergan® Recall

plastic surgery

Allergan announced a voluntary worldwide recall of BIOCELL® textured breast implants and tissue expanders. Allergan is taking this action as a precaution following notification of recently updated global safety information concerning the uncommon incidence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) provided by the U.S. Food and Drug Administration (FDA).

Patient safety is a priority for Allergan. Patients are advised to speak with Dr. Breister Ghosh about the risks and benefits of their implant type should they have any concerns.

Importantly, the FDA and other health authorities have notrecommended removal or replacement of textured breast implants or tissue expanders in asymptomatic patients.

This global recall does not affect Allergan’s NATRELLE® smooth or MICROCELL® breast implants and tissue expanders.

Please contact our office to speak with Dr. Breister Ghosh if you are in any way concerned about your Allergan BIOCELL® textured breast implants.

Chin Liposuction vs Kybella

kybella / liposuction / plastic surgery

Kybella is the latest breakthrough in cosmetic surgery for addressing a double chin, and we have seen significant improvements in patients. However, in some cases, liposuction, a tried and true method for unwanted fat removal, may be the superior choice for achieving a more defined jawline contour.

Kybella is a synthetic form of deoxycholic acid, a naturally occurring substance in the body that helps to absorb, metabolize and destroy fat. When Kybella is injected in the chin area, it has the power to destroy fat cells without harming healthy surrounding cells. Kybella is the perfect solution for reducing the appearance of a small to moderate double chin where loose skin is not an additional concern.

Kybella injections are performed in a series of two to four treatments approximately a month apart, and many patients enjoy noticeable results after just two or three sessions. The treatment takes about 15 minutes, and because side effects are mild, there is little to no downtime. Most patients experience minor to moderate swelling, redness and bruising that disappears quickly or may be easily covered with makeup. Generally, swelling resolves in three to seven days.

A moderate to severe double chin accompanied by sagging jowls and/or a loose neck are stubborn issues that may be difficult to address through diet and exercise alone. For over 20 years, chin liposuction has been performed to address these areas, with new advances being made all the time.

The entire process can take between one and twohours with a short recovery period of one to three days before normal activities may be resumed. Side effects include minor swelling, and patients will need to wear a chin strap for three days to ensure optimal healing.

While many assume that choosing between Kybella and liposuction comes down to cost, it really comes down to the type of chin you have and which procedure is more convenient for your lifestyle. Those with a small to medium double chin qualify for Kybella, while those with a more severe double chin accompanied by loose skin should more than likely choose liposuction. Those with a moderately severe double chin who would benefit from either procedure may prefer Kybella for its ease and lack of downtime if they lead a busy lifestyle that does not allow for chin liposuction recovery. Dr. Breister Ghosh can assess your chin and neck during a consultation and help you choose the best procedure for your goals. Each allows you to enjoy permanent fat removal and a younger-looking, more defined jawline.

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift.

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®.

 

Lip Augmentation

lip augmentation / plastic surgery

Fuller, plumper lips have grown in popularity over the last decade and there are several options available to those seeking to improve the look of their lips.  In addition, the vertical lip lines acquired over a lifetime can be nicely diminished with these fillers as well.

Dermal fillers containing hyaluronic acid are the most commonly used methods of lip augmentationand wrinkle reduction. They can be safely injected in and around the lips.  Hyaluronic acid is a naturally occurring substance in the body and is a safe method for increasing volume in the lips.

The newer options available today are safer than collagen, last longer and offer more natural results.

Benefits of Utilizing Dermal Fillers

  • Decrease vertical lip lines
  • Improved Shape
  • Improved Structure
  • Added Volume

The effects typically last 6 to 8 months, and then re-treatment will be needed.

There are several dermal fillers including:

  • Restylane
  • Juvederm
  • Belotero

Once injected, the gel in the filler supports and shapes the tissues of the lips.

Benefits of Lip Filler:

  1. Control over lip volume.The amount of substance injected can be moderated, so the Dr. Breister Ghosh has better control over how much lip volume is created.
  2. Bumps are dissolvable. Although they are rare,  any lumps and bumps can be dissolved easily.
  3. Less bruising.There can be reduced bruising and swelling in comparison to other dermal fillers.
  4. Lasting results. The results are reasonably long-lasting and natural.

Dr. Diana Breister Ghoshis board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift.

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®.

What is Blepharoplasty?

plastic surgery / Uncategorized

It has been said that eyes are the windows to the soul, which also means they are one of the first areas of the face to show signs of aging.  Bags under the eyes and sagging upper eyelids come with age, but can be corrected with an eyelid lift, also known as blepharoplasty. This popular cosmetic surgery procedure refreshes the appearance of the face and can shave years off of your appearance.

What is Blepharoplasty?

Blepharoplasty dramatically improves the appearance of sagging, tired, and droopy eyes. This is done by removing excess skin and pockets of fat from the upper and lower eyelids. Many patients combine blepharoplasty with other cosmetic procedures to maximize the benefits such as a brow lift, facelift and fillers.

Blepharoplasty Ideal Candidates

Unfortunately, not everyone is an ideal candidate for an eye lift. The right candidate understands that blepharoplasty is performed to remove under-eye bags, correct puffy upper eyelids, and restore vision that is obscured by excess skin and fat in the eyelids. The presence of certain medical conditions can exclude one from having an eyelid lift performed, as patient safety is always Dr. Breister Ghosh’s primary concern.

Ideal candidates for an eyelid lift include those who have:

Puffy upper eyelids

Tired looking eyes

Excess upper eyelid skin

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift.

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®.

What is Breast Augmentation?

Uncategorized

In general, breast augmentation is sought in order to:

  • Enlarge breasts that are naturally small
  • Restore breast size and shape after pregnancy, weight loss or breastfeeding
  • Restore symmetry when the breasts are asymmetrical
  • Restore the breast or breasts after previous surgery

There are 2 main types of breast implants:

Saline implants are filled with a sterile saline solution, like salt water. The solution is held within a silicone shell, and these implants can be filled with different amounts of saline solution. This affects the feel, firmness, and shape of the breast.

If a saline implant leaks, the solution will be absorbed and expelled by the body naturally.

Silicone gel-filled implants consist of a silicone outer shell filled with a silicone gel. If a silicone-filled implant leaks, the gel will either stay in the shell or escape into the breast implant pocket, which is very rare. A leaking silicone-filled implant may or may not collapse.

Some of the risks and complications associated with breast augmentation are:

  • Pain or discomfort
  • Infection
  • Sensation in the breast, the nipples, or both, may change temporarily
  • Rupturing or leaking of the implant
  • Capsular contracture

Following your pre-and post op instructions from Dr. Breister Ghosh can greatly reduce the risks of complications for patients, so it is imperative to do so to help ensure a positive surgical experience and optimal result.

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, face/neck lift, revision breast surgery, liposuction, labiaplasty and eye lift surgeries. 

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including Sculptra®, Voluma®, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®. 

Is Abdominoplasty Right For You?

Uncategorized

Are sit-ups just not giving you the taut tummy you desire? If you’ve got a little too much flab or excess skin in your abdomen that won’t diminish with diet or exercise, you may want to consider an abdominoplasty, popularly referred to as a “tummy tuck.”

This procedure flattens your abdomen by removing extra fat and skin, and tightening muscles in your abdominal wall.

A tummy tuck can be a great procedure for women with stretch marks, but the procedure should not be used as an alternative to weight loss.

Who Are the Best Candidates For Abdominoplasty?

A tummy tuck is suitable for both men and women who are in good overall general health.

It should not be confused with a liposuction (procedure to remove fat deposits), although Dr. Breister Ghosh may elect to perform liposuction as part of a tummy tuck.

Women who have muscles and skin stretched by multiple pregnancies may find the procedure useful to tighten those muscles and reduce that skin. A tummy tuck is also an alternative for men or women who were severely overweight at one point in their lives, and still have excessive fat or loose skin in the abdominal area.

Who Should Not Consider an Abdominoplasty?

If you’re a woman who is still planning to have children, then you may want to postpone a tummy tuck until you’re through bearing children. Here’s why: During surgery, your vertical muscles are tightened, and future pregnancies can separate these muscles.

Are you still planning to lose a lot of weight? If so, you do not want to consider a tummy tuck until you have come within 5-10 lbs. of your goal weight.

 

Abdominoplasty Procedure

The procedure generally takes 1.5 to 3 hours.

You will receive general anesthesia, which will put you to sleep during the operation. It’s important to have someone with you who can drive you home. If you live alone, you also will need someone to stay with you at least the first night after the surgery.

There are two options for a tummy tuck, complete abdominoplasty and partial or mini abdominoplasty. You and Dr. Breister Ghosh will discuss your desired results, and she will determine the appropriate procedure during your consultation.

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift. 

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Artefill®. 

Breast Implant Replacement

Uncategorized

There are two main reasons a women may require breast implant surgery.  The first could be the body’s reaction to the implant (capsular contracture).  The second could be an issue with the implant itself.

Breast implants are not infallible, and as such, are prone to failure at some point in the future. It’s just a matter of when. Typically, if you are happy with your breasts, then you do not need to change your implants unless you are having a problem. The following are common reasons for undergoing breast implant replacement surgery.

  1. Deflation of a saline implant: If you have a saline implant, then any leak, whether in the silicone shell (the bag itself) or in the valve used to fill the implant, will result in a gradual deflation which will probably take about two days to occur. You will then notice a marked difference in the size of your breasts. No further diagnostic testing is required; you simply need to remove the implant. Your options are:
    1. Replace ruptured implant it with a similar implant
    1. Replace both implants with similar implants (especially if it’s been several years since the initial surgery)
    1. Replace the implants with saline implants of a different size 
    1. Replace both implants with silicone gel implants for a more natural feel to the breasts.
  • Rupture of a silicone gel implant: Rupture of a silicone gel implant is a bit harder to diagnose. With newer implants, a small hole in the implant will most likely not leak any silicone gel due to the cohesive properties of recent technology. If there is a tear in the implant shell, then the silicone will be contained by the natural scar tissue capsule that forms around all foreign objects introduced into the human body—and silicone won’t react negatively with our bodies. Because the silicone is not absorbed by our bodies (nor does it travel), the breast will most likely look and feel the same, even though the implant is compromised in some fashion. Due to this, the FDA recommends getting breast MRI’s at three years after surgery and every two years thereafter. Although this is the recommendation, most women do not do this due to expense and rely on clinical exam to monitor their implants.
  • Capsule contracture: Once this occurs, the breast feels hard and may even be uncomfortable. The implant itself hasn’t changed, rather, the scar tissue that forms around the implant thickens and contracts, causing the implant to feel firmer. Treatment involves removing the scar tissue causing the problem and replacing with a fresh implant of the same type and size.
  • Asymmetry / breast deformity: If there is a shape issue that’s concerning, and Dr. Breister Ghosh believes that she can correct this surgically, then it may be reasonable to proceed. This can include issues relating to the original implant surgery, such as improper pocket creation, improper implant selection, issues due to weight loss or pregnancy/breastfeeding, improper positioning of the implant, improper placement, rippling/wrinkling or visibility of the implant, ptosis (drooping) of the breast, breast over-stretching or any changes where the breasts now look too large or too small for the patient’s frame.
  • Desire to change implant size: Many women opt to change the size of their breast implants.  Dr. Breister Ghosh is best positioned to help patients make that determination, in order to avoid over stretching of the skin, or drooping of the skin if downsizing.

Capsule contracture and implant deflation/rupture are the most common reasons for breast implant revision surgery. Ptosis (drooping) may require a breast lift, and rippling/wrinkling or visibility of the implant is usually best mitigated by replacement of the implants (if they are saline) with silicone implants.

If you are happy with the way your breasts look and feel, and are having no issues with them, then there is generally no reason to replace or re-operate. 

Dr. Diana Breister Ghosh is board certified by the American Board of Plastic Surgery, the only plastic surgery board recognized by the American Board of Medical Specialties. She is a member of the American Society of Plastic Surgeons, and the San Diego Plastic Surgery Society, and is an expert in plastic, aesthetic and reconstructive surgery.

Her specialized services include breast augmentation (including silicone breast implants), breast lift (mastopexy), tummy tuck (abdominoplasty), brow lift, and face/neck lift. 

Dr. Breister Ghosh is also recognized as an expert in state-of-the-art surgical body modification, body contouring and soft tissue sculpting following bariatric and major weight loss surgery. Additionally, she excels in performing specialized facial procedures that help restore skin and aid in reducing effects of aging without surgery, including laser facial resurfacing, Botox®, Restylane®, Perlane®, Juvederm™ and Sculptra® and Bellafill®.