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®. 

When is the Right Time to Have Cosmetic Surgery?

plastic surgery

Forehead

PROCEDURE: Botox®

OPTIMUM AGE: 35+

Typically permanent wrinkles don’t develop until your late 30s or early 40s. Botox®is best used only for lines that remain when the face is at rest.

Eyes

PROCEDURE: Eye lift

OPTIMUM AGE: 40

PROCEDURE: Blepharoplasty

OPTIMUM AGE: 19+

Lifting sagging eyelids or removing eye bags can make a big difference to your face. Most patients address this in their early 40s, but some inherit large bags under their eyes (think Bill Clinton), and the earlier these go, the better.

Face

PROCEDURE: Facelift

OPTIMUM AGE: 45

Most women have a facelift in their 50s or 60s, but in your 40s, your skin is still quite elastic, so the result is likely to be better without people noticing you had surgery.

Face

PROCEDURE: Dermal Fillers

OPTIMUM AGE: Mid 20’s-30’s

There are studies that show that early use of dermal filler products like Restylane® stimulate the production of fibroblasts which in turn create new collagen.

We have many patients in their mid-twenties to early thirties that have begun to use Botox® and dermal fillers at the earliest signs of wrinkle (and fold) development because that want to take a preventative approach.

Lips

PROCEDURE: Lip enhancement

OPTIMUM AGE: 30’s

The lips tend to start thinning from your late 20s, but it is not until your mid to late 30s that the effect is generally noticeable.

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®.