Embrace Your Beauty
For all intents and purposes, the general public considers cosmetic surgery and plastic surgery as one and the same. The difference lies in the training and scope of practice. I’ll discuss the differences and my rationale for choosing a cosmetic surgery fellowship.
I completed my general surgery residency and served as a general surgeon and assistant professor of surgery in the United States Navy. As a board-certified general surgeon, I had two avenues in which to pursue a career in esthetic surgery: a plastic and reconstructive surgery fellowship or a cosmetic surgery fellowship.
A plastic and reconstructive surgery fellowship is a two-year program in which time is divided between trauma, reconstruction, hand surgery, pediatric/congenital defects, disorders, and cosmetic surgery (elective esthetic surgery). A cosmetic surgery fellowship through the American Academy of Cosmetic Surgery (AACS) is twelve months in duration and the entire twelve months are spent learning and performing cosmetic surgery. My goal in choosing a fellowship program was to obtain the best training that would prepare me to provide the highest level of surgical expertise, personalized service, and results from day one. As my career focus was not on reconstructive surgery and academia, I chose to pursue a cosmetic surgery fellowship.
I completed my cosmetic surgery fellowship with Dr. Mark Mandell-Brown (President-Elect, American Academy of Cosmetic Surgery) in Cincinnati, Ohio. During my twelve months I completed a full range of face, body and breast surgeries and procedures (over 600). I learned the latest techniques and innovations, and continue to attend national meetings and conferences to stay on the cutting edge. I am a Fellow of the American College of Surgeons, and am board-certified with the American Board of Surgery and American Board of Cosmetic Surgery.
I chose to leave behind a lucrative general surgery practice to pursue my passion for esthetic surgery. Although I enjoyed general surgery, my interests and ultimate career goals have always been cosmetic surgery. I find helping a patient attain their esthetic goals and boosting their self-confidence extremely rewarding. I love being a cosmetic surgeon.
Once you’ve made the decision to have breast augmentation, there are additional factors to consider to ensure you achieve your overall esthetic goals. First, where do you want your incision? The majority of my patients prefer the incision located on their breast fold (infra-mammary fold). The infra-mammary fold incision heals well and is hidden with a bra or bikini top. I also offer incisions located in the axilla (underarm) and around the areola. Some women choose the axillary incision because they do not want a visible scar anywhere on their breast. The areolar incision is usually recommended when a breast lift is indicated in conjunction with the augmentation.
No one incision is better than the other. It is a matter of personal preference. If you have your heart set on a specific incision, make sure your cosmetic surgeon is experienced in performing the augmentation with your incision of choice.
Now that you have made the decision on where you want your incision to be, what type of implant do you prefer, saline or silicone? Both implants have silicone shells. The only difference is the saline implant is filled at the time of surgery with sterile saline, and the silicone implant comes pre-filled with gummy silicone. Durability, overall appearance, and results are about the same for both. The only caveat being saline implants are not recommended in very thin women with minimal breast tissue as the rippling of the implant may be more noticeable.
Implants also come in a multitude of firmness (silicone implants) and profiles. At Genesis, we use Natrelle Implants as they offer the greatest number of options in firmness and profiles currently on the market. This allows me to customize the augmentation process to help you achieve your goals.
This summer came and went in a literal flash... for some reason the older I get the faster the time seems to go by. It is my favorite time of the year and someday I hope to live somewhere that summer never ends.
For my family, summer means countless hours behind our boat surfing, skiing, wakeboarding, playing, and just enjoying time with family and friends. We bought a new boat this year and even though it is super exciting it was a little bittersweet thinking of all the years and time that we had spent on our Malibu. In my cleaning, I came across the reason that my family stays so sun protected even while we’re out: I found eight Sunforgettable brushes, six tubes of SPF 35 Lip Shine, and countless gray tubes of SkinMedica SPF. What can I say, I am a true product junkie.
During consults people often mention that they cannot protect their skin because they want to still be outside doing the things they love to do outside. I completely get it and would never ask anyone to avoid the things that they love about their life to avoid getting sun. Thankfully, Colorescience and SkinMedica make it easy to have beautiful sun protected skin throughout every season. With all that being said, and best intentions on protection, by late August I am beginning to think about when I’m going to have my little brown spot that shows up every year treated. This year something is different and there is no little brown spot! The only thing that I have done differently is the addition of Lumivive. The protection and correction that it has given me through the summer months has been amazing. It has officially been added to my list of must-haves for keeping brown spots away and general anti-aging healthy skin.
In combination with our home care products we have so many options to treat brown spots and uneven pigmentation. From peels to PicoWay, our Visia consults will offer a very customized plan made just for your skin type. It is our goal to make sure that the plan works within your budget and lifestyle. And if budget was ever an issue, as it is for most of us, this IS the special to get jumpstarted on your journey towards great skin. Our So Long Summer Sun Skin Care Package combines the best of the best products with amazing savings. You will also receive coupons for discounts on your targeted skin rejuvenation services, like peels and IPL with radio frequency treatments. Make this the season to start taking care of you. Come see us for a Visia consult.
Something to consider when deciding to undergo breast augmentation is whether you will need a breast lift in conjunction with the augmentation. A breast lift involves removing skin (sometimes breast tissue as well) and tightening. Several factors determine whether a lift is necessary to help you reach your desired goal:
- Position of your nipple in relation to the infra-mammary fold (crease where the breast meets the chest wall)
- Location of your breast tissue
- Your goal cup size post augmentation
Ideally your nipple should be at or above your infra-mammary fold. Unfortunately, with time, pregnancy, breastfeeding, and effects of gravity, skin becomes lax and breast tissue migrates south. If the amount of ptosis (sagging) is minimal, this can be addressed with placement of an implant if the implant being placed is large enough to fill out the overlying skin envelope. However, if you do not want to dramatically increase your bust size or the overlying skin envelope is too much to be offset by the implant, a lift will be necessary.
Sometimes the nipple is positioned above the infra-mammary fold but the breast appears bottom heavy with the majority of the breast tissue below the nipple. This phenomenon is referred to as pseudo-ptosis. If pseudo-ptosis is present, it will be necessary to remove a portion of the skin and breast tissue along with augmentation.
You can receive your personal recommendations by visiting us for a consultation at Genesis Medspa. I look forward to meeting you and helping you achieve your aesthetic goals.
September is National Healthy Aging Month, so I was searching for the perfect way to express what that means to me. What does aging really mean to me? And how does that match up with being healthy? I looked through quotes and saw many on how we should feel, what we should think about it, and what our changing looks mean or don’t mean. Lots of good topics, but then I saw the quote above. I thought it is so simple that it is kind of profound. So, here are my ramblings for this month.
Today is the oldest I have ever been. Does that make me old? To my kids kind of, to my granddaughter absolutely, to my dad absolutely not. But what about me? How do I feel? In all honesty, not so bad. I am enjoying my 50s and I have been lucky to work in an industry that stresses the importance of making healthy choices. Not a day goes by that I don’t see an article or get info on the latest tips for looking and feeling our best. Healthy aging has almost become an obsession in our day.
But today I am one day older, and if I can continue to wake up each day and be mindful of the small things I need to do, like eat healthy, get physical activity, brush my teeth, take care of my skin and hygiene, minimize my stress, keep myself social and at the end of the day get enough rest (I could go on and on), then maybe this aging thing won’t be so bad. I know it is going to get harder – I have had a front row seat to viewing that as caretaker for my parent – but I hope to continue to embrace it while doing what I can to keep myself as active and happy as I can.
So on the flip side I am the youngest I’ll ever be again, so I better enjoy it. I wish I could go back to my 20-year-old self and tell her to stand tall and confident. To not stress about wearing a swimsuit because she had almost invisible cellulite and to appreciate that this is probably as good as it will ever be! Or my thirty-year-old self and tell her to snuggle up with those babies and ignore the changes that pregnancy made and the circles that sleepless nights gave. There are blessings and joys to this age that slip by so fast. Or my 40s me and tell her to not fret that she can’t run a marathon by 40 like she had on her bucket list, that there would come a day when she would be thankful that she enjoyed running and could do it at all.
So, what will the future me look back and want to tell me today?
Maybe we should all stop and ask ourselves that question. Will she or he be happy with how we are caring for ourselves mentally and physically? Thank us for giving it the best shot possible to feel our best? What will she chastise us for not appreciating? I most certainly don’t know the answers, but I am going to continue to try and find them and surround myself with positive mentors and role models to push me along. So this September, look at your habits and lifestyle and vow to do your best to age as healthy as you can. We would be honored to play any small part in that we can.
You may be aware of the buzz surrounding microneedling and the FDA as of late. One of the most serious issues is that of transmission of blood-borne diseases from one person to another. Microneedling is not currently regulated by the FDA, but the FDA did issue a statement on it to define what standards devices need to meet in order to maintain patient safety.
The majority of microneedling devices used in the medspa setting are designed to break the skin in order to stimulate new tissue healing, resulting in a more youthful look. They can also smooth wrinkles, scars and cellulite. However, when a device is designed for use on different people, it must be able to be cleaned and not transmit tissue or blood from one person to another. You shouldn’t have to think or worry about this when you come in excited for a youth-enhancing treatment, but unfortunately the majority of devices being used today do not meet this standard and will place you at risk.
Here at the Genesis Medspa, we offer the only FDA-approved microneedling device, SkinPen. This device has a totally isolated disposable needle attachment, with no possibility of tissue or blood retained in the handpiece. We at Genesis are proud to offer the best services with the best safety for our clients.