Couples Getting Plastic Surgery to Look Alike

Why are you considering cosmetic surgery? It’s a simple question, but the answers are as complex as you are. Maybe you want a boost of self-confidence? Or perhaps you want to look younger to get an extra edge in the workplace? But one of the most universal reasons for wanting plastic surgery is to look more attractive to the gender of your desire.

But the romance doesn’t end once you’ve met that special someone. You want to look good FOR them, so maybe you want to look LIKE them. After all, you share a life, so why not share a look?

Beauty Matching

As surgical trends go, “beauty matching” is a relatively rare one… but it’s starting to become less so by the day. One of the most popular surgeons in Dubai reports that he welcomes two or three couples every year seeking to emulate one another’s looks.

More common, however, is the tendency for couples to share the desire for a new look rather than the specific look itself. The aforementioned doctor explains that when a wife experiences the benefits of a successful procedure, her satisfaction helps to convince her husband to seek his own path into cosmetic surgery. This phenomenon occurs about seven times more often than the “beauty matching” approach.

The Pragmatics of It All

While beauty matching may sound like an odd goal for some couples, there are several sound reasons for coordinating your reconstructive surgery plans with a significant other.

  • Healing Time – No matter how minimal, every invasive procedure requires some amount of recuperation. If you schedule your appointment in conjunction with your spouse’s, you can plan to spend the downtime together.
  • Research, Times Two – While we encourage you to explore all of your options when it comes to finding the right procedure for you, that research process could benefit your loved one as well. Ask each other questions, narrow down your choices, and devise a plan that works best for both of you.
  • Grow Closer, Not Older – If you share a home with your significant other, then you have probably also shared some major discussions about aesthetics. How to organize your space, what color scheme to use, etc. Those commonalities of taste and a similar eye for details can also guide your quest into the realm of cosmetic surgery. You might both want an almond shaped eye or a pronounced cheekbone. Whatever your particular style may be, you can evolve together.

A Word of Caution

A healthy dose of competition is natural for a vibrant couple to share. You should challenge each other to learn, grow, and explore the world as a team. But competition should never be the motivation behind your decision to undergo plastic surgery.

In some relationships, there’s a sense of one-upmanship (or one-up-woman-ship, as the case may be). If one partner gets a facelift, the other has to get a more drastic one, and so forth. This “keeping up with the Joneses” approach is detrimental to your sense of individuality and self-worth. You should want your significant other to be the best him or her possible without allowing their successes to weigh down your esteem.

Encouragement, Not Coercion

As you prepare to embark upon your quest to be the best, it’s important to consult with your loved ones along the way. You’ll need someone to drive you to the hospital and pick you up after your procedure, but you should also ask how they might feel about seeing a new you as a result of the cosmetic change. Listen to their opinions, but follow your own truth.

For example, many husbands might love the idea of their wives getting breast augmentations, but they should make sure it’s right for a woman’s physique, health, and wellbeing. If your partner is pressuring you into enduring a transformation that doesn’t feel right for you, then it’s time to stop and ask yourself why you’re considering it in the first place… and also if you’re getting the emotional support you deserve.

It’s important to remember the key signifier of the term self-esteem: SELF. Cosmetic surgery is about you and your individual journey, not an attempt to change you into someone else. No matter how much you adore your significant other, they are another person from yourself. They will never live in your skin, so they shouldn’t dictate how it looks.

To mediate any doubts or curiosities you may have, Doctor Binder and his staff are always on hand. Schedule an appointment soon, either as a couple or as just your spectacular, sole self.

Getting Insurance to Cover Botox Migraine Treatment

Botox Migraine Treatment is becoming an increasingly effective means of battling powerful migraines. However, as it is still a relatively new treatment – it was only approved for use with migraines by the Food and Drug Administration as recently as 2010 – some insurance companies might balk at the idea. So how does one go about getting insurance to cover it?

WHAT IS BOTOX?

Let’s start with what Botox is. It’s a neurotoxin that’s created using the bacterial compound onabotulinumtoxinA and, in medical circles, is intended to treat muscular disorders. In cosmetic circles, it’s known to eliminate wrinkles by temporarily paralyzing facial muscles.

HOW DOES BOTOX AFFECT MIGRAINES?

When it comes to migraines, Botox is used in small but deeply concentrated quantities to stop brain signals reaching certain muscles. Typically, if left alone, those signals contract the muscles resulting in pain. With Botox, however, those muscles become relaxed and thus lessen the physical effects of the stress and tension associated with a migraine. This ultimately means that a migraine might be totally avoided (with no stress and tension to trigger it) – and it also means that by blocking nerve and muscle activity, Botox blocks the pain signals.

Botox therapy for migraines is not effective on every type of migraine; thus a patient’s eligibility for it is dependent on what they’re suffering from. According to the American Migraine Foundation, it works best on those experiencing chronic migraine. A chronic migraine is defined as more than 15 headache days per month as well as a minimum of eight migraine episodes – or if you suffer headaches that last a minimum of four hours.

THE THERAPY

With most migraine therapies, patients are required to administer medication once a headache has begun. Botox, though, is taken as a preventative measure. A person would get a set of 31 injections every 12 weeks with each session lasting around 15 minutes. Patients do not need to be sedated and can drive home after.

The botox is administered via injection.  Using a small needle, the doctor will inject into seven areas of both the head and neck including the nose bridge, the forehead, temples, and back of the skull. It is a relatively painless procedure; the patient only experiences tiny pricks.

It generally takes at least two sessions to begin to experience the benefit but some patients feel it sooner. The results last from four to six months. While it is an effective relief, it is not permanent – but some chronic sufferers can expect their headache days to be cut in half. Ultimately, botox treatment is just that; a treatment, not a cure.

The side effects can include stiff and sore neck muscles and some bruising or swelling around the injection sites. This usually only lasts for 48 hours. Other side effects may include dry eyes and skin rash – symptoms that mimic influenza. There are also nausea and headaches reported but nothing like the sort that is associated with migraines.

COST

The price of Botox migraine treatments can range from $200 to $500 per session. That can add up to serious money for the two to three courses a patient would require.  One option is the Botox Savings Program that allows eligible patients to save on costs – sometimes up to $1200 a year. The other, of course, is insurance.

INSURANCE

So how do you get insurance to cover Botox migraine treatment? In the past insurance companies saw anything Botox-related as cosmetic. There are some horror stories where patients were required by their insurance to try drugs that didn’t work. But times are changing and often, they will require evidence that other treatments have failed and this is more of a last-resort option. Since the FDA now approves the treatment, insurance companies can no longer claim the procedure is merely investigational.

And after all, migraines cost employers almost $13 billion every year – so it is definitely a huge health concern.

First, contact your insurance company provider to see what they cover. Some insurers work with your doctor and have you take several tests before they go ahead and authorize the treatment. This is known as prior authorization. The doctor will put together a report including your history of chronic migraines and submit this to them. You can assist your doctor with this report by providing additional information such as medications and treatments you’ve tried in the past and a detailed calendar of the frequency/intensity of your migraines.

FOUR BRIEF TIPS

Connect with your doctor’s nurse as your advocate.

Retrieve a recent copy of your insurance company’s formulary.

Compare policy coverage of the botox migraine treatment.

Talk directly to someone at your insurance provider.

You can also still use the Botox Savings Program in addition to insurance for a one-two punch at the costs. Either way, you should definitely get insurance before beginning what could be a costly but beneficial program.

Neck Lift Surgery: When to Get it and What It Involves

neck lift

Unfortunately, aging gets to us all, with signs of our passing years cropping up in different places for all of us. Stubborn fat, wrinkly skin, and sagging in all the wrong places may have you longing for the days of your once-youthful appearance. Fortunately, the current state of medicine allows for some truly magical solutions to just such problems. If you are interested in removing fat, there are several body procedures tailored for all shapes and sizes, if you wish to alter your facial appearance there are a multitude of unique surgeries to fit every individual’s needs. More specifically, within facial cosmetic surgery, there are multiple levels of aesthetic and functional procedures to help restore and rejuvenate your features and skin.

What is Cosmetic Neck Surgery?

The goal of a neck lift procedure (lower rhytidectomy) is to revitalize aging skin around the neck and jawline. Though the term “neck lift” implies strictly a tightening process, the surgery has the ability to shape and sculpt different areas of the neck, even with the potential to be combined with other facial cosmetic procedures.

The skin around our face and neck can be affected by several circumstances, including:

• Heredity factors
• Stress
• Rapid weight loss
• Sun Exposure
• Smoking
• Alcohol consumption
• Gravity
• Other environmental contaminants

These contributors along with just our body’s natural aging process, causes less than desirable changes to occur to our face and neck. Excess neck skin, fat deposits under or around the neck, and irregular contours beneath the jawline can all make us a little less confident than we should be and a little more self-conscious than we have to be. There are a variety of neck lift surgery options available.

Submental

As we age, the muscles in our neck begin to fall and drag the skin down with it. Over time, this is what causes bands to appear around the anterior of the neck. Because these muscles are so important to the structure and smoothness of our neck, they are re-purposed rather than removed. A supportive sling is created by isolating and relocating the platysmal muscles to help reinforce the neck.

Bidirectional Lift

This procedure targets the center and lower potions of the neck. Muscle underneath the chin is isolated and turned upward to reinforce and suspend drooping areas of muscle and fat. The result is a more well-defined jawline and better-contoured neck. The bidirectional lift is known as one of the longer lasting neck lift surgeries available.

Submental Liposuction

Liposuction is a great way to reduce fat around the neck for a smoother and tighter contour. Keep in mind, this is best suited for younger patients with enough skin elasticity around excess fat. Without this flexibility, a submental liposuction can have negative effects on the appearance of the shape of the neck.

Candidacy

If you are in good general health and are free of any existing conditions that could impair the healing process, you are most likely a good candidate for a neck lift surgery. As with any cosmetic procedure, it is always helpful to consult with a qualified cosmetic surgeon to get a clear idea of what you want done and to maintain healthy and realistic expectations for your results.

Dr. Binder’s cosmetic surgery in Beverly Hills is often considered the best option for solutions regarding facial cosmetic surgery. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to schedule a consultation for your neck lift surgery in our Beverly Hills office.

Cosmetic Eyelid Surgery Essentials

Eyelids

As we get older, our skin loses its elasticity. This is often evident in areas around the eyelids. Accumulation of lose skin creates a lot of creases in the lower eyelids. Moreover, the lose muscles underneath also creates protruding cushions around the eyes that give the appearance of bags. While drooping eyelids do look unsightly, the most disadvantageous thing is, they can obstruct your vision.

It is normal for people to suffer from a droopy eyelid. But if you want to correct your eyelids, you can get an eyelid reduction surgery. Also called blepharoplasty, cosmetic eyelid surgery removes the excess skin and fat around the eyes. It thus reduces the swelling and improves its overall look. Eyelid surgery may sound simple, but there is a lot of essential information that you need to know first.

Why Is It Needed?

There are many reasons why eyelid surgery is necessary. Aside from improving the overall aesthetics, eyelid surgery is also performed to improve the functional vision of the patient. Having droopy and baggy eyelids can impair the vision and reduce the ability of the patient in doing certain tasks like driving or using the computer. Moreover, droopy eyes also make it difficult for people to wear contact lenses or glasses.

There are many other conditions that require the need for functional eyelid surgery and these include irritation caused by the excess skin of the eyelids rubbing together. And even forehead discomfort due to strained muscles around the eyelid area.

Once these conditions have been identified, eyelid surgery is performed by ophthalmologists, ENT surgeons and general plastic surgeons.

Preparation Before the Surgery

Prior to the day of your surgery, there are some things that you need to do to help you during the operation. Below are the essential things that you must know before undergoing the eyelid surgery.

• Stop taking blood-thinning medications, like aspirin and ibuprofen two weeks before the surgery to reduce the risk of excessive bleeding.
• Do not drink anything after midnight and eat only a light meal the evening before the operation.
• Take the required medication the morning of the procedure. These include medication for blood pressure and so on.
• Never wear eye makeup during the day of the operation.
• Make sure that you have someone to take you home after the operation.

How Is the Surgery Performed?

The operation can be carried out by either general or local anesthesia. In general anesthesia, the surgeon makes an incision around the natural lines of the eyelids where the excess fat and skin are excised. Once the fat and lose skin are removed, the incision is closed. A resurfacing laser can also be used to tighten the external skin as well as reduce wrinkles and remove any external scars.

After the surgery, it is helpful if you keep your head elevated for a couple of days. This is necessary to improve the drainage around the head area. You can also use a cold compress or ice packs to ease the swelling. After several days to a week, you will go back to the doctor to have the sutures removed. However, you will continue to use suture strips for a week more to provide support to the lower eyelids.

The Benefits of Cosmetic Eyelid Surgery

Eyelid surgery has the amazing ability to both restore youthfulness to your face by removing sagging skin and tired-looking bags, while potentially aiding in your ease of vision. Few cosmetic surgeries offer the benefits of this. Additionally, eyelid surgery can be performed in conjunction with other cosmetic procedures. Skin treatments such as chemical peels can add (or rather take off) a whole new layer to your procedure, gifting you with beautifully young skin and permanently refreshed eyes.

Eyelid Surgery in Los Angeles with Doctor Binder

If you feel like you may be a candidate for eyelid surgery in Los Angeles, or you’ve been recommended to have one by another medical professional, contact Doctor Binder to schedule an appointment and consultation to discuss the procedure in greater detail.

PROOFED-Binder-HowOurSkinAgesHowtoSlowItDownFebrua

Aging Skin & How to Slow It Down

Aging is unavoidable and much of how we age can be tied to our genes, but that doesn’t mean that we don’t have some control over the aging process. For one, we know that certain things, like sun exposure and drug use can cause aging to happen prematurely and more rapidly, while skin care and exercise can delay and slow aging. Second, even if you didn’t take care of your skin as well as you could have or weren’t blessed with youthful genes, there are a variety of things you can do even now to help slow and even reverse an aging appearance.

The Aging Process

Before we start discussing treatment options, let’s talk a little bit about how our skin ages. As we get older, our skin begins to lose many of those vital substances that keep it plump and elastic. For example, after the age of 20, our skin begins to produce one percent less collagen a year while losing its ability to self-exfoliate. In our thirties, aging skin begins to look dull and thin as it loses the ability to hold moisture in the outer layers and fat cells shrink. By our forties, virtually no collagen is produced anymore, causing collagen and elastin fibers to become damaged or break, leading to fine lines and wrinkles. By the time we finish our fifties, our oil glands have begun to shrink, leaving skin dry, dull, and easily damaged. Finally, menopause can leave the skin looking and feeling drier, more sensitive, thinner, and less toned. All of these things combine to create the aging process that we are familiar with.

Rejuvenating Procedures

Now that we know how and why aging occurs, let’s talk treatment options. Fortunately for those wanting a more youthful look, there are a variety of rejuvenation procedures available at a variety of price points, ranging from treatments applied to the skin’s surface to precise surgeries. Which of these procedures is right for you depends on your health, budget, and signs of aging, as well as the degree of invasiveness that you are comfortable. Talking to your doctor about your health history and goals for your procedure will help you determine which avenue of treatment is best for your situation. These procedures can generally be performed alongside each other, and this may be recommended for the best results, but is not necessary to slow or reduce the appearance of the symptoms of aging.

Injected Treatments

Botox is the most common cosmetic treatment and probably one of the most well-known. Botox reduces the appearance of fine lines and wrinkles by forcing facial muscles to relax. Though many people fear having a “frozen” or inexpressive expression after Botox treatment, when applied by a qualified medical professional, Botox does not have this result.

Most other injected anti-aging treatments are dermal fillers. These products replace naturally occurring substances that begin to deplete from the skin as you age. Some fillers use the same substances, like collagen or hyaluronic acid, while others use alternative substances. Either way, these fillers can be used to fill in fine lines, wrinkles, and hollow areas or plump thinning lips. In some cases, they can even reduce the appearance of scars or other blemishes. Common dermal name brands include Cosmoderm, Zyderm, Restylane, Juvederm, Perlane, Sculptra, and Radiesse. Like Botox, the results of these injections are not permanent, though the exact length of the treatment depends on the product and patient.

Skin Resurfacing Treatments

Fine lines, wrinkles, pigmentation problems, and more can be addressed with skin resurfacing treatments, which work essentially by providing a thorough exfoliation treatment and encouraging healthy, beautiful skin development. These treatments are minimally invasive and excellent at slowing and resolving minor signs of aging, but they cannot provide comprehensive repairs for deep wrinkles, sagging skin, or severe scarring.

The three main types of skin resurfacing treatments are dermabrasion, laser treatments, and chemical peels. Dermabrasion involves removing dead skin with a diamond tipped vacuum, improving skin texture and the appearance the lines and uneven pigmentation. Laser skin resurfacing is performed by using a gentle but precise laser to remove damaged skin. This treatment is especially successful in improving hyperpigmentation and the appearance of scars. Finally, chemical peels involve the application of a chemical solution, which removes dead skin cells and aids in the healthy regeneration of the skin underneath.

Lift Surgeries

Surgical treatment is generally the best option for patients looking for more thorough age slowing and age reversing treatments. While other surgical options can be used for rejuvenation purposes, eyelid surgery, facelifts and neck lifts are the most common choice. These treatments can be used for many of the most severe signs of aging, including a double chin, under eye bags, sagging eyelids, hollow cheeks, and a bandy neck. However, it’s important to remember that, while these surgeries can give comprehensive, but natural looking results, they do not stop the aging process and, while these surgeries can be performed multiple times, each consecutive surgery is less able to provide thorough results than the last.

Your Skin Rejuvenation Expert

Regardless of the rejuvenation procedure you choose, you deserve to have your skin care performed by the best. Dr. William J. Binder is experienced, acclaimed, and considered one of the world’s leading facial plastic surgeons. Contact his office today to find out more and schedule your consultation.

Sunscreen

Avoiding Skin Cancer

Skin cancer is by far the most common type of cancer. In fact, more people contracted skin cancer in the past three decades than all other cancers combined, and 20% of Americans will contract skin cancer at some point in their life. While skin cancer isn’t usually deadly, one person dies of melanoma every hour and, contrary to popular belief, people of all skin colors are at risk. Fortunately, there are a plenty of things that can be done to minimize your risk of skin cancer.

Minimize Sun Exposure

Exposure to harmful UVA/UVB rays from the sun is the single largest risk factor for skin cancer, so effective skin cancer prevention requires minimizing exposure to the sun. Tans and burns are huge risk factors for skin cancer later on, but sun exposure without tanning or burning still increases the risk.

Stay indoors or seek shade when the sun is at its most damaging, between 10 am and 4 pm. When outside, keep your skin covered as much as is comfortable for the weather. A wide brimmed hat and UV blocking sunglasses can provide protection for your face. Make sure screens are used to block infants from the sun without overheating them. Do not intentionally burn or tan, either in the sun or using indoor tanning devices. Use an artificial tanning product instead to get that bronze glow without the risk.

Wear SPF Daily

Of course, totally avoiding sun exposure is neither practical or healthy. One can reap the benefits of sun exposure while avoiding its dangerous effects by using sunscreen each day. A sunscreen with broad spectrum (UVA/UVB) protection and an SPF of at least 15 can be worn for everyday use. A sunscreen-only product can be used, but many cosmetics and moisturizers also offer sun protection, but check the label of a product to ensure that it offers broad spectrum protection of an adequate SPF before relying on it for protection. For extended outdoor activity, use a water-resistant broad spectrum sunscreen with an SPF of 30 or more. Apply about 2 tablespoons of sunscreen to the whole body at least 30 minutes before going outside. Reapply after swimming or significant sweating, and every two hours regardless of activity. Don’t forget easily missed areas, like the ears, lips, and the part of the hair.

Skin Cancer Examinations

Check yourself for skin cancer from your scalp to your feet at least once a month, and use a mole map to chart what you find, so you’ll know if something changes or if something new appears. Have a friend or family member help you check hard to see areas. Know the ABCDEs of identifying possibly cancerous or precancerous spots:

  • Asymmetry: the sides of the mark don’t match
  • Border: the mark has an irregular or undefined edge
  • Color: color is uneven or unusual, such as black, white, red, or blue
  • Diameter: the mark is larger than 6mm in diameter, or larger a pencil eraser
  • Evolving: the mark looks different from others on your body or is changing over time

Remember, a spot does not need to have all or even most of these traits to be cancerous or precancerous. If you have a spot that meets any of this conditions, or simply seems unusual or “off” to you, consult a doctor right away.

In addition to monthly self-exams, have a physician perform a professional exam annually to determine if you may need skin cancer treatment.

Skin Cancer Treatment

Unfortunately, while protective measures certainly minimize the risk of skin cancer, even the most careful person can still experience it. In this case, surgical intervention is necessary to remove the cancerous or precancerous cells. Because of the risk for scarring, many patients elect to have the surgery performed by a skilled and experienced plastic surgeon, as plastic surgeons are both able to remove the growth and are knowledgeable about surgical techniques that minimize the chances of scarring. Some plastic surgeons, such as reconstructive plastic surgeons, actually specialize in these types of surgeries.

One of these types of plastic surgeons is Los Angeles based Dr. William J. Binder. Dr. Binder is one of the world’s leading facial plastic and reconstructive surgeons, and is board certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology and Head and Neck Surgery. Though Dr. Binder conducts and publishes research extensively, writes for industry publications, and often travels to lecture and train other surgeons, his greatest passion is in working with patients.

Avoiding skin cancer, like any cancer, is scary. Don’t choose just any doctor to perform your surgery. Choose a skilled, compassionate, and experienced surgeon who will help you through the process every step of the way, giving you the knowledge and support you need. Contact Dr. Binder’s office today to schedule your consultation.

The Ultimate Facelift FAQ

beautyful skin

There’s a popular saying that “age is just a number”. Although that would be ideal, the reality is, age is also a shape, texture, and sometimes painful reminder of that number is. While we cannot do anything to reverse the aging process, advancements in medicine have allowed us to cosmetically enhance our physical features to help restore some of that youthful glow that becomes sorely missing as we grow older. A facelift surgery combines sculpting and lifting to different parts of the face and neck depending on the aging signs in a particular patient. Like any cosmetic surgery, a facelift can sound intimidating to those unfamiliar with facial cosmetic procedures. As with any medical procedure it is smart to first ask yourself a few questions before embarking on your journey.

         Q. How is a facelift performed?

The procedure involves the lifting of deeper tissues within the skin to achieve a healthier and more youthful face. Many patients are apprehensive about this surgery, because they are afraid of artificially tight, “mask”-looking results. With the right surgeon, a successful facelift should be able to anatomically relocate midfacial soft tissue rather than just pull it back. The fat and jowls that have begun to droop with age now rest higher up, back where they were when you were younger. Results are natural looking and do not inhibit any facial expressiveness.

         Q. How long will a facelift last?

The lifespan of a facelift surgery will depend mostly on the individual’s aging process. Everyone ages differently and factors like general health, sun exposure, smoking, diet, exercise, and heredity all play important roles in how long your results will last. Typically, aesthetic signs of aging can be treated with a successful facelift for five to ten years. Remember, a facelift procedure is meant to correct signs of aging not stop the process all together.

         Q. When is a facelift appropriate?

This kind of cosmetic procedure is appropriate for individuals who wish to add volumetric filling and augmentation of deeper soft facial tissue. Patients who wish to alleviate wrinkles and sagging tissue will benefit from this. A facelift provides support and structure to the face for a rejuvenated appearance.

         Q. What are common signs of aging?

  • Decreased skin elasticity
  • Depressions and facial wrinkles
  • Thinning lips
  • Sagging, dry skin

        Q. Can a facelift surgery treat more than one area at a time?

Patients undergoing cosmetic surgery all need different procedures unique to them and only them. Facelifts can be performed in tandem with neck lifts, along with brow lifts, or in conjunction with eyelid fat removal. This multi-level approach ensures each patient gets individualized treatment for their needs.

         Q.What can be expected with recovery?

Following surgery, you will most likely be required to wear a pressured healing wrap to help reduce swelling and inflammation. After one week, most of the swelling and residual soreness should subside and after several weeks bruising and tightness should alleviate.

         Q.Who are good candidates for a facelift?

The best candidates for this procedure are those in good general health, who have realistic expectations, and who can clearly communicate with their doctor. Do not be afraid to ask as many questions as necessary so you have the fullest understanding of your surgery.

Dr. Binder’s surgery center in Beverly Hills is often considered the best option for solutions regarding facial cosmetic surgery. Our office is dedicated to establishing proper communication with prospective patients. Contact us today to   schedule a consultation for your neck lift surgery in our Beverly Hills office.

Considering Rhinoplasty? Here are 5 Questions to Ask Yourself

eyeballCosmetic surgery of any kind is a big decision and one that should not be made on a whim. Altering your physical appearance is an often-permanent and often-rewarding process, but only if you know what you want to change and why you want change it. A rhinoplasty is the second most common cosmetic procedure in the United States today. The surgery aims to both improve breathing problems and promote self-confidence, depending on each individual’s case.

The procedure rearranges and sculpts cartilage in and around the nose to improve nasal symmetry. Patients who wish to reduce the overall size of their nose, alter the positioning of their nostrils, or adjust the contour of the nasal tip benefit from this highly popular and successful surgery. Not only does a successful nose surgery gift its patients with an enhanced physical appearance but it also carries with it the added benefit of potentially bettering your health. Individuals with a deviated septum can undergo nose surgery to repair the nasal airway, drastically improving their breathing and sleeping.

While this procedure seems like an easy decision for those unhappy with their facial appearance, it is important to carefully consider every aspect of any cosmetic surgery. Ask yourself these 5 questions before you make your decision.

Why Do I Want to Do This?

It’s completely understandable to feel self-conscious about the way you look, especially regarding your face. Unlike your body, parts of your face you are unhappy with cannot be hidden by clothing. It’s only natural to want to look your best. The beauty norms in today’s society are hard to escape or ignore but they should by no means dictate standards of which you must live up to. Before you do anything, you must ask yourself, are you doing this for you or for those around you? If the answer is not the former, you may want to reconsider your decision.

What Do I Expect?

Before you undergo this type of surgery, it is wise to manage your expectations. Keep in mind, your doctor can only work with the existing natural structure of your nose. A clear understanding of the procedure, results, and recovery will only ensure that you go into your surgery with realistic expectations and come out of your surgery with a rewarding outcome.

Do I Have Time for the Recovery Process?

With advancements in medicine and technology, we are living in a time very conducive for the surgery healing process. Taking off time from work, your family, or school is not always easy so it is wise to have your ducks in a row before you follow through with a decision like this. Luckily the recovery process for a nose surgery is relatively fast. Although you’ll be wearing a nose splint for around a week, it’s possible you’ll be able to return to your job in a matter of days (provided your profession doesn’t require too much physical exertion).

Is This the Right Time?

It is best to be in good overall health for a procedure like this. Those with pre-existing health conditions should speak with their doctor about possibly pursuing alternative solutions. If your life is currently up in the air or you are dealing with uncertain and stressful circumstances it may be wise to hold off on a cosmetic facial surgery until you are in a better position to make a clear decision.

Have You Found the Right Surgeon?

Perhaps the most time consuming and important decision you will face before surgery is choosing your surgeon. If you are building house you want to hire the best wood workers and similarly, if you are making a permanent change to your physical appearance, you want the doctor best equipped to do so. Certification, background, experience are all things you need to research and consider before deciding on which surgeon is right for you. Ideally this person should be someone you feel comfortable around and someone who specializes in rhinoplasty procedures.

Dr. Binder’s approach to nose surgery not only improves function, but creates such natural and balanced results that no one will be able to tell that a procedure was ever performed. With 30 years of experience as a double board certified plastic surgeon, Dr. Binder has produced  success story after success story. Why continue to live with insecurities or breathing difficulties when with just  a call to our offices you can start on your way become a success story, too?

 

Surgical Reconstruction for Extreme Physical Damage

Plastic Surgery

When many people hear the words “plastic surgery” they immediately think of breast augmentations, liposuction, and age-defying Botox injections. Of course, there are many other procedures in the realm of plastic surgery than the purely cosmetic. In many cases, plastic surgery is performed for reconstructive or reparative purposes, rather than cosmetic or aesthetic reasons. Following physical trauma that leaves lasting damage, certain cosmetic surgery can restore not just the physical appearance of damaged tissue, but also physical function.

Why Might Someone Need or Want Reconstructive Surgery?

Following an accident or other injury that results in physical trauma, once a patient’s overall health has become stable again, thoughts begin to turn to repairing the damage, particularly in the case of severe or disfiguring facial trauma. Studies have shown that patients with uncorrected facial trauma have a higher incidence rate of body-image issues, depression, and post-traumatic stress disorder.

Types of Reconstructive Surgery

This type of surgery takes many forms, and the number of techniques and procedures is growing every day. Facial reconstruction in particular is a rapidly growing field, and now includes techniques that would have been impossible even just a decade ago.

Facial reconstructive procedures can include:

Reconstruction of the Skin

Skin treatments typically take the form of chemical peels or laser treatment to lessen the raised appearance of scars, or to eliminate excessively darkened or lightened pigmentation following a burn or skin graft. These same procedures can also be used to reverse the appearance of fine lines and wrinkles that comes as a result of passing time.

Laser treatments, particularly C02 laser treatment, can also be used to “sand away” a raised or hypertrophic scar in order to bring it in line with the rest of the skin on the face, thereby making it far less noticeable and obtrusive. The same can also be done with dermabrasion, and often the two techniques are used in conjunction with chemical peels and other deeper reconstructive options to achieve the very best result.

Skin Treatments Beneath the Skin

For deeper damage that causes the skin to be raised or lowered, particularly following trauma such as a burn, there are more intensive options that can aid in scar removal. This typically takes the form of collagen or other fillers, but it can also include tissue expanders that help to bring the skin together to promote smoother, more aesthetic healing. This procedure is a bit more involved than other simple skin treatments, but it can also be used in combination with Z-plasty to help bring severe scars more in line with the natural lines of the face in order to more effectively blend them into the surrounding skin

What Reconstructive Surgery Can’t Do

Despite the advances in modern cosmetic surgery, there are some things it just can’t do. For one, deep burns are particularly problematic to reconstruct, as there is often very little tissue left to work with. There is likely to always be some measure of visible damage following a severe burn. However, even the most severe scarring can be lessened with the proper techniques. By combining several different types of reconstructive procedures to achieve a customized solution, severe scarring can be improved and the physical and emotional after-effects of trauma can be lessened.

Why Choosing the Right Surgeon Matters

The most important part of any surgery is choosing the right surgeon. The very best reconstructive surgeons are the ones that specialize in particular areas of care, so be sure to find one that is specifically focused and well versed in facial reconstruction, before choosing to undergo such delicate procedures. Facial scarring can easily be made much worse with improper or poorly performed scar removal procedures, making it especially important that you choose a reliable physician with an excellent track record.

Dr. William J. Binder is one of the world’s leading facial reconstructive experts, and has a long history of innovation and creative application of advanced reconstructive procedures. He is based out of Los Angeles, but due to his expertise and experience, patients from around the country and even the world come to receive treatment from him. Dr. Binder is extensively published and is board certified by both the American Board of Otolaryngology and Head and Neck Surgery and the American Board of Facial Plastic and Reconstructive Surgery. If you have questions about facial reconstruction and want a consultation with the very best, contact Dr. Binder’s office today.

 

Smoking and Plastic Surgery

smoking-effects-plastic-surgery

Smoking and Plastic Surgery: What to Consider

To attain optimal results from plastic surgery, you must first eliminate and remove those things in your life that could negatively impact the success of the procedure and recovery. One of these things is smoking.

Plastic surgery lives on the edge of blood supply, and smoking can wreak havoc during your surgical operations. The success of the surgery may dictate that you quit smoking weeks in advance of your surgery.

Smoking has a number of negative effects on the body that can largely disrupt the surgical procedure and recovery process.

Here is a look at key identifiers and challenges that smoking can cause on plastic surgery procedures.

Effects of Smoking on Anesthesia

During the plastic surgery procedure, breathing is the most challenging issue for anesthesiologists. Smoking generally results in weaker and damaged lungs, which can cause breathing concerns while the procedure is in process.

Compared with non-smokers, smokers need 33% more anesthesia throughout the operation and an additional 23% more pain medication after their procedure to achieve the same results.

Those who didn’t smoke, but were exposed to secondhand smoke, also required 20% more anesthesia and 18% more pain medication than non-smokers who weren’t exposed.

Key Concerns During Surgery

Plastic surgery lives on the edge of blood supply. During these operations, surgeons are operating at the limit of what the circulation of the skin and other tissues will allow. But, in order to have adequate circulation, blood flow through vessels must be sufficient.

Certain things have negative effects on the circulatory system and blood supply, and of them all, smoking is the worst.

Smokers who undergo surgery have an increased risk of experiencing some form of oxygen shortage, developing blood clots and contracting an infection. These risks, however, can be mitigated by quitting smoking well in advance of surgery. How far in advance — that is determined by your plastic surgeon.

Certain procedures, however, involve increased pulling or altering of blood supply. Thus, increasing the risk for a smoker. These procedures include face lifts, tummy tucks and the use of tissue flaps in reconstructive surgery.

In these cases, plastic surgeons may recommend alternative treatments or advise otherwise.

Smoking Delays Healing and Recovery

Smoking significantly delays the healing and recovery process, largely due to nicotine. Research has demonstrated that nicotine forces the blood vessels to tighten and damage the blood vessels. Thus, damaged and tightened blood vessels directly impact blood flow, requiring an extended duration of recovery.

The healing process requires normal blood circulation to help the body heal and recover properly. The chemicals in cigarettes, however, contain elements that make blood stickier and more likely to clot, thus clogging capillaries and blood vessels.

Smoking Ages You

Aside from the negative effects of smoking during the surgical procedure and recovery, plastic surgery and smoking don’t mix well because their reactions vastly differentiate in the body. While the goal of plastic surgery is often to make you look younger, smoking speeds up the aging process.

Negative effects of smoking that impact blood circulation restricts the skin from receiving the nutrients it needs. Additionally, the chemicals in tobacco products and smoke damage your skin by damaging elastin and collagen.

The damage results in loss of elasticity, resilience and volume in our skin – reversing the results of the surgical procedure or treatment.

Are E-Cigarettes Safe?

The exploding popularity of e-cigarettes has earned the trend of the year. Now used as a tobacco alternative, e-cigarettes are assumed to be less hazardous to our health than traditional cigarettes. But the risks are largely unknown.

Although e-cigarettes do not contain tobacco or produce cigarette smoke, they do use a liquid that contains nicotine, which is inhaled in the form of an aerosol. While it is a safer alternative to burning and inhaling tobacco, e-smokers are still taking in comparable levels of nicotine.

Nicotine can negatively impact the body’s ability to heal, thus increasing risks of blood clots and negative reactions with prescribed medication.

Schedule a Consultation

Smoking is a negative player in attaining the results you desire from plastic surgery. That is not said to discourage you from your goals, however. Schedule a consultation with Dr. Binder today to review your goals, to discuss how to quit smoking and your options, and to share his thoughts on the minimum length of time required to be smoke-free before surgery. Options are available, and we’re here to help you find the perfect fit.

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