Akhil K. Seth, M.D.

Products And Services

• Blepharoplasty

  Blepharoplasty (eyelid surgery) is a plastic surgery procedure for correcting sagging or drooping eyelids. The eyelid, because its skin is much thinner than that in other parts of the face, is often one of the first facial areas to exhibit signs of aging. Eyelids that sag or droop can affect peripheral vision, making daily activities such as driving more difficult. Blepharoplasty may become necessary when various factors, which include aging, sun damage, smoking and obesity, cause the muscles and tissue that support the eyelids to weaken. Reasons for Blepharoplasty Blepharoplasty tightens the eyelid‘s muscles and tissue, and removes excess fat and skin. Blepharoplasty eliminates the drooping of skin into the visual field, greatly improving peripheral vision. It is also performed for strictly cosmetic reasons. Functional Blepharoplasty If the eyelids begin sagging into the field of vision, a functional blepharoplasty may be required. The procedure may be covered by medical insurance if it is deemed medically necessary. A determination of how much vision is affected is done by checking the peripheral visual field with an instrument called the Humphrey Visual Field (HVF) Analyzer. Cosmetic Blepharoplasty Blepharoplasty can be performed on either the upper or lower eyelid, or on both, for cosmetic purposes. For a lower eyelid that needs fat rather than skin removed, a transconjunctival blepharoplasty is performed. During transconjunctival blepharoplasty, an incision is made inside the lower eyelid, so there are no visible scars, and the fat is removed. This procedure has no effect on vision, but results in a person‘s looking younger and more refreshed. It is important for a patient to have realistic expectations before undergoing cosmetic blepharoplasty. Although the procedure can enhance appearance and improve self-confidence, it does not radically alter the face. Candidates for Blepharoplasty The best candidates for blepharoplasty are those who are in good overall health, do not smoke, do not have any serious eye conditions, and have healthy facial tissue and muscle. People with eye disease, including glaucoma or retinal detachment, thyroid disorders, diabetes, cardiovascular disease or high blood pressure are not good candidates for blepharoplasty. The Blepharoplasty Procedure Blepharoplasty is typically performed as an outpatient procedure requiring local anesthesia and sedation. General anesthesia may be used for anxious patients. Patients can choose to have this procedure on their upper or lower eyelids, or both. The procedure can take anywhere from 45 minutes to 2 hours, depending on whether both the upper and lower eyelids are operated on. If the upper eyelid is being operated on, an incision is typically made along its natural crease. Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is removed. For the lower eyelid, an incision is usually made just below the lash line so that excess skin can be removed. After the procedure, the incisions are closed with sutures, tissue glue or surgical tape, and usually loosely covered with gauze so the area can heal. Recovery After Blepharoplasty After blepharoplasty, patients may be advised to apply lubricating drops/ointment and cold compresses to aid in healing and minimize side effects. Most patients return to work within a few days to a week, but should avoid exercise and strenuous activities for at least 2 weeks. Stitches are usually removed after 3 or 4 days. Most swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind. Risks of Blepharoplasty Although there may be swelling and bruising around the surgical site, they will subside on their own, and the eyelids will improve in appearance for up to a year. Uncommon side effects include infection, reaction to anesthesia, and double or blurred vision. Eyes may be irritated and dry due to a temporary change in tear distribution. Side effects such as uneven healing and permanent scarring are rare but, if they occur, may require surgical correction. The scars from blepharoplasty are well-concealed, and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.

  Link: Blepharoplasty

• Facelift

  Over time, gravity and sun exposure take their toll on the face and neck. Deep creases that run from each side of the nose to the corners of the mouth appear; the jawline slackens; and the neck develops loose folds and fat deposits. Rhytidectomy (facelift) counteracts these signs of aging by tightening muscle, removing fat, and trimming excess skin. Rhytidectomy improves the look of the lower and middle areas of the face, and the neck. It is most effective for correcting the following: Mid-face sagging Deep creases under the eyes Nasolabial folds Jowls Sagging fat Loose skin and fat under the chin and jaw Although rhytidectomy removes or reduces signs of aging, over time, they will gradually reappear. Rhytidectomy does not improve the look of the brow, eyelids and nose, and some parts of the mid-face. A patient who wants to improve those areas might combine rhytidectomy with a brow lift or eyelid surgery, and/or with injectable soft-tissue fillers, facial implants and skin resurfacing. Candidates for Rhytidectomy The best candidates for rhytidectomy want to correct one or more of the signs of aging indicated above; have some facial sagging, but still have elasticity in their skin; are generally healthy; do not smoke; and have realistic expectations about what rhytidectomy can do. It is very important that the surgeon ascertains whether the patient is only interested in rhytidectomy because of pressure from someone else. Types of Rhytidectomy Rhytidectomy is typically performed as an outpatient procedure in an office-based facility, surgery center or hospital. Patients may have a choice of IV sedation or general anesthesia. The procedure takes about 2 hours. The way a facelift is performed depends on the surgeon, the patient‘s facial structure, and the extent of correction desired. Traditional Rhytidectomy A traditional rhytidectomy is a “full” facelift that rejuvenates the face, jowls and neck, and includes sculpting and redistributing of fat; lifting and repositioning of muscle and deeper tissues; and trimming and re-draping of skin. The incision begins at the temples and travels down to the front of the ear, around the earlobe and behind the ear to the lower scalp at the hairline. Sometimes, another incision is made under the chin. Limited-Incision Rhytidectomy A limited-incision rhytidectomy improves the area around the eyes and mouth by reducing nasolabial folds and other deep creases. Short incisions are made at the temples and around the ear, and possibly in the lower eyelids and/or under the upper lip. In both methods, incisions are closed with stitches or tissue glue. Scars are hidden in the hairline and natural contours of the face. Recovery from Rhytidectomy After rhytidectomy, the surgeon wraps the incisions in bandages, and may insert drainage tubes; if so, they are taken out the next day. If surgical clips are holding some incisions closed, they are removed, along with any stitches, 1 week after the procedure. Post-rhytidectomy, swelling, numbness, bruising and a feeling of tightness or tension in the face and neck may be felt. The face may look uneven or distorted, and facial muscles may feel stiff. Most of these side effects resolve within 3 to 6 weeks, and sensation typically returns to normal within a few months. Scars become less red, raised, lumpy and itchy over time. Many patients return to work by the third week. Camouflage cosmetics can be used to minimize the appearance of bruising. Results of Rhytidectomy Results of rhytidectomy are not permanent, and some patients choose to undergo another in 5 or 10 years. In some sense, however, effects are permanent; years later, the face continues to look better than if rhytidectomy had not been performed. Risks Associated with Rhytidectomy Possible complications of rhytidectomy include bleeding, infection, bruising, swelling or discoloration, allergic reaction to the anesthesia, skin blistering (usually only in smokers), nerve injury, and temporary or permanent loss of sensation in the face.

  Link: Facelift

• Lip Augmentation

  Lip augmentation is a cosmetic procedure that, either surgically or with injections, increases lip size. Either the upper or lower lip, or both, can be augmented. Whether the results are temporary or permanent depends on the type of augmentation performed. There are several different techniques for augmenting lips. Most involve injecting a facial filler, although fat transfers (also called fat grafting) and implants are also options. Injectable fillers usually contain a hyaluronic-acid material. Fat transfers inject fat that is harvested from the patient‘s body. Implants are placed under the skin; they are often made of a soft, solid-silicone elastomer. Which type of augmentation is used depends upon the individual patient, doctor preference and the cosmetic results desired. Lip Augmentation Procedure Lip augmentation with injectables is performed in a doctor‘s office, and typically requires only a topical anesthetic. An allergy test may be performed if the filler contains synthetic materials. The filler is injected directly into the lips; proper placement is important to achieve optimal results. Fat transfers, in which fat is obtained from the patient‘s body using liposuction, may be performed in an office surgical suite, an outpatient care center or a hospital. Local anesthesia is typically required. The removed fat is filtered to separate out the fat cells, which are then injected into the lips. Again, proper placement of the injectable is key. With lip implants, synthetic implants are inserted through tiny incisions at the corners of the lips. Implant surgery is performed in an office surgical suite or an outpatient center. Local or general anesthesia is typically required. After the implants are inserted, the incisions are closed with stitches, and the implants remain in place permanently. Lip Augmentation Results and Recovery After lip augmentation with injectables, patients typically experience mild discomfort and swelling for a few days; they usually subside on their own. Most patients can return to work and other normal activities within 1 to 2 days after the procedure, although exercise and other strenuous activities should be avoided for a bit longer. Recovery from fat-transfer procedures and implants will take longer, usually up to 2 weeks. With injectables, patients require multiple treatments (usually every 3 to 4 months) to maintain results. Fat transfers often provide permanent results, but a percentage of fat may not take or be reabsorbed by the body, so touch-ups may be required. Lip implants provide permanent results. Lip Augmentation Risks Lip augmentation is considered a safe procedure, but there are risks. They include bleeding, infection, asymmetry, numbness, nerve damage, swelling and scarring.

  Link: Lip Augmentation

• Neck Lift

  A neck lift is a surgical procedure that smooths and tightens the neck‘s skin, which can sag from aging or weight loss. There are usually two components to a neck lift: cervicoplasty, which removes excess skin, and platysmaplasty, which removes or tightens muscles in the neck. A neck lift can be performed alone or as part of a facelift. A neck lift candidate is in good physical and emotional health, and has realistic expectations about the outcome of surgery. The results of a neck lift can last up to 10 years. Neck Lift Procedure A neck lift begins with a small, inconspicuous incision directly below the chin (platysmaplasty) and/or in front of the ear lobes, looping behind the ears and ending in the scalp near the back of the neck (cervicoplasty). Sagging skin is trimmed away and lifted during cervicoplasty; loose muscles that cause the “bands” around the neck to be prominent are tightened during platysmaplasty. In some cases, it is necessary to perform only one of the two procedures. Liposuction is sometimes used to remove excess fat; if so, it is performed before the neck lift. Incisions are glued and/or sutured closed. A neck lift usually takes 2 to 4 hours to perform, and the patient is given either general anesthesia or local anesthesia with sedation. Most neck lifts are performed on an outpatient basis. Bandages covering incisions are removed after a few days; sutures are typically removed after 7 to 10 days. Recovery from a Neck Lift Swelling and bruising from a neck lift can last up to 10 days. Applying cold compresses and keeping the head elevated for the first 48 hours following surgery minimizes swelling. Keeping the head still, and avoiding turning or twisting it for the first few days post-surgery, is recommended. Medication is prescribed to help alleviate discomfort. Most people return to work and other normal daily activities within 2 weeks, after which bruising and swelling have subsided. More strenuous activities should be avoided for 4 to 6 weeks. Risks and Complications of a Neck Lift Although rare, possible risks and complications of a neck lift include the following: Scarring Excessive bleeding Hematoma Tissue death Blood clots Numbness Intense itching Skin discoloration Persistent swelling A more serious complication, also rare, is facial nerve damage that can lead to muscle paralysis.

  Link: Neck Lift

• Otoplasty

  Otoplasty (ear surgery) is a cosmetic procedure to improve the appearance of the ears. Otoplasty does not affect hearing, and provides significant psychological benefits to anyone who is teased about ear size and/or shape, has had a serious ear injury, or simply wants to improve his or her appearance. Otoplasty is most often performed to set unusually protruding ears closer to the head (ear pinning) or to reduce the size of abnormally large ears. Otoplasty may also be helpful in repairing the following: Abnormal constructions (lop ear) Cauliflower ear (which results from repeated trauma) Large, stretched or torn earlobes Earlobes with large creases and wrinkles Microtia (abnormally small ears) New ears or parts of ears can be constructed for patients who are missing them from causes that include birth defects, severe injuries and skin cancers. Candidates for Otoplasty People of any age who feel self-conscious about their ears may be good candidates for otoplasty, although it is typically performed on children between 4 and 14 years old. Ears are almost fully developed by the of age 4, so early surgery can help create self-confidence when a child begins going to school. Not everyone is a candidate for otoplasty; a patient must be in good general health, and have realistic expectations about what it can do. Otoplasty Procedure Otoplasty generally takes 2 to 3 hours, and is performed on an outpatient basis. The type of anesthesia used typically depends on the age of the patient, with general anesthesia recommended for very young patients, and local anesthesia and a sedative recommended for older children and adults. Otoplasty begins with a small incision‘s being made behind the ear, in the natural crease where the ear meets the head. The cartilage is then sculpted and bent to achieve the desired appearance. In some types of otoplasty, skin is removed, but the cartilage is left in one piece and merely bent back on itself to create a less protruding ear. After sculpting the cartilage to the desired shape, sutures and a bandage are used to hold the ear in position until healing is complete. To make sure they are as symmetrical as possible, both ears may be operated on even if only one has a problem. Recovery After Otoplasty Although the ears may ache or throb for a few days, a patient usually feels normal within hours of the surgery‘s completion. Medication is prescribed to help alleviate any discomfort. A few days after otoplasty, the bandages around the head are replaced with a surgical dressing that is worn for about a week, at which point the stitches are removed. Otoplasty patients should avoid sleeping on their sides for the first 2 weeks after surgery. About 1 week following otoplasty, most patients are able to return to their normal routines. After the ears have healed completely, they usually have faint scars on their backs, which typically fade with time and, because of their strategic placement, are virtually invisible. Risks and Complications of Otoplasty Complications of otoplasty are rare and usually minor. A small percentage of otoplasty patients develops a blood clot on the ear or an infection in the cartilage. These issues may resolve on their own or be treated medically through intervention or antibiotics. Other possible complications include a change in skin sensation at the surgical site. There is also a possibility that a patient will not be satisfied with the appearance of the ears postsurgery. A patient should not expect the ears to match exactly; even natural ears are not entirely symmetrical.

  Link: Otoplasty

• Breast Augmentation

  Augmentation mammaplasty (breast enlargement) is performed to increase breast size and/or fix breast asymmetry. Candidates include women who want larger breasts, and those who want to restore the breast volume often lost as a result of pregnancy or significant weight loss. Breasts can be enlarged with implants or by fat transplantation. Augmentation mammaplasty is not a substitute for mastopexy, which is a procedure to “lift” breasts that sag significantly. Augmentation Mammaplasty with Implants Silicone and saline are the two implant types most commonly used in augmentation mammaplasty. Silicone implants feel more like natural breasts than saline ones. However, if a saline implant ruptures, the saline is naturally absorbed by the body, whereas if a silicone implant has an extracapsular rupture (a rupture to the outer capsule), silicone filler leaks into the body, possibly resulting in inflammatory nodules or enlarged lymph glands. Implants are placed behind each breast, underneath either breast tissue or the chest-wall muscle. The procedure lasts 1 to 2 hours, and is typically performed with general anesthesia, although local anesthesia combined with a sedative may be used. Incisions are made in inconspicuous places (in the armpit, in the crease on the underside of the breast, or around the areola) to minimize scar visibility. The breast is then lifted, creating a pocket into which the implant is inserted. Advantages of implant placement behind the chest-wall muscle include a possible reduced risk of capsular contracture (hardening of scar tissue around implant), and less interference during mammograms. Disadvantages include the possible need for drainage tubes, and a longer recovery period. Advantages of implant placement beneath breast tissue include that the breasts move more naturally as the patient uses her chest muscles, and that slight breast sagging is corrected. Other types of implants include “gummy bear,” round, smooth and textured. Augmentation Mammaplasty with Fat Transplantation Augmentation mammaplasty with fat transplantation (fat transfer) uses liposuction to harvest excess fat from other parts of the body; the fat is then injected into the breasts. Augmentation mammaplasty is appropriate for women who are not looking for a dramatic increase in breast size, and want breasts that look and feel as natural as possible. For a number of weeks prior to augmentation mammaplasty, tissue expanders may be placed below the muscles of the chest wall to expand the breasts, and increase the amount of fat they can hold. When the tissue has expanded enough, augmentation using fat transfer can begin. First, fat is removed using liposuction, in which a cannula (a thin, hollow tube) is inserted through small incisions, and then moved back and forth to loosen excess fat, which is suctioned out using a vacuum or a cannula-attached syringe. The harvested fat cells are then purified. In the second procedure, which takes place on the same day, the fat is injected into the breast through small incisions. The procedure takes approximately 4 to 5 hours. Recovery from Augmentation Mammaplasty After augmentation mammaplasty with implants, drainage tubes may be inserted; incisions are stitched, taped and bandaged. A surgical bra is typically put over the bandages to minimize swelling and support the breasts. For a few days postsurgery, most patients feel tired and sore, but many return to work within a week. Stitches are removed in 1 week to 10 days; postoperative pain, swelling and sensitivity diminish during the first few weeks. Scars begin to fade in a few months. After augmentation mammaplasty with fat transplantation, recovery time is short, with normal activities being resumed as soon as the patient feels comfortable. Compression garments are typically worn over the areas that received liposuction. Risks of Augmentation Mammaplasty In addition to the risks associated with surgery and anesthesia, those related to augmentation mammaplasty using implants include the following: Capsular contracture Implant leaks and ruptures Implant deflation or shifting Temporary or permanent change in nipple/breast sensation Irregularities in breast contour/shape Asymmetry Partial or total loss of nipple/areola The risks related to augmentation mammaplasty using fat transplantation include those related to liposuction, as well as the following: Calcification Fat embolism Fat necrosis Oil cysts Loss of volume Because of the loss of volume that occurs when fat is reabsorbed by the body, touch-up injections of fat are often necessary. Injections can be performed using local anesthesia.

  Link: Breast Augmentation

• Breast Lift

  Mastopexy (breast lift) is a surgical procedure for lifting and reshaping sagging breasts. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. By trimming excess skin and tightening supporting tissue, breasts can be made to sit higher on the chest and be firmer to the touch. In addition, the nipple and areola can be repositioned or resized to further enhance breast appearance. Because mastopexy does not change breast size, it is often combined with breast augmentation or reduction. Candidates for Mastopexy An eligible mastopexy candidate is in good overall health, maintains a stable weight, and has realistic expectations about what mastopexy can do. A woman who chooses to undergo mastopexy has one or more of the following: Sagging breasts Breasts that have lost shape or volume Breasts that are flat or elongated Nipples or areolas pointing downward One breast lower than the other A woman planning to have (more) children should not undergo mastopexy because pregnancy and nursing can counteract its benefits. The Mastopexy Procedure Mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 1 to 3 hours. Depending on the size and shape of the breasts, as well as the degree of sagging and amount of excess skin, one of the following types of incisions is often used: Two rings, one larger than the other, around the areola A keyhole shape, around the areola and down to the breast crease An anchor shape, beginning in the breast crease, and extending up to and around the areola The first type of incision (above) is used for small breasts and leaves the least amount of scarring; the third type is used for breasts with significant sagging. After the incisions are made, breast tissue is removed and reshaped to achieve the desired breast contour. The nipple and areola are usually moved higher on the breast or resized. Excess skin is trimmed to create a tighter, more defined appearance. Incisions are closed with stitches. Recovery from Mastopexy For a few days following mastopexy, patients are likely to have bruising, soreness and swelling. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week; a support bra is then worn continuously for a month. Stitches are removed after 1 to 2 weeks. Most patients return to work within a week; exercise and other strenuous activity should be avoided for about a month. Results of Mastopexy Mastopexy produces immediate results. As swelling subsides and scars fade, breasts continue to improve in appearance. Patients who thoroughly discussed their goals prior to surgery, and had realistic expectations of what it could provide, report high satisfaction levels. Although the breasts are still subject to the effects of aging, mastopexy produces long-lasting results. Risks of Mastopexy In addition to the usual risks associated with surgery and anesthesia, risks specific to mastopexy include the following: Temporary or permanent change in nipple/breast sensation Irregularities in breast contour/shape Asymmetry Partial or total loss of nipple/areola Depending on the incision type used, mastopexy can produce visible scars. Although some incisions can be concealed in the natural breast contours, others cannot. In most cases, however, scars fade over time, becoming much less apparent.

  Link: Breast Lift

• Breast Reduction

  Mastopexy (breast lift) with breast augmentation is a combination procedure that lifts sagging breasts while increasing their size and enhancing their shape. Aging, pregnancy, weight loss and gravity can all cause breasts to sag. When sagging cannot be corrected by implants alone, augmentation mastopexy may be recommended. During mastopexy alone, excess skin is trimmed away, supporting tissue is tightened, the breasts are “lifted” to sit higher on the chest, and the nipple and areola are repositioned or resized. By adding augmentation with implants to the procedure, the breasts can also be made larger and firmer. Candidates for Augmentation Mastopexy Good candidates for augmentation mastopexy have sagging breasts that have lost fullness at the top. Candidates must be in good overall health, maintain a stable weight, and have realistic expectations about what augmentation mastopexy can do. A woman who chooses to undergo augmentation mastopexy is unhappy with her breast size, and has one or more of the following: Sagging breasts Breasts that have lost shape or volume Breasts that are flat or elongated Nipples or areolas pointing downward One breast lower than the other A woman planning to have (more) children should not undergo augmentation mastopexy because pregnancy and nursing can counteract its benefits. The Augmentation Mastopexy Procedure Augmentation mastopexy is performed on an outpatient basis under general anesthesia, and usually takes 1 to 3 hours. Depending on the degree of sagging, the amount of excess skin, and the size and type of the implants, one of the following types of incisions is often used: Two rings, one larger than the other, around the areola A keyhole shape, around the areola and down to the breast crease An anchor shape, beginning in the breast crease, and extending up to and around the areola After the incisions are made, excess skin is trimmed to create a tighter, more defined appearance. The nipple and areola are usually moved higher on the breast or resized. Implants made of either saline solution or silicone gel are inserted into the breast beneath the pectoral muscle or mammary gland. Incisions are then closed with stitches; the incisions used for augmentation mastopexy are larger than those for augmentation alone, which requires only an incision in the breast crease, the bottom of the areola or the armpit. Recovery from Augmentation Mastopexy For a few days following augmentation mastopexy, patients are likely to have bruising, soreness and swelling that may last for several weeks. Breasts are usually wrapped in an elastic bandage or a surgical bra for about a week; a support bra is then worn continuously for a month. Stitches are removed after 1 to 2 weeks. Most patients return to work within a week; exercise and other strenuous activity should be avoided until the surgeon believes the patient to be sufficiently healed Risks of Augmentation Mastopexy In addition to the usual risks associated with surgery and anesthesia, risks specific to augmentation mastopexy include the following: Capsular contracture (hardening of scar tissue around implant) Implant leaks and ruptures Implant deflation or shifting Temporary or permanent change in nipple/breast sensation Irregularities in breast contour/shape Asymmetry Partial or total loss of nipple/areola Depending on the incision type used, augmentation mastopexy can produce visible scars, although, in most cases, scars fade over time, becoming much less apparent. Although there are instances in which they last much longer, breast implants have a life expectancy of about 10 years, so women who want to maintain the size and shape of their breasts should expect to undergo a number of surgeries to maintain results.

  Link: Breast Reduction

• Breast Reconstruction

  Breast reconstruction is performed on women who have lost one or both breasts to mastectomy, or who lack breasts due to congenital or developmental abnormalities. The goal of breast reconstruction is to create a breast and nipple that resemble the natural breast as closely as possible in shape, size and position. A long as a woman is healthy, age is not a factor in whether she is a good candidate for breast reconstruction. However, women with health problems such as obesity and high blood pressure, and those who smoke, are advised to wait rather than have breast reconstruction immediately following mastectomy. Types of Breast Reconstruction Breast reconstruction is performed in several steps, and there are essentially two types. Which one is used depends on whether there is enough tissue on the wall of the chest to cover/hold an implant. Whichever type is used, a woman‘s breast surgeon and plastic surgeon should work as a team during reconstruction. Implant/Tissue-Expansion Breast Reconstruction Implant/tissue-expansion breast reconstruction involves inserting an implant in the chest after the skin has been stretched enough by an expander to contain it. First, the surgeon inserts a balloon expander beneath the skin and chest muscle where the reconstructed breast will be built. Then, during the next few weeks or months, a saline solution is injected through a tiny valve beneath the skin into the expander. As the expander fills with saline, it stretches the skin and creates a pocket for the implant. The expander is left in place to serve as the implant or replaced with a another one, which can be made of saline or silicone gel. A final procedure reconstructs the areola and nipple. Some patients do not require tissue expansion, which can take up to a year to complete, and begin reconstruction with insertion of the implant. Autologous-Tissue Breast Reconstruction Autologous-tissue breast reconstruction is used if there is not enough tissue left post-mastectomy to create a new breast using tissue expansion, or a woman does not want implants. During autologous-tissue breast reconstruction, a breast is created using skin, fat and, sometimes, muscle from other parts of the body. The abdomen, back, buttocks or thighs are all donor sites. The donor tissue, which is called a “flap,” is either surgically removed and reattached (free flap) to the chest, or left connected to its original blood supply and “tunneled” through the body to the chest (pedicle flap). There are a number of different flap techniques; which one is used depends on the individual patient. Factors taken into consideration include how much extra tissue is available for transfer; the width and flexibility of blood vessels; and how large the breast(s) needs to be. Implants may or may not be used with autologous-tissue breast reconstruction. Constructing a nipple and areola is performed in a separate surgery. It is essential that a patient have reasonable expectations about the results reconstruction provides. Recovery from Breast Reconstruction Recovery varies widely based upon the type of procedure used for breast reconstruction, as well as whether reconstruction immediately follows mastectomy. Hospital stays range from 1 to 6 days. Patients are tired and sore for 1 to 2 weeks, and recovery takes 3 to 6 weeks. Compression garments are typically worn, and stitches are taken out in a week to 10 days. A surgical drain may be left in place to prevent a buildup of fluid in the reconstructed breast; if so, it is removed within 1 or 2 weeks. Risks of Breast Reconstruction In addition to the risks associated with surgery and anesthesia, those related to implant/tissue-expansion breast reconstruction include infection around the implant, implant leaks and ruptures, and implant deflation or shifting. Risks related to autologous breast reconstruction, depending upon the technique used, include fat necrosis, abdominal weakness, hernia and a mismatch between chest tissue and donor tissue. Correcting reconstructive problems typically requires additional surgery. Results of Breast Reconstruction A reconstructed breast will not look the same as the original breast. And although a surgeon attempts to match the size, shape, position and other attributes of the remaining breast, an exact match is not possible. To achieve symmetry, the remaining breast may be operated on to make it bigger or smaller, or to lift it. In addition to not looking the same as the original, a reconstructed breast has little sensation, although there may be more when autologous tissue rather than an implant is used.

  Link: Breast Reconstruction

• Fat Transfer Breast Reconstruction

  Breast reconstruction surgery replaces the breast that is removed when a woman has a mastectomy to treat breast cancer. Although breast reconstruction often involves inserting a synthetic implant, there is an alternative, more natural treatment for rebuilding the breast(s). “Autologous fat transfer” removes fat from an area of the body that has fat to spare, and places it in the reconstructed breast for results that look and feel natural. By using the patient‘s own fat, the hard look and feel often associated with implants is eliminated. Many women also like the idea that a foreign material has not been inserted in their bodies. The cosmetic benefit of fat transfer is that the area, usually the abdomen, from which the fat is taken becomes slimmer and more contoured. Fat-transfer breast reconstruction is ideal for nearly any woman who wants a breast reconstructed, does not want to use a saline or silicone implant, and has enough body fat available to sufficiently rebuild the breast. Benefits of Fat-Transfer Breast Reconstruction Breast reconstruction using autologous fat transfer has a number of benefits over breast reconstruction with implants, including the following: No risk of implant rejection Ability to shape and sculpt the breasts Minimal number of incisions Reduced scarring No risk of capsular contracture In general, a breast reconstructed from a patient‘s own tissue is more similar in shape, contour and feel to a natural breast than one reconstructed using an implant. Fat-Transfer Breast-Reconstruction Procedure For a number of weeks or months prior to fat transfer, a tissue expander is placed below the pectoralis major muscle of the chest wall to create a new breast “pocket.” When the tissue has expanded enough, breast reconstruction using fat transfer can begin. First, fat is removed using liposuction, in which a cannula (a thin, hollow tube) is inserted through small incisions, and then moved back and forth to loosen excess fat, which is suctioned out using a vacuum or a cannula-attached syringe. The harvested fat cells are then purified. In the second procedure, which takes place on the same day, the fat is injected into the breast through small incisions. The procedure takes 4 to 6 hours to perform under general anesthesia, or local anesthesia with sedation, depending on the preference of the patient and surgeon. Because some of the injected fat is reabsorbed by the body, some people may require two to five fat-transfer procedures to achieve satisfactory results. Postoperative pain and swelling, which can be managed with prescription medication, are typical. A patient can return to work and other light activity after a few weeks. Risks of Fat-Transfer Breast Reconstruction Aside from the risks associated with any surgery, those related to fat-transfer breast reconstruction include the following: Calcification Fat embolism Fat necrosis Oil cysts Loss of volume Although there was initial concern in the medical community that using fat to reconstruct the breast might increase the risk of breast cancer‘s recurring, studies indicate that it does not.

  Link: Fat Transfer Breast Reconstruction

• Breast Implant Revision Surgery

  Women who opt for breast augmentation (breast enlargement) with implants may not be happy with the results for a number of reasons: The implants‘ shape, size and/or placement may be problematic, or postsurgical complications, such as leaking, wrinkling, implant displacement, capsular contracture or symmastia, may have occurred. Although considered safe, revision surgery to correct problems with breast implants may be more complicated, cost more and take longer to recover from than the initial surgery. Reasons for Breast-Implant Revision Surgery After undergoing breast augmentation with implants, women who become pregnant, or lose significant amounts of weight, may no longer be happy with how their breasts look, and decide to undergo revision surgery. Other reasons for breast implant revision surgery include those below. Unhappiness with Size of Implants Chosen Wanting a different implant size is the most common reason that a patient seeks revision surgery. A patient is advised to wait up to 1 year after the initial procedure before undergoing revision surgery; time is needed before swelling subsides and the implants settle, allowing for a true evaluation of the surgical outcome. Exceptions are when there is a pronounced asymmetry between the breasts, or the implant has leaked or ruptured. During revision surgery, the incisions made during the initial surgery are often used to remove the implants and replace them with either larger or smaller ones. If larger implants are wanted, the pockets in the breasts that hold the implants are made larger. If smaller implants are wanted, the pockets are made smaller using sutures; a mastopexy (breast lift) may also be performed. Implants Are Leaking Implants can leak because of age or defect, injury to the breast, or overfilling. Whatever the reason, a leaking implant should be replaced as soon as possible. The incisions made during the initial surgery are often used when replacing the implant. A leak to a saline implant is immediately noticeable; the implant deflates and the saline is absorbed by the body. When there is a leak in the types of silicone implants used today, because the silicone is designed to hold its shape, leaks are often only discovered during routine mammograms. Implants Are Causing Complications There is always a risk complications from a breast-implant procedure. They include wrinkling and rippling of the implant (usually a saline implant); capsular contracture, in which scar tissue forms around the implant, hardening the breast and changing its look and feel; and symmastia, in which the implants drift together and meet in the middle of the chest. Even when breast-implant revision surgeries are successful, new implants are still subject to the same problems as the original implants.

  Link: Breast Implant Revision Surgery

• Abdominoplasty

  Abdominoplasty (tummy tuck) helps flatten the abdomen by removing excess fat and skin, and tightening muscles. The best candidates for abdominoplasty are in good physical condition, with pockets of fat or loose skin that have not responded well to diet and exercise. Abdominoplasty can also be appropriate for slightly obese people whose skin has lost some of its elasticity, and for women with skin and muscles stretched from pregnancy. Anyone planning on losing a significant amount of weight, and women planning on having (more) children, should wait before undergoing abdominoplasty. The Abdominoplasty Procedure Abdominoplasty takes approximately 2 to 5 hours to perform; the patient is placed under general anesthesia. Two incisions are made: one from hipbone to hipbone close to the pubic area, and another around the navel. Skin is separated from the abdominal muscles, which are then pulled together and stitched into place for a firmer abdomen and narrower waist. The skin flap is then stretched down over the newly tightened muscles, excess skin is removed, and the navel is reattached where it looks natural. The incisions are then closed, and sterile surgical dressings are applied over the sutured areas. Recovery After Abdominoplasty After surgery, a temporary tube may be inserted to drain excess fluid from the surgical site. An overnight hospital stay may be necessary. Recovery time ranges from 2 weeks to 2 months. Abdominoplasty leaves a scar spanning the lower abdomen from hip to hip, although it is low enough to be concealed by a bikini. Maintaining weight with a balanced diet and regular exercise provides long-lasting results. Risks of Abdominoplasty In addition to the usual risks associated with surgery and anesthesia, risks associated with abdominoplasty include the following: Asymmetry Poor aesthetic result Unsightly scarring Loose skin Numbness in skin sensation Need for revisional surgery Patients who have had previous abdominal surgery may find that their old scars look more raised, have stretched or are more noticeable in general. Undergoing a scar revision may minimize their prominence.

  Link: Abdominoplasty

• Gynecomastia

  Gynecomastia (overdevelopment of male breasts) is a common condition characterized by an excess of localized fat and/or glandular tissue in the breast. It is sometimes caused by disease, hormonal changes, heredity or certain medications, although, in most cases, its cause is unknown. It can occur in one or both breasts, and can affect babies, preteens, teenagers and grown men. Symptoms of gynecomastia include enlarged breasts, breasts that feel rubbery or firm and, in young boys, nickel- or quarter-sized breast “buds.” Breast buds are common in adolescents, and tend to go away on their own. Treatment of Gynecomastia As long as breast development is complete, plastic surgery can be used to treat gynecomastia that is not caused by disease or medication. Treatment choices include liposuction or surgery, or a combination of the two; which technique is chosen depends on the amount and type of tissue in the breasts. If the breasts consist mostly of fatty tissue, liposuction can be used to suction out fat through incisions made in the nipples or underarm areas. For breasts with an excessive amount of glandular tissue, excision surgery, which requires cutting away excess fat, skin and tissue, can be performed. This requires a larger incision than is used with liposuction.

  Link: Gynecomastia

• Labiaplasty

  Labiaplasty is a surgical procedure that is performed on the labia major (the outer lips of the vagina) and/or the labia minor (the inner lips of the vagina). It is used to reduce the size of labia that are too large, and to reshape labia that are uneven, improving their appearance and reducing associated discomfort. A relatively minor surgical procedure, it is performed for cosmetic, hygienic, pain-relief and/or functional reasons. Labiaplasty can be performed alone or in conjunction with procedures such as vaginoplasty and liposuction. Labiaplasty specialists are often plastic surgeons, obstetricians/gynecologists, or urologists. Candidates for Labiaplasty Candidates for labiaplasty may not like the appearance of their labia; be bothered by labial irritation while conducting normal activities; find it difficult to keep the labial area clean; or experience pain during sexual intercourse or vigorous activity. Candidates should be in good overall health, and not planning on having (more) children, because the birthing process can cause operated-on tissue to reopen. The Labiaplasty Procedure Labiaplasty is generally performed just after the patient has had her period. The patient receives anesthesia or IV sedation, as well as medications to block nerve signals and minimize bleeding. The surgeon trims, using scissors, a scalpel or laser, excess labial tissue, closes the incision with absorbable stitches, and applies antibiotic cream. Labiaplasty takes 1 to 2 hours, and most patients return home the same day. Recovery from Labiaplasty Post-labiaplasty, most patients have swelling, and mild-to moderate pain, for which painkillers are prescribed. Patients typically return to work in 2 to 4 days, and are able to use tampons or resume sexual activity in 6 weeks. Post-operative care involves carefully washing the area, and using antibiotic creams to prevent infection. Risks of Labiaplasty Complications from labiaplasty are rare, but there are risks. They include bleeding, infection, poor healing, labial asymmetry, labia that are smaller or larger than desired, loss of sensation, and the need for a second surgery.

  Link: Labiaplasty

• Liposuction

  Liposuction is a minimally invasive cosmetic procedure that uses a thin, hollow tube called a cannula to remove localized areas of body fat. The cannula is inserted through extremely small incisions, and then moved back and forth to loosen excess fat, which is suctioned out using a vacuum or a cannula-attached syringe. Treated areas look slimmer and more contoured, and in better overall proportion to the rest of the body. However, liposuction is not a method for losing weight, and is not effective in eliminating cellulite, or tightening loose and sagging skin. The ideal candidate for liposuction is in good overall health, but has one or more areas of fat that do not respond to diet or exercise. Areas that are often treated with liposuction include the thighs, abdomen, arms, back, hips, buttocks, chest, face, calves and ankles. Liposuction can be performed alone, or in conjunction with other cosmetic procedures, such as thighplasty and abdominoplasty. The Liposuction Procedure One of the most common liposuction techniques is tumescent liposuction, which may get an assist from ultrasound or laser. It is performed on an outpatient basis. During tumescent liposuction, a solution comprising saline solution, lidocaine (an anesthetic) and epinephrine (a blood-vessel contractor) is injected into the area being treated. The solution causes the targeted tissue swell and become firm, which makes it easier to remove via the cannula. The advantages to this technique are that the anesthetic is built in, so there is no need for general or IV sedation, and blood loss is minimized because the epinephrine constricts blood vessels. In laser-assisted tumescent liposuction, a laser is used to liquefy the fat, which makes removing it easier. The laser can also be used to tighten treatment-area skin after fat is removed. Similarly, ultrasound-assisted liposuction uses ultrasound energy to liquefy fat. Recovery from Liposuction After liposuction, patients experience mild swelling, bruising and discomfort in the treated area. Compression garments or elastic bandages are typically worn to help reduce these symptoms as the area heals. Patients can return to work and other regular activities as soon as they feel comfortable, which is usually after a few days. Exercise and other strenuous activities should be avoided for a few weeks. Risks of Liposuction In addition to the usual risks associated with surgery, risks associated with liposuction include the following: Loose or rippled skin Worsening of cellulite Asymmetry Contour irregularities Pigmentation irregularities When large amounts of fat are removed, surgery to remove excess skin may be necessary. Results of Liposuction Results of the liposuction procedure may not be apparent until swelling and bruising subside, which usually takes a week; swelling should completely subside within a few months. Incisions are rarely sutured, and scarring is almost nonexistent, because the incisions used for the cannula are so small. The results of liposuction are long-lasting, unless a substantial amount of weight is gained.

  Link: Liposuction

• Scar Revision

  Scar revision reduces the prominence of scars that result from injury or previous surgery. Although many scars fade over time and become barely noticeable, disruptions to the healing process can cause them to become red, raised, indented or otherwise deformed. The prominence of a scar depends on the type and severity of the injury that caused it, and the patient‘s age, overall health and ability to heal. For people who are unhappy with or embarrassed by their scars, there are a number of procedures available to make scars less apparent. Scar-Revision Treatments Scars are by definition permanent, but certain treatments can narrow, fade and otherwise make them less noticeable, which is especially helpful when they form on conspicuous areas such as the face and hands. Although there are many surgical scar-revision methods, including surgical excision, skin grafts and flap surgery, not all are appropriate for treating all types of scars. The best procedure for scar revision varies depending on the location and severity of the scar, the age and overall health of the patient, and the extent of revision the patient wants. Subcision Subcision is a procedure for treating scars that are indented. A needle is directed into the skin to break up the fibers that attach the scar to below-the-surface tissue, raising it back to the elevation of surrounding skin. It also promotes healing by creating new connective tissue that repairs and smooths the skin. Excision Surgical excision is most often used for severe contracture (skin-tightening) scars, and involves using a scalpel to surgically cut away the scar and surrounding damaged tissue. A skin flap or graft may be used to restore the appearance of the skin in the treated area, and also improve movement and flexibility that may have been affected by the contracture. Punch Elevation Particularly effective for certain types of acne scars, punch elevation uses a punch tool rather than a typical scalpel to precisely remove small quantities of tissue without affecting nearby skin. The punch tool is used to elevate the base of the scar, making it appear much less recessed or pronounced. Surface Treatments Many cosmetic procedures, such as microdermabrasion, chemical peels and skin bleaching, effectively treat discolorations and mild surface irregularities by gently removing the top layers of skin and rejuvenating the underlying layers. Multiple treatments may be needed, however, to achieve noticeable results. Laser Treatments Similar to surface treatments, laser treatments gently remove damaged layers of skin to reveal new unblemished skin underneath, while stimulating collagen production for further gradual improvements. The precision of laser treatments ensures that only damaged tissue is treated, while healthy surrounding tissue remains intact. Fillers Dermal fillers are quite successful at “filling in” depressed scars and creating a smoother skin surface. Fillers are U.S. Food and Drug Administration-approved, and safe for most patients. Many fillers are made from substances found naturally in the body, or are synthetically made to mimic natural substances or stimulate collagen production. Fillers are injected directly into the skin of the targeted area to restore volume to the scar. However, results from fillers are not permanent, and followup injections are necessary to maintain the improvement they provide. Prior to undergoing scar revision, patients are advised to stop smoking, and to avoid any medications that can cause an increase in bleeding. Results and Recovery from Scar Revision Most scar-revision treatments are minimally invasive, and do not require any downtime, although there may be mild swelling, discoloration and discomfort in the treated area for 1 to 2 weeks. Results are often immediate and noticeable, although it may take several months for maximum results to be achieved. The effectiveness of scar revision depends on a number of factors, including the nature of the injury, the body‘s healing ability, the size and depth of the wound, and the thickness and color of the skin.

  Link: Scar Revision

• Botox Cosmetic

  BOTOX® Cosmetic is a prescription drug that, when injected, temporarily paralyzes muscles. It contains a purified and safe form of botulinum toxin A, which is produced by the microbe that causes botulism. Manufactured by Allergan, Inc., it is used to treat permanent furrows and deep wrinkles in the skin that are formed by the continual contraction of facial muscles. In addition to its cosmetic applications, it is used to treat a number of medical problems, including excessive sweating, overactive bladder, neck spasms, crossed eyes, chronic back and jaw pain, and migraines. Applications for BOTOX Cosmetic Although originally approved by the U.S. Food and Drug Administration for the treatment of eye and muscle spasms, BOTOX Cosmetic was quickly recognized for its cosmetic value. Properly placed injections of BOTOX Cosmetic block nerve impulses sent to muscles, weakening them to the point where they cannot contract, and temporarily eliminating moderately severe furrows and lines. BOTOX Cosmetic is used to treat the following: Forehead furrows Frown lines Crow‘s feet Skin bands on the neck According to Allergan, BOTOX Cosmetic has been “extensively researched, with approximately 2500 studies.” BOTOX Cosmetic Procedure and Results Using a very fine needle, BOTOX Cosmetic is injected directly into facial muscles that are causing furrows and lines. Receiving the injections requires no anesthetic, but some doctors choose to numb the area to be injected with ice packs or a topical anesthetic cream. Results can usually be seen within a few days of treatment, and typically last up to four months, although areas that are treated on a regular basis may retain results longer. Injections should be given only by qualified medical professionals. Side Effects of BOTOX Cosmetic Injection-site side effects of BOTOX Cosmetic are usually mild and temporary, and include the following: Pain Infection Inflammation Tenderness Swelling Redness Bleeding Bruising Normal activities may be resumed immediately after receiving injections.

  Link: Botox Cosmetic

• Juvederm

  JUVÉDERM® XC injectable gel is a U.S. Food and Drug Administration-approved dermal filler that, according to its manufacturer, Allergan, Inc., is designed to “temporarily treat moderate to severe facial wrinkles and folds such as nasolabial folds” in people older than 21. Unlike the original JUVÉDERM injectable gel, JUVÉDERM XC is infused with lidocaine to make its injection more comfortable. JUVÉDERM XC is a smooth-consistency gel that restores volume to the skin, and smooths away moderate-to-severe facial wrinkles and folds. It is made of hyaluronic acid (HA), a sugar that occurs naturally in the body. In terms of the skin, HA‘s role is to deliver nutrients and hydration, and act as a cushioning agent. Young, healthy skin contains a lot of HA, but factors that include aging and sun exposure reduce the amount, causing skin to lose structure and volume. JUVÉDERM XC is most effective in improving the appearance of nasolabial folds, the lines that run from the bottom of the nose to the corner of the mouth on both sides of the face. JUVÉDERM XC Injectable Gel Procedure JUVÉDERM XC injections take about 15 minutes to administer in a doctor‘s office. A fine needle is used for the injection, which is given under the skin in the targeted area to add volume or fill in wrinkles and folds. Because JUVÉDERM XC contains lidocaine to improve comfort, an anesthetic may not be needed. However, a doctor may still elect to use a topical anesthetic on the area to be treated before giving the injection. Afterword, the doctor may gently massage the treated area(s). Once treatment is completed, patients can return, with virtually no downtime, to their regular activities. For the first 24 hours after treatment, to reduce the risk of complications, patients should avoid strenuous exercise, excessive sun or heat exposure, and alcohol consumption. Results of JUVÉDERM XC Injectable Gel The results of JUVÉDERM XC are visible immediately after injection; any swelling and bruising, to which ice can be applied, should subside during the next few days. Results can last 6 to 9 months, and, in some cases, up to year. However, according to its manufacturer, “Results from injectable dermal filler vary and correction is temporary. Supplemental ‘touch up‘ treatments may be required to achieve and maintain optimal correction of . . . wrinkles and folds.” Risks of JUVÉDERM XC Injectable Gel Although JUVÉDERM XC is considered safe, there is a risk of side effects. They are usually limited to the injection site, and include the following: Redness Pain or tenderness Firmness Swelling Lumps or bumps Bruising Itching Discoloration Infection For customized treatment, Allergan, Inc., offers two types of JUVÉDERM XC: JUVÉDERM Ultra XC, which is suitable for superficial facial lines and folds, and JUVÉDERM Ultra Plus XC, a stronger formulation that is used for deeper facial folds and lines. JUVÉDERM XC is the first HA filler that is FDA-approved for use on people of color.

  Link: Juvederm

• Kybella

  One of the most flattering things of a person’s profile is having a chiseled, defined chin. If you have excess fat under your chin or a double chin, then you may feel a bit self-conscious about your profile and overall appearance. But, unless you want to undergo surgery, you may think that you are stuck with your double chin. One thing that you may not realize is that you have another option to choose from including an injection called Kybella. What Is Kybella? Kybella is an FDA approved injectable that is designed to help destroy fat cells under the chin. Once Kybella is injected into the fat under the chin it works to dissolve the fat and leave you with a more defined profile. How Many Kybella Treatments Will I need? During your initial consultation with our staff, we will better be able to determine just how many treatments you will need. You may receive a total of six treatments, but on average, patients see visible results in just two to four treatments spaced one month apart. Is Kybella Right for Me? Typically, Kybella is good for patients who are otherwise healthy and who: Are bothered by the fat under their chin Feel like their double chin makes them look older or heavier set than they actually are Don’t want to go through surgery Eat well and exercise a lot but can’t get rid of their double chin How Does Kybella Work? The main ingredient in Kybella is synthetic deoxycholic acid which works to naturally breakdown and absorb dietary fat. When injected into the fat beneath the chin, Kybella works to destroy the fat cells and give patients a noticeably thinner profile. How Many People Have Been Treated With Kybella? Kybella has been the central focus in over 20 clinical studies in which more than 1600 people were treated. How Long Does Kybella Last For? One of the many benefits of Kybella, is that because it works to actually destroy existing fat cells, results should be permanent and no further treatment may be necessary for maintenance. Is Kybella Expensive? The cost of Kybella varies from provider to provider but if you want to save money on the overall cost of Kybella then enroll in the Brilliant Distinctions Rewards Program which will allow you to earn points on each treatment and redeem them for savings on future treatments. What Are The Side Effects of Kybella? The most common side effects of Kybella are swelling, pain, numbness, bruising, redness, and hardness around the treatment site. Additionally, some patients experience problems such as ulcers, hair loss, bruising, trouble swallowing, injury to the jaw that can cause an uneven smile or facial weakness, and necrosis around the injection site. Does Kybella sound like something that you are interested in learning a little more about? Schedule your Kybella consultation and call our office today! istock 951914146 retouched Our Services Breast Reconstruction Breast Augmentation Breast Reduction Breast Implant Revision Abdominoplasty Blepharoplasty VIEW ALL SERVICES Request More Information Are you ready to take control of your look? We invite you to fill out the form below or give our office a call to request a private consultation with Dr. Akhil Seth. What Happens in a Consultation? 01. Get to know Dr. Seth and his team. 02. Discuss your unique goals and concerns. 03. Dr. Seth will help choose the right procedures for you. BOOK AN APPOINTMENT “I’m so glad I have Doctor Seth as my plastic surgeon. He is the best. Very good experience. He is [a] fantastic Doctor. Everything going smooth and excellent. Thank you very much Doctor Seth.” - Patient

  Link: Kybella

• Restylane

  U.S. Food and Drug Administration (FDA)-approved Restylane® injectable gel is a cosmetic “filler” that contains hyaluronic acid (HA), a natural substance that is found in the body. HA gives volume and elasticity to the skin, but as the body ages, HA levels decrease, resulting in loose skin and wrinkling. When injected, Restylane gel is designed to plump the skin beneath lines and wrinkles, smoothing them out and making them less noticeable. The most common areas for Restylane treatment are the glabellar lines (which run between the eyebrows) and the nasolabial folds (which run from the sides of the nose to the corners of the mouth). Restylane injectable gel is also FDA-approved, for those 21 and older, for enhancing the lips. According to manufacturer Medicis, results can last for up to 6 months, at which point the hyaluronic acid is reabsorbed by the body. Benefits of Restylane Injectable Gel When injected, Restylane gel plumps up glabellar lines and nasolabial folds, making skin appear younger and look smoother. When used for lip enhancement, it makes the lips fuller and gives them more definition. Advantages of Restylane Injectable Gel One significant advantage that Restylane injectable gel has over other facial fillers made with hyaluronic acid is that it contains nothing of animal origin. As a result, it does not require a potential user to undergo allergy testing, which can sometimes take weeks. Another advantage is that Restylane injections are performed in-office, usually by a dermatologist, in less than half an hour, and require little-to-no downtime for the patient. Side Effects of Restylane Injectable Gel The most common side effects of Restylane injectable gel are swelling, redness, pain, bruising and tenderness in and around the injection sites. They typically go away within a week. Although considered safe for most patients, Restylane injections carry a risk of infection, bleeding or allergic reaction.

  Link: Restylane