FAQs on How You Treat Certain Conditions?

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Face and Skin

Acne is the most common skin condition in the U.S. affecting nearly 50 million Americans at any time.  Acne is caused when hair follicles become clogged with oil and dead skin cells. It can often be persistent and unsightly,

Acne is can be treated by:

  1.  Benzoyl Peroxides – Works in three major ways. It kills germs, unblocks clogged pores and minimizes inflammation.
  2. Antibiotics – Oral antibiotics such minocycline and doxycycline are commonly used to kill bacteria.  Topical antibiotics such as clindamycin can used directly on the skin
  3. Retin A – Works by unblocking clogged pores and recycling healthy skin
  4. Forever Clear BBL – A cutting-edge acne treatment that uses the power of light to comfortably and effectively clear acne without expensive creams or toxic medicines.

BBL is the world’s most powerful IPL (Intense Pulsed Light) device on the market.

Each Forever Clear BBL treatment uses Blue Light BBL, Yellow Light BBL, and Infrared Light to painlessly:

  • Destroy acne-causing bacteria at its source, deep down in the pores.
  • Reduce the inflammation and acne-associated redness
  • Tighten inflamed skin

Many patients will see results with just one treatment with no downtime.

Brown sun and age spots are some of the first signs of aging and sun damage.

Treatment options include

  1. Creams such as hydroquinone and retin A.  Hydroquinone is a bleaching agent while Retin A increases cellular turnover.  Over-the-counter creams will generally not have high enough concentrations to be effective.
  2. Forever Young BBL – Cutting edge technology providing the most powerful and effective IPL option.

The Forever Young BBL uses Broad Band Light to alter skin melanin and rejuvenate cellular DNA.  Instead of spending time and money on ineffective skin care products many of our patients have turned to the Forever Young BBL to make their skin more vibrant and youthful; reducing brown and red pigmentation problems, promoting collagen, and rejuvenating cellular DNA. It is the most popular laser treatment in our clinic.

What to expect from the Forever Young BBL:

  • Treatments take 20-30 minutes
  • Up to 80% improvement after a single treatment.
  • Most patients will benefit from adding a Micro Laser Peel and a Profractional Laser Peel ( Triple Laser Package )

Fine facial lines and wrinkles are a result of UV sun damage, the breakdown of collagen, and a decrease in skin hydration. The Micro Laser Peel and the Profractional Laser are ablative lasers designed to reverse these changes.

  • The Micro Laser Peel precisely ablates the surface skin in order to remove UV damaged skin
  • The Profractional Laser ablates deep columns of skin that can reach to the deep dermis. This allows for skin contraction but it also encourages new cell grown and organizes new collagen

Results depend on the depth of treatment. Recovery from a maintenance treatment can be as little as a day; but recovery from aggressive treatments can be as much as 7 days. Many patients will benefit from the addition of the Forever Young BBL ( Triple Laser Package ).

Scars are an inevitable part of tissue injury. Surface scars can be caused by surgical cuts or traumatic lacerations.
Scars should ideally heal as pencil thin white lines. However, this is not always the case. Depending on where the scar is located, how it is put back together, the surgical skill of the surgeon, and the diligence provided to the prescribed after-care of the cut, the scar can either heal well or heal poorly.

Strategy in revising scars:

  • Surgical scar revision can be applied to cut out the scar and start from scratch in more ideal conditions.
  • Laser scar revision can also be used to either primarily treat a raised or unsightly scar or used secondarily to improve the results of a surgical scar revision.

The Profractional Laser creates micro-columns of laser ablation to the scar. New collagen is regenerated and dermal cells are reorganized to provide a smoother, more uniform skin surface.

Unwanted fat bulges can be treated by either liposuction or one of the newer non-surgical devices such as Sculpsure or Coolsculpting. Liposuction is significantly more effective, but requires surgery and recovery time. The benefits of the non-surgical devices are that they can provide fat reduction of about 20% without surgery.

SculpSure is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs.

SculpSure is a technological improvement over the older Coolsculpting technology because it can selectively target fat while leaving the skin alone. The technology provides the following benefits over Coolsculpting.

  1. Less complications
  2. Result is much smoother
  3. Significantly less pain

What to expect from Sculpsure:

  • Treatments take 25 minutes
  • Most can see up to a 20% reduction
  • Minimal pain
  • Return to work the same day
  • Optimal results seen at about 3 months

Laser systems can be used to permanently treat visible vessels, broken capillaries, spider veins, and vascular lesions from your face and body. The ClearScan laser system by Sciton can quickly selectively target and remove the unwanted vessels.

Conditions that can be treated with the Clear Scan Laser include:

  • Rosacea
  • Redness
  • Facial Veins
  • Telangiectasia
  • Spider Veins
  • Broken Capillaries

What to expect from ClearScan vascular laser:

  • Each treatment area takes 30 minutes
  • Most patients can see up to a 80% reduction
  • Minimal pain and discomfort
  • Return to work the same day
  • Disrupted vessels are absorbed over 2-4 weeks

SkinTyte offers a fast, safe and effective method for tightening skin without surgery. SkinTyte uses advanced infrared light technology, and patient tailored filters to deeply heat dermal collagen while continuously protecting the treated epidermis with sapphire contact cooling. With no need for a topical anesthetic, the energy is delivered in rapid, gentle pulses to promote contraction and partial coagulation of the collagen, initiating the body’s natural healing process, leading to the appearance of firmer tissue.

SkinTyte factoids:

  • SkinTyte is a nonsurgical alternative to surgery
  • Can be used in the face as well as the body :
  • Used for lifting the jowls and neck
  • Used for arms, abdomen and thighs
  • Optimal benefits require 4 treatments 1 month apart
  • 80% satisfaction rates
  • Useful for all skin types
  • Return to work the same day

Earlobes can be rejuvenated. Thin or stretched earlobes are common problems facing modern women who have worn heavy earrings for years. The earlobe does not have to necessarily be torn to benefit from treatment.

  • Thin earlobes can sometimes be addressed by injecting fillers like juvederm or a fat transfer. Plumping up the earlobe can fill the slack while tightening up the earring hole.
  • Long or wide earlobes will benefit might benefit from a reconstruction that involves removing some of the skin excess and rotating the tissue to give the appearance of smaller and cuter earlobes.

What to expect from the earlobe rejuvenation:

  • Each earlobe takes about 15 minutes
  • Return to work immediately
  • New earrings are placed after 4 weeks

Thin lips can be treated by volume replacement using injectable fillers like juvederm, voluma or fat transfer. While most patients want “normal” sized lips, others want larger more luscious lips.

The goals of lip augmentation are very individualized and include:

  • Adding volume where it is needed
  • Providing a nice arching cupid’s bow
  • Provide a nice vermillion border
  • Decrease upper lip lines by adding volume above the lip
  • Provide an upper lip pout by placing the filler in the upper lip philtrum

The injectable fillers can last 1 to 2 years while fat transfer provides a more permanent solution. Most patients will return to work the next day

Laser Hair Removal provides a permanent solution to dealing with unwanted hair. The most popular areas to treat includes the legs, back, underarms, and upper lip. The most effective and advanced laser system is the High Speed LightSheer DUET. It is the most advanced and effective laser system available today because:

  • Its larger hand piece allows the procedure the be performed much quicker than other lasers; this means less pain and less time in the office. A typical let can be treated now in less than 30 minutes.
  • The suction-assisted technology pulls the skin into a chilled and better targeted handpiece. This makes the the procedure relatively painless and yet more effective.

As with any hair removal device, multiple treatments are required in order to ablate the hair follicles in their growth cycles.

How can I get more hair without surgery?

PRP Stem Cell Hair Regeneration

PRP Stem Cells technology has provided the newest innovation in hair regeneration.  Growth factors extracted from your own blood is used to stimulate hair growth. The PRP has been shown to revive hair follicles out of their sleeping phase as well as their senile phase.  The hair is generated while thinning hair because thicker. Three treatments 4 weeks apart are required for optimal results.

PRP ( Plasma Rich Protein ) Stem Cell Hair Regeneration Facts:

  • Procedure time 1 hour
  • Treatment goals: Regenerate hair and thicken thinning hair
  • Blood is drawn and processed.
  • Growth factors are isolated from the rest of the blood
  • Growth factors are directly into the hair roots
  • Return to work next day
  • Pain minimal

Hair Transplantation

Hair Transplantation is a cosmetic surgery procedure that allows you to grow new hair where you need or want it.  The newest most innovative technique is called microfollicular hair transplantation which transfers your hair follicles as single units from the back of the head to areas that are thinning or beginning to recede. Hair loss is a common problem in the United States, affecting more than 80 million men AND women.  Men and women can both benefit from hair transplantation procedures. PRP stem cell hair restoration is a nonsurgical alternative to hair transplantation or can be used to improve the results of hair transplantation.

Hair Transplantation facts:

  • Hair is taken from the healthy hair in the back of the scalp
  • Transferred hair is placed where you choose
  • 2000 hairs can be transferred at a time
  • Most patients will return to work in a week
  • Hair transplantation is a permanent solution to hair loss
  • Adding PRP growth factor and stem cell restoration can improve results

Thin lips can be treated by volume replacement using injectable fillers like juvederm, voluma or fat transfer. While most patients want “normal” sized lips, others want larger more luscious lips. The goals of lip augmentation are very individualized and include:

  • Adding volume where it is needed
  • Providing a nice arching cupid’s bow
  • Provide a nice vermillion border
  • Decrease upper lip lines by adding volume above the lip
  • Provide an upper lip pout by placing the filler in the upper lip philtrum

The injectable fillers can last 1 to 2 years while fat transfer provides a more permanent solution. Most patients will return to work the next day

Dr. Chang has recently been featured in New Beauty magazine and is listed as one of the “Top Doctors” in Virginia by Health and Beauty magazine. According to Allergan, the company which provides BOTOX® Cosmetic and Natrelle breast implants, Dr. Chang’s office provides more BOTOX® Cosmetic treatments and facial fillers such as JUVÉDERM® than any other single practitioner in Virginia.

Loudoun Now asked their readers to share their recommendations about their favorite places, people and businesses last June 2018. The response was enthusiastic. More than 5,000 names were submitted as nominations in the poll’s more than 200 categories. Dr. Phillip Chang was voted as one of the best plastic surgeons in Loudoun, Virginia.

Nose and Ears

Ear reshaping surgery ( also known as otoplasty ) is a cosmetic surgery procedure that allows you to reshape ears.  The appearance of the ear is the result of the shape of ear cartilage and skin. The cartilage, in normally bent in very defined ways in order to correctly channel sounds to your eardrums.  The cartilage can unfortunately form abnormally and cause visible changes that may not be attractive. These changes can often be corrected

  • Ears that appear too large
  • Ears that stick out
  • Ears that are bent or folded
  • Ears that are deformed due to trauma or cancer

Some facts about Otoplasty:

  • Surgery time: 2-3 hours
  • Facility:  Surgery Center under general anesthesia
  • Return to work:  2 weeks
  • Cosmetic goals – Provide reshaping of the ear

Nose reshaping surgeries ( also known as rhinoplasty ) is are cosmetic surgery procedure that allows you to reshape your nose.  Depending on your individual needs, we can treat:

  • Noses that appear too large
  • Noses with humps
  • Noses that are crooked
  • Noses with bulbous or wide tips
  • Nostrils that are too large or wide
  • Noses that are deformed due to trauma or cancer

Surgical options include a closed rhinoplasty or an open rhinoplasty.  Both are mostly performed under general anesthesia at the surgery center.  The closed rhinoplasty technique is used mostly for patients that need to address a nasal hump or wide nasal bones.  Open rhinoplasty is used mostly for patients that need refinement of the nasal tip. Most patients are out of work for about a week.  Some patients may only need a non-surgical nose reshaping using injectable fillers.

Non-Surgical Nose Job

Nose reshaping using injectable fillers is a non-surgical option for patients who need only minor reshaping of their nasal profile. Depending on your individual needs, we can treat:

  • Noses that are flat  ( this is the most common indication )
  • Noses with small depressions
  • Noses with small nasal humps
  • Noses that are crooked
  • Noses with bulbous or wide tips
  • Noses that are deformed due to trauma, cancer, or previous surgery

Non-Surgical Nose Job Facts:

  • The procedure takes about 20 minutes in the office.
  • Discomfort is minimal
  • Return to work immediately.
  • The solution is good for 1 to 2 years.
  • Juvederm, Voluma, and Radiesse are the most common injectable fillers that I use for this procedure.

Some patients are more appropriate for a surgical rhinoplasty which can offer a more permanent solution.

Nose reshaping surgeries ( also known as rhinoplasty ) is are cosmetic surgery procedure that allows you to reshape your nose.  Depending on your individual needs, we can treat:

  • Noses that appear too large
  • Noses with humps
  • Noses that are crooked
  • Noses with bulbous or wide tips
  • Nostrils that are too large or wide
  • Noses that are deformed due to trauma or cancer

Surgical options include a closed rhinoplasty or an open rhinoplasty.  Both are mostly performed under general anesthesia at the surgery center.  The closed rhinoplasty technique is used mostly for patients that need to address a nasal hump or wide nasal bones.  Open rhinoplasty is used mostly for patients that need refinement of the nasal tip. Most patients are out of work for about a week.  Some patients may only need a non-surgical nose reshaping using injectable fillers.

Nose reshaping surgeries ( also known as rhinoplasty ) is are cosmetic surgery procedure that allows you to reshape your nose.  Depending on your individual needs, we can treat:

  • Noses that appear too large
  • Noses with humps
  • Noses that are crooked
  • Noses with bulbous or wide tips
  • Nostrils that are too large or wide
  • Noses that are deformed due to trauma or cancer

Surgical options include a closed rhinoplasty or an open rhinoplasty.  Both are mostly performed under general anesthesia at the surgery center.  The closed rhinoplasty technique is used mostly for patients that need to address a nasal hump or wide nasal bones.  Open rhinoplasty is used mostly for patients that need refinement of the nasal tip. Most patients are out of work for about a week.  Some patients may only need a non-surgical nose reshaping using injectable fillers.

Nose reshaping surgeries ( also known as rhinoplasty ) is are cosmetic surgery procedure that allows you to reshape your nose. Depending on your individual needs, we can treat:

Noses that appear too large
Noses with humps
Noses that are crooked
Noses with bulbous or wide tips
Nostrils that are too large or wide
Noses that are deformed due to trauma or cancer
Surgical options include a closed rhinoplasty or an open rhinoplasty. Both are mostly performed under general anesthesia at the surgery center. The closed rhinoplasty technique is used mostly for patients that need to address a nasal hump or wide nasal bones. Open rhinoplasty is used mostly for patients that need refinement of the nasal tip. Most patients are out of work for about a week. Some patients may only need a non-surgical nose reshaping using injectable fillers.

Nose reshaping using injectable fillers is a non-surgical option for patients who need only minor reshaping of their nasal profile. Depending on your individual needs, we can treat:

  • Noses that are flat  ( this is the most common indication )
  • Noses with small depressions
  • Noses with small nasal humps
  • Noses that are crooked
  • Noses with bulbous or wide tips
  • Noses that are deformed due to trauma, cancer, or previous surgery

Non-Surgical Nose Job Facts:

  • The procedure takes about 20 minutes in the office.
  • Discomfort is minimal
  • Return to work immediately.
  • The solution is good for 1 to 2 years.
  • Juvederm, Voluma, and Radiesse are the most common injectable fillers that I use for this procedure.

Some patients are more appropriate for a surgical rhinoplasty which can offer a more permanent solution.

Body and Extremities

Hands can be rejuvenated. The hands age in predictable ways:

  • The skin, which is constantly exposed to the sun developes sun and age spots
  • The top of the hand begins to lose volume resulting in thin and wrinkled skin

Hand rejuvenation is directed at treating these two problems. Volume is replaced using injectable fillers such as juvederm, sculptra, or a fat transfer. The pigmentation changes are treated using the Forever Young BBL to remove the brown sun and age spots.

What to expect from hand rejuvenation:

  • Injectable fillers take 10 minutes
  • Fat transfer ( instead of filler ) takes 1 hour
  • Forever Young BBL takes less than 30 minutes
  • Return to work immediately

Brown sun and age spots are some of the first signs of aging and sun damage. Fortunately, these skin conditions can easily be treated using the Forever Young BBL which uses Broad Band Light to alter skin melanin and rejuvenate cellular DNA.

Instead of spending time and money on ineffective skin care products many of our patients have turned to the Forever Young BBL to make their skin more vibrant and youthful; reducing brown and red pigmentation problems, promoting collagen, and rejuvenating cellular DNA. It is the most popular laser treatment in our clinic.

What to expect from the Forever Young BBL:

  • Treatments take 20-30 minutes
  • Up to 80% improvement after a single treatment.
  • Most patients will benefit from adding a Micro Laser Peel and a Profractional Laser Peel ( Triple Laser Package )

Fine facial lines and wrinkles are a result of UV sun damage, the breakdown of collagen, and a decrease in skin hydration. The Micro Laser Peel and the Profractional Laser are ablative lasers designed to reverse these changes.

  • The Micro Laser Peel precisely ablates the surface skin in order to remove UV damaged skin
  • The Profractional Laser ablates deep columns of skin that can reach to the deep dermis. This allows for skin contraction but it also encourages new cell grown and organizes new collagen

Results depend on the depth of treatment. Recovery from a maintenance treatment can be as little as a day; but recovery from aggressive treatments can be as much as 7 days. Many patients will benefit from the addition of the Forever Young BBL ( Triple Laser Package ).

Scars are an inevitable part of tissue injury. Surface scars can be caused by surgical cuts or traumatic lacerations.
Scars should ideally heal as pencil thin white lines. However, this is not always the case. Depending on where the scar is located, how it is put back together, the surgical skill of the surgeon, and the diligence provided to the prescribed after-care of the cut, the scar can either heal well or heal poorly.

Strategy in revising scars:

  • Surgical scar revision can be applied to cut out the scar and start from scratch in more ideal conditions.
  • Laser scar revision can also be used to either primarily treat a raised or unsightly scar or used secondarily to improve the results of a surgical scar revision.

The Profractional Laser creates micro-columns of laser ablation to the scar. New collagen is regenerated and dermal cells are reorganized to provide a smoother, more uniform skin surface.

Unwanted fat bulges can be treated by either liposuction or one of the newer non-surgical devices such as Sculpsure or Coolsculpting. Liposuction is significantly more effective, but requires surgery and recovery time. The benefits of the non-surgical devices are that they can provide fat reduction of about 20% without surgery.

SculpSure is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs.

SculpSure is a technological improvement over the older Coolsculpting technology because it can selectively target fat while leaving the skin alone. The technology provides the following benefits over Coolsculpting.

  1. Less complications
  2. Result is much smoother
  3. Significantly less pain

What to expect from Sculpsure:

  • Treatments take 25 minutes
  • Most can see up to a 20% reduction
  • Minimal pain
  • Return to work the same day
  • Optimal results seen at about 3 months

Laser systems can be used to permanently treat visible vessels, broken capillaries, spider veins, and vascular lesions from your face and body. The ClearScan laser system by Sciton can quickly selectively target and remove the unwanted vessels.

Conditions that can be treated with the Clear Scan Laser include:

  • Rosacea
  • Redness
  • Facial Veins
  • Telangiectasia
  • Spider Veins
  • Broken Capillaries

What to expect from ClearScan vascular laser:

  • Each treatment area takes 30 minutes
  • Most patients can see up to a 80% reduction
  • Minimal pain and discomfort
  • Return to work the same day
  • Disrupted vessels are absorbed over 2-4 weeks

SkinTyte offers a fast, safe and effective method for tightening skin without surgery. SkinTyte uses advanced infrared light technology, and patient tailored filters to deeply heat dermal collagen while continuously protecting the treated epidermis with sapphire contact cooling. With no need for a topical anesthetic, the energy is delivered in rapid, gentle pulses to promote contraction and partial coagulation of the collagen, initiating the body’s natural healing process, leading to the appearance of firmer tissue.

SkinTyte factoids:

  • SkinTyte is a nonsurgical alternative to surgery
  • Can be used in the face as well as the body :
  • Used for lifting the jowls and neck
  • Used for arms, abdomen and thighs
  • Optimal benefits require 4 treatments 1 month apart
  • 80% satisfaction rates
  • Useful for all skin types
  • Return to work the same day

Laser Hair Removal provides a permanent solution to dealing with unwanted hair. The most popular areas to treat includes the legs, back, underarms, and upper lip. The most effective and advanced laser system is the High Speed LightSheer DUET. It is the most advanced and effective laser system available today because:

  • Its larger hand piece allows the procedure the be performed much quicker than other lasers; this means less pain and less time in the office. A typical let can be treated now in less than 30 minutes.
  • The suction-assisted technology pulls the skin into a chilled and better targeted handpiece. This makes the the procedure relatively painless and yet more effective.

As with any hair removal device, multiple treatments are required in order to ablate the hair follicles in their growth cycles.

Breasts

Breast augmentation uses saline or silicone breast implants or fat transfer to add add volume and cleavage to the breast.  Breast augmentation is often performed as part of a mommy makeover procedure to restore volume that is often lost after babies.  It will not lift the breast or nipple position unless it is minimal. Patients need to be over 18 years old.

Breast Augmentation factoids:

  • Silicone breast implants are often referred to as gummy bears
  • Silicone implants are softer and feel more natural
  • Large C is the most commonly desired size
  • Implants are placed underneath the chest muscle
  • The Keller Funnel decreases the size of your scar
  • Breast implants do NOT increase the rate of breast cancer

Most patients can return to work in a week depending on what other procedures are performed.

Breast augmentation with your own fat is a cosmetic surgery procedure that allows you to use your own natural fat to add volume to your breast.  The fat is obtained by liposuction from an where you don’t necessarily want it such as your abdomen, flanks, or thighs. It is then processed, purified, and injected into the breast.  The procedure is ideal for patients who want a liposuction procedure and want only a modest augmentation of their breast.

You are a good candidate for a breast augmentation with fat transfer if :

  • You are interested in only a modest increase in your breast size
  • You want natural appearing but larger breasts
  • You more volume and cleavage
  • You feel that larger breasts will allow you to feel more feminine

Most patients can return to work in a week depending on what other procedures are performed

Breast reduction is both a functional as well a cosmetic surgery procedure that can often be covered by your health insurance.  The goals of breast reduction are to

  • Reduces the size and weight of large breasts to alleviate back and shoulder pain,
  • Provide an improved ability to exercise,
  • Allow for better fitting clothes.
  • Feel less self-conscious and comfortable in their own bodies.

Breast Reduction Surgery has a higher satisfaction rate than any other cosmetic procedure performed in the United States.

You are a good candidate for a breast reduction if :

  • You want natural appearing but smaller breasts
  • You want a breast lift in addition to smaller breasts
  • You want a reduction in the areola in addition to smaller breasts
  • The breasts are large enough that you don’t care about the scars

Breast augmentation will often need to be combined with a breast lift.  This is particularly true if the breast is droopy, the nipple position is lower than under-breast crease, AND there is a need for more volume.  These finding can often be seen if you have lost a lot of weight or if you have had babies. The augmentation can be with either a saline or silicone breast implant or with a fat transfer.  The breast lift will remove any excess skin while elevating the nipple position to a more youthful position.

You might need a breast augmentation combined with a lift if:

  • You have lost a lot of weight or you have had babies
  • Your breasts are sagging and the nipple position is low
  • You have lost breast volume particularly in the upper breast

Areola reduction is a cosmetic surgery procedure that is performed to reduce the size of the breast areola.  The areola will often enlarge with age, weight gain, or breast enlargement after having babies. The youthful areola is generally less than the size of a silver dollar.  The extra areola skin outside of this margin is removed. This will often lift the nipple position to a higher position An areola reduction is a normal part of any breast lift or breast reduction procedure.

The procedure can often be performed in the office under local anesthesia.  Nipple reduction, breast lift, or breast reduction are procedures that are often performed at the same time.

Nipple Reduction Surgery is a cosmetic surgery procedure to reduce the size of the nipples.  Women will often complain that their nipples can seen through their bras and clothing leading to problems with self-esteem and self confidence.  It is a procedure that many women benefit from after having babies.  Their nipples can stretch and elongate over time with pregnancy and breastfeeding.  The goals of a nipple reduction are to:

  • decrease the length and / or width of a larger nipple.

Nipple reduction surgery is often performed at the same time as a breast augmentation or a breast reduction surgery.  Most patients can return to work the next day depending on what other procedures are performed.

Revision breast surgery is an unfortunate potential of any cosmetic surgery procedure.  All procedures, including breast surgery, have the potential for complications. While most issues are usually minor and can be addressed in the office, others may require a return to the operating room.  Notably, up to 20% of patients will need a revision after a combined breast augmentation and breast lift surgery. Revision procedures might be needed if :

  • One breast is significantly larger than the other
  • Breast falls off the side of the chest when your are lying down
  • Breasts are too far apart
  • Too much extra skin remains
  • Nipple-Areola position is off
  • Breast is too high or too low

Fine facial lines and wrinkles are a result of UV sun damage, the breakdown of collagen, and a decrease in skin hydration. The Micro Laser Peel and the Profractional Laser are ablative lasers designed to reverse these changes.

  • The Micro Laser Peel precisely ablates the surface skin in order to remove UV damaged skin
  • The Profractional Laser ablates deep columns of skin that can reach to the deep dermis. This allows for skin contraction but it also encourages new cell grown and organizes new collagen

Results depend on the depth of treatment. Recovery from a maintenance treatment can be as little as a day; but recovery from aggressive treatments can be as much as 7 days. Many patients will benefit from the addition of the Forever Young BBL ( Triple Laser Package ).

Scars are an inevitable part of tissue injury. Surface scars can be caused by surgical cuts or traumatic lacerations.
Scars should ideally heal as pencil thin white lines. However, this is not always the case. Depending on where the scar is located, how it is put back together, the surgical skill of the surgeon, and the diligence provided to the prescribed after-care of the cut, the scar can either heal well or heal poorly.

Strategy in revising scars:

  • Surgical scar revision can be applied to cut out the scar and start from scratch in more ideal conditions.
  • Laser scar revision can also be used to either primarily treat a raised or unsightly scar or used secondarily to improve the results of a surgical scar revision.

The Profractional Laser creates micro-columns of laser ablation to the scar. New collagen is regenerated and dermal cells are reorganized to provide a smoother, more uniform skin surface.

Unwanted fat bulges can be treated by either liposuction or one of the newer non-surgical devices such as Sculpsure or Coolsculpting. Liposuction is significantly more effective, but requires surgery and recovery time. The benefits of the non-surgical devices are that they can provide fat reduction of about 20% without surgery.

SculpSure is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs.

SculpSure is a technological improvement over the older Coolsculpting technology because it can selectively target fat while leaving the skin alone. The technology provides the following benefits over Coolsculpting.

  1. Less complications
  2. Result is much smoother
  3. Significantly less pain

What to expect from Sculpsure:

  • Treatments take 25 minutes
  • Most can see up to a 20% reduction
  • Minimal pain
  • Return to work the same day
  • Optimal results seen at about 3 months

Unwanted fat bulges can be treated by either liposuction or one of the newer non-surgical devices such as Sculpsure or Coolsculpting. Liposuction is significantly more effective, but requires surgery and recovery time. The benefits of the non-surgical devices are that they can provide fat reduction of about 20% without surgery.

SculpSure is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs.

SculpSure is a technological improvement over the older Coolsculpting technology because it can selectively target fat while leaving the skin alone. The technology provides the following benefits over Coolsculpting.

  1. Less complications
  2. Result is much smoother
  3. Significantly less pain

What to expect from Sculpsure:

  • Treatments take 25 minutes
  • Most can see up to a 20% reduction
  • Minimal pain
  • Return to work the same day
  • Optimal results seen at about 3 months

Vaginal Health

Stress urinary incontinence is the unintentional loss of urine resulting from some physical triggers such as coughing, sneezing, running, or heavy lifting. Up to 70 percent of women are affected after any vaginal deliveries. Treatment options including behavioral modifications, oral medications, kegel exercises and even surgery have often been unsuccessful and unnecessarily invasive.

The most promising treatment options appear to be the diVa Vaginal Rejuvenation Laser with or without the injection of PRP stem and growth factor injections which has a 90% success rate in our office.

diVa Vaginal Rejuvenation Protocol

  • 3 treatments 4 weeks apart
  • Each treatment takes less than 30 minutes
  • Minimal pain and discomfort
  • Return to work the next day
  • PRP stem and growth factor injections can be added at the same time for improved results

SkinTyte offers a fast, safe and effective method for tightening skin without surgery. SkinTyte uses advanced infrared light technology, and patient tailored filters to deeply heat dermal collagen while continuously protecting the treated epidermis with sapphire contact cooling. With no need for a topical anesthetic, the energy is delivered in rapid, gentle pulses to promote contraction and partial coagulation of the collagen, initiating the body’s natural healing process, leading to the appearance of firmer tissue.

SkinTyte factoids:

  • SkinTyte is a nonsurgical alternative to surgery
  • Can be used in the face as well as the body :
  • Used for lifting the jowls and neck
  • Used for arms, abdomen and thighs
  • Optimal benefits require 4 treatments 1 month apart
  • 80% satisfaction rates
  • Useful for all skin types
  • Return to work the same day

diVa Laser Vaginal therapy is a breakthrough technology that can effectively provide vaginal tightening without the need for surgery. The diVa uses Hybrid Fractional Laser Technology that is cleared by the FDA for the ablation and coagulation of soft vaginal tissue. The result is

  • an increase in the thickness and elasticity of the vaginal wall,
  • an increase in vaginal moisture
  • an increase in sexual satisfaction and
  • an incredible improvement in stress urinary incontinence

The diva Laser Vaginal treatment allows women to feel more like their younger, vital selves.

Key Facts about diVa

  • The treatment requires 3 twenty minute sessions
  • Minimal pain and discomfort
  • Return to work the next day
  • 90% satisfaction rates

diVa Laser Vaginal therapy is a breakthrough technology that can effectively provide vaginal lubrication without the need for surgery. A decrease in vaginal lubrication is an unfortunate result of age, menopause, metabolic diseases, and cancer treatment. The diVa uses Hybrid Fractional Laser Technology that is cleared by the FDA for the ablation and coagulation of soft vaginal tissue. The result is

  • Increase in vaginal moisture
  • Increase in vaginal tightening along with the thickening and elasticity of the vaginal wall
  • an increase in sexual satisfaction and
  • an incredible improvement in stress urinary incontinence

The diva Laser Vaginal treatment allows women to feel more like their younger, vital selves.

Key Facts about diVa

  • The treatment requires 3 twenty minute sessions
  • Minimal pain and discomfort
  • Return to work the next day
  • 90% satisfaction rates

Laser Hair Removal provides a permanent solution to dealing with unwanted hair. The most popular areas to treat includes the legs, back, underarms, and upper lip. The most effective and advanced laser system is the High Speed LightSheer DUET. It is the most advanced and effective laser system available today because:

  • Its larger hand piece allows the procedure the be performed much quicker than other lasers; this means less pain and less time in the office. A typical let can be treated now in less than 30 minutes.
  • The suction-assisted technology pulls the skin into a chilled and better targeted handpiece. This makes the the procedure relatively painless and yet more effective.

As with any hair removal device, multiple treatments are required in order to ablate the hair follicles in their growth cycles.

The clitoroplasty is a cosmetic surgery procedure designed to reduce the length and size of the the skin that covers the clitoris.  In some women, this clitoral hood is too long and results in a the appearance of a penis and may interferes with sexual stimulation. This simple procedure takes less than an hour to perform and is often combined with other vaginal rejuvenation procedures including the labiaplasty procedure.

You are a candidate for a labia reduction surgery if you :

  • Feel self conscious that your clitoral hood skin is too long
  • Have difficulty cleaning and maintaining hygiene because of a long clitoral hood
  • Feel that the clitoral hood interferes with sexual stimulation

The Mons Lift is a cosmetic surgery procedure designed to sculpt and rejuvenation the appearance of mons tissue above the vagina on the pubic bone. The mons can appear to droop after weight loss and age or can appear as a fat bule with weight gain.

A deflated or drooping mons can be treated with a fat transfer and / skin removal with lift; an overly-plump mons can be treated by a very simple liposuction procedure. Both options can be performed in about an hour under oral sedation in the office.

You are a candidate for a mons lift if you :

  • You feel your mons appears deflated or sagging
  • The mons appears as a fat bulge

Most patients can return to work in a week depending on what other procedures are performed

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