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Archive for November, 2009

Dallas Plastic Surgery Institute

First_DPSI_Overview

Here’s a video that I’m quite proud of including the best plastic surgeons in Dallas. To my view this group has changed and hopefully improved more aspects in my field that any other group in the world. This characteristic of having so many partners that are world leaders with such a pedigree is something that I had to affiliate myself with. It is with great pride that I tell anyone who will listen that I am a partner of this practice. Enjoy the video.

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Buttock Augmentation

Over the past several years, there has been an increased interest in buttock augmentation or gluteal reshaping. Many patients are looking for a more shapely buttock area, not necessarily just a larger buttock size. An effective technique to achieve this result involves performing a fat transfer, which involves harvesting fat from one area of the body and transferring (injecting) it to another area (such as the buttock).

This is accomplished by performing liposuction of the lower back, abdomen, love handles and occasionally the thighs, in order to harvest the fat while improving the contour in those areas simultaneously. This fat, once removed and strained, is then transferred to the buttock area using a syringe and metal cannula. This surgery is done typically under general anesthesia and takes approximately two to three hours. The goal is to reshape the entire gluteal, lower back and abdominal area while at the same time creating a fuller, more aesthetically appealing buttock area.

Most patients will take about one week off of work during the recovery from a buttock augmentation using fat transfer. One of the most important aspects of recovery is to avoid sitting for approximately two weeks. This is important so as to avoid any pressure on the newly transferred fat cells in the buttock area, which could result in their death and shrinkage. Patients can sleep on their stomachs or on their sides during this time period. They can sit only with the assistance or pillows placed under their thighs so there is minimal to no pressure on their buttock area. Most of the fat cells will survive (~80% to quote recent studies) and provide for a long lasting result.

Ideal candidates for buttock augmentation using their own fat are patients who are slightly overweight and therefore have enought fat to be transferred to the desired area (buttock). Patients who are very thin are not good candidates for a fat transfer and may consider silicone buttock implants. However, these implants can shift, develop hard scar tissue and occasionally become infected.

Hope this helps answer some of the questions you may have about buttock (gluteal) augmentation.

Feel free to contact the office for more information regarding buttock augmentation.

Best wishes,
DoctorMeade

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Combination procedures in plastic surgery

Often times, patients will request more than one procedure to be performed during the same surgery. Whether this includes a facial procedure with a breast augmentation, or a tummy tuck and several areas of liposuction, the combination of procedures is not as important as the patient’s overall health and safety.

Firstly, patients should be in good overall health as determined by their primary care physician or internist. This involves a complete history and physical examination with an EKG and additional blood work. Occasionally a patient may even need clearance from a cardiologist. The patient’s age is not as important as their level of health. If there are any health concerns, the patient can be referred to a specialist for further investigation prior to surgery. Remember, cosmetic surgery is elective, so there is no rush to undergo these procedures until you have the proper medical clearance.

Secondly, once your good health has been established, the total length of the surgery must be closely considered. For example, a breast augmentation, which takes about one hour, can safely be combined with a tummy tuck, which takes about two hours. That makes for a total of about three hours, which is reasonable for outpatient plastic surgery. In fact, the American Society of Plastic Surgeons (ASPS) has determined six hours to be a guideline or limit of surgery duration for outpatient plastic surgery. If the combined procedures last longer than six hours, it is recommended the patient stay overnight at a hospital or after-care facility to be observed. If a combination surgery is scheduled to be longer than six hours, the surgeon needs to consider staging the procedures and performing them at separate times to ensure patient safety. The longer a surgery is, the higher the risk of deep vein thrombosis (DVT) or blood clots developing in the lower extremities becomes.

Each patient has their own unique anatomy and their own individual needs. I will be happy to discuss the most realistic and safest approach to your surgery if you are considering a combination of procedures.

Best wishes,
DoctorMeade

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