Sun Protection Isn’t Seasonal

Sun Protection Isn’t Seasonal

It wasn’t all that long ago that tanning was thought to be safe, and having a tan was described as having a ‘healthy glow.’  Nowadays, we know how dangerous tanning is (yes, even in tanning beds!), and for the most part, American’s have swapped their bottles of tanning oil for SPF 15.  But did you know that the harmful UV rays that make tanning so dangerous are present year-round- even on the coldest or cloudiest of days? In fact, it only takes about 15 minutes of sun exposure to get a sunburn. That’s about how long it takes to take your dog for a walk, and eleven minutes less than the average American’s commute to work! Don’t think because you’re in your car you’re, safe, either- you can easily get a sunburn driving, even with the windows up!

 

What makes sun exposure so dangerous is the ultraviolet light the sun emits. This radiation has gotten worse in recent years due to the weakening of the ozone layer, which acts as a filter between the sun and these ultraviolet rays. Unfortunately, as the ozone layer depletes, more ultraviolet light gets through, increasing the harmful effects of the sun on our skin. This light damages the fibers of our skin, which are known as ‘elastin.’ Elastin is what makes our skin ‘bounce back’ when we pinch or pull it. When we lose elastin, our skin begins to lose its elasticity, causing it stretch and sag. It can also cause the skin to bruise and tear more easily, making it take longer to heal cuts and scrapes. What’s more, exposure to these dangerous ultraviolet rays can also cause everything from sun spots, to premature wrinkles, to melanoma - the most fatal form of skin cancer.

You’ve probably heard about melanoma in the news a lot in recent years because cases of melanoma are on the incline- and though melanoma only accounts for less than 1% of all skin cancers, it is responsible for 75% of all skin cancer deaths. In fact, one person dies from Melanoma every 52 minutes in the United States - that’s about 28 people a day! Melanoma is difficult to keep under control, left untreated, it can spread throughout the body to other organs, which is why early detection is key. For those who are fortunate enough to survive melanoma, most are left with considerable scarring, because most of the time melanoma must be physically removed from the body by cutting the melanoma out of the skin, along with some of the surrounding, healthy skin and tissue.

So, what can you do to protect your skin from the sun? First of all, protect yourself in the sun, year-round. Don’t think that just because it’s winter, you can’t get a sunburn or that because it’s cold outside the sun’s UV rays aren’t dangerous.  For those who participate in winter sports like skiing, snowboarding or snowshoeing, be especially wary of the sun’s rays, as they are often actually more dangerous during the winter thanks to the light reflecting off the snow. This is because snow can reflect almost 90% of UV radiation, increasing the risk of burning on areas like your chin and nose. Also, if you’re at a higher elevation, like the top of a mountain, the air is thinner, which means you are exposed to more radiation than you might be at a lower elevation. Even just a quick trip to work, the grocery store, or to run to your mailbox exposes your skin to UV radiation- which is why we recommend you use a broad-spectrum sunscreen or sunblock, such as Zo Skin Health's Oclipse C Broad Spectrum Sunscreen SPF50 year round.  The abbreviation SPF means "sun protection factor"- or more specifically, protection from the specific UVB rays that cause your skin to sunburn. The numbers associated with different SPF’s describe how many times more protected your skin is than if you are wearing no sun protection at all. So, for example, when you apply an SPF 15 sunblock, your skin is 15 times more protected than it would be with no sunscreen and will take 15 times longer to burn. So if it normally takes you 15 minutes of sun exposure before you burn, an SPF 15 will provide you 225 minutes of protection before needing to be reapplied (and yes, you do need to reapply! Another big difference between sunscreens are the differences in normal vs. broad spectrum sunscreens. Broad spectrum means that your sunscreen protects you from both UVA and UVB rays.  Most sunscreens only protect against UVB rays, which are the ones that cause sunburn, but UVA rays penetrate deeper into the skin, damaging tissue and eventually causing wrinkles.

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Coping with Post-Cosmetic Surgery Depression

Coping with Post-Cosmetic Surgery Depression

For many patients, cosmetic surgery is something they’ve looked forward to for years. Whether they’re removing a much-despised bump in the nose, want larger breasts, or are ready for a full facelift, cosmetic procedures offer patients hope that they can finally look on the outside the way they feel on the inside. But many patients are surprised when, following their procedure, they are left feeling hopeless and depressed. Post-surgical depression is real, and it happens more often than you might think. Learn the triggers of this type of depression, the warning signs to look for following your procedure, and what to do if you think you are experiencing post-surgical depression.

 

While nobody knows exactly what causes post-surgical depression, there are many triggers. Anything from anesthesia to unrealistic expectations to isolation or lack of support network can all be huge contributors to a patient feeling depressed following what should be a time of renewed hope. Worse yet, many people are ashamed to come forward and discuss their feelings because of the stigma associated with depression- and the shame they feel for experiencing depression following an elective surgery.

Before we get into what to look for, though, there are some depression risk indicators patients should be aware of prior to their surgery. If you fall into any of these categories, be honest with yourself and with your surgeon. Often, discussing these risks ahead of time can help alleviate them- or at least allow you and your doctor to form a plan in case you do begin to experience signs of depression following your surgery.

-If you have unrealistic expectations for your surgical results, you may be headed for disappointment if the procedure doesn’t live up to your expectations. Your surgeon will do his or her best to explain the possible side effects and give you a realistic idea of what to expect - but it is understandably difficult for patients to imagine what they’ll see in the mirror following their surgery. Another issue some patients have following surgery is that the healing process can often take much longer than expected. Depending on the procedure, you may not be able to see your final results for a year or longer. This is especially true with rhinoplasties because the swelling of the nose takes a very long time to go down. Even then it is a gradual process, so patients may not realize it has reduced in size for months- or that it still needs, even more, time to progess.

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Younger Patients Seeking Cosmetic Procedures

Younger Patients Seeking Cosmetic Procedures

Recent data from two unrelated studies have revealed that the age of patients receiving cosmetic procedures is decreasing as the popularity of these procedures is increasing. Available for cosmetic use since 2002, Botox injections have long been marketed to women between the ages of 45 to 54. Not surprisingly, that marketing is working, with a full 60% of patients fall into the 45-54 age group. However, surprising new data has revealed that the facial plastic surgery category is undergoing a bit of a facelift of its own, as more women in their 40’s have begun to abandon the old standbys of Botox and fillers in favor of surgical procedures like facelifts. Even more surprising? Fillers and Botox sales aren’t suffering any losses due to this exodus because a new crop of women in their 20’s and 30’s are turning to injectables to stave off the aging process.

 

A recent 10-year study entitled "Nonsurgical Facial Rejuvenation Procedures in Patients Under 50 Prior to Undergoing Facelift: Habits, Costs, and Results," found that despite the widespread availability of fillers and Botox, patients are opting to have full facelifts at younger ages than ever before. One plastic surgeon who isn’t surprised by these findings is Dr. Ryan Mitchell of Henderson, NV. "Many of the patients in this particular study were already using Botox and fillers for years prior to their surgical procedures. What happened in many cases is that these patients were seeking greater results than they were getting with injectables alone." Explains Mitchell, "So, whereas an injectable filler might knock a few years off your appearance, a facelift can easily take off a decade or more."

So, why go through the expense and hassle of injectables in the first place? Mitchell believes there are several factors at play here. "First and foremost," he says, "many of these patients probably didn’t feel they needed a face lift when they began using injectables. Beyond that, a lot happened to normalize plastic surgery in the past few decades. The prices on some of these procedures have dropped, more surgical options have become available, more women are earning and controlling their own finances, plastic surgery has become more acceptable in society- it could be any one or all of these variables."

So what was stopping patients from just skipping ahead straight to the facelift? Well, for starters, they probably never felt as though they needed it. Botox, for example, has been long touted as a preventative measure for aging. While it won’t prevent wrinkles entirely, it can slow their arrival, and reduce their severity when they finally do appear. In fact, studies done on twins where one sibling used Botox and the other did not show dramatic differences between the treated and untreated twin- even after the effects of Botox had completely worn off. The treated twin still showed some signs of aging, but those wrinkles appeared softer and shallower than those on the untreated twin.

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Are The Newest Breast Implants Worth the Expense?

Are The Newest Breast Implants Worth the Expense?

Breast implant surgery is the number one plastic surgery procedure in the US year after year. But while this procedure is popular with patients from all walks of life, one size fits all definitely does not apply. Today, there are more implant options than ever before- but more options aren’t always better. We spoke to plastic surgeon Dr. Ryan Mitchell of Henderson, NV about the differences in breast implants- and how those differences really affect your results.

 

It used to be that if you wanted breast implants, you’d go to a plastic surgeon and your biggest choice would literally be what cup size you wanted to be. Silicone implants were the first kind of implants to be developed in 1961. They debuted on the consumer market in 1963. For a year, they were the only game in town, until saline implants were introduced to consumers in 1964. Since then, not much has changed in the world of implants- until recently, that is. Today, there are more options than ever when it comes to choosing your breast implant style, but not all implants are created equal, says Mitchell.

One such implant innovation is the addition of so-called ‘natural-shaped’ implants, which are teardrop shaped, unlike the traditional round implants that have been used for decades. These naturally shaped implants are touted as being noticeably different from the round implants, however, according to a recent study by the IMED Hospital Department of Plastic Surgery, in Valencia, Spain, even plastic surgeons and nurses cannot tell the difference once the surgery is complete. In the study, doctors and surgical nurses were asked to view before and after photos of patients with round implants, and those with teardrop-shaped implants. Surgeons did slightly better- guessing correctly about 50% of the time. However, the doctors’ correct guesses were based more on what kind of implant would have been recommended based on the client’s ‘before’ photos than their actual after photos.

According to Mitchell, this is actually good news for patients, because along with their shape, teardrop implants come at an additional cost. Says Mitchell "The results of the study should be a relief to patients hesitant to spend the extra money to get a more natural shaped implant- because they’ll get the same natural appearance by spending less on round implants."

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Should I Get Plastic Surgery?

If you are considering plastic surgery, you’ve likely got a long list of questions for your surgeon- but there are a few you should be asking yourself, too. If you think you’re ready to take the plunge and get that cosmetic procedure you’ve been dreaming of, Dr. Ryan Mitchell wants to know- have you asked yourself these questions:

Why do you want plastic surgery?

Seems like a pretty obvious question, right? But it’s the first question you should be asking yourself when considering any procedure. You know which procedure you’re considering, but do you know WHY you want it? Do you truly believe your breast size is ‘too small?’ Do you think your confidence would improve if you removed the bump in your nose? Or, is someone else telling you that you’d be more attractive if you’d make these improvements. Your surgical outcome will only be as positive as you make it. If you are being pressured into surgery and it’s not what you actually want, you will most likely not be happy with the results. If you think fixing your problem areas is a magic cure for your problems, you are setting yourself up for unrealistic results- and potentially a big letdown. Ultimately, knowing why you want surgery is just as important as knowing where you want surgery- and genuinely wanting it for the right reasons makes all the difference.

 

Can you afford plastic surgery?

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More Americans Getting Belly Button Surgery

More Americans Getting Belly Button Surgery

Posted by kiki on Friday, 23 December 2016 in Upper Face

If you’re one of the 4% of people with an "outie" belly button, you’re a rarity. But if that distinction isn’t exactly something you’re proud of, there’s help! Did you know there’s a plastic surgery procedure called an "umbilicoplasty" that can actually transform your outie to an "innie?" Dr. Ryan Mitchell discusses the ‘in’s and out’s’ of correcting your belly button.

Though genetics can play a role in whether you have an innie or outie belly button, you’re not actually born with your belly button. That’s because it’s created when your umbilical cord detaches and falls off your body- making your belly button essentially a scar. Besides genetics, there are a few other factors that can determine whether a belly button is convex or concave- the after-care of your umbilical cord is one, and the presence of an umbilical hernia is another. In some cases, a person can be born with an innie, and it pops out later due to weight gain or pregnancy. Unfortunately, once your belly button becomes an outie, it won’t ‘go back in’ on its own.

 

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Vaping Could Negatively Affect Plastic Surgery Results

Vaping Could Negatively Affect Plastic Surgery Results

Before you undergo any surgical procedure, your doctor will no doubt give you a list of pre-op instructions that you must follow for a successful surgical outcome. You may be required to do things like fast for 12 hours prior to surgery, stop taking certain medications, and if you’re a smoker, stop smoking cigarettes for at least four weeks prior to your surgical procedure. The reason patients are asked to stop smoking is because the nicotine found in cigarettes has been found to restrict blood flow, endangering the healing process. But while E-cigarettes have been touted as the safer alternative to traditional cigarettes, new research published in the December issue of the American Society of Plastic Surgeons official medical journal, Plastic and Reconstructive Surgery has found that smoking e-cigarettes or ‘vaping’ may have the same negative effects on healing as traditional cigarettes. We spoke to Dr. Ryan Mitchell of Henderson, NV about these new guidelines.

 

So, why do surgeons recommend temporarily quitting smoking for four weeks prior to surgery? According to Mitchell, it's due to a very specific problem known as a ‘skin flap’ complication. "A skin flap complication occurs when the nicotine in your bloodstream constricts the blood vessels that are needed to keep your ‘lifted’ skin alive during the healing process. This constriction causes a reduction in blood flow that is known as vasoconstriction," explains Mitchell. Vasoconstriction can not only slow the healing process, but it can also kill the skin, which could turn it black and cause it to fall off, leaving behind significant permanent scars.

But while the dangers of vasoconstriction have been widely known by plastic surgeons for many years, these recent revelations about e-cigarettes may come as a surprise to smokers who consider vaping the safer alternative to smoking. Though vaping doesn’t cause the same damage to lungs as the smoke in traditional cigarettes, their danger lies in fluid ‘vaporized’ in the e-cigarette itself, which contains nicotine. It is because of their nicotine content that plastic surgeons are now recommending those patients who vape follow the same pre-op cessation guidelines as smokers of traditional cigarettes. This comes on the heels of another study by the University of Rochester Medical Center which found that the nicotine in e-cigarette fluid was just as bad for the teeth and cells of the mouth as smoking traditional cigarettes.

As for the recommendation to simply stop smoking for a month, Mitchell understands what a tall order this is. He recommends patients begin reducing their reliance on nicotine products as soon as they think they want a plastic surgery procedure. Says Mitchell "You shouldn’t be smoking in any case, but if you really don’t want to quit for good, at least try to reduce your dependence as soon as you can so you don’t have to deal with the stress of quitting cold turkey." As for patients who think they can get through those four long weeks with nicotine patches or gum, Mitchell says 'think again.' "Because the problem is with the nicotine itself, nicotine patches or gum can cause the same vasoconstriction as smoking or vaping." However, says Mitchell, "One of the benefits of quitting for four weeks is that some patients can quit smoking completely in that time - and never go back following their procedure. The benefits to this are myriad- because not only are you improving your overall health, you’re reducing your risks of premature aging caused by smoking, making your plastic surgery results look better, longer."

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Beyond the Bulge

Beyond the Bulge

The tummy tuck is one of the most popular cosmetic procedures performed in the United States each year. For most tummy tuck patients, the decision to go under the knife is usually motivated by the desire to improve their appearance. While the aesthetic benefits of the procedure, like improved appearance and reduction in the waistline, are already pretty well known, having a tummy tuck can also provide significant medical benefits, too. These medical benefits often aren't mentioned, but there’s no reason why you can’t kill two birds with one stone, right? Tummy tucks are a very popular procedure performed by Dr. Mitchell each year.

 

One major, but often overlooked, medical benefit to a tummy tuck is the reduction of stress urinary incontinence, also known as SUI. Stress urinary incontinence can occur as a result of pregnancy and vaginal delivery. Both of these things put a significant amount of pressure on the bladder. As a result, leakage can occur when you sneeze, cough, or laugh. Some patients even report leakage when exercising or running. During the tummy tuck procedure, doctors can make a slight obstruction of the bladder using your soft tissue, and this helps to relieve incontinence.

Hernia correction is another under-reported medical benefit of tummy tucks. Ventral hernias, in which the intestines break through the abdominal wall, occur as a result of weak abdominal muscles or because of abdominal surgeries, like C-sections. Hernia repair is often done in conjunction with a tummy tuck to reduce the patient's need for another separate surgery.

Your posture can also be improved as a result of the surgery. Weak abdominal muscles cause posture problems. The most common of these conditions is known as swayback. Lower back problems also result from a weak core. When abdominal muscles are tightened as part of the procedure, they can better support the body and the spine. Patients notice new, improved posture and may experience a reduction in back pain.

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Millennials are showing off Their Plastic Surgery Procedures on Social Media

Millennials are showing off Their Plastic Surgery Procedures on Social Media

Posted by Ryan on Friday, 18 November 2016 in Upper Face

With the rise of social media networks like Instagram and Snapchat, more and more millennials are sharing intimate details of their lives through photography on social media. Surprisingly, some of those details include their plastic surgery. We spoke to Dr. Ryan Mitchell a plastic surgeon from Henderson, NV about this rising trend- and what it might mean for plastic surgery’s image.

With popular plastic surgery themed TV shows like "Botched" and popular celebrities posting photos of their enhanced faces and bodies to millions of followers, it was only a matter of time before non-celebrities started following suit. Posting before and after shots of themselves, sharing waiting or exam room ‘selfies,' and even ‘during’ shots for some minimally invasive procedures. Plastic surgeons like Mitchell believe that these social media posts are actually helping to normalize plastic surgery- a topic that used to be taboo in years past.

 

"If you think about ten or fifteen years ago, nobody admitted to having plastic surgery, or even fillers. You’d see an interview with a popular celebrity who looked very different, and it went from ‘I’d never’ to ‘I don’t know what the future holds’ to celebrities like Kylie Jenner admitting to having her lips filled. And lip filler sales increasing by 27% last year alone," Says Dr. Mitchell. "Fittingly, they refer to this as the ‘Kardashian effect."

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3D Models Will Help Patients Envision Changes

3D Models Will Help Patients Envision Changes

Posted by Ryan on Friday, 18 November 2016 in Upper Face

One of the things patients considering plastic surgery are most nervous about besides the surgery itself is the results they’ll achieve from their surgery. If you’re used to looking in the mirror and seeing the same person every day, it’s difficult to envision yourself looking different than what you’ve seen your entire life. But while computer programs have been designed to give patients a preview of what they can expect from their surgery, wouldn’t it be nice to not just see the results, but touch them and look at them in three-dimensional form? While in the past it would have been bothtime and cost prohibitive for surgeons to hand create 3D models of each patient’s anticipated results, a new technology called 3D printing is changing that. We spoke to Dr. Ryan Mitchell of Henderson, NV about what the future of plastic surgery will look like.

 

You may have heard about three-dimensional (3D) printing in the news a lot over the past few years. 3D printing (also referred to as additive manufacturing, or AM) is the process of using thin layers of plastics to create a three-dimensional, physical object from a 3D digital model. 3D printing has been used to make everything from toys to medical devices to weapons and architectural prototypes- and with the price of 3D printers rapidly decreasing, more and more consumers are using them for a variety of creative endeavors, too. With all these innovative uses for these devices, it was only a matter of time before 3D printing made it to the plastic surgery space.

Currently being tested in only one or two practices around the world, 3D printed models have already helped plastic surgeons show patients what they can expect from their surgery. Mitchell thinks using 3D printing technology in plastic surgery is an inevitable step. "3D printing will enable the patient to better understand their options. Sometimes it’s hard for patients to see slight variations in results when presented with 2D images on a computer screen. 3D printing will allow the surgeon to print several models at once so the patient can do a side by side comparison and really see and feel the differences between each option, and choose which one they like best." According to Mitchell, once a model is selected, the surgeon can then bring that model with them to the operating room and use it as a three-dimensional guide. "Ultimately," says Mitchell "we want patients to be happy with the results of their surgery. 3D printing will help doctors give patients realistic expectations, so there are no surprises post-surgery, and hopefully, no regrets."

The Eyes Have It Millennials are showing off Their Plastic Surgery ...
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The Eyes Have It

The Eyes Have It

It is a story we hear over and over again among friends. That feature-packed new phone with the improved HD camera sounded great – until you used it to take a "selfie" and realized just how heavy your eyelids have become, or how deep the "crow’s feet" around your eyes have gotten. Just like the HD video camera created a world of new insecurities for TV personalities everywhere, so too will the HD smartphone camera on your new phone.

But don’t fret- it causes wrinkles! Besides, there are some quick, temporary fixes to these insecurities- as well as some not as quick but permanent fixes, too. We spoke to plastic surgeon Dr. Ryan Mitchell of Contours & Curves in Henderson, NV about some options.

 

The quickest and easiest way to correct the fine lines around the eyes is the use of products like Botox, which relax the muscles around the eyes- making the lines go away. However, this solution is not permanent, and the injections will need to be repeated every 3-4 months to maintain results. Another injectable that can be used around the eyes is hyaluronic acid, or (HA) that actually ‘fills in’ the lines around the eyes. Hyaluronic Acid is also only temporary and must be repeated every six months or so. It is available under brand names like Belotero and Restylane.

Another option is laser resurfacing, which can be done in many plastic surgeons offices. This procedure generally takes about an hour, and chemically exfoliates the top layers of dead skin off your face, revealing the newer, firmer skin below. You can expect some swelling and down time with peels, but once the swelling goes down, the changes are very noticeable- but also not permanent.

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Excess Skin After Weight Loss

Excess Skin After Weight Loss

Losing weight is supposed to be a time of celebration and relief. The hours you've spent exercising, taking the stairs instead of the elevator, the donuts you avoided in the breakroom, and cutting down those glasses of wine in the evening, it's all hard work! What should be a time to be proud of your hard work can often become filled with frustration and insecurity. Gaining and losing weight are both emotional journeys. Motivation to lose weight may stem from the desire to live a longer and healthier life. But let's face it, we want to look good too! We spoke to Dr. Ryan Mitchell of Henderson, NV about the best ways to embrace your post-weight loss body.

 

What many people don’t realize before embarking on a weight loss journey is that after the weight is gone, there can still be reminders of their old body left behind, in the form of excess skin. Mitchell says "When we gain a lot of weight, our skin must stretch to accommodate the excess body fat. This is why we get those annoying stretch marks. When we lose excess weight, that skin is still there. If it has been stretched enough, it will hang from the body in the areas where the body stored the most excess body fat before your weight loss." Sometimes weight gain and then the loss can be the result of pregnancy. This may cause loose skin in the abdomen area that no amount of situps can help.

So what can be done about this excess skin? Mitchell says there are a few options, depending on how much excess skin you have. "If you lose 20 pounds or less, you can most likely tone up problem areas with simple targeted weight training exercises." This may not completely tighten excess skin, but it could reduce the appearance of loose skin. Tightening up any remaining loose skin and cellulite with laser skin tightening is another option. Laser skin tightening works by heating the skin tissue. This tells the body to make new collagen, which reforms firmer and tighter. But while this minimally invasive procedure is very helpful with small amounts of excess skin, it won’t do very much for excess skin due to major weight loss.

For those more dramatic losses, especially following a weight loss surgery, Mitchell says non-invasive procedures may not be enough. "For a weight loss of over 30 pounds, it may be very difficult to reduce excess skin with exercise or lasers alone- especially in older adults." For individuals in this situation, an option may be body contouring surgery, which will remove the excess skin left behind after weight loss, leaving you with a more toned looking body. Procedures like breast lifts, abdominoplasty, thigh lift, arm lift, and buttock lifts target this excess skin and remove it. Every body is different, and every person has different goals and desired outcomes. A consultation with a plastic surgeon can help you decide what surgeries are best for you and what results you can expect. Mitchell says "Losing weight isn’t easy. You deserve to be proud of your weight loss results." Part of that is going the extra mile to tone up the last areas of excess skin.

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Cosmetic Procedures Increasing in Popularity Among Men

Cosmetic Procedures Increasing in Popularity Among Men

Plastic surgery has long been thought to be ‘a woman thing,’ with most procedures marketed to and geared towards women. Men, on the other hand, have always been encouraged to ‘grow old gracefully’ and accept the way they look. Adjectives like ‘ruggedly handsome’ and ‘weathered’ are meant as compliments- but more men than ever before aren’t feeling so flattered, and are kicking those dated ideals to the curb.

 

Plastic Surgeon Dr. Ryan Mitchell of Henderson, NV has noticed a marked increase in male patients in his practice, too. Says Mitchell "We are definitely seeing a lot more men looking for not just fillers, but for surgical procedures like liposuction, rhinoplasties, and even breast reductions." Mitchell’s practice isn’t alone, either - according to the American Society of Plastic Surgeons, since 1997, plastic surgery among men has increased by 325%. In 2015, men accounted for 40% of all breast augmentation surgeries, a 35% increase since 2000.

As for his theories about why so many of his new patients are men, Mitchell has a few: "We are becoming a selfie- obsessed culture, and men are feeling the effects of it, too." Continues Mitchell, "You almost have to be camera-ready at all times, because you never know whose social media account you’re going to be tagged on, or who will see your picture." Coupling that with the premium on looking young in the dating community, and increasingly, in the business world, it was only a matter of time before men jumped on the plastic surgery bandwagon.

Ultimately, Mitchell sees the uptick in male patients as a positive thing. Says Mitchell "Men deserve to feel confident about their appearance, too. They shouldn’t have to embrace or accept things they don’t like about themselves any more than women should."

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Cosmetic Procedures Growing among Empty Nesters

Cosmetic Procedures Growing among Empty Nesters

Latest Version

This fall, when an estimated 2 million new freshman enters college for the first time, they are creating a new wave of ‘empty nesters,’ aka, parents whose children have finally moved out of the home. Many of these empty nesters have dedicated much of the past 18 years to taking care of their children- very often at the expense of taking care of themselves. It is common knowledge in the parenting communities that self-neglect is a widespread issue. Between their careers, shuffling children to extracurricular activities, helping with homework, and keeping together a home, most parents only want to sleep in their "free" time. It's no surprise that self-care and pampering fall to the bottom of the priority list. While some of these newly child-free parents have embraced this newfound freedom by picking up hobbies or remodeling their child’s vacant bedroom, more and more parents are taking on a different kind of remodeling project- themselves.

 

Dr. Ryan Mitchell of Henderson, NV is a plastic surgeon who sees a lot of empty nester patients at his practice. He says a lot of these parents finally have free time to go to the gym, vacation, and even date- and they want to look and feel better about themselves. "Raising kids is hard work," says Mitchell. "These parents have paid their dues and want to enjoy their successes. It’s a little bit like retiring from a job, except instead of retiring from a career, you’re retiring from raising your children."

Mitchell says the most popular treatments among empty nesters are ranging anywhere from minimally invasive treatments like fillers (Botox, Juvederm, etc.) to breast lifts, abdominoplasties, and eyelid rejuvenation. The timing makes sense, too. While treatments like fillers have very short recovery times, procedures like breast augmentation and abdominoplasty have a much longer healing process- and many parents would feel guilty needing to recuperate that long with their child still at home. Others parents simply may not want their kids to know they’re having work done, and time their procedures, so their children never realize anything happened. "Maybe you go home for Thanksgiving, and your mom looks subtly younger, but you think she’s just getting more sleep," Mitchell explains. "Sometimes it’s just easier not having to justify a personal decision to a teenager."

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Why Rhinoplasty?

Why Rhinoplasty?

Posted by Ryan on Monday, 18 January 2016 in Upper Face

In American English, we have so many expressions that use the human nose as their object.  Follow your nose.  That girl is nothing but a nosy gossip queen.  He cut off his nose to spite his face.  I nosed my car out into the intersection.  She won the race by a nose.  Can’t see past the end of your nose.  It’s no wonder that so many people look in the mirror with concern for the appearance of their noses.  Dr. Ryan Mitchell at Contours and Curves can help.

Rhinoplasty is typically a simple 1-2 hour outpatient procedure performed under general anesthesia.  It can be performed to make alterations to the size and shape of one’s note, smooth out bumps in the bone and cartilage that form the bridge of the nose and septum.  It can also correct cosmetic and structural defects from birth, injury and age.

 Depending on the type of cosmetic defect a patient wishes to address, the surgery may be an open or closed surgical technique.  Both techniques have been practiced and evolving since as early as 500 B.C. in both Western and Asian Medicine, and thus, are well studied and considered safe.

In addition to the cosmetic benefits, some patients experience improved nasal breathing, correction of a deviated septum or blocked airway.  Correction of a deviated septum could alleviate problems with sleep apnea.  On occasion, Dr. Mitchell may partner with a patient’s ENT surgeon to ensure cosmetic appearances are preserved while tackling more extensive functional problems involving the nose and sinuses.

Outpatient Options for Facelifts Cosmetic Procedures Growing among Empty Nesters
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Outpatient Options for Facelifts

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Eyelid surgery is often the first cosmetic surgery people choose.

Eyelid surgery is often the first cosmetic surgery people choose.

Posted by Ryan on Wednesday, 02 December 2015 in Upper Face

Eyelid surgery is among the hallmarks of my practice.   My patients can rest assured that they are in experienced hands and that their results will reflect that benefit.  Since an eyelid lift usually is one of the first cosmetic surgery procedures a person will choose, I think it’s important for the patient to know their surgeon is very experienced in doing the procedure.

The eyes are one of the first places that signs of aging can crop up.   The skin in thin in that area and is prone to losing elasticity or collagen.  This brings out lines as the skin folds.  Since the eyes are such a prominent feature, any signs of aging there are noticeable.  That youthful person in the mirror you have seen all your life begins to look slightly older.  Many people, particularly women, want to act when they see those visible signs of aging.

This is why Botox™ Cosmetic is such a common first foray into the world of cosmetic enhancement.  That injectable eliminates smile lines around the eyes.  An eyelid lift takes away the puffy tissue, sagging skin and bags or circles around the eye.  On a much more effective scale, an eyelid lift restores a youthful look to the upper face and eyes.

In an upper eyelid lift procedure, the proper amounts of skin, muscle and fat are removed to display a firm, more youthful appearance.   In a lower eyelid lift, lower eyelid bad and puffiness are reduced and some skin is removed to create the desired effect.  These procedures are surgery so there are scars.  But those scars are hidden in the naturally occurring creases of the eyelid, so they are virtually invisible.

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Fat Transfer Adds Youthful Volume

Fat Transfer Adds Youthful Volume

Posted by Ryan on Wednesday, 04 November 2015 in Mid Face

Fat transfer is growing in popularity as a way of adding youthful volume to the face.  Typically performed on the mid-face, cheeks or around the nose and mouth where lines commonly occur, fat transfers can now be included as an added feature that lengthens the results.  Autologous fat stem cell transfer is the answer to longer lasting results for fat transfer patients.

Typically in a fat transfer procedure, as much as 40% of the fat cells transferred do not survive.  The transferred cells die and are reabsorbed safely by the body.  Adult stem cells added to the fat transfer drastically improve the survival rate of transferred fat cells. The stem cells build new pathways for blood to reach the transferred fat, increasing its chance of survival.  In addition, the adult stem cells turn into fat cells further adding to the volumizing effect of the transfer.

Adult stem cells are found in high concentration in fat, particularly abdominal fat.  In a fat transfer procedure, adding adult stem cells to the transferred fat can mean receiving the desired result after only one treatment.  As we have seen better results from autologous fat transfer, processes have improved to maximize the addition of adult stem cells.  In a leading edge procedure, fat is removed from the patient and sent to an outside processing facility.   Once there, a process to isolate and remove the maximum amount of adult stem cells is performed.  Those adult stem cells then are added back to the patient’s fat to enrich the transfer.  This more viable fat transfer is more effective in becoming a permanent result.

If you have questions about reducing wrinkles with fat transfer or about how autologous fat transfer works, please contact us today at 702-430-1198. 

Modern Options for Breast Augmentation Eyelid surgery is often the first cosmetic surgery...
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Modern Options for Breast Augmentation

Many women who are considering breast augmentation surgery do a great deal of research online regarding the types of implants.  All FDA-approved breast implants have pros and cons and each has specific benefits that might appeal to a patient with certain needs or anatomy.  In a consultation, Dr. Mitchell talks through the best options for each patient based on their individual desires.

Common types of breast implants include Saline, Silicone and Form-Stable implants.  Saline implants are FDA-approved for women aged 18 or older.  These implants are filled with salt water.  The water is sterile, as is the implant when it is placed.  A benefit of a saline implant is that, should the implant leak or break, the woman’s body safely absorbs the saline used in the implant.  

Silicone implants feel more natural, like a woman’s breast tissue.  These implants are filled with a silicone gel.  Silicone breast implants are approved by the FDA for use in breast augmentation surgery for woman aged 22 and older.  If a silicone breast implant leaks, the implant will not collapse.  Women who choose silicone breast implants may need to visit their surgeon on a scheduled basis to assure the implants are performing properly.

A Form-Stable implant is popularly referred to as a Gummy Bear implant.  These are silicone implants but the silicone used is of a thicker consistency than standard silicone implants.  A form-stable implant also maintains its shape even if the outer implant shell is broken.  In order to place the form-stable implant, a longer incision is required due to its shape.

While every type of breast implant has its own benefits, the best way to determine what is best for you is in a consult with Dr. Mitchell.  In this consult, you can touch and feel the different options for implants.  You will also be able to wear a sizing bra that allows you to place the implant to see what the results can be like.   This is the best environment to make the decision on which breast implant is right for you.

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Approaching a Breast Augmentation Consultation

You can get a lot of advice out there about breast augmentation. Whether it comes from the Internet or from a friend, there are lots of sources of information but only one kind of information is really useful: the specific information about YOU and your case that comes from your doctor.

Dr. Mitchell is a trained cosmetic surgeon, having performed hundreds of breast augmentations over many years.  In a consultation, he listens to your desires, needs and opinions.  You may have gathered all kinds of information, both realistic and unrealistic, both facts and anecdotal data.  But in your consult, the conversation is entirely about what is possible for you.

Common areas women research include cup size, implant type and incision.  However, once in the consult room, it is best to listen when the doctor tells you what will work best for your overall condition and needs. A qualified doctor will inform you of the options available according to your anatomy, medical history and desired result.  It’s a unique experience for every woman.  Not only does this assure the safest, best results, but it is a great reminder that breast augmentation, while often an entirely cosmetic procedure, is a medical procedure and that you should be considering the standard of care you receive from the doctor and his staff.

You will receive excellent care in all the stages of your breast augmentation procedure when you choose Dr. Mitchell for cosmetic surgery.   Why not schedule an appointment for a consultation today to see for yourself? You can reach by calling 702-430-1198. 

Body Contouring Resolves Stubborn Fat Pockets Modern Options for Breast Augmentation
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