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Botox Benefits Headache Suffers

April 5th, 2013



Botox has been shown to help chronic migraine headache suffers

A recent study published in the April issue of the Journal of the American Medical Association reveals that people suffering from migraine headaches may receive benefit to receiving botulinum toxin A injections, or it's branded name, Botox Cosmetic.

The FDA has approved Botox for the preventive treatment for chronic migraine suffers.

The researchers indicated:

Tension-type migraine headaches are common in a large portion of the population. Roughly forty-two percent of adults experience tension-type migraine headaches during their lifetime, unfortunately, most people do not seek medical help, but choose to self medicate with over the counter medicines.

Worldwide, migraine headaches account for between 8 to 19% of all headache related suffering, which are accounted for a greater disability of those that suffer from them. National statistics indicate that migraine headaches are responsible for over one billion dollars in medical costs and sixteen billion in lost productivity per year, just in the United States alone.

If you suffer from migraine headaches and would like to know more about how Botox Cosmetic can help you, contact Dr. Gottlieb today for your Complimentary Consultation.

Decade Long Facelifts Outcomes Beneficial

March 13th, 2013



Secondary Facelifts Safe After 10 Years

A recent article published in the March issue of Plastic and Reconstructive Surgery has indicated that after a decade of post-surgically receiving a facelift, it's safe to have it done again to achieve similarly lasting results with little chance for complications.

The report cites, Dr. Rob Rohrich of the University of Southwestern Medical Center in Dallas, TX. He states,

"Secondary rhytidectomy is a safe and effective procedure for continued surgical facial rejuvenation in the aging patient."

For the last 20 years, Dr. Rohrich had performed more than 800 surgical facelifts procedures. His findings showed that the average patient was in their early 50's. The longevity of their facelifts lasted about 10 years before the effects of aging took over.

Many previous face-lift patients worry that having a second facelift will alter their look to the point of being fake or over stretched. When considering a second facelift it's important to talk with your plastic surgeon about realistic expectations and surgical outcomes.

Incision Decision for Breast Augmentation

December 31st, 2012



Incision Choices for Breast Augmenation

American car manufacture, Henry Ford once said, "You can have your car in any color just as long as it's in black." That reasoning, of limiting consumer choices, may have made business sense for the car manufacture at the time, however, it carried forward for many years in much of the way people think about choices in their buying experience. This even was true in how someone chose medical procedures — their options were limited.

The good news is that today, people have a greater expectation of their options. Breast augmentation is no different. Hundreds of thousands of breast augmentation procedures are performed annually in North America alone. Along with that there are a number of women who prefer silicone to saline and vise versa. Both implant types have their pros and cons, however, for the sake of this topic alone we're discussing only the choices of breast augmentation incision which include:

  • Periareolar
  • Inframammary
  • Transaxillary
  • Transumbilical

Each incision procedure differs from each other but provides a varied degree of uniqueness that may suit patients differently.

The periareolar incision is also known as nipple incision. This is where the incision is placed around the edges of the areolar — usually on the lower half of the nipple. The benefits to this type of incision is that is heals quite nicely with limit scar reveal. Implant choice may prevent this type of incision or implant placement. This will need to be discussed with your plastic surgeon.

Drawbacks to this type of surgery is that it may damage some of the milk ducts and nerves to the nipple, which can hinder a woman's ability to breastfeed down the road, and reduce nipple sensitivity. One other issue that can arise is the possibility of bacterial infection and then capsular contraction. If the implant comes in touch with the milk ducts while it's being inserted into the breast pocket this can cause a bio-film to form on the implant, resulting in a capsular contracture somewhere down the road. A recent technique to limit this issues is to use a breast implant sleeve for the placement of the implant, through the incision, without the implant coming in contact with the milk ducts. It is being used by many plastic surgeons today. Find out more about breast implant sleeves.

The inframammary incision is used under the breast fold. This type of incision is usually called the crease incision. The benefit to this type of incision is the surgeon has greater control over the exact placement of the implant and it typically does not disrupt the breast tissue which means women generally don't have breast feeding issues or nipple desensitization.

Risks to this type of incision is, that if the surgeon violates the connective tissue of the chest wall to the breast fold, there is a possibility that the breast implant can migrate sound between the fold resulting in the need for corrective surgery.

The transaxillary incision is made under the armpit. Sometimes an endoscope is used to help position the implant with this type of incision. This type of incision is generally done when the surgeon uses a feel approach, since it's difficult to see the implant placement from this type of incision.

For many women, the appeal to this type of incision is that there is no visible scars on the breast themselves, and is easy to hide the implant scars, especially when wearing revealing clothing or a bathing suite. However, there will be visible scars under the armpits which can interfere with hair removal and cause numbness under the armpit as well.

The last option is called transumbilical incision. This type of approach uses the belly button as a natural place of incision for breast augmentation. Using a long cannula device the surgeon moves it up along the chest cavity wall under the breast. Using a back and fourth method they then create a pocket for the breast implant. The surgeon then inserts a deflated saline breast implant into the cannula and moves it up into the breast pocket where it's inflated with sterile saline solution to the proper sizing.

The pros to this type of surgery is that it's easy to hide the scar inside the belly button and patients usually have a quicker recovery time. However, drawbacks include, saline only implants. Silicone implants are pre-filled so it's impossible to place a silicone breast implant into the cannula. Since this is also a blind operating procedure, the surgeon has to be able to do this procedures purely by feel only and without the ability to visually see what's going on under the skin.

Unfortunately, there is not one best incision to choose over the other when it comes to breast augmentation. Each patient is different and requires consideration to the type of implant choice, size, shape of breast and physician's experience. Ultimately, it should be something the patient will be comfortable with.


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