ASAPS (American Society of Aesthetic Plastic Surgery) 2016
I was honored to be chosen as a speaker for the full day instructional course on cosmetic breast implant and lifting surgery. It was an international panel composed of eleven world leaders in combination breast lifting and implants. This nearly 11 hour symposium was extremely well attended as it was actually scheduled for the day before the National/International meeting (American Society of Aesthetic Plastic Surgery, ASAPS) officially got underway.
It was especially nice to see how well my talk was received. I had numerous plastic surgeons coming up to me telling me how amazed they were at my outcomes, and wanting more information, even asking if they could fly into town to watch me do surgery! Additionally, the symposium chairperson has told me that the post meeting comments were overwhelming with many plastic surgeons very impressed with my techniques and outcomes. I showed many videos of my surgical techniques and shared 34 cases of before and after which brought down the house.
My combination approach to superior aesthetic outcomes with breast lifting and implants, and revision of previous breast implant surgery resonated with the sophisticated and experienced audience for its artistry and technical merit.
I will continue to bring the same strategy to all future patients here at Spiro Plastic Surgery.
Before we talk treatment, we have to discuss what cellulite exactly is. Cellulite is the visualized interaction of gravity’s influence, affect and consequences on the interactions between skin, underlying connective tissue attachments, and deeper tissues of fat, muscle and fascia.
The fewer (looser) the connective tissue (fibrous) attachments the looser the cellulite. The longer, lower and larger the column of tissue (thighs) the greater the chance for cellulite.
Genetics and age influence greatly the propensity for (or lack thereof) cellulite. Thin skin and fatty tissue show it far worse. Thick skin with little fat and good attachments rarely show cellulite.
The treatments therefore focus on diminishing the variables that can be addressed. Lifting tissues and/or tightening (tummy tuck, body lift, thigh lift, and arm lift) serve to reduce or eliminate cellulite. Reduction of fat volume can aide in reducing cellulite; liposuction and Coolsculpting can both achieve this to varying degrees.
In conclusion, there is no panacea, no magic bullet, no simple solution, but improvements are achievable.
Shaped gel implants have undergone a renaissance in the last year or so. In one of my first blogs I was particularly difficult on them. There were limited options of shapes and sizes. The manufacturer’s have implemented significant advances including many many new shapes and sizes which open up the use of Shaped Gel filled implants to augmentation and reconstruction patients. Lets make it clear, no one style implant fits all patients.
There are a multitude of body shapes, breast shapes, conditions and patient desires. There is no perfect device.
I have been using shaped gel implants more and more for certain characteristics with good results. It is not necessarily based on a patients desire to have a Shaped or “natural result”. Some of the most natural results come from round smooth surface gel implants!
It is a complex decision process that only an experienced Plastic Surgeon has a grasp of. (torso curvature, rib asymmetry, starting breast volume, internal tissue laxity or tightness, nipple to breast fold starting distance, existing asymmetries and goals for outcome just to name a few…).
…So don’t look at the website and try to guess who has what. You (along with other plastic surgeons) will be and have been statistically wrong in your guess nearly 50% of the time!
In the end it takes good listening, thoughtful examination, and planning to limit the innumerable variables the human body presents.
I’m going to preface this by saying that i like Reese Witherspoon. I find her to be a really good actress, a nice person and an attractive woman, but…
…but the Botox she received prior to being on the Red Carpet at the Oscar’s revealed itself (during her animated interviews) to be incomplete and unartistically done. Overdoing one area ( in this case, central glabella for the eleven’s) and forgetting about the other animating parts of the forehead (crow’s feet and transverse lines) lead to glaring oddities during facial expression. Reese was shown to have a flat, almost hollow, area between her eyebrows with an oddly curving cascading series of lines around it.
I painstakingly think Botox patterns out in the faces I inject. My “TV Personalities” generally want to leave some areas of the face to show animation but this Botox example sadly failed to do in in a discrete blended manner.
I felt bad for Reese Witherspoon. She likely told her injector to leave her with the ability to be expressive. ( I don’t like the stark immobile look either).
I wanted to turn away but found that I couldn’t. Instead I was drawn to the bizarre pattern of facial animation. Poor Reese.
A message to everyone then …
Make sure there is thoughtful decision making by your injector! And if something goes awry with Botox, you can often re-manipulate it 7-10 Days later with added small injections. The goal should be to look rested and youthful…and normal, above all!