The DeLuca Plastic Surgery Learning Corner and Blog

The Importance of Skin Care

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The cornerstones of skincare at home are cleansing, detoxification, hydration, Vitamin A, antioxidants, and sunscreen. This approach to anti-aging doesn’t change with quarantine or social isolation. If anything, the stress of these uncertain times will only accelerate the aging process. This post breaks down our secrets for keeping your skin young and healthy-looking – with a focus on the premium skincare line developed by Dr. David Tauber – Ageless Millennial Aesthetics by Estéticoceuticals.

Nights

Skincare begins at night.

The Nights skincare line begins with our Exfoliating Coconut and Vanilla Facial Scrub to instantly rejuvenate your skin with a blend of nourishing vitamins and fruit extracts. After rinsing, apply the Detoxifying Charcoal Mask, removing after 10 minutes to remove toxins and exfoliate the skin.

Following the mask, apply the Moonglow Rentiyl Recovery Serum – an effective but non-irritating Vitamin A derivative that reduces the appearance of fine lines and wrinkles. Finish up by applying the Detox Revitalizing Cream, a deep moisturizing cream with a lavender scent that enhances the skin’s ability to recharge during the nightly repair process.

Days

Daytime skincare helps protect against the damaging rays of the sun and correct fine lines and wrinkles of the eye and lips.

During the day our skin is bombarded by the damaging effects of the sun. Our Days skincare line, in combination with sunscreen, helps protect against the damaging rays of the sun, prevent cellular damage, and rehydrate and restore suppleness to the delicate tissues of the eyelids and lips.

Our Pro-C Illuminating Vitamin C Serum begins by absorbing the damaging free radicals that cause damage to the skin and accelerate aging. Restoring moisture to the face is achieved through a combination of the Matrixyl Rapid Eye Corrector Serum and Revitalisant Hydrating Cream. Our Matrixyl Rapid Eye Corrector Serum fights the appearance of fatigue, aging, and photodamage and leaves skin hydrated and smooth, providing dramatic results. The Revitalisant Hydrating Daily Face Cream instantly hydrates dry skin, and renews tired skin with long-lasting effects, leaving your face feeling smooth and nourished. Finally, our Enhancing Lip Plumper helps support the look of fuller, softer, silkier lips.

These products, by themselves each contribute to a balanced daily skin care regimen – tailored to help your skin survive the stress and anxiety of social distancing. Combined together, these products work in concert to help to improve skin turnover, repair the damaging effects of pollution and sun exposure, smooth the appearance of fine lines and wrinkles, and hydrate the skin.

Get more details on the management of swelling and scars in blog post: Post-Operative Care After Plastic Surgery.


How Young Is Too Young for a Nose Job?

You might be considering rhinoplasty or have a young adult who already thinks they need a nose job. Or you may be someone who has trouble breathing properly due to the structure of your nose. Rhinoplasty procedures can be effective for achieving that certain aesthetic you’re aiming for or solving your breathing issue, but at what age is it appropriate to start seriously considering a nose job? Similarly, is there an age too old for rhinoplasty?No matter how long you’ve been considering having a procedure, it’s good to understand how it’s done and how long the recovery will take.

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The Top Cosmetic Surgeries for Men

Although you often hear about women getting lip fillers, tummy tucks and Botox, they’re not the only ones who are concerned about their appearance. More people than ever are getting cosmetic surgery nowadays. Many of those patients are men.

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Breast Augmentation Basics

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What is a breast augmentation?

In this post, we discuss breast augmentation with saline or silicone implants. – the most popular type of augmentation. Implants allow a predictable breast enhancement in all body types. Breast augmentation is often performed to replace volume lost from weight loss, breastfeeding, or age or to increase the size of the breast for aesthetic reasons.  It is most appropriate for patients with breasts that don’t sag (normal ptosis). In patients with breasts that sag, the need for a lift is determined by your current nipple position and the quality of your tissue.

A breast augmentation can also be performed using fat harvested from other parts of the body using liposuction – Brazilian breast augmentation. The results from a fat augmentation are less predictable, however, and work best for slightly overweight patients looking for a modest augmentation.

If using your own fat to augment your breasts sounds intriguing, check out: Breast Augmentation With Fat.

What types of implants are used in a breast augmentation?

There are two main types of implants – saline and silicone. Both are made with silicone, however, the fill of the implants is different.

Saline implants are filled with saline in the OR. They are less commonly used because the feel of the implants is not as natural as a silicone implant and we have less control with a saline implant over the shape of the breast.

Silicone implants are filled with silicone at the factory and come in several types based on the “thickness” of the gel within the implant. These include 1) a “Classic” style where the upper part of the implant empties out when staining – leaving the upper part of the breast empty, 2) an “Xtra” style where the fill is thicker and gives more perkiness or rounding to the upper part of the breast, and 3) a “Boost” style where the gel is really thick and help produce a very perky, round breast shape (depending on the breast we are starting with). The choice of silicone type is based on the goals of the patient in regards to the upper breast shape.

Where are the implants placed during a breast augmentation?

The implants can be placed over (sub-muscular) or under (sub-glandular) the pectoralis muscle. Advantages to sub-muscular implants include a lower risk of capsular contracture, lower chance of rippling, better coverage in thin women, and perhaps a more natural upper pole contour. Implants placed under the muscle can, however, be influenced by the contraction of the pectoralis muscle – especially in very athletic women.

Implant Position - Above and Below the Muscle
Native Breast, Sub-Glandular Implant, and Sub-Muscular Implant

Implants placed over the muscle, in contrast, are more visible. This results in larger-looking augmentation and a sharper transition between the natural breast and the edges of the implant resulting in a more done look. Additionally, in thin women, the folding of the implant in the sub-glandular pocket can manifest as rippling of the skin.

What kind of incisions can I expect?

There are a variety of implant types, shapes, and styles, and the implants are most often inserted through one of two different small incisions. These include 1) an incision around the lower half of the nipple-areola (peri-areolar), or 2) an incision in the breast crease between the breast and the chest wall (infra-mammary incision). The choice of incision is based on multiple factors including surgeon preference, patient preference, patient anatomy, and/or type of implant.

Breast Implant Incisions: Periareolar and Inframmammary
Breast Augmentation Incisions

What is the recovery like after a breast augmentation?

After surgery, the breasts swell from the trauma of surgery and the tissues become edematous. This combined with the tightness of the skin and the squeeze of the pectorals muscle on the implant can give the implants a high and flat appearance as the round implants are squeezed like a pancake against the chest.

As the swelling subsides and the tissues begin to stretch from the weight of implants, the breasts begin to settle. Over the next few months, the implants settle and the soft tissue and pectoralis muscle relax. The shape changes from high and tight to lower and fuller as the implants round out and more of the implant is in position to provide lower pole projection.

This “drop and fluff” often occurs over the first few months after surgery as the edema finally escapes and the soft tissues relax. This process is often asymmetric as the breasts relax and settle at their own rates. It will take 3 to 6 months to see a final result – although for some patients this process occurs faster.

Get more details on the management of swelling and scars in blog post: Post-Operative Care After Plastic Surgery.

What surgery is right for me?

A detailed examination will help delineate the best surgical treatment. The goal of breast augmentation is to create an aesthetic breast with the size, shape, and projection that is desired by the patient. The decision on the type of surgery and the size, shape, and position of the implants is based on the patient’s anatomy, the type and size of the implant, and the patient’s preferences.

During your consultation, measurements of the breasts are used as a starting point to recommend surgery and in-office sizing, and digital three-dimensional computer simulations are used to help guide your implant choices.


Facelift Surgery

A facelift or rhytidectomy is one of the most popular cosmetic procedures in Albany, New York. This surgical procedure can effectively improve signs of aging around the neck and face by lifting and firming sagging tissue. A facelift can restore a more youthful and natural appearance with scars that are hidden from sight.

What Can a Facelift Address?

Over time, your face can lose its youthful contours due to sun damage, loss of fat, skin thinning, gravity, smoking, and heredity. A rhytidectomy is a popular surgical procedure that can address many signs of aging on the neck and face. Depending on the specific facelift procedure you choose with your surgeon, the procedure can address:

  • Jowls of the cheeks and jaw
  • Fat has fallen lower than it should
  • Deep folds between the corner of the mouth and nose (nasolabial folds)
  • Sagging and relaxation of the face
  • Excess fat and skin of the neck
  • Loss of facial volume
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4 Surgeries With Quick Recoveries

One in five people seek out professional plastic surgery, particularly as they approach middle-age. Modern plastic surgical techniques, attention to detail, and meticulous follow-up allow the surgeons of DeLuca Plastic Surgery to offer patients a quick recovery from surgeries such as liposuction, breast augmentation, mini facelift, and rhinoplasty. A quick recovery with minimal bruising and swelling allows patients to get back to work and play faster.

Picture it. You wake up, head to the operating room, and are pampered by the operating room staff as you drift off to sleep. Only a few hours later you are back at home in your own bed watching Netflix. Minimal discomfort. Excited by the changes that have occurred. Yes. This is the new reality. There are a host of amazing options today. With advanced tools and technologies, a plastic surgeon can help shape the new you without breaking the budget. Consider these four fabulous surgeries to jumpstart the season…

Rhinoplasty

Need a nose adjustment? Rhinoplasty surgery—getting your nose reshaped—could be just what the doctor ordered. Rhinoplasty surgery is tailored to your individual needs – from total nose reshaping to a small hump removal. Post-operative recovery involves soreness and some mild bruising, however, in a week, you can be back in your office, tending to business as usual. And the clincher? A whopping 80-90% of your bruising and swelling with disappear within the first week! Total healing takes longer but, those are changes often only noticed by you (or you close friends). Remarkably, a great majority of patients have relatively mild pain. Exercise can be resumed after 2 weeks.

Read: “Rhinoplasty Basics”

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The Tummy Tuck

Moms, are you happy with your physical body? Do you have countless hours to spend in the gym? Is a personal chef creating a nutrition plan to keep you in tip-top shape as you run around after your little ones, taking them to soccer practice, dance, and Kung Fu?

Chances are, this is not your reality. Let me paint a more realistic picture of you. If you’re like the average mom, you are running the kiddos around and maintaining a house, social schedule, and your own career, perhaps. You vacillate between protein bars, leftover peanut butter sandwiches and Cheez-Its for your noon lunch, as you have no time for anything else, and you have a few pounds to lose. Coffee is your fuel, chocolate is your secret gluttonous snack as you prioritize everyone else first. Does this sound familiar?

Moms, it’s time to get down to the business of taking care of yourselves. Who said that being a mom meant you had to be okay with ten extra pounds and a soft belly? Do you wish you still had the body you had in college?

You can get it back! How about scheduling an abdominoplasty?

What is an abdominoplasty?

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Can Rhinoplasty Benefit Sleep Apnea?

Sleep apnea not only disrupts your sleep patterns, but it can also increase your risk for a number of serious health issues. If you have tried all of the non-surgical fixes to no avail, consider rhinoplasty. Although it is a surgical procedure and presents its own risks, functional rhinoplasty can help control episodes of sleep apnea.

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To Breast Lift or Not to Breast Lift, With or Without Implants?

More women are embracing breast augmentation every year. According to the American Society of Plastic Surgeons, there has been an astonishing 89 percent increase in the number of breast lifts doctors perform annually since 2000. In 2015 alone, 279,143 breast augmentation surgeries were performed in the U.S.

When we talk about breast augmentation, however, it’s important to note that there are different types of procedures. Getting a breast lift is not the same thing as getting breast implants. It is possible to do either or both. Which one is right for you? That depends on your personal preferences and your breast type.

The Difference Between Breast Lifts and Implants

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Correcting Tuberous Breasts with Surgery

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What Are Tuberous Breasts

Tuberous breasts is a condition where the breasts form into a tube-like shape because of constriction at the base of the breasts during development. The breasts also tend to develop farther apart and unevenly than a normal chest. The breasts are often characterized by enlarged areolas and sagging. Although this condition may prevent a woman from breast-feeding, it doesn’t lead to any other pregnancy or fertility related issues.

Women with tuberous breasts may range from type one, which is the mildest to type five, which is the most severe. With type one, only the lower inside of the breast is constricted. In the most severe cases, the entire breast is constricted and can be physically deforming.

Impact of Tuberous Breasts

While having this condition isn’t necessarily a physical concern for health related reasons, it can be psychologically troubling to women who suffer from this condition. Many women tend to be self-conscious about their breasts, and shy away from intimacy, or are embarrassed to get undressed in front of their partner.

There are also other issues to consider for someone with tuberous & tubular breasts. Many women tend to have trouble finding bras or other undergarments that fit properly. Some women have to specially order their bras in order to support their breasts correctly.

Surgical Correction

The correction of tubular breast deformity is to augmentation with a lift surgery. For women who are self-conscious or frustrated about the shape of their breasts, a surgeon can correct the size and fill out the shape. The doctor can also thin the area around the nipple in cases where the areola is large or puffy.

Although the surgery is challenging, the surgeons of Deluca Plastic Surgery have a track record of being able to achieve beautiful results for their patients. It’s important to discuss the surgery and your expectations with your doctor before heading into the operating room, if you are considering this type of surgery. In many cases, surgery can correct this condition restoring the breasts completely.

Recovery

Initial recovery after tuberous breast surgery is about 2 weeks. During this period the implant position is managed and the skin is allowed to begin healing. Patients of Dr. David Tauber at DeLuca Plastic Surgery can often return to work or social engagements in 2-3 weeks. Physical activity and exercise are started at 4 weeks and patients are back to full activity without restrictions at 8 weeks.

Get more details on the management of swelling and scars in blog post: Post-Operative Care After Plastic Surgery.


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