Outlining the reasons to go to a board-certified Plastic Surgeon (member of ASPS). Plastic surgery options, both surgical and non-surgical (botox, juvederm, fat injection, etc) for men and women.
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Plastic Surgery for men and women
1. Jennifer Newman Keagle, M.D.
Clinical Assistant Professor, UCLA Division of Plastic Surgery
Good Samaritan Hospital
Los Angeles Center for Women’s Health @ California Hospital
2. Why go to a Board Certified Plastic Surgeon?
What is Plastic Surgery?
Who gets what?
What are my options?
Am I candidate?
I only want a little bit done…
I want the whole enchilada……
Questions?
18. What can be done?
Non-surgical
Fillers (restylane/juvederm)
Neurotoxins (botox/dysport)
“permanent” fillers
Surgical
Face
Body
Breast
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23. • How do they work?
• -block nerve impulses
• -muscles that cause wrinkles are “paralyzed” temporarily
• Is it permanent?
• -No
• How long do they work for?
• -3-4 months
• What is the difference between the two?
• -Apples and oranges
• -different molecule sizes
• Will I get addicted?
• -NO!
24. Am I a candidate?
Forehead Wrinkles
Bunny lines
Glabellar lines
Crows feet
Down turning mouth
“strong” jawline
Do not have Multiple Sclerosis or any other
neuromuscular diseases
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27. What are they “made” of?
-hyaluronic acid
How long do they last?
-9 to 12 months
Will I will look fake/plastic/have that look?
-NO!
What is the difference between the two?
-apples and oranges
-Physician preference
Does it hurt?
Will I need to take the day off of work?
Is there a scar?
What about those other ones I’ve heard of?
28. Am I a candidate?
-nasolabial folds
-deep glabellar lines
-marionette lines
-grooves
29.
30. What???
- fat is taken from your abdomen or thighs
- It can then be injected into areas needing augmentation or fill
Can you do it in the office?
-yes, depending on the area
Does it hurt?
-no
Are there scars?
-small and heal well
Do I need to take off work?
Is it permanent?
31. Am I a candidate?
Do you have areas that need fill/augmentation?
Cheeks
Folds
Lips
Temporal area
Deep wrinkles
“sagging”
Old scars
Do you have spare fat?
35. Rhinoplasty
“nose job”
Lifts tip, reduces hump,
narrows nose, improves
outward appearance
Improves breathing
1-3 hours in the operating
room
General anesthesia (can be
MAC)
Swollen for 1-2 wks
Bruised if osteotomy done
36. Am I a candidate?
You’ve been thinking “it’s time”
You’ve always wanted to get it done
Tip of nose is drooping with time
Previous trauma
Difficulty breathing
“breathe right strips” help a lot with breathing
Can be done in combination with face, etc.
37. Blepharoplasty (eye lift)
-1-2 hour outpatient surgery
-asleep
-upper and/or lower lids
-one week recuperation
(mostly due to bruising)
-excess fat and skin removed
-incisions well hidden
38. Am I a candidate?
Drooping eyelids
People tell me I look tired when I’m not
“I hate the bags and wrinkles under my eyes”
“I have to lift the skin of my upper lid to see
better”
39. Forehead lift
-1-2 hour outpatient procedure
-can be done different ways:
open, endoscopic
-lifts brow
-eliminates glabellar furrow and
forehead wrinkles
-usually done in conjunction
with other procedures
(facelift, blepharoplasty)
40. Am I a candidate?
You pull your brow up to see better
Sick of getting botox in the forehead and glabella
every 3-4 months
Eyelids look even droopier after getting botox in
the forehead
Upper eyelids are still saggy despite getting a
blepharoplasty
41. Facelift
-asleep in the operating room for
4-6 hours
-can be done in combination with
eyes, forehead, nose, fat
injection
-lifts the jaw line, cheeks and neck
-incisions are well-hidden
-can do neck alone
-will want to recover for 1-2 weeks
-skin and soft tissue (SMAS)
tightening and lift
42. Am I a candidate?
You’ve been thinking “it’s time”
Sagging neck
Just want to turn back the clock 10 years
Want the cheekbones you had when you were younger
“I just want a better neck”
43. Others
Ears (augment lobe, reduce or “pin back”)
Chin (genioplasty or liposuction)
Cheek implant/filler
Scar revisions
Lesion/skin cancer removal
Keloid/hypertrophic scars
44. Tummy Tuck (Abdominoplasty)
Asleep in the operating
room for 2-4 hours
Can be done in
combination with breast
lift, face surgery, etc
No exercise/heavy lifting
for 4-6 weeks
Ok to return to work
within a week (depending
on work)
Tightening of muscles and
skin
+/- liposuction
45. Am I a candidate?
Sagging belly
weight loss with residual skin/hanging tissue
Previous pregnancies/children
Clothes don’t fit right
“I hate my pooch”
Lower back pain
Getting hernia fixed
46. Breast lift
Implants alone
Mastopexy (surgical lift)
Lift and implants
Can be done in combination
with other surgeries
Asleep in operating room (1-
3h:depending on procedure)
Approx 1 week off of work
No strenuous exercise/heavy
lifting x 4-6 weeks
Supportive bra x 6 wks
47. Am I a candidate?
Breast ptosis/sagging
Normal mammogram
“I’m going to finally get this done”
49. Am I a candidate?
Work out but can’t get rid of that extra “fat”?
Have extra bulk in your thighs
Want to contour your waist
Hips just “a little too wide”
Have extra fullness in your chin
Getting a breast reduction and want to contour the
outer breast
52. Dr. Jennifer Keagle Plastic Surgery
1245 Wilshire Blvd. Suite 601
Los Angeles Center for Women’s Health
1513 S. Grand Ave. Suite 400
213-250-1300
www.drkeagle.com