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How Fat Grafting has Revolutionized Facial Aging Treatments?

Fat grafting has revolutionized facial rejuvenation by providing a solution for filling areas of depression and volume loss in the face. Board-certified plastic surgeon, Dr.Tim Marten explains the three broad categories of facial aging and the best treatment approaches for the respective category.

“The first category of facial aging is when the surface of the skin develops age spots, broken blood vessels, and wrinkles. These can be treated with laser surfacing. The second category is when the skin begins to sag, droop and become loose; here our traditional surgical lifts of the forehead, eyes, face and neck are performed,” explains Dr. Marten. “The third category is when the skin shows signs of atrophy which is known as the shrinking and hollowing of the face, so fat grafting is performed for this type of aging.”

A fat grafting procedure transfers fat from areas in which you have excess fat, such as the outer thighs, and injects it into areas that may be lacking in volume, such as your face, hands, breasts or buttocks. “We can now treat this aging change more comprehensively. With fat grafting we can create a softer, more natural healthy looking face as opposed to a lifted tight one,” he notes.

“Historically, patients wanted their fat removed and in some cases plastic surgeons removed too much fat. But we have come to realize that a young face is soft not hard or ill-appearing,” notes Dr. Marten.

Watch this video: https://www.youtube.com/watch?v=PMqjGduHOyU


Angela: Laser Hair Removal Works

Due to her fair complexion, Angela found laser hair removal far more effective at getting rid of her dark hair than shaving or waxing. Shaving left the root of her hair visible on her skin and waxing was both painful and tedious. As more of her friends had success with laser hair removal, Angela thought it might be a good option for her.

The process was quick and was able to be done on her lunch break. For Angela, she did not know what to expect, so her first treatment was the most uncomfortable. Once she adjusted to the process, she found that she was more able to tolerate the discomfort, which felt like a rubber band snapping against your skin. It also became less painful since each treatment reduces the amount of hair in the area. Overall, it was much less painful than the traditional waxing process and the results are permanent.

Angela saw results 10 days after her treatment, with the hair falling right out. Her underarm hair was completely gone after 6 laser hair removal treatments, and she now only needs occasional shaving to keep her underarms completely hair-free. The cost of the laser hair removal was much less than the ongoing costs of continual waxing or shaving. For Angela, the experience and results of her laser hair removal were so positive, she is considering doing other parts of her body as well.

Watch the link:  https://www.youtube.com/watch?v=-PfPOjkyC0k&feature=youtu.be

The Next Trend in Plastic Surgery


There are plenty of unconventional body-modification procedures out there—you really can have your nipples reduced or your cheeks fixed up with dimples. But ever since a study was published in the Aesthetic Surgery Journal last year, one type of surgery seems to be increasing in popularity. And it’s probably not what you’re expecting.

Yep: We’re talking about calf augmentation. “Fat grafting has been used by plastic surgeons for a long time, however it has not been used regularly on the calf,” says study author James Vogel, an associate professor of plastic surgery at Johns Hopkins School of Medicine. “Many people are self-conscious about their lower leg appearance and…my study has helped the procedure become more widely known.”

Here’s the basic rundown of how calf augmentation works: A doctor performs liposuction on an area of the body containing unwanted fat. Then the fat is grafted onto the calves to make them larger. Silicone implants have been the most traditional method of calf augmentation, but as Vogel notes in his article, they also come with the risks of hyperpigmentation, infection, protrusion through the skin, and therapeutic seromas (pockets of fluid). Fat transfers, on the other hand, offer smaller scars, the ability to increase size with future procedures, lack of foreign body rejection, and more precise patient adjustment. “Patients can expect a natural-looking calf that looks more muscular and shapely,” says Vogel. “Just as important, the results improve people’s self-esteem.”



A recent survey of facial cosmetic surgeons found that 64% of reporting surgeons found an increase in the number of injectables in patients younger than 30.  Why?  Social media and reality TV shows are a big reason.  83% of responding facial plastic surgeons said Hollywood celebrities were a big reason behind the surge.

Another driver is the Groupon craze sweeping the nation with all of their “special deals”.  We certainly are dealing with a more informed consumer due to the internet.  The primary focus of potential patients is finding a qualified practitioner, followed by cost and visible results.  Young millennials need to be cautious in going forward as do practitioners.



Silicone implants have certainly been popular and over the course of time somewhat controversial.  There have been reports that breast cancer rates in women WITH silicone implants is LESS.

I recently came across a synopsis of an article that appeared in The Journal of Environmental International.  The study was done by scientists at Oregon State University.  They studied removed silicone implants from patients bodies and found they contained in 5 out of 8 implants P.P. DDE a carcinogenic by product from the banned insecticide DDT.  They then placed silicone discs in some mice and found some sequestration of toxins in that silicone.  Perhaps this is why in part women with silicone implants have a lower incidence of breast cancer.  The researchers have suggested perhaps doing more toxicology studies.



The onslaught of new technology in cosmetic medicine just keeps coming.  Many of the machines cost in excess of $100,000 and promise new and exciting results only to fall short of anticipated expectations.  One that has not is MiraDry for excessive underarm sweating.  It is a home run – it delivers great results.  So a big part of what I need to do is to sift through all the “new” devices to see what may offer good results for my patients.  New technology will fuse 2 modalities together.  Micro needling with PRP is becoming more popular due to good success.  There are a couple of new devices that build on the concept of micro needling and combine it with radio frequency.  Two such devices are Profound and Infini.  I  always wonder where they get these names.

Jason Pozner, a plastic surgeon in Boca Raton predicts SculpSure will be a big hit and winner in 2016.  This device will melt fat with a laser and takes only 23 minutes and is done as an outpatient with NO sedation.  We plan to incorporate SculpSure into our practice some time in February!  Also popular and moving up the chart is vaginal rejuvenation with new laser technology.  One thing to keep in mind is that many of these “new devices” are long on promise and fall way  short of expectations.  They cost patients thousands of dollars but only deliver disappointment.  So again, buyer/consumer beware.

Hear What Your Colleagues Are Saying About MiraDry

As Cynthia Diehl, M.D., a plastic surgeon based in Raleigh, N.C., said, “miraDry is my favorite machine. I’m so glad I bought it. Initially I hesitated because I’d heard that the numbing injections were very painful, but this has since been resolved with the OTP.”

According to Rosalyn George, M.D., a dermatologist in Wilmington, N.C., the response after implementing OTP in her practice has been completely different. “The procedure is more comfortable, and there’s much less postoperative discomfort, numbness and tingling.”

The original miraDry protocol usually required two treatments for optimum results. However, with the OTP, Dr. Diehl pointed out that no patient has requested a second treatment. Similarly, Dr. Nazarian reported that 90% to 95% of her patients require only one treatment, which they find more cost-effective. In Dr. George’s experience, only patients with true hyperhidrosis require two treatments.

“For many people this is a life-changer,” said Dr. Diehl. “My patients are incredibly happy. What more can I want than for people to leave my office with a home run?”

Dr. Robert Brueck Wins RealSelf 500 Award

Fort Myers Plastic Surgeon Recognized as Top Social Influencer in Cosmetic Medicine

Fort Myers, FL – March 4, 2016 – Local physician Dr. Robert Brueck is one of 500 doctors in the nation to receive the prestigious RealSelf 500 Award, out of nearly 13,000 board certified specialists with a presence on RealSelf—the leading online community helping people make confident choices in elective cosmetic procedures.

In a time when 1 in 4 U.S. adults share their health experiences on social media channels, the medical professionals that made the 2015 RealSelf 500 are recognized both for having an outstanding record of consumer feedback and for providing credible, valuable insights in response to consumer questions about elective cosmetic treatments, plastic surgery, dentistry and more.

Dr. Brueck is a Board Certified and fellowship-trained plastic surgeon in Fort Myers and Southwest Florida, dedicated to beautiful results in plastic surgery and cosmetic surgery. Dr. Brueck has over 33 years of experience in performing facelift, rhinoplasty, breast augmentations, tummy tuck, and liposuction procedures. The combination of rigorous training and more than three decades of experience assures you Dr. Brueck is the best choice in Southwest Florida.

“In 2015, these 500 doctors collectively impacted tens of millions of consumers, with nearly 30% of our total doctor content posted by this relatively small group,” said Tom Seery, RealSelf founder and CEO. “When I started RealSelf, many doctors questioned why they should ‘give away’ their expertise ‘for free’ on the web. Now, eight years later — and with over one million doctor answers on our platform — we are proud of the standard this select group has set. They’re leading the way by empowering millions of consumers to gain access to the information they need to make smart and confident health and beauty decisions.”

Dr. Robert Brueck is an expert contributor to RealSelf, and to date has posted over 1K answers to questions on RealSelf. Each month people from all over world ask important aesthetic-related questions, such as Depression/Moodiness After Tummy Tuck. Dr. Brueck also maintains a patient star rating of five out of five stars in RealSelf reviews. For more information on Dr. Robert Brueck, please visit www.Beauty-By-Brueck.com, and for the full list of RealSelf 500 Award winners, visit http://www.realself.com/RS500.

About RealSelf

Since its founding in 2006, RealSelf has created the world’s largest community for learning and sharing information about cosmetic surgery, dermatology, dentistry, and other elective treatments. Our extensive collections of reviews, photos, videos and doctor Q&A make RealSelf the most trusted resource for those who are looking for help beyond the beauty counter. www.realself.com.

The Healing Process: Recovery Times for The Most Popular Procedures


You’ve done your research, chosen the right board-certified plastic surgeon and gotten through your surgery without a hitch. Now you can’t wait to jump back into your daily routine, and maybe show off your fabulous results, right? Well, cool your jets, cowboy, because the truth is: you may not be ready.

According to statistics from the American Society for Aesthetic Plastic Surgery, in 2014, the top five surgical procedures performed were breast lifts and augmentations, eyelid surgery, liposuction, and tummy tucks. That’s a lot of collective recovery time. Since knowledge is power, we’ve put together a few guidelines for when it’s safe to get back to life after undergoing some of the most popular plastic surgery procedures, with the first rule of thumb being: listen to your surgeon. (Repeat 3x).

The single most popular surgical procedure for both men and women — with 300,000+ women and 40,000+ men opting for the surgery in 2014 alone — is liposuction, and your recovery time will likely be contingent on whether or not your surgeon used general anesthesia. Liposuction patients should typically be able to return to work within a few days and return to light, physical activity within about 10 days. The key word is “light”. Allowing your body to fully recover for at least three-weeks before returning to your butt kicking workout, strength training or intense running is imperative to achieving the best and safest results.

In the popularity department, breast augmentation comes in a close second to liposuction, with over 285,000 women opting for the procedure in 2014 alone. With self-care being as vital a component to your results as the surgery itself, you’ll need to take it easy for a while; regardless of how badly you want to show-off your new look.

Patients can typically return to work anywhere from a few days to a week post-procedure, with a few key rules. Do not strain the area. You may be able to tackle light activity, but anything that strains the pectoral muscles or is highly uncomfortable or painful should be avoided. Your surgeon will likely recommend that you hold off on exercise for at least 2 to 3 weeks post-surgery, at which point you can start by performing light exercises depending on your level of comfort. Performing more physical tasks like cardio and weight training will happen gradually, but again, straining the pectoral muscles is a no-no.

Much of the same rules apply to a breast lift procedure. The most important gauge of how quickly you can get back to 100% is your own comfort level and your surgeon’s aftercare direction. If you’re in pain or at a high level of discomfort, or if your surgeon directs you to take it easy for a bit longer, it’s important that you take a step back.

In 2014, 150,000+ women chose to undergo a tummy tuck procedure, which puts this on our top 5 list of most popular plastic surgeries. As with all procedures, the most important aftercare instructions will come from your surgeon, which you will follow to a ’T’, right? Right.

Your surgeon will likely recommend a heavy dose of rest and relaxation post-surgery, including having someone to help you around the house for a few days to a week. Most patients will be able to return to work after about 2 to 3 weeks, but should avoid heavy lifting for about 4 – 6 weeks. Walking around (with assistance as needed) will help alleviate concern of swelling and blood clots, but that’s likely to be the extent of your exercise for between 3 – 6 weeks. Your doctor will be able to better advise you when you’re ready to hit the gym again, but be prepared to lay off any heavy aerobic activity for up to two months before you’ve fully recovered.

Eyelid surgery, while seemingly not as invasive as some of the other procedures we’ve discussed, comes with its own set of aftercare instructions that will vary greatly from patient to patient. Generally, you’ll want to take at least 5 days – 1 week off before returning to work and be sure to check with your surgeon when it’s okay to apply makeup to the area. At 2-3 weeks you’ll likely be able to start incorporating light exercise, but keep in mind that activities like exercise, bending, lifting and crying — lay off those post-surgery chick flicks — all increase blood flow to the eyes and should be avoided until your surgeon gives you the go ahead.

Whether you’re recovering from a cold or from a major surgery, it’s always tempting to get back to the gym, work, and life — sometimes before you’ve really given your body the time it needs to heal. The decision to return to an active, normal lifestyle is reliant on a number of variables — what your job entails, your exercise routine, the procedure you underwent, and how your body is responding to the surgery itself. Since we’re uniquely different creatures, it’s important to give your body every chance to heal without taxing it too soon post-surgery. They don’t call the “healing process” a “process” for nothing, folks.

Neck Botox is the Next Frontier


While injecting a little Botox in our foreheads has become commonplace, and even scalp injections are the new ‘it’ area to talk about at the water cooler, Botox in the neck area may be the next frontier in the battle against looking old. Truth be told, I really hadn’t paid much attention to the neck area until recently, when I discovered among my fellow beauty blogging buddies that this is fast-becoming a ‘thing’ and that it’s worth paying attention to.

“I often inject Botox into the neck bands (also called platysmal bands) to cause them to smooth out temporarily,” Dr. Anthony Youn MD, a board certified plastic surgeon and ASAPS member, explains. “The results last 3-4 months, after which it must be retreated, otherwise the platysmal bands return back to how they used to be. It is an off-label use of Botox.”

According to the doc, Botox and other similar botulinum-based toxins (like Dysport and Xeomin) are the only effective ways to treat aging, saggy platysmal bands other than surgery. If you’re wondering exactly what a platysmal band is and where it’s located, lift your chin slightly and grit your teeth. Now run your hands along your neck and feel the flexed muscles protruding between your collarbones and chin— those are your platysmal bands, and they are a very distinctive indicator of aging (especially among women).

Wendy Lewis, Editor in Chief of beautyinthebag.com, has been Botox-ing her neck for at least a few years.

“I was treated to reduce the appearance of jowls. Botox and other neurotoxins are often used to soften vertical neck bands on a thin neck. I do not have a thin neck,” Wendy shares. The ultimate goal was to give her lower face a subtle lift. “For me the results on my neck were good but not great. I am not sure that I am the ideal candidate for Botox in the neck, and I have seen a lot of women who see a dramatic improvement. I do think it lasts at least 6 months, whereas I go back every 4 months for my forehead and crow’s feet.”

According to Wendy, if you can handle the discomfort of Botox injections in your face and glabellar creases, you can probably handle it with ease in your neck, too.

“I would say that it was about the same [level of pain] – which is very tolerable. I never ask for a topical anesthetic cream or even ice. I wish everything was as comfortable and predictable as a Botox treatment!”

Botox continues to amaze me. It seems like there’s little the toxin can’t do (frankly I’m just waiting for it to become a magical solution for saggy abs too). It combats sweat, helps treat incontinence and migraines, and even effectively eliminates the more apparent signs of aging, including the face and now the neck. While my personal research has been limited to some forehead Xeomin (the most cost-effective sister of Botox), my neck wrinkle-radar is now on high alert. I notice saggy, wrinkled necks everywhere I go and wonder just how inappropriate it is for me to tell people in a hushed, whispering voice, “Hey – you know, there’s Botox for that, too!”