Plastic Surgery for men and women


Published on

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.

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Plastic Surgery for men and women

  1. 1. Jennifer Newman Keagle, M.D.Clinical Assistant Professor, UCLA Division of Plastic Surgery Good Samaritan HospitalLos Angeles Center for Women’s Health @ California Hospital
  2. 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?
  3. 3. “Cosmetic Surgeon”DentistEmergency Room PhysicianOphthalmologistFacial Plastic SurgeonInternal MedicineOral SurgeonENT (Otolaryngologist)Podiatrist
  4. 4. /
  5. 5. Where on the body do Plastic Surgeons operate?Anywhere there is skin and soft tissue….FACEABDOMENBREASTSBACKEXTREMITIES
  6. 6. Member of the ASPS (American Society of Plastic Surgeons) and/or Board Certified by the American Board of Plastic Surgery
  7. 7. My Training
  8. 8. My Practice
  11. 11. Most common procedures-WomenBreast augmentationTummy tuckLiposuctionEyelid surgeryBreast lift
  12. 12. Most common procedures-MenLiposuctionRhinoplastyEyelid surgeryFaceliftBreast surgery (to reduce enlarged breasts)
  13. 13. Gravity Stinks!Face  Brow  Eyelids  Cheeks  Lips  Nose  Ears  NeckBody  Breast  Abdomen  Knees  Thighs
  14. 14. What can be done?Non-surgical Fillers (restylane/juvederm) Neurotoxins (botox/dysport) “permanent” fillersSurgical Face Body Breast
  15. 15. • 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!
  16. 16. 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
  17. 17. What are they “made” of?-hyaluronic acidHow long do they last?-9 to 12 monthsWill I will look fake/plastic/have that look?-NO!What is the difference between the two?-apples and oranges-Physician preferenceDoes 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?
  18. 18. Am I a candidate?-nasolabial folds-deep glabellar lines-marionette lines-grooves
  19. 19. What???- fat is taken from your abdomen or thighs- It can then be injected into areas needing augmentation or fillCan you do it in the office?-yes, depending on the areaDoes it hurt?-noAre there scars?-small and heal wellDo I need to take off work?Is it permanent?
  20. 20. 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?
  21. 21. Surgical optionsFace Browlift Facelift Blepharoplasty Fat injection Rhinoplasty Genioplasty Neck lift Submental liposuction
  22. 22. Surgical optionsBody Abdominoplasty Liposuction Body lift/thigh liftBreast Mastopexy Implants Mastopexy + implants
  23. 23. 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
  24. 24. 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.
  25. 25. 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
  26. 26. 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”
  27. 27. 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)
  28. 28. 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
  29. 29. 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
  30. 30. 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”
  31. 31. OthersEars (augment lobe, reduce or “pin back”)Chin (genioplasty or liposuction)Cheek implant/fillerScar revisionsLesion/skin cancer removalKeloid/hypertrophic scars
  32. 32. 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
  33. 33. 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
  34. 34. 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
  35. 35. Am I a candidate?Breast ptosis/saggingNormal mammogram“I’m going to finally get this done”
  36. 36. LiposuctionSuction/power-assistedGood for abdomen, thighs, hips, knees, chin, armpits/outer breasts, lovehandlesOutpatient surgeryCan be combined with breast reduction, facelift, tummy tuck
  37. 37. 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
  38. 38. Time for a consultation….
  39. 39. Dr. Jennifer Keagle Plastic Surgery 1245 Wilshire Blvd. Suite 601Los Angeles Center for Women’s Health 1513 S. Grand Ave. Suite 400 213-250-1300