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
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?
“Cosmetic Surgeon”
Dentist
Emergency Room Physician
Ophthalmologist
Facial Plastic Surgeon
Internal Medicine
Oral Surgeon
ENT (Otolaryngologist)
Podiatrist
/
Where on the body do Plastic
        Surgeons operate?

Anywhere there is skin and soft tissue….
FACE
ABDOMEN
BREASTS
BACK
EXTREMITIES
Member of the ASPS (American Society of Plastic Surgeons)
                          and/or
 Board Certified by the American Board of Plastic Surgery
My Training
My Practice
WHAT DO THESE PEOPLE HAVE IN
COMMON?
THEY HAVE ALL HAD PLASTIC SURGERY
Most common procedures-Women

Breast augmentation
Tummy tuck
Liposuction
Eyelid surgery
Breast lift
Most common procedures-Men
Liposuction
Rhinoplasty
Eyelid surgery
Facelift
Breast surgery (to reduce enlarged breasts)
Gravity Stinks!
Face
   Brow
   Eyelids
   Cheeks
   Lips
   Nose
   Ears
   Neck
Body
   Breast
   Abdomen
   Knees
   Thighs
What can be done?
Non-surgical
  Fillers (restylane/juvederm)
  Neurotoxins (botox/dysport)
  “permanent” fillers
Surgical
  Face
  Body
  Breast
•   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!
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
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?
Am I a candidate?
-nasolabial folds
-deep glabellar lines
-marionette lines
-grooves
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?
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?
Surgical options
Face
  Browlift
  Facelift
  Blepharoplasty
  Fat injection
  Rhinoplasty
  Genioplasty
  Neck lift
  Submental liposuction
Surgical options
Body
  Abdominoplasty
  Liposuction
  Body lift/thigh lift
Breast
  Mastopexy
  Implants
  Mastopexy + implants
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
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.
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
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”
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)
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
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
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”
Others
Ears (augment lobe, reduce or “pin back”)
Chin (genioplasty or liposuction)
Cheek implant/filler
Scar revisions
Lesion/skin cancer removal
Keloid/hypertrophic scars
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
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
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
Am I a candidate?
Breast ptosis/sagging
Normal mammogram
“I’m going to finally get this done”
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
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
Time for a consultation….
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

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 toa 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?
  • 4.
    “Cosmetic Surgeon” Dentist Emergency RoomPhysician Ophthalmologist Facial Plastic Surgeon Internal Medicine Oral Surgeon ENT (Otolaryngologist) Podiatrist
  • 5.
  • 6.
    Where on thebody do Plastic Surgeons operate? Anywhere there is skin and soft tissue…. FACE ABDOMEN BREASTS BACK EXTREMITIES
  • 7.
    Member of theASPS (American Society of Plastic Surgeons) and/or Board Certified by the American Board of Plastic Surgery
  • 8.
  • 9.
  • 11.
    WHAT DO THESEPEOPLE HAVE IN COMMON?
  • 12.
    THEY HAVE ALLHAD PLASTIC SURGERY
  • 14.
    Most common procedures-Women Breastaugmentation Tummy tuck Liposuction Eyelid surgery Breast lift
  • 15.
    Most common procedures-Men Liposuction Rhinoplasty Eyelidsurgery Facelift Breast surgery (to reduce enlarged breasts)
  • 17.
    Gravity Stinks! Face  Brow  Eyelids  Cheeks  Lips  Nose  Ears  Neck Body  Breast  Abdomen  Knees  Thighs
  • 18.
    What can bedone? Non-surgical Fillers (restylane/juvederm) Neurotoxins (botox/dysport) “permanent” fillers Surgical Face Body Breast
  • 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 acandidate? Forehead Wrinkles Bunny lines Glabellar lines Crows feet Down turning mouth “strong” jawline Do not have Multiple Sclerosis or any other neuromuscular diseases
  • 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 acandidate? -nasolabial folds -deep glabellar lines -marionette lines -grooves
  • 30.
    What??? - fat istaken 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 acandidate? Do you have areas that need fill/augmentation?  Cheeks  Folds  Lips  Temporal area  Deep wrinkles  “sagging”  Old scars Do you have spare fat?
  • 33.
    Surgical options Face Browlift Facelift Blepharoplasty Fat injection Rhinoplasty Genioplasty Neck lift Submental liposuction
  • 34.
    Surgical options Body Abdominoplasty Liposuction Body lift/thigh lift Breast Mastopexy Implants Mastopexy + implants
  • 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 acandidate? 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) -1-2hour 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 acandidate? 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 houroutpatient 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 acandidate? 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 theoperating 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 acandidate? 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) Asleepin 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 acandidate? 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 acandidate? Breast ptosis/sagging Normal mammogram “I’m going to finally get this done”
  • 48.
    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
  • 49.
    Am I acandidate? 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
  • 50.
    Time for aconsultation….
  • 52.
    Dr. Jennifer KeaglePlastic 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