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.

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?

4. “Cosmetic Surgeon”
Dentist
Emergency Room Physician
Ophthalmologist
Facial Plastic Surgeon
Internal Medicine
Oral Surgeon
ENT (Otolaryngologist)
Podiatrist

5. /

6. Where on the body do Plastic
Surgeons operate?
Anywhere there is skin and soft tissue….
FACE
ABDOMEN
BREASTS
BACK
EXTREMITIES

7. Member of the ASPS (American Society of Plastic Surgeons)
and/or
Board Certified by the American Board of Plastic Surgery

8. My Training

9. My Practice

11. WHAT DO THESE PEOPLE HAVE IN
COMMON?

12. THEY HAVE ALL HAD PLASTIC SURGERY

14. Most common procedures-Women
Breast augmentation
Tummy tuck
Liposuction
Eyelid surgery
Breast lift

15. Most common procedures-Men
Liposuction
Rhinoplasty
Eyelid surgery
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 be done?
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 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

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

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?

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 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”

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 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

50. Time for a consultation….

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