Click to View Latest IssueClick to View Latest Issue

Facial and Body Renewal

By  0 Comments

Q: Now that I am in my mid-40s, I feel like my eyes always make me look tired. What options are there to make my look refreshed again?
A: Signs of aging around the eyes are one of the most common concerns that bring patients to see a plastic surgeon. Whether you are bothered by “crow’s feet,” droopy upper eyelids or under-eye bags and discoloration, there are a variety of minimally invasive and surgical means to address your concerns. 

Women tend to come in earlier in the aging process when minimally invasive procedures are more likely to be beneficial. Since men age differently than women and tend to come in for consults at a later age, they are more likely to require surgical correction.

Botox® injections can address the wrinkles at the outer aspects of the eyes, crow’s feet, by relaxing the underlying muscle. This creates a smoother appearance to the skin, often eliminating the wrinkles altogether. For hollowing of the under-eyes, fillers such as Juvéderm® and Voluma® can be used to smooth the transition between the eyelid and the cheek, restoring a more youthful appearance. For fine wrinkles and discoloration of the under-eye area, chemical peels, when done periodically, can tighten and lighten the underlying skin, greatly improving the fine lines and dark circles that many patients dislike.

When there is significant skin laxity of the upper eyelids and or bags of the lower eyelids, surgical correction is often necessary. The procedure involves removing extra skin of the eyelids as well as some of the deep fat that causes the unattractive puffiness (bags). Healing is rapid and patient satisfaction is quite high. 

The finishing touch to beautiful eyelids is stunning eyelashes. Latisse® is a topical medication that causes the eyelashes to become darker, thicker and substantially longer in just a few weeks. Often surgery, in combination with a variety of the treatments noted above, can provide the ultimate in eyelid rejuvenation. 

Q: I’m 35 and have had three children. Overall I’m very happy with my body, but cannot seem to get rid of the loose skin and fullness of my tummy. What are my options?
A: It’s important to see a board-certified plastic surgeon to help you choose the best procedure to remove fat and excess skin from your abdomen area. When it comes to contouring and re-shaping your body, there are a number of treatment options out there. During your consultation, you’ll be asked a series of questions about your desired goals, which can help your surgeon to determine the best treatment for you. 

As is likely in your situation, after having three children, the abdominal muscles and skin are often stretched and will ultimately require a tummy tuck to return you to your pre-baby body. Some patients just have areas of unwanted or excess fat, without the associated skin or muscle laxity. Whether you only need to remove some unwanted fat from your stomach or tighten your entire tummy after pregnancy, here’s what you need to know about the differences between liposuction and a tummy tuck.

Traditional liposuction is a procedure where an incision is made in the treatment area. A small tube known as a cannula is placed through the incision and used to break up fatty tissue. The fat is then suctioned out of the body, thus providing significant contouring to the treatment area. Although the results from liposuction can take up to a year to finalize, patients can see great results in four to eight weeks. Liposuction does not solve the problem of excess skin or muscle laxity, which is why some patients may want to opt for a tummy tuck.

In patients who undergo a full tummy tuck, the incision is made from hip to hip just over the pubic area. This results in a scar line that is horizontal and can be hidden when wearing undergarments. This technique allows the surgeon access to a large portion of the abdomen while repositioning the belly button so that its placement appears natural. Liposuction is performed to remove excess fat preceding the skin-tightening portion. The internal abdominal muscles are secured for a firm, toned appearance.

Written by: Dr. Nathan Kludt

 Dr. Nathan A. Kludt, a Diplomate of the American Board of Plastic Surgery, received a BS from the University of California, Davis, with highest honors, and his MD from Eastern Virginia Medical School, where he was inducted into Alpha Omega Alpha, the National Medical Honor Society. He returned to UC Davis, where he completed his general surgery residency before being accepted into the plastic surgery program at UC Davis. Dr. Kludt has been published in the Annals of Plastic Surgery and Plastic and Reconstructive Surgery, and has presented at the California Society of Plastic Surgeons meetings and multiple other regional and national plastic surgery meetings. He is a member of the American Board of Plastic Surgery, the American Society of Plastic Surgeons, the California Society of Plastic Surgeons, the California Medical Society and the San Joaquin Medical Society.