Plastic Surgery

10 Tips Before Plastic Surgery

Having any surgery is a big deal.  Don’t take having a plastic surgery procedure lightly.

I wrote these ten tips on Twitter  so I thought I ‘d share all of them here. Follow me on Twitter and Instagram @niptuckcoach for more tips.

 

 

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Filling Eye Hollows with Dermal Fillers: What Are The Risks?

Cosmetic injection in the spa salon
Deep hollows under your eyes can make you look tired and dull.  HA fillers can fill your hollows for a refreshed and more youthful look.

Filling eye hollows is a delicate business and there are risks. The biggest risk is bruising, lumps, overfilling and swelling. In some cases if not done properly it can actually make your lower eye area look worse.   Today there are more hyaluronic acid (HA) fillers in the aesthetic tool box and techniques for treating this delicate area have improved.

I’ve read many posts online about patients who have had fillers and are experiencing puffiness, lumps, bruising, swelling and a baggy look after the injections. Others have  good results. I’ve also experienced good and bad results.  Please choose your injector wisely. This is a very difficult area to treat.

Performing “tear trough” treatments to the hollow area under the eyes requires meticulous technique.  When done correctly the results are very satisfying.  The most important factor is to go to an injector who is has a lot of experience in this area.

Below are some guidelines to consider before you jump into filling your eye hollows (tear trough).

Parts of this post was originally written in 20o9 when I had my tear troughs treated for the first time.

A business colleague had her tear trough area filled by a local plastic surgeon in San Francisco, CA .  I was very impressed with her results and decided to fill my eye hollows, for a more youthful look.  At the time there were only two HA fillers on the market Juvederm and Restylane. Although both fillers were very similar Juvederm tends to create more puffiness in the eye area than Restylane, as it absorbs more water. My surgeon choose Juvederm which surprised me because Restylane was the preferred filler for this area. However, I trusted his judgement.

Afterwards I very bruised, swollen and lumpy. I waited patiently a couple of weeks hoping it would resolve. The bruising diminished but the puffiness persisted. I looked like I had been punched in the face and knew that OI needed a correction. Fortunately HA fillers can easily be dissolved with hyaluronidase. (more…)

The Importance of Plastic Surgery Preparation and After Care

As a plastic surgery coach I work with many clients throughout their plastic surgery journey, which also includes post-operative after care services.

It is very important if you are considering any plastic surgery procedure regardless of how small, that you prepare for the surgery and prepare for after care services. You may think that your friend or family member can take care of your needs after your surgery, however, it has been my experience time and time again that this is not a wise choice.

It is important to think about your plastic surgery recovery, even if your plastic surgeon says you will be fine.  It is in your best interest to  fully prepare for your after care with a Plan A and Plan B. Your recovery depends on this. Think of after care as part of your plastic surgery costs. You are protecting your investment.  Budget for between $350.00 – $1200 for your after care, not including any costs for accommodations. The cost will depend on if you are staying at an after care facility, hotel or Airbnb. The cost per day or per hour for after care services, your geographic location and whether you hire an RN. An RN is more costly and not really necessary unless you need IV meds or your surgeon insists you stay in the hospital  overnight.

 Preparation

  1. Prepare your body and mind for surgery. Take vitamins, increase your protein, hydrate and rest the days leading up to surgery.

  2. Purchase  everything you need in advance. Don’t wait until the day before surgery. 

  3. Line up a surgical buddy for emotional support, either a friend who understands or hire a plastic surgery coach.

  4. Arrange for time off of work. Always add on a little more time as everyone heals differently. 

  5. If you are out- of- town, arrange for a hotel stay near the surgeon’s office. Ask the hotel if they provide room service and let them know you will be recovering from a surgical procedure. 

  6. If you have small kids, arrange for a baby sitter in advance. 

  7. If you have animals, arrange for a dog walker or even kennel you animals for the first few days.

  8. Arrange for after care services with your surgeon’s office or go online to find a reputable service.  Friends and family are not the best after care people as they usually have no prior experience in taking care of a recovering plastic surgery patient.  You may have drains, leaky body fluids, bruising  and swelling.  You will  be emotional and in some discomfort.  You are doing yourself a disservice by not planning for the proper after care. 

  9. Always have a Plan B for your plastic surgery recovery. Don’t wait until the day of surgery.

  10. Remember you need to rest for a successful recovery.

 

Fillers: How Long Do they Really Last?

I had my first filler injection in the the late 1990’s and have tried every filler on the market except Bellafill, a permanent filler.

There are more FDA approved fillers on the market today and more are awaiting approval.  The documented  length of time a Filler lasts is based on the results from the manufacturer’s clinical trials. Millions of dollars are spent on marketing campaigns and provider training courses.

Consumers should be aware that these results are guidelines only. 

The results that you get from any filler injection and how long it will last for you may differ than the documented results seen in the clinical trials. If you think that your filler will last 9 months and it only lasts for 6 months, don’t blame your injector. It’s not the product or the injector’s fault, it is the way your body metabolizes the filler and where it has been placed in your face. Lip filler is not going to last as long as filler under your eyes.

As a plastic surgery and aesthetic coach, I hear all too often from my clients that they are disappointed with their Dermatologist or Plastic Surgeon after getting for example, Voluma because it did not last 2 years as advertised. This is an average only. As the product is on the market longer the documented results may change.

Here is a realistic guideline to keep in mind when you budget for fillers.

  • All HA fillers are temporary. They will last between 6-9 months.
  • Fine line fillers Restylane Silk and Belotero may only last 6 months. In some cases less.
  • Voluma, a deeper filler may last UP TO 2 years. However, you will probably need more filler at 9 -12 months to give it a boost
  • Juvederm may last 9 months depending on placement
  • Restylane Lyft which is the same as Perlane lasts UP to 18 months. Realistic expectation 9-12 months

Non- HA Fillers

  • Radiesse lasts 9- 12 months. Realistic expectations- 9 months. Radiesse hand injections may last 9 months with a boost
  • Sculptra can last up to 25 months after the last treatment. You may need a touch-up in 12- 18 months
  • Bellafill is a permenant filler

If you have any questions or comments, I’d love to hear from you.

Remember: You Only Have One Face and One Body, Choose Wisely!

-Michele Garber