Archive for the ‘Body’ Category

Sorry I Kept You Waiting for Your Consultation of Cosmetic Surgery

Tuesday, January 31st, 2012

I find myself running behind in the office and sometimes doing what I hate the most… keeping someone waiting for their cosmetic surgery consultation. I am on your side here. I don’t like waiting in the doctor’s office either.

So first and foremost if you are reading this and I have kept you waiting, or will keep you waiting, I offer you my sincere apologies. There is more to this blog however. I thought you might find it interesting to know how and why we can get backed up.

—–The cascading arrival time: While we have a good scheduling program all it takes is one late arrival to shift the schedule off kilter by 30 minutes or more. Unfortunately that will happen on average about twice during an office day at anyone of my plastic surgery practices in the Washington DC, Virginia area.

—–The exploding consult: for the average consultation we have a pretty good estimate the time it will take for me to evaluate, explain and go over treatments. However, it is extraordinarily common for a patient to book a consultation about one type of surgery but then also ask about two or three more. At 25- 30 minute per topic the math gets a little scary. Interested in knowing more about that topic, read my past blog “What Goes Together- More Than One Procedure of Plastic Surgery”.

—–The mom /friend phenomena: I love it when a patient brings a friend or family member to the consultation another set of ears and eyes is comforting and helpful. It is extremely common though that the friend or family member becomes the second consult in that room at the same time.

—–I am long winded: yes, it’s true. I love to teach and educate my patients and I don’t want anyone to leave feeling they did not get the best and most informative experience they could. So if one topic becomes 3 or if mom or friend has a question I will always feel compelled to answer it in detail.

I hope this doesn’t scare you off. A busy cosmetic plastic surgery practice is a good thing.

So a few tips: Morning consults are less prone to cascading delays, if you’re interested in many things, or so is your companion, just let us know ahead and we’ll leave more time. Bring a book just in case. Whether it’s breast, body, face, nose, or liposuction I’d love to meet you and I’ll do my best not to keep you waiting.

If you have any more questions about my office or to schedule a consultation please contact me.

Labioplasty- reducing the size of the Labia

Monday, November 14th, 2011

When I started performing Labioplasty a number of years ago I had no Idea how popular it would become. A patient once told me that she regretted not having had it done when she had her breast augmentation; she just didn’t know that I did it. Because of her I added a “while you’re at it” section to my D.C. breast webpage to point out surgeries that are commonly combined.

Labial tissue comes in all shapes and sizes. Some have more, others less. Common concerns patients share with me include a self consciousness during sexual activity, difficulty wearing certain clothing or swimwear and even discomfort with some athletics.

There are two basic types of Labioplasty and I perform both procedures. I believe both are good as long as the patient’s goals are accomplished. The labia minora is the most commonly reduced.

Straight excision simply cuts away the redundant tissue and leaves a straight narrower labial edge. It is the simplest and removes the most tissue. Some believe that it leaves an unnatural looking edge but I have not found this to be the case.

The other method involves removing a wedge or wedges of tissue which preserves the natural edge of the labia.

Labioplasty can be done under a local or general anesthesia. I am happy to show examples in consultation but I don’t put Labioplasty photos on the web. If you are interested in a Labioplasty then contact me to schedule a consultation.

Men, Liposuction, and the Military

Friday, September 30th, 2011

Men tend to be more shy when it comes to cosmetic plastic surgery. While my practice is about 80 % women here in the Washington D.C area the U.S. Military unknowingly sends me a steady stream of male patients. Military doctors have decided that one way to evaluate “fitness for duty” is to have a specific ratio of neck diameter to waist diameter. If this ratio is off a discharge could ensue.

While I can’t really change the diameter of the neck, I have liposuctioned liters of abdominal and flank fat from servicemen (and women) at bases all over the Maryland, D.C. and Virginia area.

So why talk about this here? I want you to know you are not alone. Liposuction is far more common than you think in the service. I have treated almost every rank with a great sense of pride.

How much you will shrink depends on how much you carry in the first place. I can never guarantee a waist size but it is not uncommon to lose at least two pants sizes or more. The flanks or love handles tend to make the biggest difference as most men wear their belt below the lower abdominal fullness.

I perform many other surgeries for men including breast reduction, rhinoplasty facelift and others, but thanks to the United States government, flank and abdomen liposuction remains the most popular.

If you are considering liposuction and you are part of our armed forces here in Maryland. Washington D.C. or Virginia you are in good company and I would be happy to evaluate you. Yes, we offer military discounts. So please contact my office for further details.

Postpartum Restoration A.K.A. The Mommy Makeover

Friday, August 12th, 2011

As the proud father of two beautiful children and a plastic surgeon, I have had the first hand opportunity to see how such a magnificent miracle can dramatically alter the female body. Hereditary, unpredictable, and often unfair, pregnancy is a body-altering experience. The body is incredibly intelligent and throughout pregnancy has the ability to change dramatically in response to the hormones associated with it. The breast become fuller, skin stretches and abdominal wall and pelvic muscles loosen, among other things.

Unfortunately, the body does not always do as good of a job restoring itself. Following child-birth skin loses elasticity and breasts often lose even more volume than they started with before pregnancy. The combination of loose skin and diminished volume can leave the breasts deflated and saggy. The abdominal wall can remain loose despite exercise, and weight can be unbearably difficult to lose. These affects are often discouraging for many women.

After pregnancy, and in general, I always encourage my patients to be healthy and attain a comfortable weight. This doesn’t imply stick thin and certainly does not involve crash dieting. It simply means a realistic weight that can be reasonably maintained.

Unfortunately, sometimes doing the right things such as eating an appropriate diet and exercising are not always enough. That is where I come in. The first part of my involvement is a consultation and physical examination to see if a patient would be healthy enough to undergo a Mommy Makeover and which procedures such as tummy tuck, breast lift, breast augmentation, liposuction, labioplasty and or another type of procedure they would benefit from. Safety must always come first and surgical treatments can only proceed after a clean bill of health is ascertained.

Here are the most common procedures or treatments I offer my postpartum patients in the area of Maryland and Virginia.

Breast Augmentation
Breast lift
Breast lift and augmentation
Tummy Tuck mini or full
Liposuction
Labioplasty

This is certainly not a complete list of the procedures that I perform in the postpartum patient, but these measures are in many ways the most gratifying. These are the options that many people initially explore with trepidation and ultimately regret not pursuing sooner.

If you are interested in learning more about the mommy makeover, contact Pei at our practice today to learn about special pricing for procedures booked in August. We have three convenient locations, Rockville, Maryland; Annapolis, Maryland; and McLean, Virginia.

Plastic Surgery after Dramatic Weight Loss in Maryland

Tuesday, April 12th, 2011

Weight loss is not easy as most of us know. If done through diet and exercise healthy weight loss can take months to years.

Because of improved techniques for gastric bypass and the lap band procedure, we are seeing more and more patients after dramatic weight loss hoping to look normal again. Tightening all the areas of concern in the weight loss patient covers almost every aspect of cosmetic plastic surgery. Rather than going over every option, I hope to give some guiding principles.

It is best to consider cosmetic surgery for weight loss when you achieve your goal weight and have been stable for a while. If I do a tummy tuck and then that patient loses another 40 pounds, he or she may need it done again. A stable weight does not necessarily mean rail thin, it means a realistic weight that you are comfortable with and can maintain. Being at the weight you want is worth the wait. It will make your surgery safer and more successful.

Dramatic weight loss patients are what I call “works in progress”. There are always areas that can be tightened. It is important to have a long term plan to define which plastic surgery procedures can be safely combined and which cannot. I ask my patients to create a wish list so that we can determine the best order of procedures so that one procedure will not interfere with another.

If you need help learning about surgery after dramatic weight loss or even help achieving your weight loss goals please let me know. Contact my office today, to schedule a consultation with me at one of my three offices located around the DC, Virginia and area of Maryland.