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.

Some classic examples:

Rhinoplasty: Rhinoplasty really needs to be considered with the chin. The reshaping of the nose has a dramatic effect on the profile. If the chin is receding only half the battle is won. Chin implant may be an option.

Eyelid surgery: The eye brow position really must be considered particularly when looking at the upper lids. If the space between the brow and eyelid lashes is short and cramped eyelid surgery will have less of a result. Brow lift, or a combination of brow lift and eyelid surgery, may do a better job.

Tummy tuck and flank liposuction: Unless the skin is loose, many of my tummy tucks include frontal flank liposuction. If the flank fullness goes around the backside, I will discuss liposuction of the posterior flank (love handles) as well. The overall contour must be considered.

Facelift and eyes: If the neckline looks tight and youthful but the eyes don’t match the face won’t balance. Facelift is about the entire face and it all has to blend harmoniously.

This is not a complete list but I hope the concept comes across. The parts of our body do not exist in complete isolation. My role as a board certified plastic surgeon is to teach my patients where and how to look for the best balance.

If you are considering a consultation, please contact my office of cosmetic plastic surgery in Maryland or Virginia to schedule a consultation.

If a patient has a bump on top of the nose the bump can be camouflaged by adding filler just above it. In some cases mild asymmetry can be improved. Eventually fillers will reabsorb and the procedure will have to be repeated.

I think it is a good option for people who are not ready to or healthy enough to consider rhinoplasty. It also allows a reversible change for people who don’t want to burn any bridges. Liquid rhinoplasty works by enlarging specific areas, while standard rhinoplasty can alter the underlying bony structure giving permanent changes.

If you are considering rhinoplasty, also known as nose surgery, contact our office today to schedule a consultation at one of our offices in Rockville, Maryland; Annapolis, Maryland; or McLean, Virginia.

So who is Eve? I could tell you about her amazing credentials and her extensive experience in the field of plastic surgery, but she is so very much more than that to me.

She is a good person, a fine and kind and gentle human being with a soul a mile wide. She is my right arm, my closest and trusted advisor and sounding board. She is the kind of person I am proud to have in my practice and proud to have helping care for my patients. She is a passionate and compassionate mother. I feel very lucky to have her.

But what I think may be unimportant, is what my patients think that counts the most. For those of you who know her you know that it’s all true. She has a gentle touch whether it is with Botox, filers or microdermabrasion. The advice she gives is honest and heartfelt and it has won her the trust of countless patients. She is an artist with fillers. It is a case of the student exceeding the master.

So if you have been considering plastic surgery, fillers or Botox and you would like to meet Eve (and Adam) feel free to contact us!

Dr. Tattelbaum, Board Certified Maryland Plastic Surgeon with offices in Rockville and Annapolis, as well as in McLean, Virginia , is pleased to inform you of this special offer from Medicis Aesthetics.

Share your beauty secret with a friend and you can save up to $390 on Restylane®, Perlane®, Restylane®-L, and or Perlane®-L. For more information on how you can participate in this offer see the image below, contact our office or visit www.restylane.com. Treatment must be received before June 30, 2011 in order to participate in the savings! Contact one of our three offices today to schedule an appointment.

Restylane is injectable facial filler made up of hyaluronic acid utilized to smooth lines and wrinkles on the face and to decreases moderate facial folds around the mouth and nose. Results have been reported to last up to 1 year. Additionally, Restylane may be used to add volume to lips.

Perlane is also an injectable facial filler made of hyaluronic acid, however it contains a higher concentration than Restylane®. Perlane is utilized to rectify moderate to severe facial wrinkles, lines and folds, such as the nasolabial folds (the lines that extend from the nose to the corners of the lips). Perlane is recommended over Restylane to individuals with deep severe lines and wrinkles, as the average size of the particles and the depth of injection are larger and are able to provide better results.

Retylane-L and Perlane-L are Restylane and Perlane with lidocaine, a local anesthetic, added to its gel formula. Lidocaine combined with hyaluronic acid allows patients to achieve facial rejuvenation through injection, but with less discomfort while undergoing treatment.

If you are interested in long lasting results, depending on the definitions of lines and wrinkles, as well as the amount of facial sagging, another procedure may be more appropriate like eyelid surgery, face lift, or neck lift. Additionally, injectables can be performed inconjunction with a procedure to achieve the maximum results.

To learn more about procedures that can help rejuvenate your appearance, please contact Dr. Tattelbaum’s Maryland or Virginia offices today.

Experience is a good thing when it comes to getting a job, but most business owners are not going to hire someone who looks like they have been worked to death. Literally, when age starts to take over the face people tend to look tired or angry due to lines around the eyes as well as the forehead. It would make sense for an owner to hire someone who looks refreshed and health.

According to a recent article in Times Magazine, this is the reason that people working in interacting jobs such as sales and retail are opting to enhance their facial features through rejuvenating procedures such as Botox, eyelid surgery and Facelift. Facials, chemical peels and laser skin resurfacing are quick fix treatments to help improve and maintain healthy glowing skin, which people are undergoing on a routine basis. Injectables such as Botox, Restylane and other facial fillers can help reduce the signs of aging by decreasing lines and wrinkles for a longer lasting fix. Most injectable’s are non-invasive procedures and require quarterly or bi-yearly up keep to maintain a fresh look.

People that are looking for a more long-term improvement opt for facelift surgery, neck lift, eyelid surgery, or a combination of all. These procedures are also less up keep considering the results last 5 to 10 years depending on diet, aging, etc. Whether you are looking for a quick fix or a more permanent change this is the sure fire way to help stay above the pack on the job hunt.

If you are interested in learning more about procedures of cosmetic plastic surgery, contact Dr. Tattlebaum today to schedule a consultation.

Cold weather can wreak havoc on the on your skin causing it to dehydrate. Dehydration can cause skin to feel dry and itchy, or crack and lips become chapped. On top of the damage our skin undergoes during the winter, wrinkles and fine lines can start to become more visible on dry skin causing people to look older then they really are. Then some feel they must undergo Botox, Restylane or another type of cosmetic surgery procedure to achieve their youthful appearence, which is not always the steps that need to be taken. Cold air is not the only factor for dry skin in cold months, but additionally time spent inside the well heated house can dry out the skin, decreasing the moisture in skin. To help keep your skin protected this winter, here are some hints:

Add Greenery to Your Life

During cold months in the DC, Maryland and Northern Virginia areas, redecorate the house, room or office space with some fresh new plants. House plants can promote hydration in your place since plants releases water into the air through the process of photosynthesis. Hydration in the air helps your skin maintain it’s moistness.

Add a Layer over your Skin while Inside

While in the house, it is essential to keep your delicate skin on your hands and feet in tact. To help keep from loss of moisture in your skin, wear gloves when you are washing the dishes. After washing your hands, add a layer of hand moisturizer. Rather than walking around barefoot in your house, wear socks made of cotton to keep in existing moisture.

Upgrade your Skin Care- Try Medical Grade Skin Care

Ingredients found in Medical grade skincare contain higher concentration of essential components that can help preserve skin hydration. To protect your skin from elements, apply daytime moisturizer, while to keep your skin hydrated through dry cold winter nights use a night time moisturizers. If you have dry skin chose a cream cleanser. On top of your cleaners, on a weekly basis use an exfoliate scrub, which removes dry dead skin and can help you maintain fresh looking skin. Toners and facial masks are also a great way to condition your skin because they deeply penetrate you’re pores and help preserve your skin for years to follow. To give your skin additional support all year long; on a quarterly, semi-yearly or yearly basis, depending on your skin type Facials or Microdermabrasion can help you maintain a youthful appearance.

Don’t Forget Your Lips

To hydrate your lips use a balm or chap stick that has oil in it. Common oils that help hydrate cracked or chapped lips are shea butter, olive oil, or coconut oil. Exfoliate your lips as well. To exfoliate lips either use your face exfoliate as long as it is approved to do so by your plastic surgeon or dermatologist, or try using sugar and oil. And finally for extra moisture, apply honey to your lips at night.

Skin can change as we age, through the seasons and for many other reasons. It is important to have a skin care regimen that is tailored to your specific needs and skin type. To learn more about medical grade skin care contact Dr. Tattelbaum today.

As of last week the food and drug administration approved the use of Botox to treat patients with chronic migraines.  Chronic Migraines are defined as migraines more than 14 days each month each lasting more than four hours.

While we continue to perform Botox largely for cosmetic purposes  it is nice to know that our observations are founded and that this treatment can serve a dual role.

It is unclear at present whether insurance companies  will cover any portion of this treatment for  chronic migraine sufferers but don’t worrry we will be watching closely and let you know if it changes.

Contact us for more information about Botox for cosmetic reasons as well as for those killer migraines.

In my own practice we reconstitute the Botox® strictly according to the manufacture’s guidelines. It is a concentrated solution that allows us to put smaller but stronger amounts in the areas of concern. This increases its effectiveness and minimizes its migration to areas we don’t want it to affect.

We have a steady stream of Botox patients, which allows us to use our supply of Botox quickly – meaning fresher and more effective Botox.

We also charge by the unit. What does that mean? Botox bottles contain one hundred units of botulinum toxin. Common areas treated include the area between the eyebrows (glabella), crow’s feet, and forehead. While the average full area will cost about $350, charging by the unit means our patients can buy more or less if they want. If a small area needs refreshing, we charge only for the units necessary and not the whole site. I think this is a more common sense approach.

Botox is not an exact science. We ask each of our patients to return in 10 days to evaluate the results of their treatment. By recording how satisfied they are and how they reacted to their last treatment, future treatment plans can be fine tuned. We can also discusses other procedures that you may be interested in such as a facelift.

If you’d like to learn more about the best Botox please feel free to contact my office to schedule a consultation.

Facelifts fall into one of two categories: Mini or Full. You may have heard of the ones with the cute names like S-lift, Thread lift, or Lifestyle lift. These are often marketed in the popular magazines, and are merely variations on the mini-facelift.

So which one do I recommend?—the one that fits my patient.

When a patient comes in to my office for a consultation I will listen to their goals and concerns, look at their hairline and hairstyle, and recommend a specific plan. I perform all of these procedures, but I will pick the specific components of each that will achieve the patient’s goals and try to minimize scars where possible.

I begin with the premise that no one wants the bigger facelift, but a patient with a turkey gobbler neck will need a more aggressive approach than the patient who comes in with a tad of neck laxity and a little joweling.  Some will benefit from an eyelid or brow lift, while others may not. Some don’t even need surgery at all, but may do better with laser, chemical peels, or fillers. Each patient is different, and each will need his or her own subtle surgical variations.

I’m not a fan of the alphabet soup of facelifts, but prefer to tailor a procedure to the individual patient.  If you are interested in learning what would be best for you, contact me, and I’d be happy to help you sort through the options.