New 5th Generation Breast Implants Available in San Antonio

Now there is a new silicone breast implant from Sientra. This implant was recently approved by the FDA. The silicone inside of the implant is more cohesive than the current silicone gel implants on the market. This further decreases the risk of leakage of the silicone if it breaks. The implant also maintains its form better (either round or teardrop shaped) since the silicone is more solid. Another benefit is that the implant wrinkles less so for those patients who have wrinkling this new implant may be a solution.

We are pleased to offer these new implants in all sizes so that now you the patient have more options available to you when selecting your breast implants. All of these implants can be inserted through an armpit incision therefore avoiding any scarring on your breast.

Sientra Textured - Shaped Breast Implants

Call for a complimentary consult with Dr. Robert N. Young to see these implants and try on different sizes to determing the right look for you.

Men Becoming More Open to Cosmetic Surgery

A couple of months ago, we reported that practices nationwide have noticed that men are coming in for Botox treatments in much higher numbers than ever before. It seems to be catching on that these simple procedures can shave years off your face, giving them a competitive edge over peers their own age, and helping men feel better about themselves. 

Dr. Robert Young's practice has also noticed an increase in the numbers of men who are coming in for consultations for Tummy Tuck, Liposuction and even facial surgeries such as face lift and eyelid lift!  Yes, even Tummy Tucks are being performed in increasing numbers, and the men are loving the procedures! It is probably a trend which will continue to grow.

Followup on PIP Breast Implants

On 12-16-11, we ran a story about the breast implants used in France.  The latest news is that the head of the company and at least one of his executives have been arrested.  The company, Poly Implant Prothese (PIP) has since ceased operations, but this has not stopped authorities from seeking manslaughter charges against those reponsible for using substandard silicone in breast implants which were distributed mainly in Europe and South America.

As we previously reported, the USA manufacturers Dr. Young obtains his silicone breast implants from are medically sterilized and safe, and are made from a medical grade silicone. The majority of breast implants we use are Mentor's MemoryGel silicone cohesive gel-filled implants which are made here in the United States under strict FDA guidelines and inspections. The FDA has a consistent and welcome presence in Mentor's manufacturing facility. This, and Mentor's ongoing commitment to quality and safety, helps to ensure the safety of their breast implants for breast augmentation.
Silicone breast implants continue to be the desired choice by most women around the country and are popular at Dr. Young's fully accredited Surgery Center due to the more natural feel they offer. With the latest advances to cohesive gel implants, the risks from rupture have been minimized because the gelatin-like substance retains its shape and does not seep like a liquid. If you have questions or concerns about silicone implants, consult with your surgeon.

Men Now On-Board With Botox®

As reported on Good Morning America this morning (Monday, 01-09-2012), men have joined the ranks of those requesting and receiving Botox® for facial rejuvenation!  Many men, probably a good deal of whom were urged by women in their life, are seeking Botox® to ease the fine lines and wrinkles that appear as we age.

Botox® has long been used by women for treatment of forehead frown lines and wrinkles around the eyes (usually called crows feet).  It's popularity has made it one of the most frequently asked for non-surgical treatments in most plastic surgeon offices.  Properly administered, the effects can significantly reduce wrinkles and take years off the face. We're happy to see that men are removing the stigma of using plastic surgeon services to give them an edge in the workplace, and feel good about themselves in general.

Are Adjustable Breast Implants A Good Option?

We receive a substantial number of calls about "adjustable breast implants".  Dr. Robert N. Young does do the adjustable breast implants and has always had them, but they may not be the best choice for everyone.  Many people think that this is a new type of implant that is somehow superior to traditional saline or silicone breast implants, but let's look at what they are, as well as the pros and cons of selecting them.

Adjustable breast implants originated in the mid 1980's by Becker, in conjunction with the breast implant manufacturer Mentor.  They were developed as a tissue expander used in breast reconstruction surgeries following mastectomy.  By the late 1980's, surgeons began using the Becker tissue expander in breast augmentation. It was thought of as a solution to achieve the ideal size. While the Becker expanders are still available, many no longer find it suitable due to cost and FDA restrictions.  A new implant called the Spectrum implant, also available by Mentor, is a permanent saline expander that uses the same Becker fill system.

According to Mentor, their "innovative line of SPECTRUM® Breast Implants makes the decision-making process easier because the size can be adjusted after surgery."  These implants allow the surgeon to adjust the size of your implant for up to six months after your procedure.

The ability to go back and change the size to be larger or smaller at a later time is seen as a plus for some. After inserting the implants, the surgeon leaves the filling tube between the stitches of the closed incision and within 3-6 months following the initial surgery (after the swelling has subsided), the surgeon is able to go back and change the size of the implants by taking saline out or putting more in. After the 6 months, the port is removed by the surgeon, and you can no longer change the size of the implants.

The actual Breast Augmentation surgery with adjustable implants is the same as when you use standard saline or silicone implants. The adjustable implants are more expensive, and with Dr. Young you must still undergo general anesthesia, so it can be a more expensive option. You are also limited in the amount of saline that you are able to put in or take out depending on the size of the implant that was chosen from the beginning. This is true whether you use the adjustable implants or standard saline breast implants. In using standard saline implants, we still have the option of adjusting the size up or down during the surgery, and adjustments can be made any time in the future through the fill port with standard implants. Unlike standard implants, with the "adjustable" implants, once the special filling tube is removed, you can never use it again to remove or add saline.

Be careful of media hype about adjustable implants, TUBA breast augmentation (transumbilical), and other promotions that are not always the best solution. Even though adjustable breast implants may be suitable for one woman, it is not the best answer for all. Read more about Breast Augmentation surgery.

Study on Breast Reduction Reveals Age Affects Recovery Outcomes

An interesting study appeared from the Department of Surgery at Johns Hopkins in Baltimore, Maryland concerning whether age affects breast reduction outcome.  17 plastic surgeons were involved in the study which included patients with an average age of 36 years. Age groups were divided into those younger than 40, 40-50 years of age, and those older than 50. The researchers found that the women in the group older than 50 were more likely to experience infection, "with trends towards wound healing problems".  The women in the 40-50 age group also showed a trend toward infection, although not as significant.  A point of interest was that the more aged group did not suffer from any greater degree of more severe complications such as fat necrosis or development of seroma.  The conclusion was that women older than 50 were more likely to develop infection than younger women, and that hormonal deficiency may account for this in part.

What can we learn from a study like this? It could be argued that it is pretty common sense that the older group would experience a higher number of infections. While this may be true, it was interesting that the type of complications were not more severe than those experienced by the younger age groups, and that hormonal deficiency could possibly account for the higher rate in the more aged group. If so, preparation prior to surgery may possibly help beat the odds.

Dr. Young urges all of his patients to take pre-operative surgical vitamins which are designed to boost your immune system and help prepare your body for surgery and the recovery period following.  These are not over-the-counter vitamins, which must be discontinued at least two weeks prior to surgery as some contain ingredients which can impair healing or cause bleeding or other problems.  The surgery vitamins are available to all of our patients, and are taken two weeks before and two weeks following your surgery.  It is important, no matter what your age or health condition, to take all antibiotics and/or other medications prescribed to you prior to and following your surgery as directed.  Followup visits with your surgeon are very important. Anyone experiencing a symptom of infection should call their surgeon's office as early on as possible.

Quality Breast Implants Made in USA

You may have noticed an article which has hit the web on France's scandal involving silicone breast implants.  The huffingtonpost.com reported that more than 30,000 women in Europe have received silicone implants which were produced by the French implant company Poly Implant Prosthesis (PIP) using industrial grade silicone rather than the medical grade silicone which is used here in the United States.

Medical grade silicone is medically sterilized and safe, and is used in a variety of medical applications. The majority of breast implants we use are Mentor's MemoryGel silicone cohesive gel-filled implants which are made in the United States. Because they are manufactured here, they must adhere to strict FDA guidelines.  In fact, the FDA has a consistent presence in Mentor's manufacturing facility. This, and Mentor's ongoing commitment to quality and safety, helps to ensure the safety of their breast implants for breast augmentation. 

Silicone breast implants continue to be the desired choice by most women around the country due to the more natural feel they offer. With the latest advances to cohesive gel implants, the risks from rupture have been minimized because the gelatin-like substance retains its shape and does not seep like a liquid. If you have questions or concerns about silicone implants, consult with your surgeon.

Heed Your Surgeon's Advice on Exercise

A bizarre article caught my eye this morning about a woman whose breast implant disappeared (the article actually described it as "her body 'swallowed' one of her implants") while she performed a Pilates stretching exercise.  Thinking that this sounded a little strange, I read the article, which appeared on the site TheBodyOdd on msnbc.com a couple of days ago, and was published online in the New England Journal of Medicine.

Apparently, the woman had several surgeries performed in the past. She was a breast cancer survivor and had a double mastectomy.  She also had a recent surgery to repair her heart's mitral valve, which involved separating some of the muscles that run between the ribs.  It is thought that when the woman attempted the Pilates move, called the Valsalva maneuver, the muscles in her chest contracted and may have pushed the implant through her ribs and into the space between the lungs.  It is felt that this area was fragile after her multiple surgeries, and that tissue was more easily torn.  It has been described as a "freak occurrence".  To view the article: http://bodyodd.msnbc.msn.com/_news/2011/12/14/9444713-womans-breast-implant-disappears-during-pilates.

The good news is that the woman is fine.  Surgeons found the implant and placed it back where it belongs.
But what does all this mean for the the typical women who is considering or already has breast implants? 

First, realize that when stories like this appear, they truly are rare and unusual occurrences. Second, while the article does not mention how long ago the woman had her breast implant surgery, it is a reminder to listen to and FOLLOW the advice you receive from your surgeon. Some complications can be avoided by following this advice. Your Board Certified Plastic Surgeon will give you a time frame in which you are to avoid all exercise, then tell you how soon you can return to moderate exercise, and when you can return to your regular full workouts. The same can apply for your recovery time and when it is safe to return to work, lifting, housecleaning, and even sex. It is easy to return too early because you feel so good, but complications CAN occur if you push the limits too early, or if you "overdo" it.  If there is any doubt, please call your surgeon and ask.

Rhinoplasty Gets Complicated when Septum is Deviated

Rhinoplasty ("nose job") is a cosmetic surgery procedure which can be complicated, and not surprisingly, many plastic surgeons do not enjoy doing them. No two noses are the same, and there can be limitations on what can be done with the nose.  Not everyone can end up with, nor would necessarily want to end up with, a cute, perky little nose with a slight scoop in it. With the nose being in the center of the face, it tends to be put under the microscope by patients when judging results.  And, when presented with common complaints of breathing problems, or a "deviated septum", the task of correcting the exterior shape of the nose can be greatly complicated by the internal issues causing the deviation.

Dr. Robert N. Young is a Board Certified Plastic Surgeon who has been performing Rhinoplasty surgeries for over 20 years, and he has achieved good results when dealing with cosmetic corrections.  When a patient has septal issues however, he and many other qualified plastic surgeons prefer that patients consult with an experienced Ear, Nose & Throat (ENT) physician/surgeon who can assess the internal issues involved. An ENT can diagnose the cause of breathing difficulties, rule out other medical conditions, and prescribe the best course of action for you. In some cases, bone grafts may be needed to correct the problem surgically. The good news is that the treatments are lasting, and outcomes can be very good. 

The golden rule for Rhinoplasty: seek treatment from the professional best suited to help you, depending on if you need cosmetic correction, or correction of a breathing difficulty.

Best Breast Augmentation Prices of the Year!

We wish you, your family, and friends the very best for the holidays, and extend our thanks for your support and continued interest in our Cosmetic Plastic Surgery and Medical Day Spa services.  In appreciation, we're closing 2011 with great prices on Breast Augmentation!

Breast Augmentation, usually $4700 for saline implants, $3950 now thru 12-30-11
Silicone implants usually $6000 are just $4950 thru 12-30-11

We've also got great specials on other surgery procedures performed by Dr. Robert N. Young, such as Tummy Tuck, Liposuction, Face Lift, Rhinoplasty and others.  Contact us at 210-496-BODY  to schedule a consultation with Dr. Young to see if you are a good candidate for these surgical procedures.  Special pricing is available only while openings are available.  Be sure to mention you read about Dr. Young's holiday specials so we can check availability.

Is Dissatisfaction With Your Body a Problem?

I came across an interesting article published recently in a professional journal discussing the possibility that people who are very unhappy about the size or shape of their nose could mean that they suffer from a psychiatric disorder called Body Dysmorphic Disorder.  A trained and Board Certified Plastic Surgeon is trained to look for patients who may suffer from Body Dysmorphic Disorder (BDD) for a variety of reasons.  Those with severe BDD can have an inaccurate perception of the way their body actual appears, and this can disrupt their everyday quality of life.  The most common conditions associated with severe BDD is eating disorders such as Bulemia or Anorexia, where the patient may actually see themselves as "fat", when in reality they are extremely thin or emaciated. BDD could conceivably make one obsess about their nose, their legs, breasts, stomach, or other body area to the point where no amount of "correction" would prove satisfying.

Cosmetic Plastic Surgery can provide an increase in one's self esteem, help clothes fit better, and give one confidence. For those with BDD, cosmetic surgery usually does not "solve" the issues they have with their body, and they may be more apt to seek out revisional surgeries to the same area. Making sure that a patient has reasonable and obtainable expectations is key to successful outcomes in cosmetic plastic surgery, and most cosmetic surgeons want to know so they can deliver the results you want. Be sure to discuss your expectations clearly with the Board Certified Plastic Surgeons you consult with, and listen carefully if they advise that the surgery may not provide quite what you expect. No one wants to find themselves caught in an endless cycle of revisional surgery, whether you have had rhinoplasty, liposuction or breast augmentation.

On a good note, we find that patients who have taken time to research their procedure and their surgeon are often the most satisfied.  While the internet can be a great tool for information, not all information is accurate, so ask questions from your surgeon if something doesn't sound right, or if there is something of particular importance to you.  Take time to think over your reasons for wanting the surgery, and what you feel it will do for you.  If you feel your expectations are reasonable, then plastic surgery can quite possibly be a good choice for you.

Use Breast Implants From Reputable Manufacturers

Another story which appeared in the news today about breast implants sounds shocking on the surface. Claims are that large implants rupture at a much higher rate. The article also references "Jordan Syndrome", where women who get implants continually want to go bigger and bigger, often leading to the use of much oversized and potentially dangerous or disfiguring breast implants.  See article:  http://www.huffingtonpost.co.uk/2011/12/02/bursting-breast-implants-trebles-in-four-years_n_1125828.html?ref=uk-lifestyle

While this condition may exist, and rupture and other problems can be more prevalent in larger implants, in the United States, the leading manufacturers of saline and silicone breast implants provide implants in sizes that have proven to be safe. These are strictly regulated.  In addition, Board Certified Plastic Surgeons who specialize in Breast Augmentations receive training in the appropriate use and sizing of breast implants.

The very large sizes mentioned in the article (G-Cup, FF-Cup etc) are no longer used in this country.  We also have very strict manufacturing standards which must be met in making breast implants, and there have been many advances over the years to ensure safety. In our experience, most women select implants from 350cc up to 800cc, which can increase your breast size from one to a few bra cup sizes.  Most women don't want to look abnormal, clownish or "over-the-top".  Keeping in proportion to the rest of your body will almost always give the most pleasing result.

We recommend that if you are considering breast implants, go to a Board Certified Plastic Surgeon who is trained and experienced in Breast Augmentation, and who uses quality saline or silicone gel implants.  He or she will be able to advise you on the risks associated with the type and size implant you desire, and will have your health, safety and goals in mind when helping with this important decision.

Choose Credentialled, Qualified and Experienced Specialists

Stories pop up over and over again about patients who willingly select doctors without appropriate credentials, or those who practice out of uncertified facilities. The outcomes of these are often tragic for the patients involved.  What sometimes saves a bit of money ends up putting their health or life in jeopardy.

The most recent story appeared this week about a woman who received cheek injections which turned out to be a mixture of ingredients including concrete!  Another patient who went to the same "doctor" sealed her incisions with superglue!  Unqualified doctors have performed procedures from Breast Augmentation to Brazilian Butt Lifts using products which are not medical grade, nor approved for use in cosmetic surgery.  Others perform "awake" procedures under local anesthesia in their office.  These can be very dangerous.

See the full story at:  http://www.huffingtonpost.co.uk/2011/11/30/cement-cheek-implants-fake-doctor-oneal-ron-morris_n_1120041.html?view=screen

The woman "doctor" in question was not Board Certified, was not a plastic surgeon, nor a licensed physician of any kind.  She did not perform the surgeries at a hospital or in a certified or licensed outpatient surgery center.

We hope that this serves as a warning to patients wanting to have cosmetic surgery procedures.  Prices which seem to good to be true usually always are.  Make sure that the plastic surgeon you choose is properly credentialed and practices in a licensed or AAAASF certified facility (and not a back room office) where essential safety equipment and procedures are in place for your well-being.  Remember, a Board Certified Plastic Surgeon has received extra training beyond his or her designation as a physician.  They have proven expertise in cosmetic and plastic surgery.  For more information about Licensure & Certification, visit http://www.dr-youngforever.com/DrYoung.php. 

What is the Most Effective Liposuction Technique?

To try and answer this question, the American Society for Aesthetic Plastic Surgery (ASAPS) went to those who perform liposuction most - Board Certified Plastic Surgeons. The professional association's members were surveyed recently, and asked which methods they prefer most, and which ones they perceive as the safest.

The results are in! Overwhelmingly (at 51.4%), they preferred suction-assisted liposuction (or commonly called "traditional" liposuction, which includes tumescent liposuction). Second and third most preferred (23% and 20.9% respectively) were PAL (power-assisted liposuction) and UAL (ultrasound-assisted liposuction).
LAL or "laser-assisted liposuction" accounted for only 3.9% of plastic surgeons preferring this procedure. LAL methods go by many trendy names, but all are assisted by the use of a laser. Many manufacturers claim that the procedure can be performed under local anesthesia, however, in our experience, most patients cannot tolerate liposuction under local anesthesia, especially for large areas. Patient discomfort can lead to the procedure being aborted earlier than desired.

Dr. Young prefers traditional tumescent liposuction techniques and the use of our own PAL "Tickle Lipo". It seems that Dr. Young is not alone in his perception of what works best!

Dr. Young has been performing liposuction in his private cosmetic surgery practice for over twenty years, and has this information to share: When considering your need for fat removal, realize that problem areas are identified by "area", such as abdomen, hips, thighs, or "love-handles" for men! Liposuction is also very effective for arms, neck or chin, and for reducing large breasts on men. When considering liposuction, consult with a Board Certified Plastic Surgeon, as they are the physicians who have received the highest levels of appropriate cosmetic surgery training.

In recent years, Dr. Young has perfected his technique of Brazilian Butt Lift, where fat is suctioned from one or more areas of the body is transferred into the buttocks, creating a shapely, voluptuously full figure that is so in fashion. Fat transfer techniques are also effectively used on the face, where loss of volume naturally occurs as we age. While fat transfer to the breast is once again being talked about as a viable alternative to traditional Breast Augmentation with either silicone or saline breast implants, the use of fat in the breasts often requires multiple procedures to end up with the volume you desire. This is because not all of the fat injected survives. Many prefer the tried-and-true methods that have been perfected in Breast Augmentation with advent of endoscopic technologies which allow for minimal incisions, good placement of implants, and beautiful, lasting outcomes. Liposuction is suitable for both men and women, and Dr. Young has seen a steady rise in the number of men who are electing to have liposuction surgery performed. In experienced, skilled hands, liposuction has evolved into an extremely safe and effective surgery for those wanting to reduce problem areas, sculpt the body, and even to add volume to areas lacking shape.


Robert N. Young, MD, FACS is a Board Certified Plastic Surgeon with his own private Surgery Center in San Antonio, Texas. For more information on Dr. Young, visit his website at www.dryoungforever.com.

Dr. Young's recent trainings

Dr. Young recently returned from the Las Vegas Convention for plastic and reconstructive surgeons.  There were many topics of discussion that Dr. Young found interesting.  He feels that attending meetings which are hosted by your professional associations (such as the ASPS and ASAPS for Board Certified Plastic Surgeons), challenge you to keep abreast of the latest advances and technologies available in your field. The opportunity to meet with colleagues, attend seminars and trainings, visit with manufacturers and vendors is vital in keeping you well informed and able to deliver the best to your patients.

Dr Young's Thoughts on Awake Surgery

Local anesthesia for surgical procedures is not always the best choice. Often times the operating physician is giving sedation medication and using local anesthesia without an Anesthesiologist in order to save money. I think it is much safer to use an Anesthesiologist to give the patient the proper level of comfort during the procedure, as well as to monitor their level of consciousness. If you are feeling pain during the procedure the physician will often stop short of getting you a successful result. A few hundred dollars more for a Board Certified Anesthesiologist is definitely worth the safety and success of a several thousand dollar procedure.

Check out what MSNBC has discovered on the topic:
http://on.msnbc.com/awakesurgery

Lasting Lip Enhancement

Dr. Young is now offering the PermaLip Implants for permanent lip enhancement. For those patients who get lip fillers twice a year or more, you may want to consider permanent lip implants made of a soft silastic tissue. The procedure can be performed under local or general anesthesia. The soft lip implants come in several sizes and can easily be removed if you desire at a later time. The procedure costs about $2500 for both upper and lower lips. Call Dr. Young's office at 210-496-2639 to schedule a Complimentary Consultation visit (during the month of August 2010 only) to discuss this method of lasting lip enhancement.

Latisse is here!

You've probably seen the ads on television for Latisse.  Brooke Shields is the spokeswoman who is popularizing the lash lengthening product. Latisse, the amazing product by Allergan (makers of Botox (r)) that thickens and lengthens eyelashes, is now available by prescription through Dr. Young.

Fill your prescription at HEB, then bring in your package's bar code (UPC) and register receipt, and we'll register you for a $20 rebate.

We've tried Latisse here in our Stone Oak office, and we're impressed with the results.  Call Jacque or Brenda at 210-496-2639 and let them know you'd like to try some yourself. A quick appointment at our offices (525 Oak Centre Dr., Suite 260 - San Antonio, Texas) is all it takes!

Dr. Young Returns from Annual Convention

Dr. Robert Young has returned from the 6th Annual Facial Cosmetic Surgery 2010 conference in Las Vegas excited about the latest news and advances in cosmetic plastic surgery, and specifically procedures and products for the face.  Rhinoplasty, face lift, eyelid lift (blepharoplasty), forehead and browlifts, neck lift, skin tightening technologies, fractional resurfacing, facial fillers, peels, and a host of other topics proved interesting and valuable.

At Aesthetic Enhancement Cosmetic Surgery & Laser Center, we're looking forward to incorporating some of these advances into the surgeries and procedures performed by Dr. Robert N. Young, MD, FACS, and the professional staff of his medical day spa.

We'll be reporting more on some of the latest news over the upcoming weeks.  Be sure to check back! 

Keller Funnel Makes Breast Implant Insertion Easier and Less Painful

by Robert N. Young, MD, FACS

Board Certified Plastic Surgeon

Having just returned from the cosmetic meeting in Miami, it was exciting to have a first-hand introduction of a new device that makes breast augmentation easier.

The Keller Funnel is a cone shaped device which aides in the placement of silicone breast implants, allowing for smaller incisions and less rubbing as the implant is being inserted. The funnel minimizes trauma to breast tissue, and puts less stress on the implant itself. Because the cone is lined with a special lubricant coating that when moistened makes the funnel extremely slippery, silicone implants (which are pre-filled at the desired size) can easily be inserted without the surgeon ever having to touch the implant. 

What is exciting is that in addition to the standard nipple incision long used for silicone implants, it now allows silicone implants to more easily be inserted through the armpit, which is exciting news for patients who are concerned about scarring on their breasts.  Many of my patients have avoided silicone implants because they did not want incision scars that would be visible on their breasts.  Patients who want no breast scarring often choose the transaxillary incision, which is made in the armpit and leaves a tiny scar that is virtually impossible to see once healed. The transaxillary procedure can be preformed with or without the help of an endoscope (a tube with a small surgical camera on the end). Up to now, saline implants were the primary choice for the armpit incision, because of the distance from the incision to the breast pocket. With the Keller Funnel, silicone implants can more easily be inserted through the armpit.

Even more exciting is that with use of the Keller Funnel, silicone breast implants can be placed  either below the muscle or subfascially.  The subfascial insertion allows for faster recovery times and much less pain, which is the primary post-op complaint.  I am able to achieve outstanding results with an armpit incision using the Keller Funnel and placing the implants below the fascia.  My patients now have even more reason to consider the choice of silicone breast implants with the introduction of this great new invention.

For more information about the Keller Funnel, visit the following links:
1) theplasticsurgerychannel.com
2) http://www.kellerfunnel.com/

I'm happy to discuss how this new procedure can benefit your Breast Augmentation surgery with me.  If you would like to contact me, please visit my website dr-youngforever.com  or  e-mail Dr. Young.

More Men Looking At Cosmetic Surgery

by Robert N. Young, MD, FACS

Board Certified Plastic Surgeon

I've noticed more men coming to my specialty practice for cosmetic surgery procedures over the last year or two. What is most striking is that in addition to the more common liposuction and rhinoplasty, there has been an increase in full facelift, abdominoplasty "tummy tuck" and blepharoplasty "eyelid lift". I am also seeing requests for calf implants, pectoral "pec" implants, and other procedures which promote a more healthy, youthful appearance.

Many articles suggest that both men and women are trying to "put their best foot forward" in terms of remaining competitive in the current job market, and the fact that the number of men coming in for Botox(R) and facial fillers may support this theory.

Male cosmetic plastic surgery seems to be growing in popularity and I am happy to discuss both surgical and non-surgical alternatives to help men achieve their goals.

I'm afraid of anesthesia...is the "awake" method good for me?

by Robert N. Young, M.D.

Board Certified Plastic Surgeon

We've seen a new trend in Cosmetic Plastic Surgery...promotions of "Awake Breast Augmentations".  It is talked about as something new, but in actuality, surgeries performed under "local anesthesia", or "twilight anesthesia" have been around for many years.  Whether it is a good choice for patients is being hotly debated.

Because Breast Augmentation has become such a popular procedure, and is more readily talked about by society, some feel it has become somewhat frivolized.  It is easy to forget that this is still a major surgical procedure. While endoscopic (minimal incision) techniques have made the surgery less invasive and easier to recover from, the procedure is best done under general anesthesia with a Board Certified Anesthesiologist. "Twilight anesthesia" can be dangerous without an anesthesiologist present.

There is quite a bit of debate recently about practitioners who are advertising "awake" surgeries.  These are usually performed by physicians who are not Board Certified Plastic Surgeons, and may not even be Plastic Surgeons at all.  Sometimes they are Dermatologists, General Surgeons, or even Family Practitioners who elect to perform the surgery under local anesthesia because they do not have  privileges in a hospital or certified surgery center to perform those procedures. In my Surgery Center, all anesthesia is administered and monitored by Board Certified Anesthesiologists who are experienced in Cosmetic Plastic Surgery.  I feel this is best for my patients, and myself, as it allows me to concentrate on my area of expertise, which is the surgery itself.

My Surgery Center is fully certified by the AAAASF and meets strict standards to perform surgical procedures. Sure, the surgery costs a little more, but it is worth having the extra standards and safety factors. That's why doctors are credentialed and surgery centers are certified. If we didn't adhere to these standards we would be cheaper also. So when you get a fee quote that is cheaper because it is under local anesthesia in an office back room, be careful of what you are asking for.

Board certification by an ABMS member board provides assurance of a physician’s expertise in a particular specialty and/or subspecialty of practice. Professional organizations, such as the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery (ASAPS) require that members be Board Certified within their specialty.

Some advertisements even go so far as to state that you'll be awake enough during your procedure to pick the size of your breast implants (this would only be possible with saline implants which are inserted and then filled to the desired size) during your surgical procedure itself!  If you have had sedation you are going to feel woozy and wobbly.  I don't think you would be coherent enough to make this selection during surgery!

We recommend that you ask questions that will ensure that you are well informed concerning the qualifications and experience of your surgeon and the types of anesthesia that you are offered.  Here are questions generally recommended:

• Are you Board Certified? 
• If so, what specialty board?
• Are you licensed to practice surgery in this state?
• How many breast augmentation surgeries do you perform each year?
• How many years have you performed breast implant procedures?
• Where is my procedure performed?  
• Is the surgical facility accredited?
  
• Who administers anesthesia during my surgery?
• Is the person who administers my anesthesia Board Certified in this specialty? 
  
• What are my options for anesthesia?
  

When you come in for a consultation visit with me, I will make recommendations based on my extensive experience as first a reconstructive and then cosmetic plastic surgeon. I invite you to ask questions regarding various surgical methods, anesthesia, recovery and any other questions you may have so that you can make an informed decision about your surgery.  You may contact my office at 210-496-BODY (496-2639) or e-mail me at nubody@dr-youngforever.com.

How do I get started?

We receive many e-mails.  As you might imagine, some are routine inquiries about cost of Cosmetic Plastic Surgery procedures or how long one would need to take off of work.  At other times, however, we receive really great questions.  We'd like to share these, and we will publish ones we feel that our patients and friends will benefit from. To get things started, we'll share a very common one.

This was an e-mail received from Andrea in September 2009:

"Hello. I am very interested in getting my breasts done.  I've heard good things about Dr. Young and have seen many women who've had their procedure done by him.  How do I begin the process?"

We always encourage you to schedule a consultation visit with Dr. Young so that he has an opportunity to examine you answer questions you have, and make recommendations.  There are things you can do ahead of time to ensure that your consultation visit is as helpful to you as possible.

I always recommend that you make a list of all your questions.  And, add to the list as you think of other concerns or questions...no matter how silly they may seem.  Some information you'll be able to obtain from quality internet sites.  I prefer to lean towards information sites rather than "locate-a-doctor" referral sites. Information sites include plastic surgery association sites, implant manufacturer sites, and encyclopedia style sites such as:

American Society of Plastic Surgeons
http://www.plasticsurgery.org/

The American Society for Aesthetic Plastic Surgery

http://www.surgery.org/

Good encyclopedia style sites include:  howstuffworks.com, webmd.com, wikipedia.org, medicinenet.com, ezinearticles.com, and ehow.com.  You can look up your specific interests and learn about the procedures. Here are some sample links that would be helpful for Breast Augmentation research:

http://health.howstuffworks.com/breast-implant.htm/printable

http://www.plasticsurgery.org/Patients_and_Consumers/Procedures/Cosmetic_Procedures/Breast_Augmentation.html

http://www.implantinfo.com/

http://www.loveyourlook.com/

http://www.webmd.com/skin-beauty/cosmetic-procedures-breast-augmentation

http://en.wikipedia.org/wiki/Breast_implant

http://www.medicinenet.com/breast_augmentation/article.htm

http://ezinearticles.com/?Various-Views-on-Breast-Augmentation&id=3212987

http://www.ehow.com/about_5402302_breast-augmentation-information.html

Once you've had a chance to read through the information you'll undoubtedly have questions in how this information relates to YOU!  This is what is especially helpful in a consultation visit with Dr. Young.  There are many choices then it comes to surgical procedures.  An experienced, qualified surgeon like Dr. Young can help you make choices that are most appropriate for YOU, and not just what is popular at the moment.  (It is widely recommended that you seek out an experienced surgeon who is a Board Certified Plastic Surgeon, as they are physicians who have undergone years of additional training in this specialty.  They must pass strict criteria once completing this training, as well as show documented experience to demonstrate their abilities. I've been told that only 30% of those applying for this designation pass.) Great results and your satisfaction are what we want most.  We can help sort through the sometimes confusion array of surgical methods, incision locations, type of anesthesia etc.

You will have an opportunity to meet with Dr. Young, as well as his nurse(s) in your consultation.  Dr. Young's nurses are very familiar with the procedures he performs and not only assist Dr. Young in clinic for new patient consultations and follow up visits, but have regular duties in the Operating Suite as well.  Most of our nurses have been with Dr. Young for five years or more, and several over ten.  They can be instrumental in helping you understand the surgical procedure, coordinate after-surgery care, etc.

Your Consultation Visit is an exciting time because the possibilities are quickly seen as a reality. It is easy to overlook an important question or even feel too embarrassed to ask a question that seems silly or awkward. Making a list of your questions or concerns helps keep you focused, and ensures you'll be more ready to make a decision on whether the procedure is right for you. 

In Andrea's case of wanting to prepare for a Breast Augmentation, she would begin by scheduling her consultation appointment.  At her consultation, she will meet with Dr. Young, and one or more of his nurses for an examination, discussion of the procedure, recommendations, and a "sizing" prior to speaking with her surgery coordinator. 

The sizing is her opportunity to "try on" many different size implants in a special bra.  Andrea can then get a sense of what style and size implant is most appropriate for her.  Every woman's body type is different, and one's taste in size is different.  We encourage you to select your size based on what feels best to YOU.  You might hear from a friend that she had 450cc implants, and you think that you'd like to be that size, or maybe even a bit bigger.  Keep in mind that 500cc implants in someone who is 5'7" tall and weighs 135 pounds will look quite different on someone who is 5'2" tall and weighs 110!  Are you broad shouldered, narrow chested, pear shaped, tall or petite?  Your body type will play a big part if you're trying to achieve a more balanced, proportional look.

After the consultation visit, if a surgery date is selected, Andrea will also schedule a "pre-op" (pre-operative) visit which is usually two weeks prior to the surgery, but may be closer to the date of surgery if you schedule for a more immediate surgery (surgeries can be scheduled as soon as the following day in some cases).  At this visit she will go over her medical history with one of Dr. Young's nurses, have a physical exam with vitals and labwork performed, discuss risks, how to prepare for surgery and recovery, among other things. It is Andrea's chance to ask any other questions she's thought of as well, and to finalize the size of her implants.  The next time we see Andrea will be the day of her surgery, which is performed in Dr. Young's fully accredited in-office Surgery Center.  Our OR staff will be there for each stage of her procedure, including instructions for Andrea's friend or family member who will drive her home following her recovery.

I hope this information gives you an idea of how things can proceed once you've decided you'd like to look into cosmetic plastic surgery.  I'd like to thank Andrea, and everyone who sends us great e-mail questions.  Please continue to do so.  You can e-mail me directly at:  busmgr@dr-youngforever.com.

What's New in Breast Implants!

by Robert N. Young, MD, FACS
Board Certified Plastic Surgeon

It's been over a year since their re-launch and it appears that the new silicone implants are taking off. The softness, safety and durability of the cohesive gel is attracting a lot of patients to select silicone despite their increased cost. For a little more money than the standard cohesive gel implant, there is also a silicone implant with a saline center (the Becker implant) that can be adjusted after the surgery via a valve under the armpit. When the patient is happy with one size, the valve is then removed.

Many people still feel more comfortable with the saline implants which have been the standard for the past 15 years. At Aesthetic Enhancement Cosmetic Surgery Center, I offer all options in terms of implant type, size and shape, as well as placement of the incision. We have our own fully accredited in-office surgery center to perform the surgery. Our patients find that this provides them with the privacy and convenience they desire, while also affording the best in patient care and safety.

With the advances made in quality and selection of Breast Implants, now truly is the best time for Breast Augmentation. The new style implants can create beautiful, natural looking breasts which will enhance your figure and bring a new sense of self-confidence and beauty to you. I'd be happy to see you in a consultation appointment to see if Breast Augmentation is right for you. Contact me by calling my office at 210-496-BODY (2639) or e-mail nubody@dr-youngforever.com.

All In-Office Surgeries Are Not The Same

Dr. Young is pleased to bring you the best that San Antonio has to offer in state-of-the-art outpatient surgical care for our specialty of Cosmetic Plastic Surgery. Aesthetic Enhancement's own surgical facility, including two Operating Rooms, Pre-Op Rooms, Recovery Room, and the entire facility meets standards that rival the best of hospitals.

For many people, the "operating room" is a mystery. Many people don't have much recollection of the room because of the sedative effect of anesthesia. Years ago, some doctors set up surgical rooms in one of their back offices and performed surgeries in conditions that are largely seen as unsafe. Regulations became more strict, and facilities were encouraged to get approved in order to try to elicit safer outcomes. Dr. Young was one of the first in-office surgical facilities to become accredited by the AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities). In doing so our facility had to demonstrate the highest levels of competence.

The AAAASF was established "to provide a means of measuring both medical and surgical competence, and ethical conduct, by providing an external source for the evaluation of professional credentialing, patient safety and quality of care." To ensure verifiable quality care with specific requirements, the AAAASF standards that every facility must meet include:

1. General Environment
2. Operating Room Environment, Policy & Procedures
3. Recovery Room Environment, Policy & Procedures
4. General Safety in the Facility
5. Blood and Medications
6. Medical Records
7. Quality Assessment/Quality Improvement
8. Personnel
9. Governance
10. Anesthesia

Compliance with these standards is both self-monitored and by physical inspection by AAAASF. We're pleased that our facility meets standards that rival the best of hospitals.

Dr. Young's surgery center is designed to satisfy all your cosmetic surgery needs. It provides cost effectiveness for his patients, and allows total discretion, comfort and safety. Our entire staff, all outstanding in their respective fields, work together to ensure you have a safe, comfortable experience and an outstanding surgical outcome. Both our Surgery Center and our Medical Day Spa are connected to the North Central Baptist Hospital at Stone Oak.

Don't settle for substandard care. Make sure the facility which you entrust your care is accredited. For more information visit the AAAASF website at http://www.aaaasf.org/mission.php.

New Sciton Laser - Non-Surgical Procedures With Amazing Results

For many years, Dr. Young and Aesthetic Enhancement Cosmetic Surgery & Laser Center have been in the forefront with the latest technologies in skin care. With the addition of our new Sciton ProFractional Laser, we're able to offer a wider range of treatments and options in terms of down-time.

Traditional Laser Resurfacing, for instance, while affording great results, has long down-times that many busy men and women simply cannot take. With the Sciton ProFractional Laser and the Sciton MicroLaserPeel, resurfacing has been brought into the future by reducting downtimes to as little as a few days. The Sciton also offers advances in BBL/IPL treatments to treat age spots, redness, broken capillaries and remove unwanted hair. The SkinTyte is designed to tighten skin and stimulate production of your body's own collagen. Combined with the BBL, we see improvement in tightened skin and reduction of sun damage, fine lines and wrinkles.

We'll bring more detailed news on how this new technology works, and what it can do for you, in future articles and invite you to join our newsletter by signing up (you can register by following the link to the right). Get the latest news in Cosmetic Plastic Surgery and Professional Skin Care. If you would like more immediate information on how you may benefit from these technologies, please call our office at 210-496-BODY (2639) and ask for a complimentary Sciton consultation.

Buttock Lift Requests Are On the Rise

We've noticed a big increase in the number of women requesting Buttock Lifts, and more specifically the Brazilian Butt Lift.

Once a procedure more commonly requested by weight loss patients, usually post-gastric bypass, who had received a Tummy Tuck, and needed tightening of the upper gluteal area due to the loose hanging skin. Doctors in Brazil made the procedure popular by adding liposuction and fat transfer to the Guteal Lift procedure, thus coining the term "Brazilian Butt Lift", which had patients flocking to Rio de Janeiro to have their buttocks shaped into a more voluptuous, taut rear end!

Dr. Young performs the Brazilian Butt Lift by collecting fat via liposuction from the flanks, hips or thighs, and using fat transfer methods, re-injects the fat into the buttocks to add fullness where needed. This sculpting creates a curvier silhouette, and is an excellent alternative to Buttock Implants, which can be prone to complications such as implant infection rejection and perforation.

To see if you are a good candidate for the Brazilian Butt Lift, contact Dr. Young's office at 210-496-2639 for a consultation appointment.

About Dr. Young

Dr. Young is a well-known Plastic Surgeon in the San Antonio area, and has a reputation as one of the leading Breast Augmentation specialists. He is a Board Certified Plastic Surgeon, and has been specializing in Cosmetic Plastic Surgery for over 19 years.

Dr. Young earned his undergraduate degree from the esteemed United States Military Academy at West Point, and completed his medical degree at Tulane Medical School in 1975. Dr. Young finished his general surgery residency at Brooke Army Medical Center in 1980, and went on to serve as Chief of Plastic Surgery, where he performed all types of major reconstructive procedures.

Following Dr. Young's accomplished military career, he went into private practice, founding Aesthetic Enhancement Cosmetic Surgery & Laser Center in 1990. His vision was to bring the most innovative cosmetic surgery procedures to his patients in a comfortable and professional environment. Dr. Young pioneered one of the first in-office Outpatient Surgery Centers which specialized in cosmetic plastic surgery here in San Antonio. His surgical facility is accredited by the AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities), and is designed to provide cost effectiveness for the patient, while allowing total discretion, comfort and safety.

Dr. Young has limited his practice to cosmetic surgery to concentrate his skills on the aesthetic improvement of his patients' beauty. Incorporating the latest technological procedures, Dr. Young specializes in endoscopic (minimal incision) axillary breast augmentation, and remains a leader in the field of liposuction. Providing cosmetic surgery for total body enhancement, he offers all types of breast surgery, tummy tuck, body sculpting, and facial surgeries such as face lift, eyelid surgery and laser resurfacing with state-of-the art lasers including the Sciton.

Dr. Young is an accomplished athlete, having competed in many local and national tri-athlete competitions, marathons and biking events. When not working, training or competing, he spends time at home with his wife, three wonderful dogs and two cats.