Wednesday, November 28, 2012

See Your Future in the Present

Atlanta plastic surgery patients sometimes find it difficult to imagine how they'll look after a procedure like a breast augmentation or after injectable treatments like BOTOX® Cosmetic or dermal fillers like Juvéderm or Restylane®.  Atlanta cosmetic surgery patients don't need a crystal ball to visualize their cosmetic changes because we have a new technology that allows you to see photos of yourself "as if" you'd already had your procedure! Dr. Kavali has invested in 3D imaging, which will show you the anticipated results of your procedure or treatment through computer simulation!

Imagine yourself at a breast augmentation consultation with Dr. Kavali. After a photo is taken of your body, your "digital version" appears on Dr. Kavali's computer screen in 3D! Dr. Kavali can digitally change the size of your implants, as well as the projection, so you can see the various options via computer simulation. Essentially, it's like "trying on" different implant options via computer. She can "virtually" put a bikini top on you, a tank top, a bra, etc., and show the image from multiple angles, allowing you to scrutinize to your heart's content until you decide on the right size and projection for you! Further, the Vectra 3D imaging system even identifies rib, chest wall and breast asymmetries that you may never have noticed, which can be addressed in your procedure. Nearly everyone has some kind of body asymmetry--rarely does the left side of your body exactly mirror the right side. Check out this breast augmentation imaging video on the Vectra 3D imaging website and you'll see what we can do!

The Vectra 3D imaging system can simulate any part of the body and any procedure: the face, hands, back, bottom, and tummy, as well as the breasts. So, if you're thinking about facial rejuvenation, like a liquid facelift with dermal fillers such as Juvéderm® or Restylane® coupled with wrinkle relaxers like BOTOX® Cosmetic, Dysport® or Xeomin®, and aren't quite sure how your results will look, the Vectra 3D will show you! Dr. Kavali can anticipate the amount of filler or wrinkle relaxer to use based on the computer simulations.

It will come as no surprise that our Atlanta plastic surgeon, Dr. Kavali, invested in the newest Vectra 3D system. In fact, we have the newest system in the entire state of Georgia, and one of only a few in the entire Southeast. We are committed to giving you, our patients, the very best technologies available to assist you in both the decision-making process and in your final procedure and/or treatment.

So, if you'd like to see yourself in the future today, call our office at 404-250-3333 or complete our discreet online form to schedule your consultation!

Santa Has Gynecomastia

 
It’s that time of year—visits with friends and family; the fragrance of turkey roasting in the oven; the familiar traditions and memories that all of us enjoy so much! Because it’s “the season,” it seems appropriate that we share a frank discussion about gynecomastia, because we suspect that Santa has it. Certainly, Dr. Kavali and her staff at Kavali Plastic Surgery in Atlanta are more likely to notice these kinds of things. 

Since Santa is known to be so fond of cookies and milk, leading to obesity (sorry, but it’s true), we’re pretty certain he has gynecomastia, as most obese men have it. Although we aren’t sure Santa would be interested in eliminating his man-boobs or—the more proper description—enlarged breast tissue, we do know that lots of men in Atlanta suffer the embarrassment of gynecomastia. Since there’s only one Santa, we can safely assume that the other men with enlarged breasts (A) aren’t Santa and (B) might like to know what can be done to safely and effectively treat this concern.

Gynecomastia is surprisingly common—estimates are that at any given time, more than half of all men have enlarged breasts! There are two times in a male’s life when enlarged breasts tend to occur—during puberty and during a man’s later years. Why is this the case? Because hormonal swings, common during puberty and as a man ages, can cause the breasts to enlarge. Doubtless, many of you have noted the slightly puffy breast tissue in many male infants—it’s caused by reserves of estrogen from the mother. When that estrogen reserve begins to dissipate between 4-6 weeks of age, the male baby’s breasts become more normal in size. It’s the magic of hormones! 

There are other reasons for enlarged breasts in men, however. Certain chemicals and medications can cause gynecomastia, particularly steroids and marijuana. There are also medical problems that can cause gynecomastia. Therefore, enlarged male breasts, although usually of no particular medical concern, should be checked out by a family physician or an endocrinologist before plans are made for any intervention by a cosmetic surgeon.

Although enlarged breast tissue in men is usually not a medical concern, it can cause significant emotional distress. It’s a rare teenaged boy or adult male with gynecomastia that isn’t terribly embarrassed by it. Boys who previously enjoyed swimming and wore t-shirts and tank tops suddenly hate the beach, refuse to enjoy the pool with the family and may even become withdrawn, shying away from boy-girl interactions at exactly the age when they’re learning how to relate to the opposite sex. Worse, they can bear the brunt of teasing from other boys when changing clothes after gym or sporting events. Obviously, this embarrassment isn’t limited to teenaged boys. Grown men with gynecomastia also avoid situations in which exposure of their enlarged breasts might happen—the aforementioned beach as well as the gym. 

Happily, there are several options to help men with gynecomastia. One is liposuction. Unless the skin is stretched to the point where sagging is likely to occur after removal of the excess fatty tissue, liposuction is usually adequate. However, for men with excessively large breasts and/or skin sagging, excising some of the skin surrounding the breasts may be necessary along with removal of the fatty tissue.

In general, male breast reduction is a simple out-patient procedure that takes only a couple of hours. Recovery is rapid; most men and teen boys need only a couple days from work or school following a breast reduction procedure. It’s quite the rewarding treatment once recovery is complete and the embarrassing problem has been resolved. 

We don’t expect Santa to call our Atlanta plastic and cosmetic surgery office for gynecomastia treatment anytime soon, but if you or someone you love is concerned about enlarged male breasts, we’re the folks to see. Schedule a consultation at our Atlanta plastic surgery practice, and we’ll show you what we can do to help you regain a masculine chest!

Got Crow's Feet?

 
As we grow older, “smile lines,” also called “crow’s feet,” develop at the outer corners of the eyes. Smoking, menopause, too much sun exposure, and even sleeping face-down can promote the development of crow’s feet. Aging is an obvious reason—as we grow older, our skin loses collagen, hyaluronic acid and elastin, causing wrinkles to form.

There are, fortunately, treatments to minimize and even eliminate crow’s feet! Laser resurfacing can be performed, as well as gentle and tiny injections of BOTOX® Cosmetic, Dysport® or Xeomin®. Dermal fillers, like Juvéderm and Restylane® can actually help your body replenish its collagen! Chemical peels, performed by our talented Atlanta skin care experts, can work wonders on crow’s feet, too! Applying prescription-strength retinoid acid and glycolic creams are yet another option. All these treatments are reasonably priced, have little to no downtime and can yield exceptional results! You can smile as often as you wish and no longer worry about your “smile lines!”

Thursday, November 15, 2012

Got Cellulite?

Oh, the dreaded lumps! The cottage cheese dimples! And the complete unfairness that 80% of women—even thin women—get cellulite, yet men rarely do! Why?

What Is Cellulite?
On the surface of the skin, cellulite looks like dimples and bumps. In places where the skin’s connective tissues are stretched to their limits by fat cells beneath the skin, cellulite appears. The "dimples" occur at the points where the surface of the skin connects to the tissues beneath, and the "bumps" are where the fat cells are pushing outward on the skin.

What Causes Cellulite?
A genetic predisposition, hormone levels, hydration, diet, exercise, stress, habits, and some medications can all contribute to the development of cellulite. Estrogen will cause the fat cells to clump together, for unknown reasons. 

Why Don’t Men Get Cellulite?
Actually, men do get cellulite. You just can’t see it as well as you can on a woman! Cellulite is more visible on a woman’s body than on a man’s body because men’s body fat is concentrated inside the belly and abdomen, while women’s body fat is located nearer the skin. Further, women’s skin is thinner, making the cellulite more visible. And, last, women carry more fat than men.

Does Anything Eliminate Cellulite?
There are many cellulite reduction creams on the market today that claim to eliminate cellulite, but the truth is that cellulite is much too deep beneath your skin’s surface to be eliminated by mere creams. Cellulite removal requires more than a cream!

Unfortunately, that dimpled skin on your thighs, hips, and buttocks is very resistant to diet and exercise, although avoiding exercise and prolonged sitting (like at the office) can certainly increase your propensity to develop cellulite.

VelaShape™ is an Effective Cellulite Treatment! 
Our Atlanta cellulite patients love VelaShape™, an FDA-cleared nonsurgical solution to cellulite. A combination of 4 technologies (infrared light, radiofrequency, massage, and suction) reduces the appearance of cellulite and smoothes the surface of your skin. VelaShape™ actually reduces the amount of fat under the surface of your skin by increasing both blood flow and lymphatic drainage. VelaShape™ is the best cellulite treatment for a noticeable reduction in the fat layers in the treated areas.

Dr. Kavali is a VelaShape™ Pro!
Dr. Kavali was the first physician in the state of Georgia and one of the first in the Southeast to offer VelaShape™! We have performed hundreds of VelaShape™ treatments. Further, Dr. Kavali was a Principal Investigator in two FDA studies of VelaShape™, making her one of the nation’s true experts in the procedure. Experience counts, because it is very possible to complete a series of incorrect treatments and see zero results.

How is VelaShape™ Done?
Over a series of five weekly treatments in our Atlanta plastic surgery office, you’ll enjoy what feels like a hot massage. There’s no pain, no need for anesthesia of any kind, and the treatment can be done over your lunch hour. In a few weeks you’ll notice an improvement in the texture and tone of your thighs, buttocks, abdomen, arms, or neck. Results are maintained with 3 or 4 treatments each year thereafter.

Schedule an appointment to check out VelaShape™ and get rid of those bumps and lumps!

To your health and beauty,
Atlanta Board Certified Plastic Surgeon

Monday, November 12, 2012

Do You Need to Change Your Breast Implants?

I’d like to talk to you about the “shelf life” of breast implants. Atlanta TV commercials tell us that “diamonds are forever,” right? Unfortunately, breast implants aren’t.

Why Replace Breast Implants?
There are several reasons you might wish to switch out your implants in a procedure called a breast implant revision. Here are a few of them:
1.    A desire to change implant size (larger or smaller)
2.    A desire for a change in shape or projection
3.    A wish to switch from saline-filled to gel-filled or vice versa
4.    A capsular contracture
5.    Deflation of saline implants (one or both)
6.    Visible wrinkling, rippling, bottoming out or the presence of the “double bubble”
7.    Breast sagging that requires implant changes during a breast lift. It’s not always necessary to replace the implants in a breast lift performed long after breast implants were inserted. Much depends on the age of the implants and whether or not my patient is satisfied with the size of her breasts, not withstanding her dissatisfaction with the sagging of them.

How Long Do Implants Last?
While most women are told that their implants will last about ten years, some women will have no need or desire to change implants for 20 years. In other words, it varies among women.

Will There Be More Scars if I Replace My Breast Implants?
Usually no. Unless the scars are hypertrophic, the same incisions are used as were used in the initial breast augmentation procedure.

How Do I Know If My Breast Implants are “Too Old?”
Unless you have one of the problems noted in the list above, if it’s not broken, don’t fix it. If you have any concerns about your implants, however, set an appointment to see me. Remember, in saline-filled implants a rupture is obvious, but a gel-filled implant failure isn’t. If you’re experiencing “women’s intuition” about your implants, come in and I’ll examine you. If I think you need an MRI to identify a possible gel-filled implant failure, I’ll tell you. If we aren’t sure, you can decide if you want to have an MRI. But be seen and put your mind at rest about it.

To your health and beauty,
Atlanta, GA Board Certified Plastic Surgeon

Friday, October 26, 2012

Love your baby but not your post-baby body?

Whether your baby is 30 days old, 30 years old or somewhere in between, stretch marks and a lumpy, saggy figure are often the unwanted results of pregnancy and nursing. Regardless of your current age, if you miss your pre-baby body, our Atlanta plastic surgery practice has a solution for you: a Mommy Makeover.

What’s a Mommy Makeover?
A cure for the post-baby body, that’s what! Imagine your breasts back to their original perky position, nice and full; your tummy flat and firm again and most—if not all—of your stretch marks gone, vanished, finished. A Mommy Makeover is a breast enhancement plus a tummy tuck with some liposuction. The breast enhancement varies, depending on your specific needs. Some women find that a breast augmentation is just the thing to rejuvenate breasts that have lost their volume. If your breasts look deflated and you have sagging and drooping, a breast lift with an augmentation is a combination procedure that will eliminate both of those problems. Happy with your bust size and just want to eliminate the droop? A short scar breast lift can do that!

Many women discover after pregnancy and nursing that their breasts are much bigger than their pre-pregnancy size, leading to back, neck and shoulder pain as well as constant discomfort from bra straps that dig into their shoulders. Some even experience a constant rash beneath their overly large breasts. If this describes you, a breast reduction can eliminate all of the above and improve the shape of your breasts, as well.

A tummy tuck is the other component in a Mommy Makeover procedure. My Atlanta tummy tuck patients are delighted with their results: a nice, flat abdomen and the elimination of loose skin, extra fatty tissue, and stretch marks. Through the judicious use of liposuction, your abdomen, hips, and waist will look great in a pair of tight-fitting jeans or evening wear!

Although not part of the “standard” Mommy Makeover, if you’d like a perkier bum to fill out your shorts, swimsuits and slacks, a buttock lift can firm and lift your derriere.  You don’t have to be JLo to have a great rear!

Alternatives to a Mommy Makeover
If you’re basically in good shape and just want to trim chunky thighs, reduce back fat or eliminate the dreaded muffin top, liposuction can be an alternative to a Mommy Makeover, assuming you have good skin elasticity.

Obviously, an effective diet and exercise program will go a long way toward giving you a fit and trim figure. However, even the most vigorous exercise won’t erase your stretch marks, lift your breasts back to their previously-perky position, or eliminate stubborn pockets of exercise-resistant fat.

If you have the baby body blues, call our office today at 404-250-3333 to schedule a consultation.

Safe Beauty

It’s easy to forget that plastic surgeons are “also” doctors—by that I mean I’m not focused only on your appearance—I want you to be healthy and youthful! Therefore, when I learn new information about health issues, I want to share that information with you. To that end, I’d like to share some tips about healthy skincare.  


What is Safe Beauty?
Safe Beauty is focused on knowing the ingredients of cosmetics and skin treatments, and increasing your awareness about how chemicals in makeup, fragrances, personal care products, and skincare products might affect you both in the short- and the long-term. It’s an education for me as well! As q surgeon, and an aesthetic surgeon to boot, I want to be certain that the treatments I or my staff perform will improve your appearance now, of course, but I also want to be certain that there aren’t any untoward side effects later!

The Fox is Guarding the Hen House
Did you know that, even though the Food & Drug Administration monitors food and drugs, the FDA neither has the power to oversee nor regulate the $50 billion personal care products industry? Did you know that many ingredients in soap, shampoo, body wash, baby care products, fragrances and cosmetics are not on the labels? Would you ever guess that personal care products labeled as “organic” can be sold without a single organic ingredient in them? And that manufacturers can include the word “natural” even if the product is filled with synthetic ingredients? It’s completely legal. Further, companies can make all kinds of claims, including false ones, about product effectiveness, because neither the FDA nor anybody else regulates the language on the labels. Disheartening, isn’t it?

Many of us are so overwhelmed with the constant bad news about the chemicals sprayed on our food, leached into our water, buried in the earth and floating in the air, that we want to throw up our hands and cry, “Uncle.” But in truth, cosmetics and home care products are one area in which you have a great deal of control!

You can (and should) know what you’re putting on your body, just as you want to know what you’re putting in it. Further, you can and should know how effective a product really is—based on scientific testing, not just because the label says so!

Everything we do here at our Atlanta plastic surgery practice has undergone rigorous testing and scrutiny to assure our patients of not just beautiful results, but the highest level of safety as well. My medical and plastic surgery training focused on perfecting tried-and-true procedures, to enable me to safely create physical improvement for patients desiring cosmetic enhancements. The equipment we use has been tested for safety and efficacy. The injectables, such as BOTOX® Cosmetic, Juvéderm, Radiesse, and all the others, have undergone years of testing before the FDA gave their federal stamp of approval. The skincare products we provide our patients have undergone rigorous testing as well.

Why Consumers Haven’t Been Protected
The existing law, the Food, Drug & Cosmetics Act of 1938, as you can see by its date, is vastly behind the times. That law gave decisions regarding ingredient safety to the cosmetic industry—similar to allowing the fox to guard the henhouse, wouldn’t you agree? Many of the ingredients in today’s personal care products didn’t even exist in 1938! Under the 1938 law, the FDA cannot force cosmetics companies to verify the safety of the products they sell, nor can it issue a product recall. When Brazilian Blowout hair straightening products, used on children as young as 5 years of age, were discovered to contain formaldehyde, the FDA was powerless to act. A letter was issued, but in truth, the FDA cannot close them down, even though the National Academy of Sciences released a report on formaldehyde that confirms the determination of the Environmental Protection Agency that "formaldehyde causes cancer in humans."

A New Law Is In The Works
The Safe Cosmetics Act of 2011, currently House Rule 2359, was introduced in June of 2011 by Representative Janice Shakowski, and co-sponsored by 20 other legislators. The Act would amend the 1938 act to allow the Secretary of Health & Human Services to regulate the cosmetics industry in the following ways:

·       To require that labels clearly identify all ingredients. Many ingredients in products we use daily are never posted on the labels;
·       To establish safety standards to avoid consumer harm, especially in products used by children, the elderly, and cosmetics industry workers;
·       To notify workers in cosmetics plants of any heath risks associated with the products they manufacture and package;
·       To eliminate ingredients linked to cancer, birth defects and developmental harm;
·       To establish a database of cosmetic ingredients. This database would include three ingredient categories: (A) a prohibited/restricted list; (B) a safe list and (C) a priority assessment list for new ingredients not yet classified;
·       To require manufacturers to report any adverse health effects associated with their products;
·       To minimize the use of animal testing through shared product databases;
·       To create an Interagency council on Cosmetic Safety;
·       To provide additional funding to the FDA Office of Cosmetics and Colors so it has the resources necessary to oversee the cosmetics industry.
·       To permit the FDA to order recalls for any cosmetics in violation;


What Can You Do as a Consumer?
Awareness is the first step. Yes, it’s painful to discover that favorite lipsticks, mascaras and baby products are tainted with chemicals like lead and formaldehyde, but hiding one’s head in the sand won’t make the risks disappear. Knowledge is power. What you learn over the next 12 months can help you lower your exposure to chemicals linked to allergy; skin and scalp irritation; hair damage and hair loss and worse, cancer, Alzheimer’s, and a host of other chemical-related disorders.

As a first step, a baby step, click this link to download a pocket-sized Shopper’s Guide to Safer Cosmetics.” When cut on the dotted lines, the guide fits neatly into a purse or pocket. Take it to the store and use it when choosing shampoos, baby care products, or other personal care items.