tag:blogger.com,1999:blog-372408502008-04-23T15:52:55.785-05:00Virginia Center for Plastic SurgeryMaarithttp://www.blogger.com/profile/10412245498453498135noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-37240850.post-3767985617817902972008-04-23T15:46:00.002-05:002008-04-23T15:52:53.922-05:00The Classical NoseThe Greeks were mathematicians, and much of their art reflects this. From their cities to their temples to their sculpture, everything was assigned an ideal mathematical ratio. Sometimes, these ratios were completely arbitrary, but in other cases, they seem to have some real significance, like the precisely-expressed ratios of harmonies in music.<br /><br />In their sculpture, the Greeks worked for centuries to find the ideal form of every part of the human body, and their discoveries have shaped our ideals of beauty ever since, although some are more subject to taste than others.<br /><br />One area where the Greek ideal still holds significant sway is in the nose. To the Greeks, the ideal nose had a geometric perfection. The bridge was straight, and its ratios were precise. If you drew a vertical line drawn through the crease on the side of the nostrils and a horizontal from that line to the tip of the nose, you would define a pair of triangles. The larger, vertical triangle should have a 3-4-5 proportion, while the smaller triangle, defining the lower portion of the nose, should be closer to a 1:1:√2 proportion. Although when you look at Greek sculpture, the noses are of course rounded, not triangular, many of them incorporate these mathematical proportions.<br /><br />In fact, modern nose surgery (<a href="http://www.vcps.com/noseSurgery.htm">rhinoplasty</a>) derives much of its success from utilizing the precise proportionality established by classical sculpture, adjusted, of course, for the unique structure of your face, including the proportions of your forehead and chin, as well as your ethnicity to create a nose that is at once mathematically precise and personally pleasing.<br /><br />To learn more about the science of rhinoplasty, please <a href="http://www.vcps.com/contact_us.html">contact</a> the <a href="http://www.vcps.com/index.html">Virginia Center for Plastic Surgery</a> to set up a consultation.Pattihttp://www.blogger.com/profile/11888140799215159624noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-3468712324788529472008-04-15T16:36:00.002-05:002008-04-15T16:53:01.662-05:00Mommy Makeovers: Feel Like a Woman Again for SummerMotherhood is one of the greatest joys of a woman's life. Once you have a child, you look into their eyes and the world is a different place, suddenly sunnier, fresh and newly-created like the world's first spring.<br /><br />Although you would never trade your child for anything, you probably don't want to hold onto that baby weight forever. And wouldn't it be nice if you could have your child, and have the breasts you had before pregnancy and breastfeeding? And what about stretch marks and slack abdominal muscles that keep your body from being bikini-ready? And then there's the effects of stress on your face, and the neglect you have been showing your skin while caring for the new skin of your newborn.<br /><br />If you are suffering from any or all of these effects of motherhood, a <a href="http://www.vcps.com/mommy_makeover.html">Mommy Makeover</a> can help you look as good as you did before the ravages of childbirth. Although your package can be tailored to your personal situation, Mommy Makeovers often include:<br /><a href="http://www.vcps.com/liposuction.htm"><br />Liposuction</a> to get rid of your baby fat and a <a href="http://www.vcps.com/abdominoplasty.htm">tummy tuck</a> to tighten up the muscles, remove the stretch marks, and give you a bikini-ready body for the summer swimsuit season. If your breasts have lost tone, a <a href="http://www.vcps.com/breastLift.htm">breast lift</a> can bring them back up to where they should be, and if they've lost volume, <a href="http://www.vcps.com/breastEnlargement.htm">breast implants</a> can make them look as good as ever.<br /><br />Finally, you can make your skin look fresh and young again with a combination of procedures from <a href="http://www.vcps.com/vitalizePeels.htm">vitalize peels</a> to <a href="http://www.vcps.com/spiderVeins.htm">spider vein removal</a> to <a href="http://www.vcps.com/botoxInjections.htm">Botox</a> injections.<br /><br />Just because you have a child, it doesn't mean your life is over. In fact, the best years of your life are to come. Why shouldn't the best appearance of your life be to come as well? Please <a href="http://www.vcps.com/contact_us.html">contact</a> the <a href="http://www.vcps.com/">Virginia Center for Plastic Surgery</a> today for a consultation.Pattihttp://www.blogger.com/profile/11888140799215159624noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-33063679201900664072008-02-29T14:35:00.004-05:002008-03-04T09:49:46.350-05:00Patient to Patient NetworkAre you considering surgery? Are you curious about the experience? Message boards are one way of getting information.<br /><br />However, at the Virginia Center for Plastic Surgery, we have started our own Patient to Patient Network so that you can speak directly to past patients who have had surgery done with us.<br /><br />We will put you in touch with people who have had the surgery, and you will be able to talk to them from the privacy of your own home. Chat them up. Ask about how they liked the office. What they thought of the surgical facility. How did their results match their expectations. Whatever you want to ask, feel free &amp; they will give you their honest answers.<br /><br />We think this takes our <a href="http://www.vcps.com/testimonials.html">testimonial page</a> one step further - live, interactive testimonials from our patients. Call (703) 924-3144 &amp; ask for Kelley to get you started.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-77906751157945877692008-02-01T13:45:00.000-05:002008-02-01T13:54:37.962-05:00Valentines Special<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://www.vcps.com/uploaded_images/discount-feb-725293.jpg"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer;" src="http://www.vcps.com/uploaded_images/discount-feb-725289.jpg" alt="" border="0" /></a><br /><span class="bodytext">February is a time when people think about their loved ones. Plump lips are sexy. As a secondary sex characteristic, lips send signals that register deep in the male brain. Whether men consciously realize it or not, they’re programmed to desire women with succulent lips. Now that cosmetic surgery has made buttery, pleasing lips available to everyone, they’ve become more popular than ever.<br /><br />During the entire month of February, you can receive a free lip plumper with each Juvederm injection. Juvederm is a wonderful filler that lasts about a year that can be used to plump your lips, or even soften the jowl lines or lines in your cheeks (nasolabial folds).<br /><br /><br /></span>Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-74639520460019413772008-01-30T18:19:00.000-05:002008-01-30T18:20:35.113-05:00Get Summer-Ready Now with a Breast Augmentation ProcedureIt may still be cold outside, but it's time to start thinking fun in the sun if you are considering <a href="http://www.vcps.com/breastEnlargement.htm">breast augmentation</a>. If you have sundresses that have never fit you right because your breasts never fully developed, or if they used to fit you right, but have shrunk or sagged following pregnancy, you don't have to dread the coming of May. Instead, you can look and feel better than ever with breast augmentation surgery. However, to look your best in the spring, it's best to plan now, since breast implants can take several months to fully heal and settle. If you are interested in doing a little springing of your own, contact the Virginia Center for Plastic Surgery to <a href="http://www.vcps.com/contact_us.html">schedule your initial consultation</a> today.Pattihttp://www.blogger.com/profile/11888140799215159624noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-74334372945169483512008-01-30T18:11:00.000-05:002008-01-30T18:13:15.409-05:00Winter is the Perfect Time for Cosmetic SurgeryAlthough it's the dead of winter, it's time to start thinking spring, if you are considering plastic surgery. Several of the most enhancing plastic surgery options require several months before acquiring a natural look. Even if you stuck to your diet and exercise regimen despite all the tempting foods over the holidays, you might find that shedding your oversize sweaters with the warmer weather is not a pleasing thought. For some people, there are fat deposits whose location and size are genetically determined, and not subject to exercise or dieting without an overall wasting of the body. If you are one of these people, <a href="http://www.vcps.com/liposuction.htm">liposuction</a> may be the only way to achieve the look you want. If you are interested in looking your best when warmer weather makes you put your puffy clothes back in the closet, contact the Virginia Center for Plastic Surgery to <a href="http://www.vcps.com/contact_us.html">schedule your initial consultation</a>.Pattihttp://www.blogger.com/profile/11888140799215159624noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-72123611424707394392008-01-15T08:57:00.000-05:002008-01-15T09:42:02.445-05:00The New Face of FillersAre you concerned about wrinkles and lines on your face? For a number of years, we have had good fillers such as Restylane, and more recently Juvederm. The nice thing about these hyaluronic acid fillers has been their naturalness and pliability. Restylane lasts about 6-8 months, while Juvederm can last up to a year.<br /><br />However, one of the newly approved products for facial filling is called Radiesse, and it is in a different category of products. Radiesse (formerly Radiance) is made of small spheres of calcium hydroxyapetite that are injected. These microspheres are then replaced by your body with collagen.<br /><br />A new study out in the journal <span style="font-style: italic;">Dermatologic Surgery</span> compared the results of injecting one side of the face with Restylane and the other side of the face with Radiesse. In this head to head comparison, Radiesse had better results at 6, 9, and 12 months.<br /><br />Give us a call at (703) 924-3144 if you are interested in trying Radiesse!Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-6168092073385430682008-01-02T13:16:00.000-05:002008-01-02T13:30:54.753-05:00Mommy Makeovers Take OverA recent trend seen in our practice in the past two years is making news these days. A large percentage of our patients are mothers between the ages of 30-50 with 2-4 children who now want their bodies back. These women work hard, have devoted a lot to their children and families, and now want to feel better about how they look. This has resulted in a number of women not only looking for a <a href="http://www.vcps.com/abdominoplasty.htm">tummy tuck</a> or <a href="http://www.vcps.com/liposuction.htm">liposuction</a>, but rather a whole "<a href="http://www.vcps.com/mommy_makeover.html">Mommy Makeover</a>." Even <a href="http://www.newsweek.com/id/78042?GT1=10645">Newsweek</a> has recognized the trend.<br /><br />We now have the ability to combine procedures safely and effectively. Thus, we can perform a <a href="http://www.vcps.com/breastLift.htm">breast lift (mastopexy)</a> along with a <a href="http://www.vcps.com/breastEnlargement.htm">breast enlargement (augmentation)</a>. We can even combine a <a href="http://www.vcps.com/abdominoplasty.htm">tummy tuck</a> with an <a href="http://www.vcps.com/breastEnlargement.htm">augmentation</a>.<br /><br />Take a look at our comprehensive <a href="http://www.vcps.com/mommy_makeover.html">Mommy Makeover</a> page and see what works best for you.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-46838346566330084042007-12-20T15:20:00.001-05:002007-12-20T15:20:50.495-05:00Look Your Best for Holiday PartiesIt's December again, which means not only Christmas shopping, but Christmas parties. Christmas parties are when everyone puts away their office casual and shows their coworkers that they can clean up good. For men this usually means little more than putting on their suit and tie, but for women it often means putting on a new or infrequently-worn formal gown. This year, the fashion in formal wear is strapless, which means baring shoulders unseen in public since swimsuit season.<br /><br />If the thought of exposing your shoulders causes you anxiety because of freckles or age spots on your shoulders, now is the time to consider a <a href="http://www.vcps.com/vitalizePeels.htm">Vitalize peel</a>, which can dramatically reduce the appearance of sun damage on your shoulders, making your skin look noticeably fresher and younger. It takes only 30 minutes and can be one step in a comprehensive program of skin care for the new year.<br /><br />If you are meeting your husband's coworkers for the first time and want to look years younger, it's time to consider treatment with <a href="http://www.vcps.com/botoxInjections.htm">BOTOX cosmetic</a> or <a href="http://www.vcps.com/collagen.htm">injectable fillers</a>. These can erase lines and wrinkles, making you more confident as you meet all those associates you've "heard so much about." Either of these procedures can be done in a mere 15-30 minutes and will give excellent results, making you look even better than those pictures on his desk.<br /><br />To find out more about how you can look better for the formal galas this season, please <a href="http://www.vcps.com/contact_us.html">call or email us</a> today.Pattihttp://www.blogger.com/profile/11888140799215159624noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-8672690326227751272007-12-10T13:37:00.000-05:002007-12-19T13:38:59.289-05:00December Is HereDecember is here, which means a whole new year is on the horizon. Unfortunately, this can often lead to depression, as we realize we are not as young as we once were. We look in the mirror and see the evidence of our vanished youth, and think that as the next year goes by, we will only look older and older. Or will we? This year, as the new year approaches, don't let it get you down. Instead, make a resolution to look better by this time next year. <br /><br />Now is the time to start thinking <a href="http://www.vcps.com/Facialrejuvenation.htm">facial rejuvenation</a>. Since many cosmetic surgery procedures that revitalize the skin and make you look younger, such as <a href="http://www.vcps.com/vitalizePeels.htm">Vitalize Peel</a>, work better if you stay out of the sun, it's best to get started now, while you're likely to be indoors or wearing heavy clothing. <br /><br />It is also the time to start thinking about <a href="http://www.vcps.com/breastEnlargement.htm">breast augmentation</a>. If you've always wanted to get it done, but have never found the courage, make a resolution to start your research in the New Year. That will give you time to find a doctor that you trust and get the procedure done so you will be completely healed and ready to hit the beach in early summer.<br /><br />And why not get a head start by getting fuller, sexier, more kissable lips for New Year's Eve? With <a href="http://www.vcps.com/collagen.htm">Restylane Lip Enhancement</a>, you can be the one everyone wants to kiss at the stroke of midnight.<br /><br />As we get ready to enter a new year, there's no need to be depressed. Realize that you are in control of your body, and make a resolution to take control. We can help you be the you you've always wanted to be.Pattihttp://www.blogger.com/profile/11888140799215159624noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-62557990271701758252007-12-05T10:09:00.000-05:002007-12-05T10:26:00.073-05:00December Open House<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://www.vcps.com/uploaded_images/coupon2-785852.jpg"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer;" src="http://www.vcps.com/uploaded_images/coupon2-785840.jpg" alt="" border="0" /></a><br />We are holding an open house on Tuesday December 11th from 6-8pm to discuss Juvederm, a hyaluronic acid filler that lasts about a year. Juvederm is a crystal-clear biodegradable gel based on a natural substance, called hyaluronic acid. The gel is injected into the skin in tiny amounts using a very fine needle. The results can be seen immediately. Juvederm creates a long-lasting, natural look that is gentle and safe on your skin.<br /><br />Also, don't miss our December specials listed on the left. The holidays are a busy time, but don't forget to take time for yourself!Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-74165648572778051552007-11-19T23:25:00.000-05:002007-11-28T16:42:10.311-05:00Common sense and plastic surgery<div>The tragedy of Donda West, the death of the mother of hip-hop star Kayne West, has focused quite a bit of attention on my specialty in the past several weeks.<br /></div><br /><div> </div>Her surgeon, Jan Adams, was not board certified by the American Board of Plastic Surgery, nor was he a member of the American Society of Plastic Surgeons. This highlights the fact that just because someone is on TV, or is in a magazine, does not mean that they are a good surgeon or that the place where your surgery takes place is a safe facility. Take a look at <a href="http://www.vcps.com/downloadable_files/15_Steps.pdf">15 steps to take before your consultation</a>.<br /><br />There is heightened awareness that plastic surgery procedures are available to most people these days. However, no surgery is without risk. When procedures are combined, risks increase. Factors that need to be taken into account for considering any surgery, but particularly for combined surgeries include: overall medical condition of the patient in combination with the amount of blood loss, the amount of fluid shifts related to surgery (particularly important in liposuction and abdominoplasty), the amount of anesthesia, the length of the procedures, the type of anesthesia, and the risk/preventative measures for deep vein thrombosis.<br /><br />Just last week, a patient came in desiring liposuction to areas of her lower body, a tummy tuck, a breast lift, some facial work, and arm liposuction. In my opinion, this was too much surgery for one session. We discussed the things that were bothering her the most, and then formulated a surgical plan that divided all of these procedures into several combined sessions.<br /><br />So when I talk about common sense and plastic surgery, there are several main themes that I come back to:<br /><br /><ol><li>You have to have realistic expectations for results.</li><li>You have to do procedures in multiple stages when safety issues dictate this</li><li>You can't get something for nothing - meaning that to a certain degree, in order to obtain substantial long term results, there needs to be substantial changes to your tissues and that there are no quick, easy fixes (think Thermage.)</li></ol>So please, do your homework; ask questions of your prospective <a href="http://www.vcps.com/downloadable_files/10_Questions_phone.pdf">surgeon before</a> you even set foot in his office as well as <a href="http://www.vcps.com/downloadable_files/43_Questions_consultation.pdf">a lot of questions during</a> your consultation.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-28740144774738433072007-11-08T20:11:00.001-05:002007-11-08T20:20:42.152-05:00Another new filler to the stableNot only is <span class="blsp-spelling-error" id="SPELLING_ERROR_0">Artefill</span> ( a permanent filer for smile lines) now available at the Virginia Center for Plastic Surgery, but we also now have <span class="blsp-spelling-error" id="SPELLING_ERROR_1">Radiesse</span> available.<br /><br /><span class="blsp-spelling-error" id="SPELLING_ERROR_2">Radiesse</span> is injected into the skin through a simple, safe and minimally invasive procedure. <span class="blsp-spelling-error" id="SPELLING_ERROR_3">Radiesse</span> is made of very tiny calcium based <span class="blsp-spelling-error" id="SPELLING_ERROR_4">microspheres</span> that are suspended in a natural gel.<br /><br />Now we have a full range of dermal fillers for our patients.<br /><br /><span class="blsp-spelling-error" id="SPELLING_ERROR_5">Hyaluronic</span> acid fillers like <span class="blsp-spelling-error" id="SPELLING_ERROR_6">Restylane</span> and <span class="blsp-spelling-error" id="SPELLING_ERROR_7">Juvederm</span>, which in my clinical practice last about 8-9 months (though <span class="blsp-spelling-error" id="SPELLING_ERROR_8">Juvederm</span> is marketed to last a year.)<br /><br />Calcium based fillers that seem to last about a year to year and a half. And finally . . .<br /><br /><span class="blsp-spelling-error" id="SPELLING_ERROR_9">Artefill</span>, the only product labeled as a permanent filler. It is made of miniature beads (<span class="blsp-spelling-error" id="SPELLING_ERROR_10">microspheres</span>) of <span class="blsp-spelling-error" id="SPELLING_ERROR_11">PMMA</span> (<span class="blsp-spelling-error" id="SPELLING_ERROR_12">polymethylmethacrylate</span>) that are suspended in bovine collagen. <span class="blsp-spelling-error" id="SPELLING_ERROR_13">PMMA</span> has been used for many years in medical implants.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-75652472549326221352007-11-02T11:09:00.002-05:002007-11-08T20:10:10.552-05:00New services on the horizonDr. Desman just returned from the American Society of Plastic Surgeons meeting in Baltimore. Look for exciting new information coming up on this blog about the cutting edge in plastic surgery. For example, we have added the permanent injectable filler Artefill to our stable of hyaluronic acid fillers. Dr. Desman can now provide a permanent solution to the deep wrinkles of the smile lines (nasolabial crease) using Artefill.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-73974497116006647662007-10-29T00:15:00.000-05:002007-11-06T12:41:43.701-05:00On the move10/28/07: Dr. Desman is in Baltimore this week at the American Society of Plastic Surgery annual meeting. He is taking continuing education courses on breast augmentation, abdominoplasty (tummy tuck), and liposuction. This allows him to bring cutting edge techniques and the latest advances in cosmetic surgery directly to you.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-59615751545132367722007-07-18T11:52:00.000-05:002007-07-18T11:53:39.833-05:00Dr. Desman to be on Retirement Living ChannelWatch Dr. Desman <strong>July 31st</strong> at <strong>9am</strong> on the Retirement Living Channel (Comcast and DirecTV channel 8)Aaron Gerblichnoreply@blogger.comtag:blogger.com,1999:blog-37240850.post-29295907888633280172007-03-16T09:08:00.000-05:002007-03-16T09:20:31.908-05:00Herbal Medications and Plastic SurgeryHerbal medicines are medicinal products that contain plant materials as their pharmacologically active components. Herbal sales in the United States exceed $5 billion annually. Many herbal remedies possess significant pharmacological activity and, consequently, potential adverse effects and drug interactions.<br /><br />This is an area of medicine that physicians have traditionally received little education and therefore have given little attention. Perhaps in response to that, up to 70% of patients do not reveal their use of herbal medicines to their physicians and pharmacists. You can improve your chances for an optimal outcome by communicating your usage of these medications with the Virginia Center for Plastic Surgery.<br /><br />You should know that the US Food and Drug Administration has not evaluated products labeled as supplements and that no guarantee of product quality could be made. For most herbal medicines, the specific ingredients that determine the pharmacological activity of the product are poorly characterized. All extracts are not the same, and commercially available extracts vary greatly in their quality and potency. We recommend that you stop all herbal supplements 14 days prior to any surgical procedure.<br /><br /><br />Bleeding: All surgery carries some risk of problems with bleeding. The following common herbal remedies may increase the risk of bleeding during surgical procedures: feverfew, garlic, ginger, St. John’s Wort, ginkgo, and Asian ginseng.<br /><br /><br />Photsensitivity: St John's wort poses a risk of photosensitivity reaction attributed to its hypericin component. Thus, this should not be used in conjunction with retinoids like Renova. Concomitant use with other photosensitizing agents, such as tetracycline hydrochloride, fluoroquinolones, and sulfonamides, should also be avoided. Angelica root and fruit, celery, dill, fennel, agrimony, bergamot peel and others may also increase photosensitivity.<br /><br />Surgery: The interaction of herbal medicines with anesthetic medicines is now only partially understood. Ephedra is one agent well documented to increase blood pressure and heart rate. There have been over 1,000 reported adverse reactions related to the use of ephedra and anesthesia. Stress from surgery normally tends to lower blood sugar to some degree (hypoglycemia). Ginseng can further lower blood sugar to a dangerous level. Kava and valerian can interact with many anesthetics to unpredictably increase the sedation effects of the anesthesia medications. St. John’s Wort can increase metabolism of many drugs used in the perioperative period, thus decreasing the effectiveness of the anesthesia medications.<br /><br />Skin Care: Numerous herbal medicines may profoundly affect the skin and thereby adversely interact with efforts to improve skin quality through resurfacing techniques. Kava (Piper methysticum) preparations are used as natural anxiolytics and can result in classic skin problems that include reddened eyes, scaly skin eruptions, and yellowish discoloration of the skin, hair, and nails.<br /><br />Phytoestrogens may potentiate or antagonize estrogen effects. Among the more commonly used phytoestrogen-containing herbs are dong quai (Angelica sinensis), red clover (Trifolium pratense), alfalfa (Medicago sativa var italica), licorice (Glycyrrhiza glabra), and black cohosh. These compounds may contribute to changes in skin pigmentation following resurfacing procedures such as laser resurfacing or chemical peel resurfacing. Other estrogenic implications should be discussed with your primary care physician.<br /><br />Wound Healing: Several herbal medicines, such as aloe vera gel, contain pharmacologically active ingredients that may aid in wound healing.<br /><br />Comfrey should be avoided in wound healing because of the herb's constituent pyrrolizidine alkaloids, which have shown hepatotoxic, carcinogenic, and mutagenic properties in rats.<br /><br />In vitro studies have demonstrated anti-inflammatory and antimicrobial effects attributable to arnica's helenalin component. However, the claim that homeopathic arnica is efficacious beyond a placebo effect is not supported by rigorous clinical trials. Despite this, we frequently recommend the use of homeopathic arnica supplements as there is good anectdotal evidence of its efficacy.<br /><br />Numerous botanical remedies formulated as essential oils have been shown to have antimicrobial and anesthetic effects, including tea tree oil (Melaleuca alternifolia), peppermint oil (Mentha piperita), and various conifer-derived oils. Aloe vera (Aloe vera) gel is very commonly used.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-1169515837498283072007-01-22T20:21:00.000-05:002007-01-22T21:00:55.263-05:00Breast ReconstructionFor most women, the diagnosis of breast cancer and the possibility of a<br />mastectomy can be devastating. Although some women are spared total<br />mastectomy, the changes that occur in the breast as the result of surgery may still be drastic enough to warrant reconstruction. A number of women make the decision to simply accept these changes, be they major or minor, and may or may not choose to use an external breast prosthesis (an artificial breast worn outside the body) to regain their feminine contours. But for others, the loss of these natural contours is unacceptable and they want an alternative to a prosthesis. The alternatives all require surgical procedures.<br /><br />One of the alternatives is to have a breast implant. Breast implants are made of the same materials as those used for breast augmentation. They are silicone shells filled with either silicone gel or saline water and are not considered lifetime implants. This means they will need to be replaced and/or possibly removed sometime during your lifespan. Although the materials are the same as for breast augmentation, the procedure for implanting them is different and more complex. The implants are always placed behind the muscle in your chest (pectoral muscle) rather than having the choice of placing it in front of the muscle. This is necessitated by the fact that after a mastectomy, the skin is too fragile to support the implant.<br /><br />Depending upon the outcome of the mastectomy, the surgeon may be able to immediately place a breast expander under the chest muscle and skin. The breast expander is a balloon that is periodically injected with a salt-water solution, which stretches the skin over time to the point that the area can accept an implant. In some cases, the breast expander is considered as an implant and no further surgery is necessary.<br /><br />The most common problem resulting from breast implants is capsular contracture. This occurs if the scar or capsule around the implant begins to tighten and causes the soft implant to feel hard. Capsular contracture may require removal or replacement of the implant.<br /><br />The alternative to breast implants is the use of one's own body tissues. There are two types of surgery in this category: pedicle flap and free flap. Pedicle flap surgery means the surgeon tunnels tissue and blood vessels under your skin from another part of your body to the chest area to create a new breast mound or pocket for an implant. In free flap surgery, the surgeon disconnects the tissue from one part of your body and reattaches it to new blood vessels near your chest. Free flap surgery is a longer procedure because of the intricacy of reattaching the blood vessels.<br /><br />The surgeon uses one of the two flap surgeries in different ways based on what area of the body is chosen as the tissue donor. The areas of your body that are potential donor sites are the abdomen, upper back, and possibly the buttocks. In all cases, your surgeon will discuss the pros and cons of using any of these areas, including the amount of muscle loss that can occur or be maintained with either of the two types of flap surgeries. There is a third type of flap surgery called deep inferior epigastic perforator (DIEP) that can be performed if there is enough skin and fat available on the abdomen. This surgery takes only the skin and fat so as not to disturb the abdominal muscles. This procedure is not possible on a thin or muscular body.<br /><br />Choosing breast reconstruction means at least two surgeries, and possibly more. The first is obviously the mastectomy, and reconstruction is performed in a second separate operation. It is highly unusual that it can all be accomplished in one surgery. As pointed out earlier, if implants are involved, another surgery will be required in the future to remove and/or replace the original implant.<br /><br />Breast reconstruction is available to almost any woman regardless of age. However, there are certain physical conditions that may preclude reconstruction. This includes smokers, those with diabetes, vascular disease or connective tissue disorder, and possibly those who are obese. Because of the risks of infection and delayed healing, it is imperative that your health history be thoroughly discussed with your physician.<br /><br />Getting back to normal activities will take at least six weeks, but more will be required depending upon the extent of the reconstruction process. This is especially true if transplanting of tissues is involved because two separate areas are undergoing surgery. Your doctor will discuss the restrictions to be placed on your activities and pain medication during the recovery period.<br /><br />Above all, be realistic about the outcome of reconstruction. The surgery will improve your contours but you will not be exactly as you were before or have the same sensation. There will be scarring, which will fade over time but not completely disappear. There is also the possibility of nipple reconstruction that can be augmented with tattooing to define the dark area around the nipple to resemble the areola.<br /><br />Finally, you may choose to have surgery on your opposite breast, even if it's healthy, so that it more closely matches the shape and size of your reconstructed breast.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-1168961310406986542007-01-16T10:24:00.000-05:002007-01-16T10:44:03.813-05:00YOU can be Pucker Pretty with Fuller, Sexier Lips in MinutesThis is an exclusive on-line offer!!!<br /><br />Are <em>you</em> ready to have fuller, sexier lips in minutes?<br /><br />Ask for Restylane Lip Enhancement!<br /><br />What is Restylane Lip Enhancement? Dr. Desman injects a small amount of the natural filler Restylane into your lips, defining the edges, removing the lines that make your old lipstick leak up onto your skin, and then he plumps up your lips for a smooth beautiful "lipstick ready" surface. The results are wonderful and instantaneous!<br /><br />It still is YOU, just fresher and younger looking - and sexier! The treatments last - 7 to 9 months of beauty, and re-treatment is a breeze!<br /><br />Guys: Looking for a gift idea? Looking for a HINT to give your significant other? Look no more!<br /><br /><em><strong>HERE IS OUR SPECIAL VALENTINE'S DAY OFFER:</strong></em><br /><br />Between January 22 and February 14, 2007 you can get ... or have somebody else get YOU ... <br /><br /><strong>Restylane Lip Enhancement for . . . 10% OFF!</strong><br /><br /><strong>Call (703) 924-3144 today for Awesome Lips! Mention this blog to receive your 10% discount.</strong><br /><br />Hurry - appointment times go quickly and you don't want to be disappointed! <br /><br />PS: I have reserved a fixed quantity of Restylane for this event and when it's gone, it's gone. Don't be left out! Get in on this quickly before it runs out!Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-1166209332295060302006-12-15T14:00:00.000-05:002006-12-15T14:02:12.303-05:00The early votes are in . . .Well, it has been about one month since silicone breast implants were approved, and the early patient response has been mixed. Approximately 40% of new patients have elected to use silicone, while the majority are happy to stick with saline implants. It will be interesting to see how this ratio progresses over the next year, as well as the next several years. Around the world, where silicone implants were not taken off the market, approximately 90% of augmentations are performed with silicone. Will that be the trend here? We shall see.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-1164132514900079472006-11-21T13:06:00.000-05:002006-11-28T16:55:41.413-05:00New information about silicone filled breast implantsOur webmaster has come through and there is now new information on <a href="http://vcps.com/silicone_breast_implants.html">silicone filled breast implants</a>.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-1164002044330728602006-11-20T00:48:00.000-05:002006-11-21T13:06:14.280-05:00Silicone Filled Breast Implants Approved<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://www.vcps.com/uploaded_images/style15-794054.gif"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer;" src="http://www.vcps.com/uploaded_images/style15-791710.gif" alt="" border="0" /></a><br /><span style="font-weight: bold;">Dr. Desman is now using the newly approved silicone filled breast implants for breast augmentation.<span style="font-style: italic;"></span></span><br /><br />On November 17, 2006, the United States Food and Drug Administration (FDA) approved silicone-filled breast implants for use in breast augmentation, reconstruction and revision surgery. This approval was for specific silicone filled breast implants made by Mentor and Allergan (formerly Inamed). Dr. Desman has completed both the Mentor and Allergan silicone filled breast implant training and certification requirements, and is now offering silicone filled breast implants to his patients.<br /><br /><div style="text-align: center;"><span style="font-style: italic; font-weight: bold;">Here is some basic information </span><br /></div><br />The implants are approved for augmentation in women at least 22 years old. The advantages of the implants are their natural feel and tissue characteristics. In general, incisions will need to be larger than used for saline implants in order not to damage the implants. Overall operative time should be comparable to saline implants. Overall recovery should also be comparable to saline implants. They are not to be considered lifetime devices. Saline implants are still available as well.<br /><br />Stay tuned for more information regarding silicone filled breast implants. Dr. Desman has his webmaster working at this time to add more content to give you more information.<br /><br />In the mean time, you can find out a ton of information at the following websites from <a href="http://www.breastimplantstoday.com/">Allergan</a> and <a href="http://www.mentor4me.com/">Mentor</a>.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.comtag:blogger.com,1999:blog-37240850.post-1163627776271826392006-11-15T16:54:00.000-05:002006-11-15T17:04:38.400-05:00Announcing our Winter Skin Care Open HouseWe are having an Open House on December 5th, 2006 from 5:00pm-7:30pm in our office.<br /><br /><br />The Virginia Center for Plastic Surgery is introducing the Vitalize Peel&reg; at our Winter Skin Care Open House. We will be providing a light snack and the opportunity to learn about the Vitalize Peel&reg; and Botox Cosmetic&reg; from Dr. Desman and our wonderful staff. Door prizes and gift bags will also be part of the fun!<br /><br /><a href="http://www.vcps.com/vitalizePeels.htm">The Vitalize Peel</a>&reg; helps fight the effects of sun damage and environmental injury. This amazing new peel is clinically proven to improve photo damaged skin and works on acne-affected skin as well.<br /><br />We will also be featuring <a href="http://www.vcps.com/botoxInjections.htm">Botox Cosmetic</a>&reg; at the Open House. Botox Cosmetic&reg; temporarily reduces moderate to severe frown lines and is FDA approved. It is frequently used for dynamic wrinkles of the forehead, frown lines between the eyes, and crows feet.<br /><br />During our Open House, we will be offering scheduling for these exciting procedures. Of course, there will be special pricing to our guests who attend. In addition, we will be offering to a limited number of patients who sign up in advance to receive a live demonstration of the Vitalize Peel at a 50% discount. We will be offering a limited number of live Botox demonstrations as well, and those patients will receive a gift certificate for a complimentary Vitalize Peel to be redeemed at a later date.<br /><br />Space is limited, so please call to register for the open house (703) 924-3144. To take advantage of the live demonstrations of the Vitalize Peel and Botox Injections, please call Kelley at 703-924-3144, while spaces are still available.Eric Desman, M.D.http://www.blogger.com/profile/11495933028219964682noreply@blogger.com