What to Do about a Small or Recessed Chin

A strong, defined chin is an attractive facial feature. It balances out the nose and creates a beautiful profile. Ideally, the chin should align vertically through the philtrum, which is the junction between the nose and upper lip. Unfortunately due to genetics, not everyone is born with a strong and well-defined chin.

If you have a weak or recessed chin that you feel doesn’t match who you are on the inside, cosmetic surgery can help. Read on as Drs. Samuel Pearl and Alexander Eresoexplain how they can improve the look of a small or recessed chin. Continue reading “What to Do about a Small or Recessed Chin”

What to Do If Your Teenager Wants to Have Cosmetic Plastic Surgery

During the teenage years, it is quite common for teens to feel self-conscious of their bodies, especially because so many physical and emotional changes happen simultaneously. But what if your teenager feels ashamed or embarrassed by an area of their body and expresses the desire for plastic surgery? As a parent, you want what’s best for your child. But is it ever appropriate for teenagers to have cosmetic surgery? Read on as Dr. Samuel Pearl and Dr. Alexander Ereso weigh in with their thoughts. Continue reading “What to Do If Your Teenager Wants to Have Cosmetic Plastic Surgery”

What You Should Know about ALCL

As board-certified plastic surgeons, there is nothing Dr. Samuel Pearl and Dr. Alexander Ereso take more seriously than the safety and well-being of their patients. One issue that has recently emerged and could put a small number of their breast augmentation patients at risk is a disease known as ALCL. Read on as Dr. Pearl and Dr. Ereso explain what you should know about ALCL.

What is ALCL?

ALCL is anaplastic large cell lymphoma. It is a rare and treatable type of T cell lymphoma that can develop around breast implants. ALCL is not a cancer of the breast tissue itself. The time between implant insertion to diagnosis is reported to be between 2 and 28 years with a median of 8 years. The current reported incidence of ALCL is approximately 1 in 30,000. No cases to date have been reported in patients that have received smooth walled implants. The association of ALCL and textured implants may be related to increased surface area of the texturing, the chronic presence of fluid around the implants, the presence of bacteria around the implants and genetic factors. The disease has been associated with both silicone and saline implants in cosmetic as well as reconstructive patients.

The exact cause of ALCL has not yet been determined. A coalition of experts from the American Society of Plastic Surgeons, the U.S. Food and Drug Administration and breast implant manufacturers are currently conducting research to work toward identifying the cause. They have also established the PROFILE Registry to collect data about reported cases of BIA-ALCL (breast implant-associated ALCL).

How Do Patients Present with ALCL?

The majority of patients present as a delayed seroma or collection of fluid around the implant. This usually presents as an enlarging breast without any other cardinal signs like infection. Diagnosis is made by examining the fluid collection for tumor markers. If a positive diagnosis is made, PET-CT and MRI scans are obtained to determine the extent of spread. Mammograms have not been found to be helpful.

Treating ALCL

The majority of patients can be cured of this disease by undergoing a procedure to remove the implant itself along with the complete removal of the capsular tissue surrounding the implant. This is to prevent recurrence. In rare instances where distant spread was found, patients required chemotherapy and possible radiation therapy.

What Should Patients Do?

If you are a prospective breast implant patient, the FDA encourages you to research your options before committing to surgery, and talk to your plastic surgeon about the benefits and risks.

If you have implants, you should follow your doctor’s instructions regarding monitoring your implants and having routine mammography screenings. If you notice a change in the way your breast looks or feels, you should alert your primary doctor or plastic surgeon.

For more information regarding ALCL you may find www.plasticsurgery.org/alcl to be most helpful.

Please remember that Dr. Pearl, Dr. Ereso and their staff are available to help you! Feel free to contact our office if you have questions or need assistance.

How Long Do the Results of Facelift Last?

Facelift is one of the most popular procedures Dr. Samuel Pearl and Dr. Alexander Ereso perform at Pearl-Ereso Plastic Surgery Center. The procedure has the ability to turn back the clock and help you look as youthful and vibrant as you feel on the inside. If you are contemplating having a facelift, you may be curious how long the results generally last. Read on for the answer. Continue reading “How Long Do the Results of Facelift Last?”

What Causes Marionette Lines and How to Get Rid of Them

Marionette lines, which are grooves or furrows that run from the corners of the mouth to the jawline, can give someone a naturally angry or sad appearance, even when their face is at rest. Without the proper treatment, marionette lines continue to deepen and worsen over time.

Fortunately, Dr. Samuel Pearl and Dr. Alexander Ereso can treat marionette lines using non-invasive, non-surgical methods. Patients that are interested in softening these lines and attaining a more cheerful expression should read on as the plastic surgeons discuss the causes and treatments of marionette lines. Continue reading “What Causes Marionette Lines and How to Get Rid of Them”

Selecting Breast Implants that Look Natural

Not every breast augmentation patient desires oversized, obviously augmented breasts. Dr. Samuel Pearl and Dr. Alexander Ereso meet many women that desire a modest boost in breast size and natural-looking results, and they can certainly help these candidates meet their goals.

In this post, the plastic surgeons walk prospective breast augmentation candidates through the process of selecting implants that look naturally beautiful. Continue reading “Selecting Breast Implants that Look Natural”

Is Tummy Tuck a Weight Loss Option?

The average person exploring their weight reduction options may have trouble discerning between body contouring and weight loss surgery. Admittedly, the medical terminology can be difficult for the layperson to parse, leading to misconceptions that body contouring procedures like tummy tuck (also known as abdominoplasty) result in weight loss.

Dr. Samuel Pearl and Dr. Alexander Ereso want to set the record straight: Tummy tuck is not a viable method for weight reduction. Read on as they provide a more thorough explanation. Continue reading “Is Tummy Tuck a Weight Loss Option?”

How Skin Elasticity Affects Lipo Results

Because liposuction is intended to treat unwanted body fat, many candidates are unaware that the quality and tone of their skin matters a great deal. The ideal candidate for liposuction has firm, plump and elastic skin; patients with loose or saggy skin usually do not see the same great results.

Below, Dr. Samuel Pearl and Dr. Alexander Ereso explain why skin elasticity is so important to achieving excellent outcomes. Continue reading “How Skin Elasticity Affects Lipo Results”