How to Get Your Body Back after Baby

Post-Pregnancy Cosmetic SurgeryRecently, celebrity moms like Mila Kunis and Blake Lively have been lavished with praise for losing their baby weight seemingly overnight and hitting the red carpet looking as svelte as ever. This is just the latest example of the rabid coverage of Hollywood moms snapping back after baby, which sets an impossible standard for the average woman.

If you are a new mother concerned with losing baby weight, Drs. Samuel Pearl and Alexander Ereso encourage you to relax and spend the first few months to a year concentrating on your child’s needs. Follow your obstetrician’s guidelines for gradually returning to exercise. Breastfeeding, eating and sleeping well will also help you shed baby weight.

But what about post-baby body issues that aren’t weight-related? For example, you may reach your pre-pregnancy weight but still have lax looking abdominal skin and sagging breasts. Drs. Pearl and Ereso caution that some pregnancy-related issues will not resolve naturally. Sadly, no amount of diet or exercise will repair lax skin and saggy tissue after giving birth. Surgical correction is the best solution.

Tummy Tuck for a Flatter, Firmer Abdomen

Tummy tuck is designed to address several common post-pregnancy issues in the abdomen. The goal is a firmer, flatter abdomen.

During tummy tuck, excess abdominal skin under the navel is removed, and the remaining skin is tightened. This often minimizes or removes stretch marks on the skin below the navel. Abdominal muscles that have weakened or separated during pregnancy (causing abdominal protrusion) are repaired. And, if needed, excess abdominal fat is removed by incorporating liposuction techniques into the operation.

Breast Lift for Perky, Youthful-Looking Breasts

Breast lift corrects breast sagging after pregnancy and nursing and improves the overall shape and position of the breasts (and nipples).

During breast lift, the breast tissue is sculpted to create the breast mound higher on the chest wall. Excess skin is removed and the remaining skin is tightened. Downward-pointing nipples are corrected, and enlarged areolas are reduced. Very frequently, breast implants are added to the breast lift. This improves upper pole fullness as well as enhances the size of the breasts.

Breast Augmentation for Bigger, Fuller Breasts

If nursing has left the breasts looking small and “deflated,” saline or silicone breast implants can be used to add volume and boost cleavage. Breast augmentation may be combined with breast lift to improve the size, shape and position of the breasts.

Want a natural alternative to breast implants? Drs. Pearl and Ereso can perform breast augmentation with fat transfer, which uses donor fat from another area of the body to add breast volume and cleavage. Fat transfer can be combined with breast implant placement to soften and narrow the cleavage area, or it can be performed as a separate procedure at a later time.

Learn More about Post-Pregnancy Plastic Surgery

If your post-baby body isn’t what it used to be, Drs. Pearl and Ereso can help. Schedule a private consultation with the surgeons to discuss your treatment needs and goals. Call (650) 964-6600 today to make an appointment.

Number of Men Having Plastic Surgery Continues to Rise

male plastic surgery popularityOne of the surprises in the recent plastic surgery procedural statistics from the American Society of Plastic Surgeons (ASPS) was the rise in demand for male plastic surgery. According to the ASPS report, one out of every 10 plastic surgery patients is male.

Drs. Samuel Pearl and Alexander Ereso have noticed an increasing number of men flocking to our plastic surgery practice in recent years. While each patient is considered on an individual basis and treatment is always personalized to their specific needs, there’s no denying that certain trends have emerged amongst our male clientele.

Here, the surgeons discuss some of these trends.

The Busy, Sleep-Deprived Father

Men may not carry and birth children, but their bodies are not immune to the effects of parenthood. Dr. Pearl and Dr. Ereso commonly work with fathers that have noticeable signs of stress and sleep deprivation on their face, including lines, wrinkles and undereye bags. Often, the solution at Pearl-Ereso Plastic Surgery Center is to treat men non-surgically with cosmetic injectables to address these concerns and restore a rested, attractive facial appearance.

With their busy schedules, many dads find it difficult to get to the gym regularly, and may struggle with excess fat around the body (especially the midsection). SAFELipo body contouring is a great way to safely reduce unwanted fat for a flatter and firmer abdomen.

The Corporate Executive

With the job market as competitive as ever, older executives don’t want to be passed over for promotion because of their age. Aging men must communicate that they have the energy to sign new business, lead a team or land a promotion as effectively as someone younger. To “look the part,” many corporate executives seek Dr. Pearl and Dr. Ereso’s male facial rejuvenation expertise.

Procedures as simple as the use of Botox to soften deep frown and forehead lines can make a significant improvement in your appearance with virtually no downtime. The placement of Voluma has been a fantastic addition to non-surgical improvement, particularly of the cheek and jawline area. The results in these areas typically last 1 ½ years or more! Voluma is a great way to restore lost volume to the face.

“The Voluma treatments I had significantly improved my mid-face appearance without having surgery!” according to Dr. Pearl.

Facelift or eyelid surgery can minimize signs of aging and give an executive the boost of confidence he needs to stay successful in the workplace.

The Muscular Bodybuilder

Competitive bodybuilders are extremely dedicated to sculpting their physiques. However, according to a report from the ASPS, many bodybuilders struggle with their chest, no matter how hard they work out. Anabolic steroids and hormone supplements, which some bodybuilders take to enhance their performance, can cause the development of excess breast tissue (a condition called gynecomastia). Oversized breasts may have serious career implications for these professionals. Luckily, our surgeons can eliminate excess breast tissue and sculpt the chest with male breast reduction surgery.

As men, Drs. Pearl and Ereso have an innate understanding of the ideal male aesthetic. They know that men want to look natural, rugged and masculine, and they tailor their surgical techniques to deliver these kinds of results.

To learn more about plastic surgery for men, please contact Dr. Pearl and Dr. Ereso and schedule an informational consultation. Call (650) 964-6600 today to make an appointment.

Treat Yourself to Cosmetic Enhancement with Your Tax Return

Spend your tax return on cosmetic enhancementAccording to CNN, nearly eight out of 10 federal taxpayers are entitled to a cash refund. As of February 2015 (one month into this year’s tax filing season), federal tax returns were averaging $3,120.

If you’re entitled to a refund, how do you plan to spend it? You could pay down debt, or cushion your savings account. If you’re already in good financial standing, you could opt to spend your tax refund on a more personal matter such as rejuvenating your appearance.

You wouldn’t be the only one to do so — according to the popular forum RealSelf.com, 29 percent of the site’s users plan to put at least a portion of their tax return toward a cosmetic procedure.

If you do decide to invest some or all of your tax return into cosmetic enhancement with plastic surgery, Drs. Samuel Pearl and Alexander Ereso invite you to consider their services. Even a minor, non-invasive treatment can help you look and feel your best. Here, the surgeons share ideas:

Correct Skin Imperfections with SilkPeel Dermalinfusion

SilkPeel dermalinfusion is ideal for treating a wide array of noticeable skin flaws, including hyperpigmentation, fine lines and wrinkles, uneven skin texture and acne scars. Treatment is similar to microdermabrasion in that it gently sloughs away the upper layers of dead skin cells to reveal fresh, radiant skin underneath. Unlike microdermabrasion, SilkPeel does not use harsh abrasive particles, so treatment is gentle and comfortable.

Add Youthful Cheek Volume with Voluma Treatment

One of the most exciting dermal fillers available at our practice is Juvederm Voluma XC. This is the first and only FDA-approved filler intended to plump and lift the cheek area for a more youthful-looking face. Voluma XC can be injected into the apex, apples or hollows of the cheek to restore volume and correct areas that look sunken-in. Treatment is quick and convenient, and does not require downtime. Results can last up to two years.

Sculpt Body Contours with SAFELipo

If you feel like you’re always dieting and exercising, yet cannot achieve your desired fat reduction results, Drs. Pearl and Ereso want to introduce you to the SAFELipo procedure. The innovative liposuction procedure can remove excess fat from the thighs, knees, waist, upper arms and neck. The special SAFELipo technique enables our surgeons to produce results that look smoother and more natural than traditional liposuction treatment.

Add Cleavage with Autologous Fat Transfer

Do you want bigger, fuller breasts and softer-looking cleavage without implants? Drs. Pearl and Ereso recommend the fat transfer, or fat grafting process, which involves harvesting donor fat from another area of the body (e.g., the abdomen, back or thighs) and injecting the fat into the breasts to add volume and shape. Fat transfer is a less invasive alternative to breast implant placement, and produces a more natural looking and feeling breast.

Learn More about Your Cosmetic Treatment Options

For more information about these cosmetic treatments, or another procedure of your choosing, please contact the plastic surgery practice of Dr. Samuel Pearl and Alexander Ereso. Call (650) 964-6600 today.

Dr. Ereso : De Maio Master Injector

Juvederm Voluma De Maio TrainingEarlier this month, Dr. Alexander Ereso completed an advanced master class on injection techniques for JUVÉDERM Voluma in San Francisco. Dr. Ereso is one of a few physicians who were handpicked to attend the course which was taught by the renowned Brazilian plastic surgeon, Dr. Mauricio de Maio. Dr. de Maio is considered a pioneer, and an expert in the field of injectable medicine, and he lectures around the world to his peers about JUVÉDERM Voluma. The course was sponsored by Allergan, the company that makes Botox, JUVÉDERM XC, Latisse, and JUVÉDERM Voluma. Dr. Ereso attended the event to not only further develop his considerable skills, knowledge and experience, but also, to incorporate these new and exciting techniques in his day-to-day treatments.

The all day course, which featured didactics as well as live injections featured Dr. de Maio’s innovative new injection technique designed to revolumize age-related volume loss, add structure to the midface, and provide balance to the whole face. By strategically injecting JUVÉDERM Voluma in a few key locations including the upper outer cheek, a subtle yet natural aesthetic lift can be achieved instantly.

JUVÉDERM Voluma is a facial filler that has been FDA approved for use in the U.S. with clinical trials showing that it lasts up to 2 years. It is the first and only FDA-approved Hyalronic Acid filler for the midface, designed to temporarily correct age-related volume loss in the cheek area, thereby restoring definition to the cheek area. As result of restoring volume to the mid check, you can see an immediate lift in the jowl area, resulting in a more youthful appearance.

Improving Tummy Tuck Results with Lipoabdominoplasty

The benefits of lipoabdominoplastyWhen performed as a standalone procedure, abdominoplasty (a.k.a., tummy tuck) can be incredibly transformative. The procedure is designed to treat excess belly fat, loose skin and weakened/separated muscles along the abdominal wall.

Drs. Samuel Pearl and Alexander Ereso, plastic surgeons in Mountain View, can improve upon the results of traditional tummy tuck by incorporating advanced liposuction techniques. This combination approach is known as lipoabdominoplasty, and produces an even sleeker and sexier looking body.

What Tummy Tuck Will Accomplish

Before we address the benefits of the combination approach, let’s remember what tummy tuck will accomplish on its own:

  • Remove surplus fat to reduce abdominal protrusion
  • Repair separated or weakened abdominal muscles
  • Remove loose skin
  • Tighten the remaining skin
  • Relocate the navel to a higher position on the abdomen

Tummy tuck is often requested by two types of patients: individuals that have lost a lot of weight but are left with a saggy or protruding belly, and women that have stretched skin and muscles from pregnancy.

More about Lipoabdominoplasty

Lipoabdominoplasty will produce results that are vastly superior to those achieved by traditional tummy tuck. It is designed for those that are deemed to be good candidates and desire dramatic improvement in the stomach, hip and flank area.

In the first stage of the operation, Drs. Pearl and Ereso will perform tummy tuck as normal. This involves making a horizontal incision from hipbone to hipbone right above the pubic area. Through the incision, the surgeon will remove fatty tissue and skin. He will repair the abdominal muscles, stitching them together into an internal corset.

During lipoabdominoplasty, the surgeon will continue with the operation with additional steps. He will use advanced liposuction techniques to remove excess fat from the flanks, hips and lower back. This gives the entire area a more sculpted, attractive shape. The mid- to lower body will look firmer, flatter and sexier.

Patients that seek a comprehensive body transformation may opt to include another procedure, depending on their personal cosmetic goals. Some women choose to have breast lift or breast augmentation. Men with excessive breast tissue may be interested in male breast reduction. Our surgeons will work with every patient on an individual basis to develop a customized surgical plan.

Contact Our Practice

For more information about lipoabdominoplasty, tummy tuck, liposuction or another plastic surgery procedure of your choice, please contact the practice of Dr. Samuel Pearl and Dr. Alexander Ereso. Call (650) 964-6600 or send us an email at pearlmd@pearlmd.com to make an appointment.

Computer Imaging Provides a Preview of Facial Plastic Surgery

stk212568rkeIt is normal for facial plastic surgery patients to feel hesitant or nervous about their results. Though Drs. Samuel Pearl and Alexander Ereso are skilled, experienced plastic surgeons any surgery performed by any surgeon involves an element of the unknown. Our doctors understand this, and offer special technology to help alleviate some of these patient concerns and improve the predictability of the surgical outcomes.

Computer imaging allows our facial plastic surgery patients to envision how they will look after surgery. This technology works for patients who are seeking to have a specific feature (e.g., nose, eyes) corrected, or have requested allover facial rejuvenation.

Computer imaging is a valuable part of the treatment planning process, as it improves the communication between doctor and patient. Also, it helps the patient develop realistic expectations of the surgical outcome. And, it is a helpful teaching tool for our doctors.

How Computer Imaging Works

First, a member of our team will take photographs of your face, likely from the front angle and the profile view. The images will then be loaded into our office computer and the special digital imaging program. Then, Dr. Pearl or Dr. Ereso will manipulate the image as you watch alongside them, to simulate what surgery will accomplish.

For example, if you have requested rhinoplasty to improve the look of your nose, the doctor may digitally tweak your nose to make it look thinner or straighter. Or, if you are planning eyelid surgery to remove wrinkles and bags underneath your eyes, he can digitally remove those imperfections.

As the doctor alters the photographs, you can provide your feedback and suggest changes or improvements.

When you and the doctor are happy with the modified digital image, it will be saved in your file, and emailed or printed out for you to take home. You are free to share the image with family or close friends to get their feedback.

Keep in mind that the digital images are not meant to be 100 percent accurate, in terms of how your results will look. It is impossible to predict with complete certainty what you will look like after surgery, but your digital images will be very close.

Preview Your Results

Are you interested in a facial plastic surgery procedure? Would you like to preview the possible results? If so, please contact the practice of Dr. Samuel Pearl and Alexander Ereso and schedule a consultation. Call (650) 964-6600 or send us an email at pearlmd@pearlmd.com.

The Use of Acellular Dermal Matrix and Biologic Scaffolds in Difficult Cosmetic Breast Surgery Revisions

What is acellular dermal matrix?Over the past 30 years, millions of women have had breast implants for cosmetic augmentation and lifting, as well as reconstruction after breast cancer excision. Difficult problems can arise that sometimes require sophisticated solutions that were not available previously. Breast revision has become a true sub-specialty in plastic surgery and, with more than 25 years of experience, Dr. Pearl has developed a keen interest and talent in the art of breast revision. Dr. Ereso’s recent modern training has had an additive effect on Dr. Pearl’s experience, helping to produce some outstanding results. Many patients are referred to Dr. Pearl and Dr. Ereso to treat these difficult problems, as well as treating their own patients that have developed complications.

When a breast augmentation patient develops a complication such as recurring capsular contracture, implant rippling, implant malposition, severe asymmetry or loss of either superior or inferior pole support, Dr. Pearl and Dr. Ereso will perform cosmetic breast surgery revision. In many cases, they can manage the problem with a very innovative solution: the use of a biomaterial called acellular dermal matrix.

What Is Acellular Dermal Matrix?

Acellular dermal matrix (ADM) is a skin graft from which the cells have been removed. Think of it like a lattice or scaffolding of sterile tissue that supports the natural breast tissue. Once placed, the patient’s own cells grow into the framework and in some instances, eventually replace the graft.

ADM has been used for more than a decade, and has yielded many favorable results with a low complication rate. Usually it is used for breast revision operations, although occasionally, ADM may be used in primary breast surgery (if Dr. Pearl or Dr. Ereso feels it would be medically appropriate).

How the Doctors Use These Biomaterials

Drs. Pearl and Ereso use Strattice® and AlloDerm® biomaterials (as well as Allergan’s SERI® Surgical Scaffold) to support the natural breast tissue, and improve the appearance of breast implants. They can use ADM to do any of the following:

  • Correct the inframammary fold (crease underneath the breast) when an implant has “bottomed out”
  • Stabilize the pocket of an implant
  • Provide support for the lower portion of the implant in augmentation or implant-based reconstruction cases
  • Decrease the appearance of implant wrinkling or rippling
  • Camouflage implant visibility in thin patients (particularly reconstruction patients)

ADM is particularly helpful in cases of capsular contracture, when scar tissue forms around the implant, squeezing it and distorting the shape/feel of the breasts. In these cases, Dr. Pearl or Dr. Ereso will place ADM over a portion of the implant to prevent the return of capsular contracture. The intention is that by covering the implant with ADM, the body won’t produce more scar tissue in that location. SERI® surgical scaffold, which is made of silk, is the latest innovation that can be used to treat these problems. SERI® has the unique property of allowing your own tissue to grow into the silk scaffold. After one to two years, your tissue entirely replaces the silk!

Learn More about Acellular Dermal Matrix

For more information about ADM, and how the biomaterial can be used to improve the results of breast implant surgery, please contact Dr. Pearl and Dr. Ereso today by calling (650) 964-6600.

Dr. Pearl’s Voluma Results

Details: Dr. Pearl had 3cc Voluma and 2cc Juvederm Ultra Plus injections over two treatment sessions, spaced six weeks apart. Both procedures were performed with topical anesthetic and a small amount of local anesthetic injected prior to the Voluma and Juvederm.

As you can see, Dr. Pearl noticed excellent improvement with rejuvenation of the malar cheekbone area.

Pre-Treatment

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Post-Treatment

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Learn More about Voluma

Would you like more information about Voluma or another non-surgical facial rejuvenation treatment? Please contact our office today by calling (650) 964-6600.

 

Improving Your Body Contour after Major Weight Loss

Post-Bariatric Body Contouring Surgery Losing a significant amount of weight has an undesirable side effect: excess loose skin. This skin can obscure the body’s new shape and make it difficult to feel attractive and confident. Sometimes, the skin can chafe or develop rashes or infections. Unlike fat, it cannot be eliminated through diet or exercise. It requires surgical removal.

Drs. Samuel Pearl and Alexander Ereso, plastic surgeons based in Mountain View, can help. They offer post-bariatric body contouring to remove the excess saggy skin and refine the body’s new contours.

After learning more about a patient’s specific needs and the areas of the body that need help, the plastic surgeon will draft a customized treatment plan, which could include any of the following procedures:

Lower Body Lift

Lower body lift improves the appearance of the outer thighs and buttocks. The plastic surgeon will first make an incision in the inner thigh and extend it around the hip/flanks. Then, he will remove excess unwanted fat, tissue and skin. Finally, he will smooth and tighten the remaining tissue and skin for a more attractive body contour.

Abdominoplasty (Tummy Tuck)

Abdominoplasty improves the appearance of a protruding or saggy midsection. Through a horizontal incision along the lower abdomen, the plastic surgeon will remove stubborn fat deposits, tighten the abdominal muscles and suture them into place. He will excise loose, saggy skin and re-drape the remaining skin more tightly over the abdomen for a flat, firm result.

Breast Lift

Breast lift restores saggy or drooping breasts to a more youthful position on the chest. The plastic surgeon will remove excess skin and tissue and sculpt the remaining tissue into a breast mound higher on the chest wall. He will move the nipple and areola to a higher position on the breast, and reduce the areola if needed.

Brachioplasty (Arm Lift)

Brachioplasty treats loose, flabby upper arms. The plastic surgeon will remove localized fat deposits using liposuction techniques, and excise loose skin and tissue. He will wrap the remaining skin more tightly around the upper arms to improve their shape and firmness.

Thigh Lift

Thigh lift is designed to improve the upper thighs (specifically the inner thighs). The plastic surgeon will remove excess skin and tissue, using liposuction if needed to target excess fat. Then, he will tighten the remaining skin to eliminate any sagging or laxity.

Learn More about Post-Bariatric Body Contouring

If you have recently lost a significant amount of weight and would like to explore your body contouring options, please contact Drs. Samuel Pearl and Alexander Ereso today and schedule a consultation. Call (650) 964-6600 or send us an email at pearlmd@pearlmd.com.

What Is Gynecomastia and How Is It Treated?

Treatment for GynecomastiaGynecomastia is a term that means “enlarged male breasts.” Studies show that nearly half of all men will experience gynecomastia during their lives. Physically, it is not a cause for concern; however, it can be psychologically difficult to accept. Many men with gynecomastia feel uncomfortable or self-conscious of their bodies. Luckily, plastic surgeons have developed a solution: male breast reduction surgery.

Dr. Samuel Pearl and Dr. Alexander Ereso treat gynecomastia at their Mountain View-based plastic surgery practice. Here, they explain what causes the condition, and what can be done about it.

Causes of Gynecomastia

Gynecomastia is primarily caused by a hormonal imbalance. If a man develops high estrogen levels, his body will start to produce more breast tissue and his chest will look larger. Other possible causes include:

  • Medications — e.g., anti-depressants, anti-anxiety medications
  • Drugs and alcohol — e.g., marijuana
  • Medical problems —e.g., kidney or liver disease, hyperthyroidism

Some men develop gynecomastia simply as the result of the aging process.

During your consultation, the plastic surgeon will take down a detailed health history to rule out any medical problems that could be causing excessive breast tissue. He will ask for a list of medications you currently take, including nutritional supplements and herbal remedies, and look for any drugs that could be contributing to the problem.

Certain cases of gynecomastia will resolve over time. If yours does not, and you are struggling with the appearance of enlarged breasts, you may opt for surgical treatment.

Gynecomastia Treatment

Gynecomastia surgery removes excess glandular and fatty tissue to produce a flatter, firmer and more masculine-looking chest.

Your treatment plan will be tailored to your unique needs, but generally, the surgical steps are as follows:

First, the plastic surgeon will make an incision along the lower edge of the nipple-areola complex. He will surgically excise excess glandular tissue to flatten the breasts. Then, he will use ultrasound-assisted liposuction techniques to remove localized fat deposits and “fine-tune” the results. Finally, he will close the incisions with sutures.

Swelling and mild discomfort are normal post-operative side effects, and will subside within a few weeks. The plastic surgeon will likely place a supportive garment around the chest to control the swelling.

While initial results are noticeable almost immediately after surgery, it can take several months for the full results to appear. Since the surgical incision is small, scarring is minimal.

Learn More about Gynecomastia Treatment

If you feel self-conscious about excessive breast tissue and desire a more masculine-looking chest, please contact our plastic surgeons, Drs. Samuel Pearl and Alexander Ereso, today and book a consultation. Call (650) 964-6600 or send us an email at pearlmd@pearlmd.com.

 
 
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