Can Fat Return After Liposuction?


I often have patients ask me if their fat will return after having a liposuction procedure performed. Liposuction is the surgical procedure that removes unwanted body fat. The answer is that liposuction does permanently remove fat cells. It is, however, very important for patients to maintain their post-operative body weight. If they gain a moderate amount of weight, fat cells in other areas of the body will become larger.

And, if there is significant weight gain, new fat cells can develop in all areas of the body – including the treated areas. Here is a good article on this topic from the American Society of Plastic Surgeons with a few tips on maintaining your liposuction results.

Show Your Lips Some Love For Valentine's Day With Volbella!

Restore the youthful beauty of your lips with the newest injectable enhancement product, Juvederm Volbella XC. Volbella is formulated to provide soft, smooth fullness with less swelling than previous fillers. The result is a very natural, attractive appearance. If you have been hesitant to try lip fillers or to continue them because of concerns about the heavy, overfilled, “fish-lip” look, know that this product addresses those problems. Your lips will also look more hydrated with a nice sheen. Volbella is an excellent product to fill vertical lip lines and fine lines around the mouth. We’ve included Botox at no extra charge during the month of February 2017 (15 units) which can be used to soften crow’s feet and frown lines. Call my office today for more information or to make an appointment. 317-575-0330.

Clearly Beautiful Serum Is the Perfect Stocking Stuffer and Gift Idea

Are you looking for the perfect stocking stuffer or idea for a gift exchange? Give the gift of Clearly Beautiful serum, mist or hand lotion.

 

  • Highly effective natural product line at a great price point
  • One of my favorite things and a favorite of our staff
  • Benefits of improved skin hydration, more tone and smooth appearance with fewer lines
  • Refresh throughout the day with the serum mist
  • Very comforting during the dry winter months 
  • Hand lotion is extremely soothing and healing to dry, chapped hands

 

All Clearly Beautiful products contain a blend of natural ingredients including: collagen, hyaluronic acid, growth factors, plant DNA and algae.

20% Off Holiday Offer!

Stop by and visit us for your holiday shopping, and check those names off your list! Receive 20% off your order through December 20, 2016.

New Non-Surgical InstaLift Restores Youthful Cheek and Jawline Contours

I am excited to announce that I am performing a new non-surgical facial rejuvenation procedure that lifts sagging facial skin without the need for surgery, scars or general anesthesia. It’s called InstaLift, and it’s an in-office procedure that restores youthful cheek and jawline contours by gently lifting the deeper layers of skin with absorbable sutures. The sutures provide an “instant lift” of the mid face and neck. Although the sutures naturally and gradually resorb over time, the absorption process stimulates collagen production over time as well. This aspect of the technique contributes to skin renewal and helps to maintain the results even after the sutures have fully resolved.

 

InstaLift can provide effects similar to injectable fillers. However, the techniques do differ in underlying concept, and the selection of an approach will be dependent on the specific nature of your aging process. Some of you may be candidates for both. Fillers are primarily utilized to restore the volume loss that occurs with aging. They are used to “fill in” folds, hollows, and lines. And some types of filler can also appear to lift sagging facial tissues when injected along the cheekbone to correct volume loss there. InstaLift differs from fillers in that it actually moves sagging tissue back into place. The subsequent collagen production then contributes to natural skin tightening and soft tissue augmentation.

 

InstaLift is comfortably performed under local anesthesia in the office and typically takes about 45 minutes. A visible lift is apparent immediately. Recovery is relatively modest. Expect some mild bruising and swelling. Certain facial movements such as strong chewing are avoided for about a week. The procedure is ideal for patients with mild to moderate laxity of the cheeks and jowl area. This technique can be used to delay more aggressive procedures such as facelift. It is also an excellent tool to refine and enhance the results of prior facelift procedures. If you are interested in more information, please call my office at 317-575-0330.

 

Dr. Christine Kelley Named Top Doc For 2016

Dr. Christine Kelley recently named as a Top Doctor in Indianapolis Monthly Magazine for Plastic Surgery.

Healthcare research and information company Castle Connolly Medical, LTD., compiled this year's Top Docs list of honorees by asking physicians in Central Indiana to recommend doctors they would see themselves or suggest to a family member.

 

ThermiBreast Is New Non-Invasive Breast Lift

I have many women who come to me because their breasts are starting to sag. There are several factors that can contribute to this problem including, pregnancy and nursing, weight gain, menopause and gravity taking its natural course as we age. Breast lift surgery is a big commitment, and while I use various techniques to perform this procedure, they do result in visible scars. I am excited to let you know that I am one of the first plastic surgeons to be performing a “non-invasive” breast lift called ThermiBreast. This is a great alternative that I am happy I can offer my patients!

This treatment is not for everyone. It’s appropriate for women who have moderately sagging breasts, are in good health and don’t wish to undergo a traditional breast lift surgical procedure. ThermiBreast is performed using “local” anesthesia and takes only about an hour. I use a ThermiRF device that produces radio frequency energy (thermal energy) to stimulate collagen production and improve overall skin tightening. I am able to target specific areas of the breast using very small entry points with the Thermi probe. Results are immediately noticeable and continue to improve over the course of 12 months, when final results are visible. There are no visible scars, and patients are back to their normal activities right away. 

Call my office for more information or to schedule a consultation with me. 317-575-0330.

The Breast Reconstruction "Process"

I had a request from a Facebook follower to write about breast reconstruction, and in particular, how reconstruction is a “process” as opposed to a procedure. I think that this point is well-taken, and the potential length of the process often surprises women at first consultation. Although some patients are candidates for single-stage reconstruction, and the application of this technique is increasing, most reconstructions are still performed as a series of stages over the course of a year or more. Typically, reconstruction will begin at the time of the mastectomy, utilizing techniques to recreate the breast mound. Most commonly, this consists of insertion of a temporary stretching device called a tissue expander. The expander is then replaced with a softer, more long-lasting implant at a second surgery. Sometimes it is possible to perform nipple reconstruction at that time, but this may be delayed to a third stage. Pigmentation of the nipple areolar area requires medical tattoo, representing yet another stage in the process. Even when the breast is reconstructed in a single stage, for example with a flap of tissue from the abdomen, it is common to return to surgery to refine and fine-tune the result within the first year. Improving the breast contours and soft tissue thickness with fat grafting is a powerful tool for these revisions regardless of initial reconstruction type. However, the nature of fat grafting is such that several sessions may be required to achieve the desired results.

In the years after initial successful reconstruction, issues can occur that lead to more surgery to maintain or revise the result. This is especially common in women who have had mastectomy and reconstruction on one side as opposed to both sides. The non-cancer breast and the reconstructed breast often behave differently with aging and weight changes. Implant related issues can also occur. Breast implants will eventually wear out and will need to be replaced in many patients, usually around ten to twenty years after insertion.

Breast reconstruction decision-making is highly complex. Numerous techniques are available, and many factors need to be considered when selecting a reconstructive approach. These factors include tumor characteristics, the use and timing of adjunctive techniques such as chemotherapy and radiation, individual patient characteristics such as breast form and size, health status, lifestyle goals, and personal preferences. The use of radiation in particular has profound effects on the breast tissues, and is a common reason for a more drawn out reconstructive process.

Breast reconstruction requires time and patience. Nevertheless, for many patients, the process is an integral part of their journey to a new life as a cancer survivor. Although I wish that reconstruction could be a one-time event, I really enjoy watching my patients recover physically, mentally, and spiritually over the course of their treatment, and I relish catching up with them when they return years later to address the changes that can occur with their breasts over time.

Considerations in Breast Implant Size

Here is an interesting video/article from the Plastic Surgery Channel about “The BIG Breast Debate”. A new study shows that American Women have the largest breasts in the world, yet breast augmentation is still the most popular cosmetic surgery. Interestingly, implant sizes selected in warmer climates tend to be larger than those in cooler areas such as the Midwest or East Coast. I tell my patients there are multiple considerations when we discuss implant size. Unfortunately, sizing is not a simple matter of the patient saying “I want this size bra or this volume of implant.” The standards for bra cup sizing are imprecise and variable, and patient preferences for bra fit and coverage vary as well. The final breast size consists of a complex relationship of the natural tissue plus the implant volume and characteristics. These factors can be predicted roughly, but not precisely.

Most importantly, the goal should be to improve breast size and proportion while respecting the limits of what the breast tissues can handle. Sometimes the tissues present a limit to the size that can be safely achieved. By that I mean that we now know that over time, excessively large implants can stretch breast tissues into ugly positions and shapes. I believe it is most appropriate to respect the tissue limits to reduce the chance of these problems occurring, because they almost always require expensive surgery to fix. I use a method referred to as tissue-based planning to determine safe breast sizing, and I use before and after imaging to help my patients see what their potential results may look like. This is a great tool that enables us to communicate more clearly about the size question.  

Spa 170 West Skin Care 101 Event

You’re Invited to join us at Spa 170 West for “Skin Care 101”. Our event will take place by personal appointment between 9:00 am and 4:00 pm on Tuesday, September 13th.
Meet our estheticians and learn the basics of makeup application, skin care and transitioning into new season smoothly. Your $50 reservation includes:
  • Dermaplaning with TNS Hydrating Mask
  • Personalized makeup and skin care consultation
  • One-day only specials and giveaways
  • Your reservation fee can be applied to your event purchases.

Make Your Reservation Today By Calling Spa 170 West

The Importance of Choosing An Accredited Surgery Center

In addition to choosing a board certified plastic surgeon, I advise my patients that it’s equally as important to choose a fully accredited facility. Following is a good article from the American Society of Plastic Surgeons (ASPS, of which I am a member) that discusses why. It lists 10 reasons that accreditation matters and provides commentary regarding how to know if the center you are considering is accredited.

Meridian Plastic Surgery Center, where I perform many of my procedures, is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Read the article here...

The Dangers of Medical Tourism

Medical Tourism is a topic that has been covered in the news quite a bit lately. For plastic surgery, it can be very dangerous. Here’s how it works: Patients don’t want to pay the U.S. prices for plastic surgery, so they take a vacation in another country and have a “nip here and a tuck there” during their trip.

My partner, Dr. Bruce Van Natta, did a great video 2 years ago on the Plastic Surgery Channel on this very topic. The outcome can be dangerous, and it may end up costing patients thousands of dollars to try to fix things. One of the issues is that you may not know who is actually performing your procedure. And, while they may claim that the surgical environment is “safe”, it may not be safe compared to U.S. standards. Here is a recent article published in Time Magazine that outlines the dangers of medical tourism in plastic surgery, including serious bacterial infections.

Vaginal Rejuvenation

Ladies, here is some information on a rather delicate topic that might be of help to you. Patients occasionally come to me to remove loose, excess tissue in the labial area. Many women, however, also suffer from a loss of elasticity in their vaginal tissues. This is a common consequence of childbirth, but can also be related to genetics and age. The area may look less attractive, and can also be uncomfortable. Urinary incontinence is another consequence. Although the health and beauty media have been abuzz with information on this issue, many women are unaware that simple treatments are available.

Spa 170 West, our medical spa at Meridian Plastic Surgeons, offers a non-surgical procedure called ThermiVa that tightens vaginal skin with no down time and usually no discomfort. And it takes only about 30 minutes. ThermiVa uses radiofrequency energy to heat the tissue and rejuvenate collagen. It’s a real breakthrough for women! Here is an article and video from the Plastic Surgery Channel that explains ThermiVa. Call our Spa at 317-558-1541 for more information.