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If you spend hours perfecting your makeup every day, you’ve probably asked yourself questions; is there’s a better way to get that great look without the time commitment? Permanent makeup might be the answer you’re looking for. Read on to learn more about the different kinds of permanent makeup and if the procedure is right for you. What Is Permanent Makeup? Getting a permanent makeup procedure is very similar to getting a tattoo. Instead of choosing a design to put on your body, though, a dermatologist, plastic surgeon, or makeup tattoo artist applies ink where you’d normally put your makeup. A fine needle injects ink into the skin, leaving behind permanent cosmetics that enhances your features just as cosmetic products would. In medical terms, this procedure is known as micropigmentation. The most common types of permanent makeup include: Eyeliner Lip liner and lip color Eyebrows Before deciding to get permanent makeup, be sure to find a technician with all the necessary licenses and certifications. Schedule an appointment to talk to the technician about the procedure and share important information like your medical history. Let them know if you have any allergies or have had an adverse reaction to a tattoo […]

After your facial procedure, it is time to focus on healing. However, your doctor may advise you to stay away from skin products and skip portions of your facial routine. That doesn’t mean you shouldn’t give attention to your skin. While some facial routines can be overly harsh for skin that needs to heal, there are ways you can care for your skin so that it heals as quickly as possible and smoothly. What to Avoid After Facial Cosmetic Surgery Everyone has their perfect skin care routine, but while it may be suitable for healthy skin, you may want to put it on pause after cosmetic surgery. Even facial procedures that don’t leave wounds that need healing, like microdermabrasion, will leave skin needing a little rest. After your procedure, your doctor will give you tips to help your skin. However, if you are ever unsure if a portion of your normal routine should be temporarily stopped, be sure to ask your doctor. Common skin care practices that should be avoided for a few weeks after a cosmetic facial procedure include: Abrasive facial scrubs Heavy facial masks Stringent cleansers or those with heavy fragrance Scrubbing pads Alcohol-based cleansers While there is […]

Cryolipolysis, commonly called CoolSculping, is a fat reduction technique which freezes fat cells. This technology is FDA-approved and is safe and effective. Maybe you consider yourself to be a health-conscious person. You try to eat a balanced diet, get adequate exercise, and make good lifestyle choices. But even though you have healthy habits, you don’t feel you look your best. No matter how much physical activity you do or how conscious you are about the foods you eat, certain areas of your body just don’t seem to change. By your teen years and into adulthood, people generally have a set amount of fat cells. As you gain weight, the fat cells expand, and as you lose weight, they shrink. So even though eating healthy and exercising can cause you to trim down, there are certain areas of the body where it may be hard to lose weight no matter how diligent you are. Gender, genetics, or age can play a role in the struggle to lose weight. Additionally, women may be more prone to store fat in the thighs and buttocks. In contrast, men may develop an issue with added pounds in their midsection. Whether you’re a man or a […]

If you are unhappy with your appearance, you may be thinking about plastic surgery. There are many different options available, depending on your wants and needs. You may be considering implants. There are many different facial implants you may want to consider so you can be proud of your appearance. Here are some of the most common types of facial implants that we do. Cheek Implants If you want to have more prominent cheekbones, you may be interested in getting facial implants in your cheeks. This procedure can take flat cheekbones and enhance them to give you the look that you have always wanted. Cheek implants are often placed in your cheek through an incision in your mouth. However, they can be done in conjunction with other procedures so your doctor may go in another way. If you’re having eyelid surgery, you may be able to have both procedures done through one incision (below your eyelid). Many patients prefer to have cheek implants done with a facelift. Your doctor will be able to insert your implants through the same incision that was used for your facelift. Cheek implants are quick procedures, taking about an hour. Your doctor may be able […]

Most women find themselves trying a short cut at least once in their life. However, after the novelty of it wears off, they are struggling to grow it back out. This process can seem to take forever, especially when you are stuck in some awkward stages. So, what can you do if it seems like your hair is growing out too slowly? Here are some things to consider. Drink enough water Dehydration can really mess with your body, even your hair. In fact, a quarter of your hair is made out of water. If you are drinking enough, you may be losing hair instead of growing it! Get your hair trimmed on a regular basis Though this may seem counter-intuitive, the truth is that trims can help our hair grow better! By getting rid of your damaged hair and split ends, your hair will be healthier and more likely to grow. Use products that help nourish your hair You should talk to your stylist to make sure that you are using the correct products in your hair. You are going to want something that is going to nourish your stressed hair, instead of making it worse! In fact, you may […]

Do you have trouble with sparse or non-existent eyelashes? Are you suffering from hypotrichosis? Do you dream of dramatic, full, beautiful lashes? Dr. Apesos is happy to provide several options for enhancing the genuine beauty of your face, including offering Latisse™ eyelash treatment. Continue reading to learn more about Latisse™ and decide if it is the right treatment for you. What is Latisse™? Latisse™ is a solution applied to the base of your eyelashes in order to aid in eyelash growth. It is suitable for both men and women. Allergan discovered it by accident after realizing that patients using their medicated eye drops were experiencing a noticeable change in the length and thickness of their eyelashes. After this phenomenon was further studied, it was found that bimatoprost was responsible. Latisse™ underwent development and the FDA approved it as both safe and effective in 2008. Since then, over 8 million Latisse™ kits have been prescribed. If applied correctly, Latisse™ can help eyelashes grow longer and thicker, and may also appear darker. Latisse™ is considered a treatment for hypotrichosis, or the inability to properly grow eyelash hair. Latisse™ is available by prescription only. How does Latisse™ work? Research suggests Latisse™ works by […]

Everyone loves the idea of having smooth, glowing skin throughout their lives. But many of us find that our skin is aging along with us. In fact, skin may age even more quickly than one might expect. The good news is, however, that that is not the end of the story. Take a moment to look over these six steps to a younger face to discover which ones you already practice and which you need to incorporate into your life. Step #1: Make healthy lifestyle choices for a younger face.  You know, this is the thing that all doctors will tell you. And Dr. Apesos is no different. One of the best ways to keep your skin looking youthful is to stay healthy in general. Drink water. Eat your greens (and skip the ice cream now and then). Go outside. Put on sunscreen. You’ve heard this before. But health professionals say these things for a reason. When you make a habit of healthy living, your skin will show it. Step #2: Cultivate stress-relieving habits.  Many wrinkles, dark spots, and other signs of aging can show up on your skin due to stress. Thus, a battle against stress is a battle […]

You’ve probably heard the term “microneedling” before. But what do you actually know about the procedure and the benefits it can provide? With specialized skin treatment like microneedling steadily growing in popularity, many people are still in the dark about what exactly it entails  — and how it can help rejuvenate your skin. This article will give you an idea of the process, and the results countless individuals experience after a microneedling treatment. Four Things You Need to Know About Microneedling Treatment Anybody Can Benefit Absolutely anyone can reap the significant rewards of a microneedling treatment. Because the treatment is minimally invasive, it makes for a quick and easy way to give your face a bit of TLC without the drama, hassle, or time that many other treatments require. Microneedling stimulates your body’s natural repair process in order to create cosmetic benefits. The needles involved in the procedure break a patient’s skin just enough to get the body started on some restorative action. As dramatic as the process may sound, it’s really no more than this. And that’s why it’s considered a relatively safe cosmetic procedure for anybody to undergo. The Concept of Microneedling is Not New Many potential treatment […]

Every man wants those hard, sculpted pectoral muscles on their chest. Unfortunately, sometimes things don’t work out that way. Instead of rock-hard chest muscles, some men find themselves saddled with floppy man boobs. No matter how hard they exercise or how much mass they add to their pecs at the gym, these pockets of flab just won’t go away. If this describes your chest, then unfortunately you have gynecomastia. It is widely believed that the colloquially known “man boobs” of gynecomastia are caused by being overweight. However, while being overweight can cause them, typically dropping the weight will cause them to go away too. If you are in even relatively good shape, but still have a soft, poorly formed chest, then you have gynecomastia. And it should probably be addressed. What Causes Gynecomastia? If you have a soft chest caused by gynecomastia, then the likely cause is an imbalance in hormones. Both men and women are made up of male and female hormones, but have them in different levels. Gynecomastia is when you have too much estrogen and not enough male hormones to balance it out. Typically, this is why babies (or boys in early puberty) will have soft chest […]

As the largest organ in your body, your skin is responsible for the important task of protecting the rest of your body. However, like any good armor, you want to keep it shined up and looking good for everyone that sees it. Unfortunately, there are many who don’t give their skin the attention that it needs. There are myriad reasons to take care of your skin, not just because it is your armor. If you are considering taking up a skin care routine, then here are some great reasons why. Give Care Now, Reap the Rewards Later You will always be able to spot people who didn’t take any care of their skin as they age because it really does show. A skincare routine and proper care when you are young will prevent early aging and will decrease the severity of age signs later. While skin care won’t prevent age signs completely, it will allow it to happen more gracefully and start to appear later. Staying Comfortable If you have never had the discomfort of dry or damaged skin, consider yourself lucky. However, the more you continue to ignore your skin, the more likely it is that you will have […]

Your skin is the biggest organ in your body. That means it is pretty important! It is crucial to keep your skin in good shape. But, if we are honest, we often leave our skin to take care of itself. It’s time to start caring for our skin! Here are six habits to avoid: Habit #1: Forgetting to put on sunscreen.  We often do not realize how much our skin is exposed to harmful sun rays. Of course, getting sunshine is good for both our mood and our overall health. But if we want to talk about overall health, we need to take our skin into account. Too much exposure to sun can and will damage your skin cells. The damage will start slow; but five or ten years down the road, you will wish you had taken better care of your skin. Remember that even when it is cloudy, sun rays can still seep through. So take a minute before you go outside to put on sunscreen. It will be worth it. Habit #2: Eating processed food.  Believe it or not, our eating habits make a big difference for the health of our skin. The processed foods that you […]

More and more people are getting a liposuction procedure to get the body that they have always wanted. You can look almost anywhere to find people with success stories. However, there are also plenty of horror stories too! In order to make sure that your liposuction procedure goes well, it is important that you find the right surgeon. Here are some tips to help you. Don’t be afraid to ask your friends and other people that you know who they used when they got their own liposuction procedure done. Most people know someone (or know someone who knows someone) who has gotten some work done. Ask them who they used and if they would recommend them for you. A bad recommendation is just as good because you know where you shouldn’t go. If you don’t know anyone, look online. Many people love to leave reviews online so you should have no problem finding reviews for almost anything, including plastic surgeons. Look for ones with glowing reviews, though you should expect to find a few negative reviews too. People love to complain so negative reviews are more common than positive ones! Also, one person can’t make everyone happy. It is impossible, […]

New beauty products seem to be hitting the market every day. With the global cosmetic market growing at a rate of four percent annually, it is no surprise that the beauty products market is projected to reach over $805 billion USD by 2023. With so many products available to consumers, it is important to separate those products that are proven to be effective from those that promise unsubstantiated results. Below are five tips to help you find beauty products that actually work. 1) Look for beauty products which are approved by the FDA FDA approval is not required for all types of beauty products. But there is sometimes a fine line separating cosmetics from drugs, which DO require FDA approval. For instance, beauty products that are intended to remove wrinkles or increase collagen are treated like drugs or medical devices by the FDA, and must be FDA approved before they are marketed to Americans: “Under the law, cosmetics must be safe when consumers use them according to product labeling, or the way in which the products are customarily used. But the law does not require cosmetics to be approved by FDA before they go on the market. Drugs, however, must have FDA approval for both […]

Liposuction, often referred to as “lipo”, is a surgical procedure performed by a licensed physician to slim, sculpt and reshape specific areas of the body by removing excess fat. Dr. Apesos will perform an evaluation to help you determine how liposuction will help you meet your goals for your body. Once the procedure is completed, here’s what to expect within the days, weeks and months during the healing process. What to Expect Immediately After the Procedure Within the first 24 hours, you can expect to feel very little pain and discomfort; you will still experience numbness from the procedure. The process of liposuction involves the injection of fluids into the body and those fluids will need to drain after the procedure. The longer that the fluid is retained by the body, the longer the body will remain swollen so expelling that fluid quickly will aid in a quicker recovery. As the fluid drains, you will need to ensure that you’re resting on towels to keep bed sheets clean. The fluid may be tinted red from blood so don’t be alarmed if you see that it isn’t clear. As the numbness wears off, some pain or discomfort may be felt. Dr. […]

Even though I’ve never been overweight, I have always struggled with a soft jawline. Several members of my family have double chins, so I know there is a genetic component; and my jaw is small to begin with. Over time, I developed the habit of reflexively sticking my tongue to the roof of my mouth every time a camera was pointed at me to avoid the unflattering bulge, and I even tried to do neck and chin exercises intended to make the chin area more taught. I practiced posture and poses, minimized sugar in my diet, and began to work out regularly, but the issue got even worse after the birth of my daughter. I gained 25 pounds during pregnancy, and lost them over the course of a year; but no amount of diet and exercises seemed to affect my double chin. The Resolution Finally I decided to schedule a plastic surgery consultation. The surgeon took pictures of me from the front and profile view, and recommended that I get chin liposuction. He also suggested that I get a small implant designed to smooth out my prejowl sulcus. These are grooves along the sides of the jaw that can exaggerate […]

Many men and women have stubborn pockets of fat that are resistant to even the strictest diet and exercise regimen. They’re often in areas such as the jowls, saddlebags, lower stomach, upper arms, and thighs. According to CNN, liposuction remains one of the top 5 most requested procedures, offering an immediate reduction of trouble spots by removing excess fat. Though every surgery involves risk, and the recovery can be complicated or painful, many patients are thrilled with the long term results. Here is some helpful information about liposuction aftercare. About the Procedure During the procedure, typically done under local or general anesthesia, a plastic surgeon will insert a suction tube under the skin into the pockets of fat that will be removed. The surgeon suctions away the fat using a syringe or vacuum pump. It’s important to seek out a qualified, experienced surgeon, for the results will be dependent on his or her skill. Excess fat removal can leave a wrinkled or lumpy look. Failing to remove enough fat will not produce the optimal contour. There are several methods of liposuction that might be used: tumescent liposuction, where a mixture of lidocaine, epinephrine, and IV fluids are injected to help flush […]

Veins are a crucial part of our body. They are responsible for carrying blood throughout every inch of our tissue. However, while most of the time, our veins don’t bother us one bit, there are certain conditions where our veins that should be hidden on the inside begin to affect our outside appearance. However, you don’t just have to live with unsightly veins marring your skin, if you want to change painful or visually displeasing veins, a good plastic surgeon can help through a procedure known as sclerotherapy. How The Sclerotherapy Process Works? Varicose veins, spider veins, and even just overly large bulging veins can all look pretty terrible on what otherwise should be our smooth, pristine skin. However, through sclerotherapy, they can be completely treated making it so they disappear completely. In this procedure, the veins are injected with a chemical foam that closes them up. That vein tissue is then reabsorbed by the body and those unsightly veins are gone forever. Not only will soreness of varicose veins be gone and the discoloration of spider veins, but you won’t even have the pale blue shadow of a vein snaking under your skin once the re-absorption process is completed. […]

A circle of debate continues around coffee table conversations when it comes to which type of breast implant is better: Saline or silicone. While there is no right or wrong answer, there might be a right or wrong option for you. Breast augmentation should be a procedure specifically tailored to each unique body structure, and that includes the material used to augment each type. A one-on-one consultation with a board-certified surgeon will help determine which is right for you. And in the meantime, we have outlined some of the pros and cons to help answer some questions you might have about silicone and saline implants. Silicone Silicone implants have made leaps and bounds since their inception in the 1960’s. In the past, it was not uncommon for a gel-filled silicone implant to rupture and spill into the body. This was because of the thin outer shell used in second generation implants. Today, cosmetic surgeons use third-generation prefilled silicone implants, typically referred to as cohesive gel implants. Patients who benefit the most from these types of implants typically have a smaller frame with little to moderate natural breast tissue, to begin with. This is primarily because of the rippling effect that […]

Are you asking yourself if plastic surgery is right for you? What actually causes people to feel the need for aesthetic, cosmetic surgery? Many people think about what it would be like to change something they don’t like about their appearance. While some people are satisfied with their looks, a growing number are taking control of their appearance, choosing plastic surgery to correct imperfections and improve their self-esteem and confidence. Whatever the reason, more people than ever are reporting that they are unhappy with the way they look. This is a trend for both women and men. Moreover, studies have shown that happiness is often linked to a person’s self-perception of physical attractiveness. Therefore, it should not be surprising that most patients are pleased with the results of their surgery and report feeling better about themselves. That said, patient satisfaction is closely linked to expectations. While plastic surgery can help improve feelings of self-esteem, self-worth, and confidence, those people who expect a complete and total transformation can become disappointed. Therefore, it is important to consult a qualified plastic surgeon about various procedures and options. A skilled and experienced surgeon will design procedures based on a patient’s needs. Very often, a combination of surgical and non-surgical procedures will produce the best […]

Are you searching for the best option to eliminate varicose veins and spider veins? Sclerotherapy is a generally simple medical procedure that can eradicate varicose veins and spider veins. By injecting a solution directly into your veins, the veins will then collapse and eventually fade away. Moreover, since the 1930s, sclerotherapy has proven itself as a safe and effective treatment. Nevertheless, many patients have questions. Today’s article proves answers to the most common. 1. How long are sclerotherapy sessions? – The initial treatment session can take several hours, but is usually less. The physician will want to observe how you react to the injections. Nevertheless, most people have multiple varicose veins and spider veins that will require several sessions. During each session, there is a limit of 10-20 injections. So, many patients will need 2 or 3 sessions over several weeks. 2. What occurs following a sclerotherapy session? – After a sclerotherapy treatment, the area is wrapped and bandaged. It is also important to keep your leg elevated for several hours. Also, to help control swelling and bruising, it is recommended that you wear a compression stocking. The reality is that your legs will look worse before they start to look better. Final results take about a month. 3. Will […]

Today’s article was inspired by an email received from a prospective patient. The young woman was speculating about a possible risk of “cell mutation” and cancer as a potential side effect of the CoolScupting procedure. What we can tell you with absolute certainty is that there has been no link made between CoolScupting and cancer. CoolScupting is a nonintrusive aesthetic procedure that targets only fat cells and leaves skin and muscle tissue unaffected. There is simply no connection between CoolScupting and cancer. During the procedure, a special tool is used to cool the targeted area of your body, reducing it to a freezing temperature. This freezes and kills only fat cells in that specific area of your body. Within a short period of time after the treatment, these lifeless fat cells will naturally break down and will be flushed out of your body as waste. Moreover, the U.S. Food and Drug Administration has approved CoolSculpting as a safe. This is not to say there are no side effects. However, they all tend to be mild and short-lived. A patient can experience aching, pain, or stinging at the treatment site, which can last up to two weeks. The cold temperatures can also cause swelling, bruising, redness, and skin […]

Recently, a client mentioned reading a study about liposuction. The researchers concluded that fat is “redistributed” to other areas of the body after treatment. Her question was if CoolSculpting had the same risk. Could fat return, but simply be redistributed to another part of the body? So, today’s article addresses the question, “With CoolScupting, is there a risk of fat returning to the body, only in a different place?” Here is one thing that needs to be made very clear, fat cells cannot return, either with CoolSculpting or liposuction. When it comes to CoolSculpting, the fat experience cell death and are absorbed into the body, then expelled as waste. Additionally, during a liposuction procedure, the fat cells are physically removed. Once those fat cells are gone, they are gone forever, never to return. It is impossible for those fat cells to become “redistributed” to other parts of the body. Nevertheless, a person is still able to gain weight. If, after a CoolSculpting or liposuction procedure, a patient does not maintain their weight with a healthy diet and lifestyle, the fat cells in other parts of the body can and will grow larger. The result is that a person will gain weight. Moreover, because of having had CoolSculpting or liposuction […]

Are you worried that CoolSculpting has a risk of permanent nerve damage? During a patient’s initial consultation, they are informed about some side effects, which can include short-term pain, swelling, bruising, and maybe a pins and needles sensation. Despite this information, some are unprepared. Moreover, some people have a more extreme response than others. This can manifest concerns in some who worry about the pain and the inflammation. There are examples on online forums of people asking for help. Therefore, today’s article answers the question, “Does CoolSculpting cause nerve damage?” Some patients will suffer short-term discomfort, pain, or numbness. While different individuals will have different tolerance levels to these side-effects, CoolSculpting has been cleared by the FDA and is considered safe and effective. Moreover, there are no known instances of CoolSculpting causing permanent nerve damage. In fact, while some side-effects can last several weeks, none are known to be permanent. Regardless, there are some people who are not ideal candidates for CoolSculpting. It is important to disclose any health conditions prior to the procedure. This would include health problems such as any known sensitivity to cold, impaired circulation, post-herpetic neuralgia or diabetic neuropathy, impaired skin sensitivity, or bleeding disorders. Ultimately, […]

The skin industry offers no shortage of miracle products promising a firmer, younger-looking you. For women in particular, skin tightening and firming products offer a certain allure with their promises to eliminate cellulite, get rid of wrinkles around the eyes or mouth, cure sagging skin, and reduce the signs of aging. As we age, our bodies produce less elastin and collagen, proteins that help keep our skin firm. In addition, fat deposits store in pockets beneath our skin, leading to the cellulite, particularly in women. Wrinkles, cellulite, and sagging skin cause embarrassment for many. If you could find a product that reduced or eliminated these unwanted effects of aging, it only makes sense that you would want to use it. But do these skin tightening and firming products really produce the results they promise? Sadly, many products on the market today simply do not work. They do not include the ingredients necessary to produce even a temporary result to firm your sagging skin. Other products, however, can produce a noticeable, although temporary, improvement in your skin’s firmness and elasticity. These products include ingredients such as caffeine or retinol.  Caffeine can help the skin appear smoother and firmer, but its effects will not last. […]

Skin tightening and firming products are one of the largest aspects of the skin care and cosmetic industry.  With so many options on the market, it’s challenging knowing what to look for.  What works well for one person may not be the best option for another.  Before settling on a new skin product, keep these 3 basic questions in mind.  1.) What type of skin do I have Everyone’s skin is very different.  While some individuals have extremely dry and course skin, others may have very oily and rich skin texture.  Most people are a combination of these extremes with varying textures throughout their body.  Before deciding on a new skin product, always keep your specific skin type in mind.  Product success may vary widely based on your skin textures.  If you’re unsure about your skin type, consider visiting a skin specialist for answers.  2.) How much success have others had with this product Always check into product reviews and consumer reports when looking for a new skin care product.  Finding out how well it worked for someone else is key in deciding whether a product is a good match for yourself.  Look for impartial reviews and recommendations. If you […]

Recently, we had a person reach out to our office who had a CoolSculpting procedure at another office. They were worried because of abdominal swelling and pain, describing the feeling of having done a million crunches. The person was really upset. She was young and fit, but had a small tummy bulge. She does have a good diet and exercise routine, and now worries that CoolSculpting was a mistake. Her ultimate question was, “Is abdominal swelling and pain normal after CoolSculpting?” Ultimately, this is an issue of a patient not being properly educated before the procedure. It is not uncommon for a person to experience some pain and swelling after a CoolSculpting procedure. This is usually short-lived but can last up to 2 weeks. Other issues that you can experience is an itching, numbness, muscle spasms, cramping, and even diarrhea. Nonetheless, this is all something that should also be explained in the post-care instructions. Here are some quick things to keep in mind. 1. Pain Killers – Extra Strength Tylenol is enough to relieve pain. However, avoid aspirin. Also, a compression garment may help reduce discomfort. 2. Activities – Any discomfort is similar to doing a lot of sit-ups or […]

One important aspect of being happy with CoolSculpting results is having reasonable expectations, which is true for all aesthetic procedures. Therefore, it is important to understand who is a good candidate. CoolSculpting is a cosmetic treatment that will destroy fat cells. In very simple terms, the procedure makes use of controlled cooling for a non-invasive reduction of stubborn fat deposits, effectively reshaping body contours. It works because of the cold causing cell death of the fat tissue, but it does not create injury to the skin or muscle. For many, CoolSculpting is a safe and effective non-surgical alternative to liposuction. In determining if you are a good candidate for CoolSculpting, there is some good news and bad news. At first glance, the good news is that if you are without any serious health issues or pregnant, then you are likely able to receive treatment. The bad news is that further evaluating yourself will make you acutely aware of your physical condition and the fatty spots on your body. However, if you are already aware of your pudgy chunks, then there is nothing to lose. Firstly, you are not a good candidate if you have a BMI of 34 or more. Essentially, those who are “severely obese” will need to start a weight loss […]

One of the most important things to have, when considering liposuction, are realistic expectations. Patients are often prepared that, after the procedure, there will be some pain, swelling, and bruising. However, the whole reason for having liposuction is the cosmetic effect. While the majority of patients report satisfaction with the outcome, it is possible that the things will not turn out the way you wanted or expected. This is why Dr. James Apesos takes the time to counsel his patients about the importance of reasonable expectations. Granted, it is sometimes challenging to have reasonable expectations with some of the advertisements you have seen or after looking at pictures of those before and after liposuction. Regardless, one must understand that advertising is created with the intent of persuading you to purchase a product or service. Advertisements rarely provide useful and informative information. That is the prime reason Dr. Apesos keeps and maintains this blog, believing an informed client makes the best patient. Wouldn’t you agree? In most instances, the results from liposuction are long-lasting if you maintain a healthy weight. Although, if you gain weight, this can change your fat distribution. So, while your new body shape is generally permanent, your figure can grow to a larger version. Nevertheless, […]

Take a moment to think about today’s fashions: form-fitting dresses, jeans, t-shirts. These garments make it almost impossible to camouflage bulges. Moreover, no matter how much you work at maintaining a healthy weight, many find that lumpy fat deposits never completely going away. It is no wonder that so many people are looking to CoolSculpting and liposuction for a solution. But which one is best?  The quick answer is both are an effective solution, if you are a qualified candidate. Regardless, depending on your situation and needs, one choice is better than another. CoolSculpting and liposuction do both eliminate unwanted fat cells from your body. However, there are some significant differences in the procedures. Understanding the difference between CoolSculpting and liposuction will help you make a better choice. The most significant distinction is surgical versus non-surgical. CoolSculpting is a non-surgical treatment. It uses a scientifically proven cooling process to kill and dissolve fat cells, without negatively impacting your other tissues. In comparison, liposuction is a surgical process, where an incision is made and then the fat cells (and other tissue) is extracted from the body. Furthermore, CoolSculpting’s controlled cooling targets only fat cells. While liposuction will affect fat cells, but may impact other adjacent tissue. Moreover, CoolSculpting is not as […]

Breast augmentation, while normally used to enhance the size of the breasts, can also be used to improve breast shape and symmetry. Like any surgical procedure, breast augmentation does require a certain amount of recovery time. The following tips will help you remain as comfortable as possible while you recuperate. Immediately After the Surgery: It is normal to experience some swelling, bruising, and discomfort for the first couple of weeks following breast augmentation. Dr. Apesos will prescribe pain medication to help alleviate the discomfort. We recommend that you create a comfortable spot with plenty of pillows where you can relax. It also helps to have ice packs available to reduce swelling and discomfort. You should avoid sleeping on your stomach for at least two weeks following the procedure. For your safety, you should also arrange for someone to be with you for the first 24 hours following your surgery. Returning to Work: Most patients are able to return to work about a week following surgery; however, you may want to schedule a little extra time off to allow yourself more time to heal. You should avoid strenuous activity or exercise and heavy lifting for about a month following your surgery. The Results: […]

Micro-needling. The name sounds a little scary — maybe painful too. So what exactly is it and how can it help my skin? Micro-needling is done with a small, hand-held tool called a derma roller, a device covered with numerous closely spaced tiny sterile needles. As the technician rolls it across the skin, the derma roller makes tiny holes in the skin’s top layer. Although it sounds like it could be painful, the light pressure used usually ensures that any discomfort is minor, and a topical anesthetic is often used to minimize it further. The technical name for the procedure is Collagen Induction Therapy or CIT. What Does It Do? Micro-needling creates what are known as “controlled injuries” beneath the surface of the skin. In response, the body produces collagen to repair the damage, resulting in a plumper, smoother surface layer. It minimizes the appearance of fine lines, scars from acne or injuries, and stretch marks. Is It Effective? Studies have shown that CIT is especially effective in treating scars (even fairly deep ones) when combined with 15% trichloroacetic acid (TCA) peel. Its skin-smoothing and firming abilities have also been shown to be effective, especially when combined with Vitamin C. […]

We’ve all heard the term and maybe even snickered about it a little. But it’s not so funny when it’s your arms that have morphed into the flabby, unflattering upper arm condition commonly referred to as “lunch lady” arms.  Losing muscle tone as we age is common and natural, but that doesn’t mean you have to accept it as irreversible. The Cure Your plastic surgeon has an answer: A procedure known as an arm lift will get rid of lunch lady arms (along with the self-conscious feeling that often accompanies them). Whether your “lunch lady” arms are the result of age, heredity, losing weight or any other reason, an arm lift can restore tone and shape to the appearance of your arms. The Procedure An arm lift or brachioplasty, is a surgery where the surgeon removes excess fat and skin from your upper arms and tightens the underlying tissue to restore a more toned-looking appearance to your upper arm area. Since an arm lift is a surgical procedure, your surgeon will want to know you’re in generally good health, and may require certain test results before proceeding. The Amazing Results But the results of arm lift surgery are immediately noticeable […]

In 2014, 1.26 million men had some type of cosmetic procedure done. Four hundred thousand of those men had Botox injections. The numbers show that this is an increase of 300 percent in the male use of Botox. Why are men suddenly using Botox? One reason men are using Botox all of a sudden is the increase in competition over jobs. Between December 2007 and June 2009, the U.S. was going through a depression and millions of jobs were lost. After the recession in July of 2009, the unemployment rate of men aged 16 and over was 9.8%. In August 2016, the rate in the same age group had been reduced to 4.5%. As the country emerged from this recession, men started using whatever means they deemed necessary to give themselves an advantage in the workplace. According to Dr. Scot Glasberg, President of the American Society of Plastic Surgeons, men are “wanting to look a little younger to get a job more easily. First impressions are everything in an interview.” Looking younger gives them more confidence going into an interview situation and means that they may be chosen over someone who appears older. A youthful appearance implies a fresh outlook and a sharp mind. The […]

The prospect of finally getting rid of unwanted fat deposits can be exciting. Yet, some patients approach liposuction with a little apprehension if they’re not quite sure what to expect as they recover. Here are the answers to a few common questions patients have about the days, weeks, and months after their liposuction procedure. How bad is the pain? Most patients rate their discomfort as mild to moderate. You can take over-the-counter pain relievers to alleviate the discomfort if needed. Wearing the compression garments your doctor recommends after surgery will help keep swelling down, and as long as swelling is minimized, you should not be too uncomfortable. You can expect the bruising and tenderness to subside greatly during the first week after the procedure, though you might have a little swelling for another month or so. When can you go back to work? Unless your job requires hard physical labor, you can likely resume work within one to two weeks of your procedure. Your doctor will schedule several checkups and let you know for sure when it’s safe to return. Typically, patients can resume light exercise, like walking, within a few days of surgery. It’s actually good to get out […]

Are the veins in your hands too prominent or visible? Dark or overly puffy veins can make otherwise toned, attractive hands look aged. Luckily, you can get rid of your prominent veins and restore a more youthful look with sclerotherapy, a popular vein removal method. What is sclerotherapy? During sclerotherapy, your dermatologist injects a special chemical into the unwanted veins. The chemical causes the vein to close, and over the coming weeks, your body absorbs the dead vein tissue. Before long, those veins you once hated will no longer be visible. The procedure usually only takes about 20 minutes. Does sclerotherapy hurt? The pain and discomfort are quite mild. Your doctor may use a local anesthetic or numbing gel to keep you comfortable during the procedure. You might feel a slight pinching when the needle is inserted into your veins and a bit of a burning sensation as the chemical begins working to close your veins. What is the recovery process like? After sclerotherapy, your hands might be slightly swollen and bruised. These side effects should go away within a few days, and they aren’t likely to keep you from partaking in activities you love. Most patients don’t need to […]

Discover how Skin tightening and Firming Products work on your aging skin. There are ways to get younger and tighter looking skin without opting for cosmetic surgery. Use of skin tightening treatments is a good option to choose. However, many people ask whether they truly work and how do they work? The effects of skin tightening and firming products are as a result of the ingredients that make skin get tighter and firm. Use of film forming agents on the skin gets you closer to the results that you want. Below are ways of how skin strengthening and firming products work on sagging skin I. The doctor focuses on skin collagen which makes the sagging skin bounce back. Building collagen is very essential because it supports your skin so it is less sagging. We advise people with sagging skin to help their skin generate lots of collagen through use of skin-repairing ingredients and potent antioxidants. ii. Vitamin A is also essential in skin tightening and improves the elastin’s shape of your skin. Vitamin A builds elastin as well as collagen. Applying skin products containing vitamin A at night helps a lot to strengthen the skin such as Renova. iii. Use of exfoliates contain […]

What should a person do when they dieted and worked out, to maintain a healthy weight, but there are still areas of fat that just won’t go away? Liposuction is a cosmetic produce for the purpose of body shaping and can help you achieve your aesthetic goals. It removes surplus fat from under the skin using suction. While the results are physical, some of the benefits can also be mental and emotional. Thanks to advancements in technology and the procedure, liposuction is safer than it has ever been. Nonetheless, only a consultation with an experienced plastic surgeon can inform you if it is right in your situation. Regardless, liposuction is one of the most popular cosmetic procedures because it is an effective way to remove excessive fat, and a compliment to a breast augmentation or other plastic surgery. The benefits of liposuction include: A safe way to eliminate fat, Body shaping that even exercise cannot achieve, Reduction and improvement of cellulite, Improved health associate with fat loss, Improvement to the way you look, and Increased self-esteem. If you are trying to eliminate unsightly pockets of fat around the midsection, thighs, or other difficult and frustrating areas, diet and exercise are sometimes not enough. Many times, […]

Did you know, according to the American Society of Plastic Surgeons, breast augmentation is the most common cosmetic procedure? Nonetheless, the surgery is not insignificant. Many patients have questions about caring for their breast implants. As with anything, proper care increases longevity. Immediately after surgery, you can expect some tenderness and discomfort. Additionally, there is bruising and swelling. It will slowly subside, but can last a month or more. Depending on the patient, you may receive a prescription for pain or nausea. Nonetheless, if you notice any signs of infection, such as a fever, report this immediately to your doctor. Immediately after surgery, you must wear a postoperative bra until healed. However, after it is also important to wear a bra that provides excellent support. Breast implants add weight, and this weight can affect breast shape. Moreover, a sports bar is essential for physical or strenuous activity such as jogging, biking, or other exercises. Additionally, daily massage of your breasts should become part of your routine. The purpose is to help move implants into position, but also aids in keeping them soft and may reduce scarring. Nonetheless, if you have surface implants, or had a breast lift with augmentation, massaging is not recommended. Some surgeons will recommend a massaging routine for […]

I’m a mother of three. At 36, after birthing those children one after the other, my baby belly refused to go away. People often asked if I was pregnant again even though I wasn’t. I knew something had to change when my sister’s son asked if I had a baby in my tummy like his mother did at the time. I soon became uncomfortable in my own skin. It reached a point where it affected how I related to people, even my husband and my kids. One of my friends suggested plastic surgery, but the idea made me nervous. I spent a lot of time researching tummy tucks – what to expect and how they were done. I lost count of the number of blogs I read, how many videos I watched, and how many photos I looked at. When I finally decided to look up surgeons in the area, I found Dr. James Apesos’ website. It caught my attention that he was board-certified with many years of experience, and I liked that he shared before and after examples of his work. So I scheduled a consultation with him to discuss my questions and concerns. Dr. Apesos took the time […]

Silicone breast implants were pulled off the market in the early 1990s because of fears they caused autoimmune disease, increased the risk of cancer and contributed to all sorts of health issues. However, after years, scientific studies found no link between silicone implants and an increased risk of any systemic disease or long-term health problems. If you are thinking about breast augmentation, you can safely choose between silicone and saline breast implants. With that said, women seek breast augmentation to make their breasts larger and/or fuller. At times this is a reconstruction, like after a mastectomy, but often it is for cosmetic reasons. Regardless, if you are seeking breast augmentation, there are multiple decisions. Many start thinking about size, but even more important is choosing between silicone and saline breast implants. All breast implants have a silicone outer shell. However, they differ in the material filling the implant. Saline is sterile salt water and silicone is a thick, sticky silicone gel that more closely imitates human fat. This means that silicone breast implants more closely look and feel like natural breasts. Nonetheless, both have similar risks such as capsular contracture, infections, and implant leakage. Still, there are some additional differences. Saline implants are often inserted empty, and then filled, while silicone implants are pre-filled. This means a […]

You’ve probably heard the term, but what is sclerotherapy, exactly? Simply put, it’s a medical treatment that’s used to permanently remove spider and varicose veins. It’s a relatively straightforward procedure – a saline solution is injected directly into the vein. This irritates the blood vessel lining to make it swell together and clot the blood. Eventually, the vessel becomes scar tissue and fades away.

I always felt inferior about my breasts. In a family where everyone was large busted, I was the anomaly. I bought all the expensive water bras and did everything I could to compensate for my obvious lacking.