Category Archives: Plastic Surgery

perfect female body type

​What is the Perfect Female Body Type/Shape?

Throughout the centuries civilizations have had different ideas regarding what constitutes the perfect female body shape. For example, in today’s society large breasts, straight hair down to your shoulders, a big butt and full lips are considered the ideal standards of female beauty.

But if we were to put that same woman in a time machine and send her to the 1920’s, she wouldn’t be considered very attractive. In the 20’s men tended to favor women with a boyish type of body, flat breasts and a short curly hairdo.

It’s interesting to see what people considered to be the ideal standards for the female body type and shape since the dawn of civilized society. Here is a brief history on what was considered beautiful throughout the years.

Some of the beauty standards might lead you to believe that things haven’t changed that much throughout the millennia.

Ancient Egypt – Women who were slender were considered the ideal standard of beauty amongst the ancient Egyptians. Their society placed a heavy value on a high waist and symmetrical face as well. Not unlike today’s society, the Egyptian people have been described as being “extremely vain”. Body hair was considered to be a sign of impurity and uncleanliness amongst women.

Rome – The Romans took their standards of beauty to an all new level never seen before in history. If plastic surgery were a thing in Roman times, the surgeons would probably be wealthier than the emperor himself.

For the average Roman woman to be considered beautiful, she had to have:

  • Small, sharp nose
  • Pretty feet
  • Pale white skin (only the slaves worked under the hot sun in the fields)
  • Wide thighs
  • Small breasts
  • Lack of body hair
  • Large almond-shaped eyes, oval cheeks and chins.

The ideal of beauty for women was small, thin but robust constitution, narrow shoulders, pronounced hips, wide thighs and small breasts. Considering that there was no such thing as rhinoplasty in Roman times, women had to work with what they were given.

Greece – In ancient Greece, women were considered disfigured versions of men. Society placed a higher value on the male physique than the female physique. Women who were plump and full bodied were deemed the most attractive in this historical timeperiod. As with the Egyptians and Romans, fair pale skin was most desirable amongst fashionable women.

Italian Renaissance – This was the golden age for women who were “plump and voluptuous”. The Italian standard of female beauty placed a heavy focus on women who by today’s standards would be considered “overweight”.

It’s interesting to note that Roman women did not use a lot of cosmetics. They placed a heavy value on women whose bodies were completely natural -as given to her by God. The Italian Renaissance would probably be one of the last places a time-travelling plastic surgeon would want to set up shop and offer liposuction services.

Victorian England – As with the Italian Renaissance, Victorian English society placed high value on women who were “desirably plump” and full-figured. However, it wasn’t an all-you-can-eat buffet in terms of beauty standards. A cinched waist was considered to be very sexy and in order for most women to achieve this look, they had to wear an uncomfortable corset most of the time.

Pale white skin was also in fashion and to achieve this look women used a variety of cosmetic products that contained such toxins as lead and arsenic.

Roaring 20’s – Flash forward 90 or so years and the 1920’s version of female beauty is the exact opposite of what it was in Victorian England times. As with the Flappers, women who were flat-chested with a downplayed waist, boyish figure and short bob hairstyle were considered the ideal standard of beauty.

Golden age of Hollywood (30’s-50’s) – Marilyn Monroe gave rise to the popular curvy, hourglass figure of the 1930’s-1950’s. Women wanted large, pointy breasts and used a wide variety of bra contraptions to achieve this look. As with Victorian women, a slim waist was also valued.

1960’s – The ideal standard for attractiveness in women was slenderness. A British model by the name of Twiggy became very popular in America and many women tried to emulate her look. She had a skinny frame and boyish look to her. At this time Americans were gaining weight faster than ever and Twiggy gave birth to the “skinny is better” mantra that most fashion magazines still promote today.

1990’s –The 90’s were unique in that they had two main beauty ideals. Women like Naomi Campbell and Cindy Crawford gave rise to the athetic-but-curvaceous body figures. On the other hand, such models as Kate Moss gave rise to the popularity of “heroin chic” in which it was fashionable to look as skinny as a drug addict. It’s interesting to note that having a big butt or a large thigh gap was considered to be overweight.

2000’s – Present day – Nowadays women are looking to have large breasts and butts. This is due in part to the rise in popularity of various “reality t.v. shows” where the stars have big breasts and posteriors. Women nowadays also want to look “healthy skinny”, not the “heroin chic” that was so popular in the 1990’s.

A thigh gap is also seen as attractive. More so than any other time in history, women nowadays regularly get plastic surgery to achieve the look they desire. When supplemented with regular exercise and a healthy diet, it’s relatively easy to obtain a healthy and athletic look.

Over the history of mankind, the standards for beauty have changed considerably. Considering plastic surgery did not exist until recently, women were stuck with what they were born with. They couldn’t change the size of their breasts or shape of their nose as medical science was in its infancy.

Nowadays, women are fortunate in that plastic surgery is a safe, routine and reliable way of changing and improving their body and looks. At Dr. Adams plastic surgery, we have helped countless women get the look that they desire. Give us a call to schedule an appointment.

butt implant risks

​Butt Implants Gone Wrong: Why You Should Avoid Buttock Implants Unless Absolutely Necessary

Kim Kardashian, Iggy Azalea, Nicki Minaj.

What do these 3 women have in common?

They are all known for having large butts. Many women want to emulate the posteriors of their idols and sometimes that’s easier said than done. You’re either born with a big butt or you’re not. There are some women who won’t take “no” for an answer and instead opt for elective surgery to increase the size of their butts.

We’re going to take a look at the history of butt implants, along with several reasons why you should avoid this surgery unless medically necessary.

History of butt implants

Dr. RJ Bartels was credited with creating the first butt implant in 1969. He and his team were under the impression that they could do it successfully if they used a standard breast implant. The results from that very first butt implant surgery were less than optimal. It did not have a natural look to it and this was because the implant was primarily designed for breasts, not butts. Not to mention he put the implant between the skin and the gluteus maximus muscle. This led to it moving around and creating an extremely unnatural appearance.

That literally allowed the patient to manually re-arrange her the shape of her butt with her hands.

Flash forward to a few years later (1984) and Argentinian surgeon Jose Robles decided to try putting an implant between the 2 layers of muscle in the butt. He called this procedure a “submuscular gluteoplasty”. It was the best working butt implant so far…but it was very technically challenging and no surgeon really wanted to attempt it.

After a few decades of trial and failure, doctors realized that the human butt was never going to accept an artificial implant. Unlike the human breasts, the butt is naturally designed to take on a lot of weight and stress. No implant would ever stand the stresses created on a daily basis by the butt.

The Brazilian Butt Lift

In the same year as Sir Mix-A-Lots #1 single “Baby Got Back” came out, the “Autologous fat transfer” procedure started appearing in medical journals. By this point in time, doctors had come to conclusion that implants were too tricky and something more natural had to be done. The procedure originated in Brazil, hence the name “Brazilian Butt Lift”.

The surgery was relatively straight forward: the doctor would take a tube and stick it in an area in your body where there was too much fat (eg: your legs, hips, or thighs) and suck the fat out. The fat would then be medically treated and injected into a plastic-like bag in your butt.

The beauty of this procedure is that it only takes 90 minutes to complete, and was relatively free from complications (vs. the post-operative infections and scarring you’d get from implant surgery).

Why Butt Implants are Not a Good Idea

Doesn’t the Brazilian Butt Lift sound kind of cool? Let’s all go out and get a buttock implant!

Not so fast.

Several medical doctors are advising against butt implants unless they are medically necessary. The claim that not enough time has passed to study the long-term effects of those people whom have had butt implants. Recently a video came out on the internet where a lady was literally able to manually maneuver the implant in her right butt cheek. It was kind of creepy and a cautionary tale about going under the knife to increase the size of your gluteus maximus.

Here are 4 reasons why you should avoid getting a butt implant:

Higher Risk of Complication

The butt implant surgery comes with high risks. The surgery calls for the surgeon to insert the implant above or below the gluteus maximus. This can lead to movement of the implant (after you’re healed up), capsular contracture or even fluid collection. Not to mention that if you start gaining weight, it could cause the implant to move or distort the entire shape of your butt. There are also no real long-term conclusions as to the safety and reliability of this procedure.

Results Are Not Permanent

Did you know that butt implants cannot remain in the human body for much more than 10-12 years? Just like breast implants, it is strongly recommended that patients replace the butt implants every decade. This requires another painful surgery along with a painful and long recovery process just to keep the shape of your butt the way you like it.

More Downtime After Procedure

Due to the complicated nature of the butt implant procedure, recovery time can be anywhere from 4-6 weeks. It has also been described as a very painful process to undergo.

Butt implants gone wrong

The implant itself is not dynamic. This means that it has one shape and one shape only. While your butt will get bigger with an implant, it will not look natural. The shape and the size will appear “off”. The implant itself could come loose (as shown in the video above) and you’ll have to undergo the knife yet again and deal with a painful 4-6 week healing process.

Butt implant surgery should not be undergone by anyone unless their doctor specifically recommends it. The risk vs. reward factor is too great. You will be in pain for a month or more after the surgery and there is a greater risk for complications than with breast implant surgery.

neck lift surgery non-surgical

Neck Lift: Surgical vs. Non-Surgical​

Doctors have been reporting that many people are coming into their offices with concerns about the way their neck looks. This is most likely due to the prevalence of the cell phone camera and people taking pics with their phones. As more and more pictures are being taken, more and more people are starting to get self-conscious and as such are looking for ways to fix such things as ‘turkey neck’. A neck lift is one such option.

Turkey neck usually results from old age. As we age, our skin loses elasticity and gravity takes over. The neck skin area starts to sag and it resembles the ‘gobbler’ of a turkey neck. This loose neck skin is not attractive and as such people look for ways to fix it.

Doctors usually recommend one of two ways to go about getting a neck lift: surgical and non-surgical. Each has its own benefits and drawbacks. We’re going to look at these two methods of neck skin tightening and see which one would work best for you.

Surgical Neck Lifts

According to Doctor Michael Lee, non-invasive treatment options cannot compare or come close to the longevity or duration of a surgical neck lift. If surgery is the only viable option, a lower rhytidectomy (aka “neck lift”) will help reduce the jowls and tighten the neck skin.

A lower rhytidectomy is a surgical procedure that is performed while the patient is under general anesthesia. The surgery can take anywhere from 2-3 hours and usually takes place in the office of the plastic surgeon. Incisions are made around the ears and lower scalp. The surgeon then takes the fat and sculpts it and/or redistributes it from the jowl area. The tissue under the skin of the neck is repositioned as well. Each surgery may be a little different based on the needs and wants of the patient.

The overall recovery time from this surgical procedure is around 2 weeks. Patients usually report feeling better after a few days. As with any surgical procedure, swelling and bruising will most likely occur. The average person will most likely be able to return to work 5-7 days after the procedure.

The results from a lower rhytidectomy are permanent. You will notice a difference and in 10-15 years from now you will still look a lot better had you not undergone the surgical procedure. However, keep in mind that all the surgery in the world is not going to prevent your body from aging any further.

Non-Surgical Neck Lift

According to Sean Doherty, MD, Non-invasive treatments can’t even begin to approach the quality of results that you would get from surgery. However, if the patient is not a suitable candidate for surgery (due to age or other health restrictions), or if they can’t afford the cost of a surgical procedure, then non-surgical procedures might be a better option.

If the underlying neck problem is just fat (and not age-related), then there are some really good non-surgical options, such as Kybella (deoxycholic acid). It was recently approved by the FDA and is used to treat the fat in the neck area.

Kybella is injected into areas with fat problems. For most people it can be 15-20 injections, but for others it could be as high as 50 injections at a single time. It usually takes several treatment sessions before you can see the full benefits. However, since Kybella actually dissolves fat, the results are permanent. Dr. Doherty says that men generally tend to do better with Kybella and other non-surgical treatments.

“CoolSculpting” by Zeltiq along with in-clinic liposuction is another good non-invasive option according to Dr. Michael Lee. Cool Sculpting is when doctors take a wand and “freeze” the fat cells in your neck. This kills them instantly and over time your body will consume the fat naturally, leaving less fat in the general area.

CoolSculpting and Kybella are just two of many different, non-invasive techniques that are available to help treat neck fat and tighten the skin. Lasers, radiofrequencies and forced ultrasound procedures also exist and are being used nowadays with some varying degrees of success. Each doctor has his/her own preferred method of treating patients who opt for non-invasive procedures. While the non-invasive treatments are not meant to last for a long time, they can provide marginally good results, which is good enough for most people considering the level of commitment and financial investment that is required for a surgical procedure.

Which One Is Best For Me?

When it comes time to getting rid of loose neck skin and fat, surgery is the only real option that can fix the problem permanently. However, due to time, health, or money constraints, some people opt for non-surgical treatments such as Kybella or CoolSculpting. According to Dr. Doherty, non-invasive treatments can stimulate the skin to improve a little bit of elasticity; up to 30% in some cases.

Doctors Doherty and Lee both agree that proper treatment of neck issues starts with patient education regarding what their options are, and the pros and cons of each option. Then a good discussion with their doctor on the best way to proceed. Afterwards they will have enough information to make an intelligent decision on the best way to go about tightening the neck skin, neck wrinkles and removing neck fat.

If you’re looking for more information regarding the neck lift options available to you, please contact our offices today to set up a consultation with Dr. Adams.

woman using Snapchat in plastic surgery procedure

Snapchat in Plastic Surgery: Is filming live videos of surgical procedures a good thing?

Celebrity doctors have been around for a while. But doctors filming themselves performing a procedure live on their phones for anyone to see is definitely a new thing. Though it may sound shocking, a growing number of plastic surgeons have built up quite a following on Snapchat by filming their surgeries in full graphic detail.

The question to ask now is whether or not filming these live broadcasts of surgical procedures on Snapchat is a good thing, or if it’s simply unethical. We asked several top plastic surgeons about their thoughts on this topic and for their predictions of the future of Snapchat in plastic surgery.

The Trend in Live Plastic Surgery on Snapchat

Plastic surgery procedures used to just be between the doctor and the patient. Nowadays, patients consent to getting their surgery broadcasted live on Snapchat and seen by thousands of followers. Some patients even request that their surgeon give viewers their Snapchat usernames and a shout out to a loved one.

One surgeon in particular, Dr. Matthew Schulman, is at the forefront of the plastic surgery Snapchat trend. He gives excellent insight into why people are watching and the effects of Snapchatting.

Dr. Schulman says he has several hundred thousand followers on the social media app, according to Fox News, and that about 90% of patients consent to their surgeries being broadcasted on Snapchat. Schulman also says that about 80 to 85% of people who come into his practice for a consultation follow him on Snapchat. He started using Snapchat after Instagram began taking down images from his account.

According to Refinery29, people who watch Schulman’s Snapchats include those interested in getting plastic surgery, people in the medical field and other viewers who are fascinated by the gory clips. Dr. Schulman says that he receives good questions about plastic surgery and that people watch him and his staff each day like a soap opera.

Experts Answer: Is Snapchatting Live Surgical Procedures a Good Thing?

While this new trend is certainly growing, should plastic surgeons jump on the bandwagon and start using Snapchat? Or is Snapchatting these surgeries having a negative impact on the industry and, even more importantly, patients? Dr. Adams spoke to four top plastic surgeons on NO Spin Live from The Plastic Surgery Channel and asked for their thoughts about broadcasting live plastic surgery procedures on Snapchat.

Daniel DelVecchio, MD: “Clearly we are seeing people who are violating ethical standards: showing pictures of surgery, writing on patients during surgery. This [Snapchat content] is inappropriate. When you are in the operating room, you should be one thousand percent focused on doing the operation. If you are entertaining people on Snapchat, that is unethical.”

Ashley Gordon, MD: “I think that the people who are [Snapchatting] a lot are those who are trying to use it as a marketing [channel] for surgeons who aren’t that busy. They are trying to generate and get more patients [through Snapchat]. I agree with Dan: you need to be focused on the patient and the surgery you are doing [in the operating room], not [asking about your Snapchat videos with questions like,] “Did you get that shot?” and  “How does it look?”

Mark Epstein, MD: “I think there’s a difference between putting an instructional video for patient education purposes on your website and being a showman on the Internet. So I have a great reservation about the real purpose of this other than as a marketing tool.“

Dustin Reid, MD: “The thoughtful surgeon needs to decide whether they want to be a video star or a good surgeon. Even if the patient consents, I don’t think they recognize what they are consenting to. It is an invasion of their privacy whether they know it or not when they consent [to being filmed on Snapchat]. And our society will probably ultimately have to get involved and give guidelines on using this type of video.”

Conclusion

While the Snapchat trend continues to grow, it’s important that we protect patients and create ethical standards when using social media. The last thing we want is for plastic surgeons to think of their procedures as a source of entertainment and marketing rather than a serious and life-changing surgery. Keep an eye on our video gallery for more educational insight on the latest plastic surgery trends!

breast augmentation what to know

The Price of Beauty

What are you willing to pay for a breast augmentation? Choosing the right surgeon for breast augmentation is a very important decision. Most women make price a top factor in deciding which surgeon they want to perform their breast augmentation. There are many other factors that should be considered before making a decision. First, you want to make sure that your surgeon is a Board Certified Plastic Surgeon. There are many questions you will want to ask about your surgeon. What percentage is their re-operation rate? Who is performing the anesthesia? Where is the surgery performed? If the cost is too low there could be a chance that the doctor is not trained in the new advances of breast augmentation. There a nurses that are administering anesthesia versus a Board Certified Anesthesiologist. The other cost that is cut is the operating room. There are some surgeons that operate in a procedure room. Some surgeons may not have privileges to perform certain procedures at a surgery center or hospital because they are not trained to perform them. This is a safety issue. What must be considered, is that in the future, you may have to go back and pay for a much more expensive revision surgery to fix an issue that may have been avoided had you gone with a different surgeon who may have initially cost just a little more. Do your research; make sure your surgeon is an expert in the type of procedure you are considering. There are many other questions that you will want to ask about your surgeon, such as:

  • Is the doctor invited around the world to lecture/teach about breast augmentation?
  • Has the doctor ever written books about breast augmentation that have been published?
  • Is the doctor trained in the 24 hour recovery technique?
  • Is the doctor invited to perform live surgeries around the world?
  • Has the doctor ever been asked to be a part of a study on new implants that are in process of being approved?
  • Does your doctor offer 3D imaging so that you can see images that are 99% accurate of what you will look like after your surgery?
  • Does your doctor use a team of board certified anesthesiologists during surgery?
  • Does the doctor know which implant size he will place before entering the surgery center or does he try different sizes out during the surgery before picking the size?
  • Does the office staff make you feel comfortable and welcome?
  • Does your doctor perform surgeries in the office or in a surgery center?
  • Do you get to meet the doctor before surgery?
  • Has the doctor developed any solutions that minimize complications after your surgery?
  • Does your doctor have patients travel from other parts of the country/world to have surgery performed?