Friday, 21 April 2017

Are Cosmetic Facial Fillers the Answer for Acne Scaring? Consult Dr. Brian Evans MD

Acne scars and other depressed scars and deficiencies can often greatly benefit from hyaluronic fillers like Restylane and Perlane. Filling depressed scars is an effective treatment that is nonsurgical, minimally invasive, and gives benefits that can easily last six months to a year, and in some cases, longer.

Can fillers improve scars?

You may have an indentation from acne scars, a surgery, a cut from a sports injury, or for a number of other reasons. This deficiency can stand out in your appearance and detract from your facial aesthetics. For some, scars can even be painful reminders of past problems. Fillers like Perlane and Restylane are often the best option for diminishing the visibility of scars on the face by eliminating skin irregularities and restoring the skin to its natural texture and shape. By filling in the deficiencies that are responsible for these indented scars, you may find that your scars are no longer noticeable. Facial fillers are safe and minimally invasive treatments that require little to no recovery time. This, combined with their effectiveness, make them the leading choice for acne scar treatment without the prolonged recover associated with surgery.

Can Laser Resurfacing to treat scars?

Laser treatment at first seemed like a promising technology, but it has never reliably delivered great results, and it is associated with many complications, including permanent disfigurement. Laser resurfacing for acne often yields no results, or - worse - it can make things worse. An erbium laser generally provides only minimal improvement, while something like CO2 laser resurfacing is so aggressive that it can damage your natural pigmentation. Fractional CO2 skin treatment are often big disappointment and very expensive. It is almost always much safer and more effective to choose acne scar fillers than laser treatment.

How to Find a Facial Fillers Expert

Treating facial scars is both a medical procedure and an art that should be performed by a doctor who specializes in treatment with facial fillers. Your doctor, whether a dermatologist or cosmetic surgeon, should also possess the great artistic skill needed to precisely place the filler for the best aesthetic results possible. It can be tough to know where to begin when trying to assess your potential treatment provider's ability, experience, expertise, artistic ability, specialization, and so on, but with some careful research you can find someone well-qualified to give you great results. When seeking someone to help you remove acne scars, always find out whether the doctor will personally perform the procedure or instead use an assistant to administer your treatment. Only choose a doctor who will personally treat you; after all, you don't know anything about the assistant's ability, and your results will be much better when the most qualified doctor performs them, rather than a non-physician in training.

An assistant may cost less, but your results will likely not be as good. Carefully study your potential doctor's scar removal before and after photos, noting any changes in camera angles or lighting conditions. If you don't like what you see in the example photos, you probably won't like what you see in the mirror later either. Make sure that your doctor has a lot of experience in filling scars on the face. Choose a doctor who specializes in facial fillers. Every doctor has special areas of talent and experience. Just as you wouldn't go to the same doctor for brain surgery and heart surgery, even if both are leading surgeons, you need to choose a doctor who makes fillers and facial cosmetic treatments a focus of their practice. Finally, evaluate how well you get along with your potential doctor at your initial consultation. You should feel comfortable around your doctor and confident in his or her ability to help you. Sometimes for reasons beyond explanation a doctor and patient don't "click" together, in which case it's okay to move on.

Consult with an Expert in Facial Fillers, Dr. Brian Evans MD, and providing treatment with facial fillers in West Hills Hospital in West Hills, CA as a major focus of his practice. Dr. Brian understands how to correct the focal loss of fat often seen underneath acne scars and other types of scars because of his extensive education, fellowships, and practical treatment experience.

Brian Evans Plastic Surgery has great success in helping women overcome adult acne by restoring hormonal balance and optimizing their diet. Your doctor at our West Hills Hosptial & Medical center facility will help you choose the right acne treatment for your skin.
If you’re frustrated with acne products, consider contacting Dr. Brian Evans to get your acne under control. Call us (818) 676-4001 today!
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Tuesday, 18 April 2017

Breast Cancer Reconstruction with Implants by Dr. Brian Evans

Breast cancer reconstruction is an option for many women who have had to have a mastectomy. This procedure allows the surgeon to restore the shape of the breasts. This type of surgery is not necessary but many women feel it is a beneficial thing because it gives them confidence. Having the procedure performed can be safe and it can be life changing. Making the decision to go ahead with it is a big one, though.

The Use of Implants

There are many types of procedures for reconstruction. However, breast cancer reconstruction with implants is one of the most common. In this procedure, your surgeon will add devices filled with a silicone or saline solution into the wall of the chest where your breasts were located.

These products are filled with a gel-like material, which gives you a natural feel and helps to create a comfortable shape for your body. The procedure is quite similar to having implants for enlarging these tissues.



As with all surgical procedures, breast cancer reconstruction procedures do have some risks. The worst of these risks involve poor healing of the wound, a rupture of the implant, deflation of the implant or protrusion of the implant through the actual tissue. However, these remain very rare. Other risks include infection, excessive bleeding, changes in the sensations in the breasts and an increased risk of needing additional surgical procedures in the future.

What Are the Results?

Having breast cancer reconstruction can help to provide a patient with a more natural body shape. However, there are risks involved in terms of the outcome of the procedure. Many times, your surgeon will work with you ahead of the procedure to create a plan of action.
He or she will discuss size, shape and other implications that could affect the outcome. Generally, though, this procedure can do numerous things to enhance your body.
  • It can help to give your body more contour in this area.
  • It helps you to avoid the need for any external prosthesis to make a masectomy unnoticeable.
  • It can help to improve the symmetry in your breasts so they look more natural under your clothing.
  • It can boost your own body image and give you the confidence you deserve.
  • It can also help to reduce the physical reminders of your fight against this deadly disease.

Breast cancer reconstruction is something to talk to a cosmetic surgeon about before you disregard it. For many women, it can give them back the same feel and sensations they used to have. They can feel better about themselves and about the way clothing fits on their bodies. For many, this is a very empowering experience.

Brian Evans Plastic Surgery Clinic at West Hills Hosptial & Medical center features several breast augmentation procedures to choose from, including breast implants, breast lift, or breast reduction. Dr. Brian Evans MD uses only the safest techniques and materials during breast augmentation surgery, and all of his breast enhancement procedures are performed within a safe, certified operating facility.

If you are unhappy with the shape or size of your breasts, visit his West Hills Hosptial & Medical center for a breast augmentation consultation.
Brian Evans Plastic Surgery Clinic will provide you the detailed information about breast reduction, breast enlargement, breast enlargement costs, and much more.

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Thursday, 13 April 2017

The Recovery Process of Tumescent Liposuction explained by Dr. Brian Evans

Understanding the recovery process after tumescent liposuction is a very important step for every patient. There are certain steps that need to be followed strictly in order for the healing to take place normally. The process is different for each individual, so discussing with the surgeon beforehand is a must.

First of all, the final result will only appear after six weeks from the medical intervention. Even though there are some patients who recover more rapidly, this is the general rule that should be followed. After the six weeks period of time elapses, there will be no more visible scars on the surface of the body. However, getting the organism used to the new body weight and structure can also be regarded as part of the healing process. This usually occurs after almost a year, with no more feelings of numbness being experiences in the affected areas.

As for the possible side effects, these include, but are not limited to, dizziness, discomfort in the areas involved in the surgery and numbness. These conditions can sometimes affect the duration of the recovery period and it the pause of any kind of physical exercise is completely recommended by most surgeons. Particular aspects about the interdictions that might apply to the patient can only be given during a medical consultation, when every question related to the tumescent liposuction intervention should be asked.

Compression garments represent one of the most common solutions for diminishing the time that is necessary for the healing process after the intervention. In addition to this, patients should try to get as much rest as possible, in order to give the body enough time to recover. Driving should also be suspended during the recovery period, at least for the first week. This is because driving requires a completely operational body and works certain muscles in the same way as exercising.

Finally, a physical evaluation is performed on the patient before the tumescent liposuction procedure takes place. This is a vital step when it comes to determining the eligibility of the patient with respect to the techniques involved in this medical procedure. There are some people who qualify for the regular liposuction intervention but cannot undergo tumescent liposuction, which is more dangerous than the standard type of surgery. In order to prevent more complications from taking place, this control is mandatory and the patient should be clearly informed about the health state and the possible risks that apply.

Dr. Brian Evans is a board certified plastic surgeon in West Hills, California.
Liposuction can be used alone or in conjunction with other cosmetic procedures at Brian Evans Plastic Surgery Clinic at West Hills Hosptial & Medical center practice, including a tummy tuck, body lift, buttock enhancement, Face Lift, or Breast Augmentation. Because there is a limited amount of fat that can safely be removed from the body, the most dramatic liposuction results come at the hands of surgeons with the great experience necessary to maximize your results. Visit Brian Evans Plastic Surgery Clinic in West Hills to see how liposuction can transform your body.
Also read: Why Choose Ultrasound Liposuction?

Monday, 10 April 2017

Dr. Brian Evans Discussing The Important Aspects of Eye Lifting Surgery

The eye lift surgery is a medical intervention that aims at improving the unpleasant aesthetic appearance of the eyes, which usually results from ageing. This kind of surgery also improves the appearance of the eyelid, treating the excess skin that masks the natural contour of the upper eyelid, as well as excess fat deposits from the upper and lower eyelids.

The correction of these issues can only be done surgically with this intervention that comes with spectacular results for most patients. After undergoing surgery, you will notice a tremendous improvement of the eyelids and surrounding areas. Furthermore, eye lift can also be performed for correcting wrinkles and the area around the eyes in the lateral portion. It can be combined with other facial rejuvenation interventions such as face lift.

What you should also know about this intervention is that incisions are hidden in natural folds of the eyelids, while postoperative scars are virtually invisible. The outcome occurs gradually, reducing swelling and bruising with small steps. In the end, you will obtain a rejuvenated appearance of the eyelids and the surrounding region.

Another advantage of eye lift is that risks are rare, being usually limited to bleeding, small infection in the area of the incision, poor healing, visual disturbances and a local discomfort sensation. In addition to this, there are also other complications that are due to the type of anesthesia used.

You will be able to resume regular activities a day or two after surgery and the recovery process will take place gradually. During this period, you are strongly advised to be as gentle as possible with your face and hair because the skin will be numbed and more sensitive to stimuli. Your surgeon will give specific instructions that you need to follow during the recovery period. Other things to avoid are chores, alcohol, cigarettes, steam baths and saunas for at least a month. Furthermore, you should give your body enough rest and save energy in order to ensure a fast healing process.

At first, your face will look and feel strange. Several features will be distorted due to edema, while facial movements will be slow and you will also notice certain scars appearing on your face. Bruising will persist for 2-3 weeks, during which you get tired easily. No wonder that some patients are disappointed and depressed at first. However, starting from the 3rd week you will feel and look much better. Most patients are able to return to their jobs in 10-14 days, even though some of them need to use makeup in order to hide the signs of the eye lifting intervention.

Dr. Brian Evans, plastic surgeons at Beverly Hills in California, is specialized in providing lower eyelid and upper eyelid blepharoplasty. A thorough first consultation is scheduled by Brian Evans MD to understand the requirements of patients before procedures are performed. Services provided include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.
Call (818) 676-4001 him today!
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Friday, 7 April 2017

Why Is Breast Fat Transfer Recommended? Ask Dr. Brian Evans

As we get older, some of the parts of our body, such as the breasts, begin to feel the effects of gravity, sun exposure and some other factors that contribute to an unpleasant aesthetic aspect. The subcutaneous tissue that provides the youthful look to the skin begins to break down, often leaving wrinkles in areas where the movements of these muscles are obvious.

One of them most common injections that are made for improving the aesthetic aspects of these body parts is the one with own fat. This is generally used for increasing the size of the breasts or the area involved and can also help improve the shape and offer a pleasant aspect. If you ever consider undergoing a breast fat transfer intervention, there are some very important aspects that you should consider. First of all, you should have a basic understanding of how the injection works and how fat can help you achieve the desired results in terms of the volume of breasts.

There are many injectable substances and each comes with its own advantages and disadvantages. However, own fat seems like the most suitable solution, since there will be no risk of rejection from the patient's body, which is already used to it. On the other hand, if foreign materials are used, some dangerous complications might occur. Another great advantage is the absence of any allergic reaction that can be encountered after the procedure.

On the other hand, the main disadvantage of breast fat transfer is the need of a donor area, rich in fat. If the patient does not have such an area, performing the surgery will be impossible. In addition to this, temporary swelling and bruising may occur as part of this intervention. Finally, an additional operation might be required for correcting the results obtained during the first one, which are very hard to perfect because of the uneven resorption of fat.

Fat injections are primarily used to improve the skin appearance. They can help fill facial wrinkles, cheeks and any other areas with devitalized ski or scars. In addition to this, professional surgeons can also use own fat to enlarge the size of the breasts.

Sometimes injecting substances is done in combination with some other surgical procedure. However, the chemicals injected cannot change the facial contour, for example. You should always remember that a plastic surgeon is a specialist who can offer the full range of cosmetic surgery treatments, ranging from laser techniques to injections. You are the only one to decide your preferred method and the desired result.

Further you can consult with Dr. Brian Evans, a board certified plastic and recontructive surgeon practicing in West Hills, California. Dr. Evans's background is wide and varied. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice for more than 20 years. He is one of 4 doctors at Cincinnati Veterans Affairs Medical Center and one of 11 at San Joaquin Community Hospital who specialize in Plastic Surgery.
Contact (818) 676-4001 Brian Evans Plastic Surgery today to schedule your consultation in West Hills Hosptial & Medical center
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Monday, 27 March 2017

The Fat Transfer Procedure - Dr. Brian Evans

Body fat transfers are most often performed by a board-certified plastic surgeon. The location of the procedure may be the doctor's office, outpatient center, or hospital. The procedure may take up to two hours. The procedure is often performed under "twilight sedation," which includes a combination of medications that make you feel sleepy and numbed, but awake. The procedure may be performed under general anesthesia, while you are asleep. You should discuss the type of anesthesia with your doctor. The waiting time before returning home depends on the amount of fat that is transferred.

Learn more about body contouring

The procedure varies depending upon the technique used by the doctor and the area to be treated. The most commonly treated locations are the buttocks, chest, calf, and bicep or tricep muscles. The procedure can be described in three steps:

Antiseptic is applied to two areas:
1) the location where the fat will be removed and
2) the treated area, where the fat will be injected.

The fat cells are typically removed from the buttocks, stomach, or thighs using liposuction. The doctor uses a cannula (a thin hollow tube) that is connected to a vacuum device to remove fat cells.

After the fat cells are suctioned by the cannula, the fat cells are processed and purified by the doctor. In some cases, the doctor will use a technique that spins the fat cells before the cells are injected beneath the skin. Some doctors do not spin fat. Different doctors may use different techniques of spinning fat. A bandage may be applied.

It takes three to four days for the first capillaries in the body to reach the transplanted fat cells. Unfortunately, during those three to four days, up to 60 percent of the transferred fat cells will die. For this reason, doctors will overfill the treated area to allow for the dissipation of transferred fat cells. Since many of the transferred fat cells may eventually be reabsorbed in the body, the results may be unpredictable. The results of fat transfers may last about three years. Many cases result in the transfer lasting a lifetime. Each time the procedure is repeated, more fat is accumulated in the treated area. This tends to offer longer-lasting results.

After Fat Transfer Surgery

After the procedure, you may need someone to drive you home. You may also need someone to help you with daily living activities during the time specified by your doctor. The doctor will instruct you to limit activity, including exercise, for up to three weeks after the procedure. Within two to three days after the procedure, the bandage is removed by the doctor. Patients can begin to shower after the bandage is removed.

There is typically some swelling and some bruising. The swelling may last for several weeks. However, bruising will subside within a few days. The treated area may be reddened within the first 48 hours. Discomfort can be managed with oral medications. Scabs may form at injection site as well. Unmanageable pain or any symptoms that are progressive or abnormal should be reported to the doctor immediately. Normal activities can often be resumed almost immediately, except that you are advised to stay out of the sun. Patients should notice a marked improvement after the procedure. However, final results may not be evident for several months or longer.

Complications and Risks

Complications are possible with any medical procedure, but complications from fat transfers are infrequent. The most common, but infrequent, complications of fat transfers include uneven skin texture, infection, abscess, excessive bleeding, or scarring. If fat is injected into two or more areas, patients may have asymmetry whereby the fat appears uneven in different areas. Treatment for complications can range from oral medications to surgical intervention, depending upon the extent of the complication. Following the doctor's instructions before and after the procedure can reduce the risk of complications.

Consult a Qualified Plastic Surgeon

Talk to a qualified doctor about your goals and the treatment options available for your condition. A qualified doctor will help ensure the treatment is appropriate for your condition, increase the odds of success, and reduce the risk of complications.

It's important to choose a board-certified plastic surgeon from the American Board of Plastic Surgery. Board certification may not always guarantee the best results; however, board certification does require specific and rigorous surgical education and training. There are only a select number of doctors who perform the procedure. Choose a surgeon who has extensive, specific experience in the body fat transfer that you are interested in, as well as expertise in all areas of body fat transfer.

Dr. Brian Evans is a plastic surgeon in West Hills, California and is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital.
Call (818) 676-4001 today to schedule your consultation with Dr. Brian Evans. He has assembled a team of plastic surgeons and skin care specialists to perform procedures of cosmetic surgery and body contouring in Thousand Oaks to provide patients with comprehensive aesthetic care.
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Sunday, 19 March 2017

Surgical Advancements Provide New Options for Abdominoplasty Surgery

The Abdominoplasty procedure (Tummy Tuck) was developed by plastic surgeons in order to treat skin looseness and stretch marks that developed with age, after pregnancy, and with weight fluctuation. Typically, the procedure involved removal of loose lower abdominal skin up to and above the level of the umbilicus (belly button) and tightening of the abdominal muscles in the midline.

A small surgical incision was created in the upper abdominal skin when it is pulled down to the level of the umbilical stalk. In order to remove the lower abdominal skin to the level of the belly button, surgeons elevated the upper abdominal skin and fat off the muscle fascia up to the level of the lower costal (rib) margins.

Because older abdominoplasty techniques emphasized removing the largest amount of lower abdominal skin in the midline, and removing the skin that surrounded the (umbilicus) belly button, these procedures often produced an unnatural appearing abdomen with scars that were too close to the umbilicus. Insistence on complete removal of the abdominal skin around the umbilicus is often a cosmetic error, which produced unnaturally high abdominal scars. Older techniques of abdominoplasty also produced wide scars with depressions that resulted because the deep tissue of the surgical incision was closed with absorbable sutures.

The High Lateral Tension Abdominoplasty was developed by plastic surgeon Dr. Ted Lockwood to create a more natural and aesthetically pleasing abdominal appearance as a result of abdominoplasty surgery.

The HLT Abdominoplasty is noted or the following features:
1) Emphasis on lateral lower abdominal skin excess excision and post surgical skin tension
2) Reliance on the strength of the superficial fascial system for incision closure and optimization of scar.
3) Limited undermining of upper abdominal skin/soft tissue flaps, which preserves abdominal flap blood supply and allows for liposuction of the abdominal region without compromising skin viability.
4) De-emphasis on removing all skin up to, around, and above the umbilicus.
5) Liposuction to treat upper and lateral abdominal and flank fat deposits.

Because abdominal skin and tissue laxity are greater on the sides of the abdomen, and away from the midline, treatment of laxity in these regions is paramount to obtaining better results with abdominoplasty. With the HLT Abdominoplasty, lateral tension is emphasized because tissue laxity increases from the midline to the sides of the trunk with age and/or with weight fluctuation Therefore, the emphasis of skin removal and tightening is shifted from the midline to the sides of the lower abdominal skin and soft tissue.

The Superficial Facial System (SFS) is a connective tissue layer interlaced with the subcutaneous fat that lies between the deep dermis and abdominal fascia. Closure of the deep layers of fat with permanent braided nylon sutures integrates the strength of the (SFS) in the resulting abdominoplasty incision. The permanent stitches, which secure the deep layers of fat surrounded by the SFS, create a durable narrow scar and prevent a "ledge" effect that occurs when absorbable stitches are used on the deep fat layers. The muscles of the abdominal wall are sutured to treat muscle laxity and create an internal corset. The belly button position is transposed.

Liposuction is performed with the High Lateral Tension Abdominoplasty for additional abdominal contour improvement in appropriately selected patients. The combination of liposuction and HLT abdominoplasty gives results that surpass those obtained by either procedure alone. Liposuction of the upper and lateral abdomen improves appearance and often allows the contour of the upper abdomen to show definition where it did not exist before. Not only is the abdomen tightened with this technique, but the anterior thigh is also lifted as well. These features are unique to the High Lateral Tension abdominoplasty technique, and are not as readily achieved (if at all) with traditional abdominoplasty techniques.

High Lateral Tension Abdominoplasty may be performed with liposuction of the back and flank regions. In these cases, the operation becomes one of Total Truncal Rejuvenation as the contour of the entire torso addressed in one operation.

If you are considering Abdominoplasty Surgery, you can discuss all your issues with Dr. Brian Evans. Mr. Evans is a plastic surgeon in West Hills, California and is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice for more than 20 years. Brian Evans Plastic Surgery private medical practice has been divided between cosmetic and reconstructive surgery and the care of the burn-injured patient.

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