Each breast reduction surgery is custom-tailored to suit the unique needs and cosmetic goals of the patient, thus the incision patterns used to complete the procedure can vary depending on the technique used. Generally speaking, there are three approaches that Dr. Jeffrey Copeland may choose from to accomplish your breast reduction:
- SPAIR technique (Short Scar Periareolar Inferior Pedicle Reduction Mammaplasty)
- Vertical (also called “Lollipop”) Incision
- Inverted-T (also called “Anchor”) Incision
The technique he selects depends on a variety of factors, including the composition of the breasts, skin elasticity, size of the breasts, degree of lift required, and amount of tissue to be removed. The method chosen ideally balances the greatest degree of improvement with the least amount of scarring.
Compared to other approaches, SPAIR technique-based breast reduction surgeries result in the least amount of scarring due to the unique locations of the incisions required to accomplish the reduction and lift of the breasts, and maintenance of lower breast supporting structures. The Vertical incision technique leaves two incision lines: one around the outside of the areola, and a vertical incision line from the base of the areola to the inframammary fold (the crease located along the underside of the breast). For the Inverted-T method, Dr. Copeland adds a third incision line to the Vertical technique, which is hidden along the inframammary crease. All incisions are carefully placed to keep any resulting scarring as hidden as possible after healing (within the areola or beneath the breast), however it should be noted that there is no way to completely conceal the vertical incisions used in any of the techniques. The appearance and visibility of scarring varies among patients, but generally, post-surgical breast reduction scars fade with time and can often be addressed with fractional CO2 laser treatments to further diminish their appearance if desired. We invite you take a look at breast reduction before and after photos of our patients to see examples of their results.
Breast reduction surgery can deliver tremendous relief and added confidence to women struggling with overly large breasts. The physical burden of heavy breasts can be taxing on the body, resulting in a range of uncomfortable complications. Challenges associated with large breasts can include:
- Neck, back, and shoulder pain
- Uncomfortable bra-strap indentations in the shoulders
- Skin rashes and irritation
- Difficulty breathing
- Numbness in the fingers and hands
- Problems with proper posture
- Headaches and migraines
- Difficulty participating in exercise and other physical activities
When issues like these are related to overly large breasts and become chronic problems, breast reduction surgery may be one of the only ways to provide lasting relief. If you are over the age of 18 and have been experiencing physical discomfort and/or medical problems resulting from large breasts, we highly recommend that you schedule a consultation with Dr. Jeffrey Copeland to explore your options. In some cases, health insurance may cover all or part of your surgery if it is deemed medically necessary.
Women who undergo breast reduction typically report that, although the physical benefits of the surgery make it worthwhile, the improvements in breast aesthetics and quality of life the procedure offers are also incredibly rewarding. In addition to enhanced confidence, women who have had breast reduction surgery often enjoy a wider range of physical activities, exercises, and clothing styles. We invite you to browse through breast reduction before-and-after photos to see images of our patients’ transformations and discover the results that may be possible for you.
The delicate skin of the neck is particularly vulnerable to the effects of aging, heredity, and environmental influence, and this highly visible area can often prove immune to the typical benefits of diet and exercise. As a result, many patients experience skin laxity, deep creases, softening muscles, and the development of fatty deposits on the neck and jawline over time. Some individuals may also have neck cording, also called platysmal bands, which stretch from the chin and jaw down to the bottom of the neck. Our experienced cosmetic surgeon, Dr. Jeffrey Copeland, can perform neck lift surgery for qualified patients seeking to reduce these concerns and restore a more youthful appearance to the neck.
There are a multitude of benefits to neck lift surgery from our practice. Dr. Copeland’s advanced techniques are designed to rejuvenate the neck for natural-looking enhancement that is tailored to the unique anatomy and goals of each patient. In addition to creating a more refined facial contour, neck lift surgery can:
- Reduce excess skin
- Minimize the appearance of fine lines and wrinkles
- Tighten underlying muscles
- Diminish the appearance of platysmal bands
- Contour the chin and jawline
In some instances, patients may benefit from facial liposuction in addition to neck lift surgery to help remove pockets of fat and produce a more youthful shapeliness to the lower face. Furthermore, many individuals opt to combine a neck lift with additional cosmetic enhancements, such as a facelift, brow lift, or dermal fillers such as Restylane® or JUVÉDERM® or fat grafting for more comprehensive rejuvenation. Dr. Copeland will be happy to discuss all available options during the initial consultation.
For more information about neck lift surgery or to schedule a consultation with Dr. Copeland, please contact our office today.
Many of our patients express concern about their décolletage—the jawline, chin, neck, and upper chest area that can be susceptible to skin laxity and the development of fatty deposits. Since exercise and a healthy diet usually cannot eliminate excess skin, individuals experiencing these symptoms may seek out a surgical solution. Neck lift surgery, as performed by our skilled plastic surgeon, Dr. Jeffrey Copeland, is designed to reduce excess skin, tighten underlying muscles, and refine the contour of the jawline to help restore the youthful appearance many patients desire.
There are several factors that can contribute to the development of inelastic skin, pockets of fat, and neck banding. These factors include aging, environmental effects, and/or heredity. Dr. Copeland carefully considers each patient’s unique anatomic indicators and aesthetic goals before determining whether they will make a good candidate for neck lift surgery. Common requirements may include:
- Dissatisfaction due to the appearance of the neck
- Inelastic skin on the neck
- Softened chin and jawline
- Loose neck muscles
- Platysmal banding (neck cords)
- Reasonable expectations for results
In addition to these elements, Dr. Copeland will also discuss each patient’s medical history and cosmetic goals. In some cases, a combination of procedures may provide more comprehensive rejuvenation, such as facial liposuction, facelift, or eyelid surgery. Dr. Copeland will explain all available options during the initial consultation.
For more information about neck lift surgery, or if you wish to schedule a consultation with Dr. Copeland, please contact us today.
Early in 2014 I became aware of a new technology that can achieve the long-sought goal of reducing unsatisfactory body contours caused by fat under the skin without an invasive operation. Technically called “cryolipolysis,” literally cold fat destruction, CoolSculpting™ from our St. Peters plastic surgery practice is able, in appropriately selected patients, to make a real reduction in those fat deposits while leaving the overlying skin intact and healthy.
This technology is technically non-invasive because it does not require anesthesia or an incision. That means that it may be available in a variety of locations, often without a plastic surgeon in attendance. As we have used the technology for several months it has become a regular part of our repertoire for body contouring, but not the only tool. Here I would like to point out that our patients benefit from evaluation, which takes into consideration not just CoolSculpting™ therapy but all the other options for optimal body contouring as well. That means that if someone comes in seeking body contouring but has physical characteristics (lax skin, fat in the wrong location) that do not lend themselves to treatment with CoolSculpting™ therapy, we still have other treatments to offer to help achieve improvement in appearance.
It can be easy to be tempted to use the cold therapy for fat reduction on almost anyone, but it really does work better on patients with the fat in the right locations and with good skin elasticity. I would suggest that not only does the patient get a broader evaluation of the appropriateness of their candidacy for CoolSculpting™ therapy in a plastic surgery office, but they also receive the important information about when it might not produce good results for them.
As my mentor said many times, “if you only have a hammer, everything looks like a nail.”
At Copeland Cosmetic Surgery, we have a lot of tools.
For more information about CoolSculpting™, or if you wish to schedule a consultation, please contact us today.
After accomplishing dramatic weight loss, patients often wish to further their achievement by utilizing post-bariatric surgery body contouring to help reduce excess skin that often remains. Body contouring, otherwise known as dermolipectomy, typically offers an effective solution for sagging, inelastic skin in areas including the stomach, breasts, face, arms, and thighs. Prompted by a desire to enjoy the results of successful weight loss, many patients request specific treatments. The most popular body contouring procedures performed after dramatic weight loss include:
By prioritizing certain treatment areas and performing body contouring procedures in a precise succession, patients can often achieve the best, most lasting results with the least risk. Dr. Jeffrey Copeland weighs the individual indicators and determines a treatment plan based on anatomic need and patient aspiration.
Dr. Copeland understands substantial weight loss is a triumph whether it’s achieved through strict diet and exercise alone or with bariatric surgery. He supports his patients continued progress, emphasizing healthy habits and rewarding practices. By offering post-bariatric body contouring procedures, he hopes to assist patients in leading healthier, happier lives.
If you have additional questions about post-bariatric body contouring surgery, or if you would like to schedule a consultation with Dr. Copeland, please contact us today.
Post-bariatric body contouring can often provide a solution for eliminating excess skin resulting from dramatic weight loss, which may occur after successful bariatric surgery, strict adherence to a diet and exercise program, or both. At our practice, Dr. Jeffrey Copeland reminds patients that while body contouring is often very effective at restoring a natural appearance to skin after weight loss, it’s an operation that requires an extensive consultation, customized treatment plan, and thorough examination of one’s health history. Other requirements for post-bariatric body contouring typically include:
- Approval from patient’s primary doctor
- Clearance from relevant specialists (such as cardiologist or diabetes doctor)
- Consultation with the anesthesiologist well before the date of surgery
Since obesity and excess weight can have a lasting impact on health, it’s essential that each individual undergo a thorough medical evaluation before proceeding with a surgical approach. Dr. Copeland understands that every patient has a unique situation, and he assesses all indicators, including individual goals, before beginning a treatment plan.
For more information about candidacy requirements for post-bariatric body contouring, or to schedule a consultation with Dr. Copeland, please contact our office today.
Check back with our blog soon to read the final installment of our three-part blog series on body contouring after weight loss. The post will cover customized plans, popular procedures, and priority treatment areas.
Many individuals are turning to bariatric surgery to help lose excess weight when diet and exercise alone prove unsuccessful. Though significantly effective at promoting weight loss, bariatric surgery often leaves behind loose, excess skin. Similarly, patients who have attained substantial weight loss utilizing a strict diet and fitness regimen may also encounter sagginess in areas where stretched skin was unable to return to its previous state. Regardless of whether surgery or discipline have lead to weight loss, it’s an impressive feat, and it’s an excellent step forward on the path to long-term health.
Still, many patients desire a solution for their excess skin, which often cannot be eliminated through non-surgical efforts and may cause discomfort or embarrassment. When such dramatic weight loss is achieved it deserves to be celebrated, not hidden. Skin tightening through post-bariatric body contouring can be a great way to remove excess skin after substantial weight loss, and it often restores patients’ sense of self-confidence, helping them continue on the path to physical and mental well-being.
Post-bariatric body contouring generally involves one or more procedures designed to reduce or eliminate excess skin that has accumulated as a result of dramatic weight loss. Typical areas that often benefit from body contouring include the stomach, breasts, thighs, face and neck, upper arms, and back.
At our practice, Dr. Jeffrey Copeland personally confers with qualified patients about their experiences, aspirations, and areas of concern to develop a body contouring treatment plan designed to address their needs and honor their previous and continued weight loss efforts.
If you have questions about post-bariatric surgery body contouring or would like to schedule a consultation with Dr. Copeland, please contact us today.
Check back to our blog soon to read the next installment of our three-part blog series on body contouring after weight loss. The post will discuss the typical requirements for candidates of post-bariatric cosmetic surgery.
In our previous blog post, we introduced one of our advanced nonsurgical skin rejuvenation treatments, the Fractional CO2 laser. In today’s follow-up blog entry, we will explain how the Fractional CO2 laser works, and what patients should expect in terms of recovery.
If you are considering treatment with the Fractional CO2 laser, you’ve probably wondered what is meant by the term “fractional.” According to our plastic surgeon, Dr. Jeffrey Copeland, “fractional” means that the laser energy is applied to only a portion of the skin surface, which allows for quicker healing and less risk of pigment changes.
“The CO2 laser produces powerful light of a single wavelength that is absorbed by anything that contains water, so it affects any cell it contacts,” he says. “It creates intense heat and vaporizes tissue until the energy of the pulse is used up. When the skin is heated, it is stimulated to form new collagen.”
The laser energy applied can be very accurately controlled so the “dose” of energy is specific to the patient and their skin type, as well as the specific goal of treatment, explains Dr. Copeland.
Although the Fractional CO2 laser is among our nonsurgical rejuvenation procedures, patients should take into consideration that the treatment can require a fair amount of recovery time. “Typically, there is a period of three to four days of crusting, as the tissue the laser heated separates and falls away,” he says. “This is sometimes described as bronzing. The surface is usually moist as the material comes off. As that material separates, the underlying skin becomes normally dry. The skin is pink for a few weeks, but this can often be covered with makeup. There is also a little swelling which lasts for a few weeks, but this generally resolves without any extra measures.”
Overall, the Fractional CO2 laser can produce effective and safe, but fairly aggressive, improvement of the quality of the skin surface, notes Dr. Copeland. It can help patients rejuvenate their appearance and achieve a more vibrant and refreshed look.
If you would like more information regarding the Fractional CO2 laser, or to schedule your consultation, please contact us today.
At Copeland Cosmetic Surgery, we understand that achieving beautiful skin can pose as a challenge for many of our patients. Whether due to the natural aging process, sun damage, and/or various other factors, our skin sometimes requires a more aggressive form of corrective treatment. As advanced laser skin technology, the Fractional CO2 laser may be an effective option for those seeking non-surgical skin rejuvenation.
“A person with fine wrinkles on the skin surface and who has areas of patchy pigmentation – often called liver spots, hyperkeratoses, or age spots – is a good candidate for this type of treatment,” says our plastic surgeon Dr. Jeffrey Copeland. “Even persons of intermediate pigmentation can be successfully treated with this technology.”
According to Dr. Copeland, the Fractional CO2 laser works to improve the skin’s tone and texture by:
- Stimulating new collage formation
- Removing surface debris
- Improving areas of discoloration
To learn if treatment with the Fractional CO2 laser may suitable for you, or to schedule your one-on-one consultation, please contact Copeland Cosmetic Surgery today.
Be sure to check back to our blog soon for part II in this blog series! Dr. Copeland will explain details of the Fractional CO2 laser treatment, as well as what patients can expect during the recovery period.