Ch-Ch-Ch-Changes: Emotional Ups and Downs After Plastic Surgery

Plastic surgery will not only affect your body, but it can also affect your mind, and this may not necessarily be a positive thing. Anticipation of the surgery, while exciting, can also be draining and stressful. If you are used to seeing your particular flaw every day, as much as you may not have liked it, its disappearance after plastic surgery may leave you disappointed and sad. In addition, family members may notice that the flaw is gone, and their hesitation to approve of your decision to remove it may make you uncomfortable. Lastly, the bruising and swelling, as well as overall pain and discomfort, may add to your depression.

Depression after surgery is nothing new. In fact, the symptoms are similar to post partum depression. Disapproval from others, whether verbal or non-verbal, can make you feel angry and alone. Long stares from strangers can do the same. By the same token, the results can feel positive as opposed to negative.

Those who are prone to depression and anxiety, as well as personality disorders, are more likely to experience postoperative depression. Many plastic surgeons provide pre- and postoperative counseling to help their patients make the transition, no matter how minor the surgery.

Confidence in Oneself

While plastic surgery can help improve self esteem, you must have a positive image of yourself before you ever undergo a procedure. Ideal candidates do not believe their lives will change completely for the better after surgery; they think positively about themselves in general, and see plastic surgery as a way to eliminate a flaw or problem area.

Great Expectations

Having realistic expectations for your plastic surgery experience is crucial to having a positive mindset later. Remember, the point of plastic surgery is to improve a specific area of your body. It will not necessarily change your life, although this is often a pleasant side effect.

In a study done in 2005, the American Society of Plastic Surgeons noted that 75 percent of the respondents stated that they chose the procedure for an improvement in appearance and a more active lifestyle. The same percentage felt they had many more emotional and psychological rewards after the procedure. 45 percent also noted that they felt more attractive, and felt that they were benefited by it.

Important Things To Know

Make sure you discuss what your expectations are with your doctor. This will help you and your doctor synthesize your information, and keep you from developing unrealistic ideas about your surgery. Your doctor will also be able to discuss different procedures with you that may give you the results you want. It is important to distinguish between liposuction and a tummy tuck, and your doctor can help you make that kind of clarification. This kind of communication can help you figure out exactly what type of surgery you need to get your desired look.

In addition, you should go over your medical information with your doctor. Cosmetic surgery can be as small as cutting off a skin tag or as major as a facelift; it is in your best interest to give your doctor as much information as you can so he can do the best job possible. In addition, your doctor may need to know some important information that you may not think is important. Do you have sleep apnea? Are you a heavy bleeder? Do you have a family history of circulation problems? Answering these questions may not mean you are disqualified from surgery, but your honest responses could very well keep you alive on the operating table.

Patients who may be subject to great emotional changes will be screened by the plastic surgeons during their first consultation. Again, if you show signs of this, you may still be able to get surgery, but you may also be given a few precautionary measures to keep you safe.

For those who are a high risk, the surgeon may recommend counseling before agreeing to do surgery. These would include:

  • Patients going through divorce or other severe psychological stress may not be ready for surgery at that time,
  • Patients with a desire to look “perfect” may also not be ready.
  • Patients with mental issues will need to have their psychologist and their surgeon working as a team in order to qualify. This will not only consist of an evaluation of the patient’s mental stability, but any medications taken before or after the surgery.

These precautions may seem time consuming and pointless, but as the saying goes, “an ounce of prevention is worth a pound of cure.” It is better for the doctor to be fully prepared going into surgery than to have him attempt to rectify a potentially deadly situation.

Nose surgery: A change for good

A nose surgery, also referred to as rhinoplasty, is a surgical procedure done with a purpose of improving the proportions of a nose and overall aesthetic appearance of an individual. The nose has always been the most noticeable part of the human face and therefore enhancing its harmony with the rest of the face can greatly boost self confidence and self-esteem of a person.
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Facial surgery – Facing perfection

For many, the face is the most important part of aesthetics because unlike most of the body parts, it is almost never covered. When you talk to people they usually look you in the eye and observe your face. For some people this may be a reason to have their face improved which has become quite common thing to do through the last decades. If you can feel happier, enjoy life more and feel that people around you are admiring your beauty more than they did before, it can be one of the best things you can do for yourself. Facial surgery has developed through the last decades and so did the technology. Facial surgery has become more accepted in the society and not looking your best can result in a lower quality of life.
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Rhinoplasty – Functional and Beautiful Noses

If you’ve ever had a problem with the shape of your nose, or had trouble breathing, rhinoplasty might be the solution to your problem. A rhinoplasty is simply a surgical alteration of your nose. Just about anything can be changed: the width of your nostrils, the shape of your nasal tip, and any irregularities in your nose shape. The bump in the middle of the bridge of your nose can be eliminated with a minor rhinoplasty.

Rhinoplasty can also rid a patient of breathing problems, like ones that derive from a deviated septum. The septum is the wall in the nose that divides the nostrils. When it deviates, it can cause issues with breathing through the nose. Birth defects like cleft palates may require a rhinoplasty. Injuries such as a broken nose may also create breathing issues that require a surgical solution.

Getting Ready for Rhinoplasty

You may not eat or drink anything after midnight the night before your surgery. Try to quit smoking before you go in as well. One of the main reasons for this is because smoking can affect blood flow in the body. This, in turn, can affect the way your body heals. Drinking alcohol the week before surgery can have the same effect.

Go over your medication with your doctor; he may ask you to stop taking certain prescriptions before surgery. NSAIDs, or Non Steroidal Anti Inflammatory Drugs, are an example. Other substances that may be contraindicated are Vitamin E, Omega 3 fatty acids and green tea. All of these can raise the possibility of increased bleeding. Remember, you must tell your doctor about all of the drugs and supplements you are taking, and never stop taking any medication without discussing it with your doctor first.

Risks of Rhinoplasty

  • Nasal obstruction
  • Touch ups
  • Anesthesia problems
  • Perforation of the septum (a small hole, which causes a whistling sound when talking or singing)
  • Infection
  • Bleeding
  • Death

Different Versions of Rhinoplasty

Open Rhinoplasty is when the incisions are made in the thin strip of skin that separates the nostrils, called the columella. The columella and the soft tissue are lifted off the rest of the nose to allow the surgeon to see more clearly. This is done for major surgery.

Closed Rhinoplasty surgery is has incisions made in the nose. The skin is separated from the bone and cartilage. The latter then can be reshaped or changed in whatever way is needed. Closed rhinoplasty is done for minor reshaping.

Secondary Rhinoplasty, aka revision rhinoplasty, fixes problems from a previous nose surgery. Some may be minor, but many of them are major issues. This makes a secondary rhinoplasty harder to do. This type of surgery can also be done as open or closed.

Filler Rhinoplasty uses injectable fillers to even out irregularities. Fillers can fill in depressions or make a bump less noticeable. This is the only solution that is not permanent.

How Do I Get a Rhinoplasty?

The first step is to see a doctor who specializes in this type of surgery. Your surgeon will take pictures of your nose at various angles. Your surgeon will also make sure that your expectations are realistic.

Feel free to bring in photos of noses that you find attractive. This will help your surgeon establish what you are looking for, and give them an opportunity to show you pictures of people who have similar noses to yours, as well as noses that are similar to what you want. For the sake of balance, you may also want to consider chin augmentation as well.

The Procedure Itself

Rhinoplasty is considered an outpatient procedure. It will take place in a hospital or surgical room. The length of time needed will depend on the type of rhinoplasty chosen. A primary version could take up to three hours, while a filler procedure can take 15 minutes or so.

Your surgeon will use local anesthesia with sedation or general anesthesia for a primary rhinoplasty. Since a secondary rhinoplasty is more complicated, general anesthesia is often best. For a filler rhinoplasty, a local anesthetic is all that is needed. The surgeon will then perform an open or closed rhinoplasty, and reshape the nose accordingly. The incisions are then closed and the healing begins.

So When Do I See Results?

Results will not be visible right away. It could take up to a year to see the full effects. Right after surgery, your nose will be packed with gauze to reduce bleeding and swelling. Pain medicine will help with the discomfort, and you should be able to control it without medicine within two days. Nausea is also a common side effect of this surgery.

The first few days may involve some bleeding. Cold compresses and elevation of the head can help. After the first three days, you may be asked back so the surgeon can remove your stitches. For the first week, avoid any trauma to the nose, which includes blowing it. Decongestants will help. After this, the cast will be removed, along with the gauze and any other dressings. Splints may be placed around and inside your nose to help it keep its shape. The swelling will be mostly gone within a month. Within a year, all of it will be gone. After a year, you may then consider a secondary rhinoplasty.


Male plastic surgery – Modern sculpting of a man

With modern times, plastic surgery has gained on its popularity and has become a valuable asset of every woman who wants her beauty to remain as long as possible. However, it isn’t only that women are interested in the modern means of sculpting their bodies’, men are also becoming increasingly aware of the cosmetic surgery. In fact, male plastic surgery has become a significant part of a modern man’s lifestyle. Looking fit and youthful, healthy and satisfied is a dream of every man. If he looks good he will feel good about himself and he will reflect it to the world around him.
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Plastic surgery surgeons – Finding the right plastic surgeon

Reconstructive surgery techniques have been used for centuries and have developed a lot through time.

The history of reconstructive surgery dates back to 2000 BC and even the ancient Egyptians had techniques to reconstruct parts of the human body. A lot has changed since and today we have advanced techniques at our disposal that can help practically anybody who wants to have reconstructive or cosmetic surgery done.
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Celebrity plastic surgery – Beauty that never fades

Beauty and glamour have always played an important role in lives of the famous people. Many celebrities have become who they are and managed to establish their names with the help of their talent and their looks. A beauty that never fades, on the front cover of a Vogue, Vanity Fair or Marie Claire magazines, is a dream for many women worldwide. Looking good and having a body that is always nicely shaped, a smooth face and fantastic smile to highlight it, is something most women would like to have and sustain forever.
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Bride and Groom Makeovers: Pre Wedding Cosmetic Surgery

wedding-cosmetic-surgery(Author: An anonymous bride-to-be)

As a bride-to-be, I spend quite a bit of time trying to figure out how to look my best on my wedding day. I’m trying to diet and take care of my skin, and definitely considering some cosmetic surgery. Liposuction for my love handles or something to relieve the bag under my left eye would be perfect. But before you think I’m a narcissistic woman focused only on her appearance, note that I’m not alone. Record numbers of brides—and even grooms—are choosing to have cosmetic surgery done as their big day approaches. And all of them are doing it for the same reason—to look their very best. Simon Ourian, Medical Director of Epione Beverly Hills, says that he’s watched this trend grow over the past few years. “For most couples this is the biggest day in their lives and the attention is focused entirely on them, ” says Dr. Ourian, “it’s not really a surprise that they want to look their absolute best. And don’t forget the photos; the party is only one day but the wedding photos are forever.”

There are a number of different types of cosmetic surgery options for brides and grooms. Here are a few of them:

Injectables and Fillers

These are great for brides in their late 20’s, 30’s or 40’s who don’t need more in depth surgery, but want to get rid of facial lines. Dr. Ourian cautions that the procedure should be done several weeks ahead of time, to allow for any possible bruising and swelling an opportunity to fade. Full results may take a week to be visible, and the bride or groom may need a touchup as well.

Botox may also be used to alleviate sweating. A quick Botox injection will help a nervous couple get through their vows without staining their clothing, and definitely cut back on dry cleaning bills for the day.

Advanced Cosmetic Surgery

Older brides may need some extra help before their weddings. Eyelid surgery (blepharoplasty) or full facelifts will help tighten excess skin, fat or muscle. But these are very invasive procedures, and recovery will not be nearly as fast as with a simple injectable or filler. It is advised that patients give themselves at several months to fully recover from the surgery.

Lipo Before “I Do”

Brides and grooms will do just about anything to lose weight for the big day. They will try every diet on the market, and work out till they drop, but all the diet and exercise in the world may not get rid of the last few stubborn spots—love handles, spare tires, or saddlebags. Liposuction can help get rid of these fat deposits in the abdomen, hips, buttocks, back, or neck. For best results, liposuction should be done at least a month ahead of time to allow your body to fully heal.

Body Contouring

A friend decided to undergo bariatric surgery before her wedding and went from 300 pounds to a svelte 145. The problem? Now she has a great deal of excess skin, which is hampering her self esteem. Brides and grooms who undergo this type of surgery may find themselves in the same boat. Body contouring surgery can eliminate the extra skin, and allow the bride to get that sleeveless wedding dress she always wanted, or the groom to show off his newly flat stomach out on the beach. Unlike the rest of these surgeries, however, it is strongly recommended that the patient have the contouring done in stages. At least three operations should be done, with healing time accounted for, and the patient must plan for them accordingly.

Breast Enhancement

This is one of the most popular surgeries for brides. Many women may have wanted to enlarge or even reduce their breast size, and their wedding day gives them the perfect motivation to do so. Naturally, they want to look good, and they want their pictures to show them at their best. Brides who undergo breast enhancement should have it done a several months before the surgery for best results.

Skin Care

I am fortunate to have clear skin, but other bride-to-be’s may not be so lucky. They must be careful with treatments such as facials or microdermabrasion, because they can make acne worse. Microdermabrasion blasts the skin with tiny crystals to remove a layer and get rid of mild acne scars and brown spots, among other skin problems. Unfortunately, this kind of abrasion can stress the skin out, and trigger an eruption of pimples. Laser therapy, on the other hand, may be used eliminate blotches and noticeable blood vessels.

Regardless of the method you choose, remember that your wedding day is fleeting. The effects of your makeover, however, will last for years. Choose wisely, and you’ll have memories for a lifetime.

Aesthetic Medicine Today and Tomorrow (part 2)

Fillers, From Animals to Sugar

The fastest growing segment of cosmetic science has been in the area of fillers. Bovine collagen, porcine collagen, and synthetic versions of calciums and sugars in humans are the favored methods for plumping up lips and cheeks, as well as filling in wrinkles and facial folds.

“I’m not one to say no one should ever get a facelift, “ Dr. Ourian states, “but with the technology available now I do think it should be the final option, not the first. With dermal fillers we can plump up areas of the face that have sunken with age. The results look natural rather than pulled.”

Bovine collagen was the most popular filler two decades ago, but patients lost interest due to potential side effects and allergy problems. Fillers using synthetic versions of hyaluronic acid, a natural sugar in the body, and calcium hydroxyapatite, or bone particles, were created to replace bovine collagen. Radiesse, Juvéderm, and Restylane are all examples of these types of fillers, and patients love them.

Dr. Ourian’s preference is the calcium hydroxyapatite filler Radiesse. This is because the bone particle fillers trigger the body to surround the material with naturally made collagen. Chin and cheek implants, once a fixture before fillers, tended to look unnatural. Fat transplants were also a method of filling in sags and wrinkles, but since natural fat is absorbed back into the body, more was needed for the injection than looked appropriate. Also, the fat would not necessarily dissolve evenly. As a result, some patients would suffer through uneven lumps at the site of injection after it started to break down.

Nose Jobs On the Run

Got a less than a perfect nose bridge? If you’ve always wanted to get rid of that little bump or indentation, it can be done in minutes by a doctor. A filler injection is made and smoothed out around the area. You’ll even have time to grab a little food before heading back to work. Touch-ups may be required for the next couple of years, and by then, science may have evolved to the point that the next one is permanent.

Waxing? Not Any More…

How do you get rid of unwanted body hair? Depilatory creams came out first, but they only kept the hair away for a day or so. Waxing was more popular, but that lasted for two weeks and could be very uncomfortable. Electrolysis was permanent, but was just as painful as waxing, and required more than one lengthy session. This is partly because each hair had to be burned out with an electric current.

Fortunately, we have moved to the next stage in hair removal. Laser hair treatments get rid of hair without burning the skin or using harsh chemicals. The laser targets the dark pigment in the hair and destroys the hair at the root. Touchups may be needed, but long term hair reduction is possible.

In the Future, I See…

Because of the speed at which technology and medicine evolve, changes can happen in months, as opposed to years. In five years, Dr. Ourian feels, patients will be less likely to get a full scale surgical procedure and be much more interested in total body approaches to regaining the appearance of youth. Many practices have already started to include a holistic approach, with skin care, med-spa and non-invasive treatments available.

Fat and blood stem cells will be used to stimulate rejuvenation of the face over the next five years, according to Dr. Ourian. The fat can be harvested from anywhere, while the blood stem cells can be taken from near the belly button. The idea is to turn the body into a self healing organism. Dr. Ourian is also looking forward to great advances in treating cellulite using non-invasive procedures to treat the unsightly affliction that is said to impact 90% of all females.

Aesthetic Medicine Today and Tomorrow

As technology and medicine advance, doctors have found even better ways to get rid of wrinkles, laugh lines, and other signs of aging. Some use existing methods, like disease fighting drugs and others use more precise instruments. As a result, first generation treatments are being outstripped by their second generation heirs. Dermal fillers once lasted three to six months; now, they can last two years or more. New minimally invasive procedures mean that we can not only get work done during our lunch break, but we’ll even have time to meet up for a bite right afterward. Intense swelling and painful abrasion are being replaced by (nearly) painless light and lasers.

We no longer have to worry about finding a place to hide while a facelift heals. Today’s skin treatments show full results in days. And in the future, that time could be cut down to hours or even minutes.

In addition, not only are the older treatments being replaced by better, faster ones, but they are often are less expensive. The economy may be improving, according to some, but people are still putting off elective procedures in the interests of saving money. Plastic surgeons and other doctors understand this, and in turn, they have reduced their prices and created effective promotions.

Dysport Moving in On Botox’s Turf

“I don’t think the introduction of Dysport will spark a price war with Botox. But it will give us another tool we can use to better serve our patients, “ says Dr. Simon Ourian, a cosmetic Dermatologist with a thriving practice in Beverly Hills. Both drugs are made from the bacteria Chlostridium botulinum, a known toxin that causes botulism in food, in minuscule amounts. Dysport was recently FDA approved, and will also be used to fight wrinkles.

Lashes Like a Newborn

Lashes Like a NewbornAllergan Inc, the makers of Botox, have stumbled upon yet another exciting discovery. Their bimatopost ophthmalmic solution, first used to treat glaucoma, was found to stimulate the growth of eyelashes in a big way. Ophthalmologists noted that their patients’ lashes were longer, darker and thicker than before. The formula was changed slightly and went through the FDA process, and the result is Latisse.

Dr. Ourian has only positive reviews of this treatment. “The application process is simple, “ he says, “and each Latisse kit comes with sterile applicators so that when used properly there is no chance for cross-contamination.” There are potential side effects, of course—itchy eyelids and skin discoloration in the eye area—but the patients seem to have no problem with them. And they’re willing to do whatever it takes to grow their lashes. “Allergan really hit the mark with Latisse, “ says Dr. Ourian. “Women spend a billion dollars a year on cosmetics to achieve the appearance of longer, fuller lashes. Latisse can actually grow your lashes.”

Mommy Makeovers: Is it Right For You?

Many mothers are concerned about their bodies, and feel less attractive than they did before giving birth. Their stomachs are no longer as tight, their breasts may sag, and they may have gained weight in the process. But what to do about it? Kate Gosselin, of “Jon and Kate Plus Eight” fame, had a tummy tuck after having her multiple births. To cater to this specialized group, the “mommy makeover” is emerging as a solution among young mothers that want to restore their bodies to that pre pregnancy look. It is a single session combining a tummy tuck, breast augmentation or lift, and occasionally liposuction. This tackles most of the problems that mothers face, and many of them are pleased with the results.

Doctors feel that combining all of the procedures at once is not only efficient, but cosmetically best. The mother is able to see full results after recovery. However, multiple surgeries at one time can lead to a higher risk of complications and a longer recovery period. A major area of concern is how long the patient is anesthetized.

In addition, the doctor will have their own recommendation for how long the patient should wait after giving birth to have surgery. Six months is the usual suggestion, in order to give the body a chance to get back to full strength. Hormones also need a chance to return to regular levels. Last but not least, the surgery should only be done if the patient is done having children. Otherwise, the results will not last.

At Epione you can make an appointment with a physician to discuss the “mommy makeover”, but if you feel that having surgery is not best for you, we can also help you find other options. Our Coolbeam can help remove stretch marks, and Lipotherapy will get rid of cellulite. If you simply want to look good in your bikini again, Epione has a weight loss program that will help.

The Renaissance of Cosmetic Surgery

The recession has made it difficult for people to have cosmetic surgery the way they used to. But as the economy recovers, so has the number of procedures performed. The recession has had a notable impact on every business, including cosmetic surgery. However, recent improvements have led to an upswing in the physical enhancement department. Many women 50 and below have not forsaken their beauty treatments, regardless of their financial situation.

Out of 1, 000 women polled, 63 percent (ages 18–34) and 73 percent (ages 35–49) had a positive impression on procedures that fought the aging process. And according to E-Poll Market Research, out of the 18 to 34 year olds, 44 percent stated that Botox would be a routine procedure. Botox is given by injection to remove wrinkles, crows feet, laugh and frown lines. 70 percent of these women also stated that while the bulk of cosmetic surgery patients are women, it is perfectly acceptable for a man to have work done as well.

Dr. Simon Ourian, Medical Director of Epione Beverly Hills, states that “Interest in cosmetic procedures is getting very strong again.” He goes on to say, “This may be a sign that our economy is on an upswing.”

The procedures that have drawn the most attention have been the ones that are inexpensive, require minimal surgery, and have a very short recovery time. Age often determines the popularity of a particular treatment, but the most common ones are as follows.

Botox: This noninvasive treatment is the most popular choice for patients over the age of 30. It is composed of very small amounts of the toxin Chlostridium botulinum, which freezes nerve impulses. This paralyzes the muscles in the area, which gives the face a much smoother look. Botox is used in the face and neck to eliminate wrinkles, lines and creases.

Chemical peels: The skin’s outer layer can be damaged by sun, wind or ordinary aging. And as time passes, skin can develop scars, wrinkles and uneven pigment. Chemical peels take care of this problem by using phenol, trichloroacetic acid or alpha hydroxy acids to remove the layer of injured skin. The chemical is applied to the skin then removed after a specified amount of time. Side effects may include redness and irritation, but these typically last for a short period of time. Aftercare instructions are provided by the doctor. If the instructions are followed properly, the patient is left with a smoother, more even appearance.

Laser skin resurfacing and Coolaser treatment: This procedure uses a laser to treat damaged skin in order to allow healthy skin to grow in its place. A numbing solution is applied to the face first. With the Coolaser treatment, the skin is cooled before the procedure takes place. Only one millionth of an inch of skin is treated at a time, which allows the doctor to control how much treatment is needed and how deeply the skin is treated. The heat from the laser stimulates the skin to produce collagen, which results in smoother, tighter skin. Side effects from this treatment can include redness and irritation as well patient’s skin is improved in appearance, and has had one of the greatest increases in use since 2005 among both sexes.

Hyaluronic acid: This injectable filler is the base chemical in Restylane and Juvederm. It gets rid of wrinkles, certain types of skin folds, and other lines on the face. It can also be used to plump up thin lips and hollows under the eyes and in the cheeks. Side effects can include soreness and swelling at the site. Depending on the product chosen, the results can last from six to eighteen months.

Liposuction: Liposuction is an invasive procedure, but it is the number one cosmetic surgery treatment chosen for people between 20 and 59. Liposuction removes fat deposits from the body, slimming and reshaping it in the process. The procedure has a much longer recovery time than any of the others listed here, and the side effects are more prominent (temporary numbness and bruising, among others) but the results can be quite impressive.

Cosmetic Surgery For Weddings

wedding-cosmetic-surgeryMany brides are nervous enough about their wedding day, and will do whatever it takes to look their best. Some start diets, while others work out endlessly. Still others visit makeup and hair artists for the perfect style. One of the latest trends is for brides to schedule plastic surgery months in advance for their wedding day. Recently, wedding dresses have become more form fitting and less forgiving than in the past. Because of this, wives-to-be have become much more focused on their appearance.

Cosmetic surgery can make the bride feel better about herself and be better prepared for her big day. Most brides are concerned about their breast size, their weight, wrinkles and other signs of aging, or skin that is not clear and smooth. As a result, breast augmentations, liposuction, Botox and Coolaser (laser skin resurfacing), are the most frequently chosen procedures. But brides, be warned—enough time should be left after the procedure to make sure that a full recovery is done. Suffering complications due to a rushed convalescence is not desirable. Six weeks is usually sufficient, but three months is the recommended time period; the lady in question will be fully healed and results will be visible as well.

4 must-know tips before undergoing a cosmetic procedure

It is important to follow these guidelines prior to undergoing a cosmetic procedure and choosing the physician who will provide it:

  1. Choose a physician with extensive experience doing a variety of aesthetic treatments such as Botox and dermal filler injections and laser skin resurfacing, so he or she can recommend the one that’s best for you. Dr. Ourian has more than ten years of cosmetic dermatology experience and treated thousands of patients. This is Dr. Ourian’s passion and his goal for every patient is to help them achieve their aesthetic goals.
  2. Don’t ask your doctor for a specific treatment. Rather, explain what issues you’d like to address and let your doctor offer the solutions. It is important to remember that what you should expect from a physician is not only their physical skill in administering a treatment but their judgment and discernment. You know how you want to look; allow the physician to determine the safest and most effective way to achieve that goal.
  3. Regulations vary from state to state, so ask your doctor who will be administering your treatment, and if that person permitted to do so under your state’s laws. At Epione, Dr. Ourian personally administers all Botox and dermal filler treatments. We have no nurse-injectors. And only Dr. Ourian offers and administers the Coolaser and Coolbeam treatments.
  4. Have realistic expectations. While aesthetic treatments can be beneficial, no reputable physician can guarantee results. We are committed to 100% patient satisfaction. To that end, we offer unlimited FREE follow-up appointments. If a patient is unhappy with the cosmetic results of their treatment we do all we can in a safe manner to make them not just a happy client but a dazzled one.