Virginia Center for Plastic Surgery
Monday, November 19, 2007
Common sense and plastic surgery
There is heightened awareness that plastic surgery procedures are available to most people these days. However, no surgery is without risk. When procedures are combined, risks increase. Factors that need to be taken into account for considering any surgery, but particularly for combined surgeries include: overall medical condition of the patient in combination with the amount of blood loss, the amount of fluid shifts related to surgery (particularly important in liposuction and abdominoplasty), the amount of anesthesia, the length of the procedures, the type of anesthesia, and the risk/preventative measures for deep vein thrombosis.
Just last week, a patient came in desiring liposuction to areas of her lower body, a tummy tuck, a breast lift, some facial work, and arm liposuction. In my opinion, this was too much surgery for one session. We discussed the things that were bothering her the most, and then formulated a surgical plan that divided all of these procedures into several combined sessions.
So when I talk about common sense and plastic surgery, there are several main themes that I come back to:
- You have to have realistic expectations for results.
- You have to do procedures in multiple stages when safety issues dictate this
- You can't get something for nothing - meaning that to a certain degree, in order to obtain substantial long term results, there needs to be substantial changes to your tissues and that there are no quick, easy fixes (think Thermage.)
Labels: Donda West, Jan Adams, Plastic surgery death
posted by Eric Desman, M.D. at 11:25 PM
Thursday, November 08, 2007
Another new filler to the stable
Radiesse is injected into the skin through a simple, safe and minimally invasive procedure. Radiesse is made of very tiny calcium based microspheres that are suspended in a natural gel.
Now we have a full range of dermal fillers for our patients.
Hyaluronic acid fillers like Restylane and Juvederm, which in my clinical practice last about 8-9 months (though Juvederm is marketed to last a year.)
Calcium based fillers that seem to last about a year to year and a half. And finally . . .
Artefill, the only product labeled as a permanent filler. It is made of miniature beads (microspheres) of PMMA (polymethylmethacrylate) that are suspended in bovine collagen. PMMA has been used for many years in medical implants.
posted by Eric Desman, M.D. at 8:11 PM
Friday, November 02, 2007
New services on the horizon
posted by Eric Desman, M.D. at 11:09 AM
Call 703-924-3144 to schedule a free in-office consultation or to set up a free telephone consultation.
Our goal is to provide you with the highest quality cosmetic surgery care in the Northern Virginia and Washington DC region. Dr. Desman is committed to serving you through advanced training, dedication to perfection and unmatched personal care.



