Board Certified
Plastic Surgeon
Since 1989

Cosmetic Procedures – Not just for women!

In today’s society, your appearance means a lot.   People form first impressions of you based solely on your looks.  Physically attractive people are more likely to be seen as dateable, reliable, marketable, worthy of a promotion, etc. Now more than ever, men over age 40 are undergoing cosmetic treatments to maintain an attractive, youthful appearance as the years pass. So what procedures are men seeking?  Widder Cosmetic & Plastic Surgery based in Vienna, VA has been assisting men within our area for many years with non-surgical and surgical procedures.

FACIAL INJECTABLES

Women aren’t the only victims of facial wrinkles, sagging skin, and volume loss due to aging. To help you look younger so that you can keep up with all the younger generations competing with you for promotions, facial injectable treatments for men is a great option. Injectables such as Botox, can treat moderate to severe frown lines, smile lines, sagging skin; and injectable fillers such as Restylane help with volume loss, giving a lift and tightening the skin. Injectables can even add definition to the chin to create a stronger-looking jawline.

CALF IMPLANTS

Men decide to have calf implant surgery for varying reasons. The obvious reason is unhappiness with the size and shape of their lower legs – specifically – the leg calf.  Once men have realized that no amount of exercise will significantly enlarge the calf muscles, they choose calf implant surgery. Calf implants are also used to correct deformities resulting from injury or nerve diseases that result in muscle deterioration.

LIPOSUCTION

Most men aren’t able to put in a lot of time in the gym due to career, family, and life.  They may be in their prime professionally, but they may not feel as on top of their game physically once they hit middle age. This is where liposuction becomes a possibility. Liposuction removes fat from the abdomen, revealing the muscles that are already present.

RHINOPLASTY

According to Dr. Widder, beyond liposuction, rhinoplasty is a very sought after surgical procedure by men.   Noses don’t particularly age like other parts of the face and body, but men that haven’t “liked” their nose through the younger years, are now in a position financially to be address their concerns.

GYNECOMASTIA

Gynecomastia is a condition of over-developed or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity or the use of certain drugs. Gynecomastia can cause embarrassment, causing men to avoid certain physical activities and intimacy simply to hide their condition.  Liposuction and removal of breast tissue are required to provide optimal results.  Men that have had this cosmetic surgery regain confidence, self-esteem and sense of masculinity.

If you or the man in your life is wanting a more youthful appearance, contact Widder Cosmetic & Plastic Surgery to discuss options; both non-surgical and surgical.   Dr. Widder will listen to your concerns and overall goals and provide a plan that will help reach those goals.  Call to schedule your consultation and book before December 31, 2018 to receive 5% off surgical procedure.

Botox Do’s and Don’ts

Botox injections are among the most popular cosmetic procedures available, and Dr. Shlomo Widder is committed to helping people have a Botox experience that keeps them both safe and looking natural.  Many people aren’t aware of the different choices among Botox procedures, which can lead to patients making choices that do not suit their needs.  Dr. Widder seeks to equip all patients with the knowledge they need while making decisions about Botox and other cosmetic procedures.

Botox Virginia

Botox, correctly injected, creates a positive interplay between facial muscles, thus producing its hallmark reduction in wrinkles.  However, injection mishaps are possible.  Injections too low on the forehead can produce a droopy brow due to temporary paralysis of all the forehead muscles.  This occurs because a small trauma and a bit of fluid results from each injection.  Gravity carries the Botox and fluid down from the injection site.  As it sinks too low, the “overdone” look is the result.  It is also possible to wind up with the unnatural “surprised” look from incorrect Botox injection.

Another aspect of Botox injections for patients to consider is how often to undergo the procedure.  According to Dr. Widder, the Botox effect may last up to eight months, though three or four months is average.  He recommends that most people repeat Botox treatments every three months.  After a recurring regimen every three months for about two years, the need for repeat treatments will generally be reduced to every 10 months to a year.

Though the word Botox comes from the scientific name Botulinum Toxin, it is quite safewhen used properly.  While 5,000 units of Botox are considered lethal, the average cosmetic procedure uses only 100 units.  In addition to giving patients the right look, Dr. Widder is adamant about keeping all his Botox injections well within the margins of safety.

About Widder Cosmetic & Plastic Surgery:

For more than 25 years, Dr. Shlomo Widder has served Northern Virginia, the Washington D.C. metropolitan area, and beyond.  He is a member of the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery, and his surgery center is accredited by the AAAASF.  Prospective patients are invited to visit the beautiful 3,300 square foot facility for a free consultation.  Known as the “D.C. Butt Doctor,” he is the only plastic surgeon in the area who offers buttock implants. Other services include Breast Augmentation, Breast Reduction and Breast Lift, Liposuction, Rhinoplasty, Face Lift, Facial Implants, cheek, chin, and eyelids surgery, Otoplasty Ear Tuck, Pectoral Implants, Calf Implants, Gynecomastia Surgery, Facial Fillers, and Botox.

For more information about the “D.C. Butt Doctor,” visit http://www.widderplasticsurgery.com.

What is Botox and How Does Botox Work?

Botox is a very popular cosmetic procedure and is often mentioned in the media as a quick way to remove the signs of aging. Everyday people, as well as celebrities, have benefited from Botox.  In this interview, Doctor Widder describes what Botox is and how Botox works. Botox safety and its effects are also described in easy to understand terms.

Q: What is Botox?

Botox Virginia

Botox is the commercial name for the Botulinum toxin. It is a medication that basically paralyzes muscle.  We use it in very small amounts and it doesn’t have any systemic side effects.  The most common area of use for Botox are the glabella area, between the eyes (the frown lines), along the lateral canthal area (crow’s feet), and the forehead.  Some people use it to raise the corner of the mouth to improve the smile.  I don’t do this because it’s a little risky.  Around the mouth, it is possible to get asymmetries, so I like to play it safe and use it only around the eyes, the forehead, and sometimes the platysma band of the neck.

It is really a miracle drug because without surgery you get very nice rejuvenation.  The use of Botox involves interactions between muscles.  When you use it around the eyes, for example, you can literally raise the eyebrow.  There are muscles that are depressors that pull down, and there are muscles that are elevators and lift the face up.  So if you want to get a lift, you disable the depressor and the elevator lifts up.  The brows can go up 2 or 3 millimeters, which is significant.

Those are the cosmetic uses but there are others as well.  Some doctors use it to reduce sweat production in the armpit.  Neurologists are using it to relax the muscles for people who have spasms.  It’s being used for some people who have lost their voices – by injecting Botox with a very specialized skill, doctors can reduce the muscle tension that caused the loss of voice and people are able to talk again.

Q: How was Botox discovered?

 For quite a few years before it was used for cosmetic purposes, Botox was used for ophthalmological conditions like lazy eye.  Then there was a married couple from Canada – one was a dermatologist and one was an ophthalmologist.  They discussed the issue and the dermatologist decided to try Botox for facial expression.  They used it around the eye for frown lines.  That was probably some 20 years ago; I don’t remember the exact date.  The success rate was so impressive that they kept finding more uses for it.  Now Botox is probably the most popular nonsurgical procedure used for cosmetic purposes.

Q: How long does Botox last?   

 It really varies between people.  Everyone’s body reacts differently to different drugs.  On average it lasts 3-4 months, but I’ve had patients for whom it lasted 8 months.  It depends on metabolism.  Some people break down the Botox faster, and some slower.  Ideally, one should consider doing it continuously every 3 months so that the muscle doesn’t recover.  If it’s being done in that way for about 2 years, then the muscle will become so weak that the need to inject the Botox goes down to once every 10 months or even once a year.

Q: What causes the “too much Botox” look? 

The smart usage of Botox creates a beneficial interplay between the muscles.  If you use too much, you get an exaggerated result.  When a doctor injects the forehead to eliminate wrinkles and goes too low, all the forehead muscles can become paralyzed and droopiness of the brow is the result. That is what they call the overdone look.  What happens is that gravity can take the Botox down.  When you do the injection, there is a little trauma and a bit of fluid is released from the injury site.  The weight of the fluid with the Botox will carry it down because of gravity.  I don’t want to mention a famous politician, but it happened during one of the debates – his brows were very low.  But it also happens in everyday life.

It happened to me at the beginning of my practice.  I knew I had to stay above a certain level, but didn’t really know by how much.  I started with one inch and it wasn’t quite enough. Now I usually leave about 1 ¼ – 1 ½ inch of muscle and inject the Botox only above that level.  Even if it is pulled down a little, that still leaves enough muscle to elevate the brows so they don’t get that tired look or interfere with vision.  There is another possible complication where the Botox paralyzes the levator of the eyelid so that you get droopiness of the eyelid.  That usually goes away in 2 -3 weeks because the amount of Botox that goes into that area is not significant.  Most of it stays outside the orbit, so the effect is short-lived.

Q: Who can get Botox?

Those with the symptoms like wrinkles, hyperactive muscles, droopy brow, or crow’s feet are clear candidates for Botox.  You can also use it as a preventative treatment.  This is because as the facial muscles contract, it is like bending an iron wire – after a while, it breaks.  It’s the same with the collagen fiber in our skin.  It is hard to imagine how many times we use our facial expressions each day, but after 20-30 years, it is probably in the millions.  Those contractions will eventually break the collagen fibers and you’ll get wrinkles.  So if you use Botox at a young age, you’ll prevent the contractions and you’ll prevent wrinkles.  That’s one of the things I talk to my patients about.  Whatever they have now are conditions they’ll continue to have, but if they use Botox continuously, they’ll prevent it from deteriorating.  That is useful, not much talked about, but there is room for this use in young people.

People who want to make good first impressions may consider eliminating frown lines.  Frown lines reflect unpleasantness like anger and stress, so if one wants to avoid that, Botox can help. It is of social benefit to present a pleasant facial expression rather than an unpleasant one.

Q: How safe are these procedures?

The lethal amount of Botox is 5000 units.  The average cosmetic procedure uses no more than 100 units.  So, the safety margin is very, very high.  People shouldn’t worry at all about that.

If have any questions about Botox procedures or costs contact Widder Cosmetic and Plastic Surgery located in the Vienna, VA area for a free consultation: http://www.widderplasticsurgery.com/contact.php. Or call: (703) 506-0300

*Individual results are not guaranteed and may vary from person to person. Images may contain models.