Board Certified
Plastic Surgeon
Since 1989

Butt Augmentation vs Brazilian Butt Lifts

Gluteal augmentation, more commonly referred to as a buttock augmentation, is a common procedure designed to improve the size and shape of the buttocks. The decision to have a buttock enhancement procedure is extremely personal.  As moderately invasive techniques improve, buttock augmentations are becoming more popular, and for good reason. A firm, lifted, round bottom can dramatically accentuate a youthful, feminine figure.  However, you have to decide if the benefits will achieve your overall aesthetic goals and whether or not the risks and potential complications of buttock augmentation or buttock lift surgery are acceptable.

Known as the “D.C. Butt Doctor,” Dr. Shlomo Widder is a board-certified Plastic Surgeon who has years of training and experience with performing butt augmentation with implants. This procedure can help patients achieve a more “attractive” appearance when exercise has not provided ideal results. During your initial consultation, D.C. Butt Augmentation with Implant Specialist, Dr. Widder will thoroughly examine the area to be treated, discuss the procedure details, and address any question or concerns you may have.

Butt augmentation surgery is a great treatment option for you if:

  • You have a flat or deflated buttocks
  • Wish to increase the fullness or roundness of your buttocks
  • Desire fuller or more dominant curves
  • Want to improve your body proportion/balance
  • Want to improve on butt dimples

A Brazilian butt lift is different from butt implants

There are two different techniques that are well known for enhancing the buttocks: surgically placed silicone buttock implants and the analogous fat transfer (Brazilian butt lift). Implants will provide a more rounded shape for your bottom.  When considering a fat transfer, you should be aware that many patients who undergo the procedure reabsorb some or all of the fat that transfers into their bodies, therefore losing the full effects of their surgery. The disappearance of the fat can occur completely or almost completely after a few months, or possibly even sooner.

Why Butt Implants are superior to Brazilian Butt Lift

Butt implant surgery is typically performed through incisions that run down in low between the buttock cheeks in order to hide scarring after surgery. Semi-solid silicone implants are then strategically placed in the buttocks in order to provide a fuller, curvaceous contour.

Gluteal fat grafting, more commonly referred to as the popular Brazilian Butt Lift (BBL) procedure, has resulted in an alarming rate of mortality, estimated to be as high as 1 in 3,000; a rate of death far greater than any other cosmetic surgery.

In researching the risks of Brazilian Butt Lifts, the American Society of Plastic Surgeons had the following listed on their website:  “In response to these unusually high figures, the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery, International Society of Aesthetic Plastic Surgery, International Society of Plastic Regenerative Surgeons and the International Federation for Adipose Therapeutics and Science, formed the Task Force for Safety in Gluteal Fat Grafting with the goal of conducting studies to develop specific safety guidelines. “Patient safety is the highest priority for board certified plastic surgeons and this multi-society task force is an important an unprecedented collaboration,” explains Dr. Jeffrey E. Janis, President of ASPS.

According to statistics from the ASPS, in 2017, approximately 20,300 buttock augmentation procedures using fat grafting were performed, and the number of procedures has more than doubled in the last five years. Complications from the surgery are likely a result of numerous factors, including the technically challenging nature of the surgery and that the rise in interest has caused more non-board-certified and non-plastic surgeons to perform the operation.”

A successful buttock augmentation will begin with a one-on-one consultation with Dr. Shlomo Widder. This is the time to find out more details about the procedure, get to know Dr. Widder, discuss your overall aesthetic goals and decide if you are comfortable with the surgery.

Choose your surgeon wisely

An experienced, trusted buttock implant surgeon is your secret weapon for a successful procedure and ideal results. Known as the “D.C. Butt Doctor,” Dr. Shlomo Widder is a board-certified Plastic Surgeon who has years of training and experience with performing butt augmentation. Dr. Widder is licensed to practice plastic surgery in the state of Virginia. He holds a number of certificates from several prestigious medical organizations, such as the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery (ASAPS), the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF), and the Fairfax County Medical Society.

Should you consult with someone besides Dr. Widder, be sure to ask the following questions during your initial appointment:

  • Are you board certified?
  • What are your certifications?
  • How many butt lifts have you done?
  • How will my procedure be performed?
  • How long will my butt augmentation take?
  • What can I expect from my recovery?
  • What is the likelihood that I will need a revision procedure in the future?
  • Can you show me long term before and after photos?

The best butt augmentation results will be proportionate to your body

An experienced butt augmentation surgeon will help you decide the best size/shape/surgical procedure for your body type. While it is great to have an “ideal” bottom in mind before your consultation, understand that your particular procedure should be custom tailored for your physique. Normally, the goal of a buttock augmentation is more than just creating a big butt, the procedure should add to your overall figure.

The results from your buttock augmentation will last for a very long time

A successful butt augmentation can bring pleasure for years to come. Conversely, if you are unhappy with the results or the final size as can occur with BBL, it can cost you in confidence, potential discomfort, and money for a revision. Keep this in mind when you are looking at potential surgical options and shapes/sizes. Under normal circumstances, the results of your buttock augmentation surgery with implants will be long-lasting. Silicone butt implants are safe and can look fabulous for many years.

Dr. Widder DOES NOT perform fat injection to the butt (BBL) because unlike implants, the fat disappears completely or almost completely after a few months, or possibly even sooner.  Think about it this way:  Breast implants are the number one cosmetic surgery procedure in the US.  If fat injections were consistent and reliable, most women would have preferred it for breast implants.

Dr. Widder encourages you to schedule a consultation in his privately owned, fully accredited surgical suite and office located in Tyson’s Corner, Vienna, VA.  His office is conveniently located for patients in Maryland, Washington DC, Arlington, Alexandria and Fairfax, VA.  Call today to schedule your consultation at 703-506-0300.

Happy Holidays

Wishing all of our patients and their family a Safe and Fun Holiday season. We are so thankful that you entrusted us with your cosmetic plastic surgery in 2018.  We also want to take a moment to thank all of our armed service men and women, police and firefighters that will not be able to celebrate with their families due to their commitment to protect and serve us. We thank you for your service and dedication.

We hope to see you again in 2019, even if it’s to stop in and say hi!

Breast Augmentation: Questions Answered

When women are having a “boob job” or breast augmentation, a major concern that is discussed frequently is in regards to the shape of the nipple and how the areola will change. Specifically, does having breast implants affect the size and shape of the areola?

When discussing “nipples,” what some women are really referring to is the areolas.  The center projection column is the nipple (where milk comes out when breast feeding).  The areola is the darkly pigmented skin of the center of the breast. Sometimes areola have some small bumps called Areolar glands or Glands of Montgomery.  Most women contemplating breast surgery have some concerns regarding the size and shape of the areola, not so much the nipple itself.

Do breast implants change the size of the areola?

The nipple areolar complex (the entire areola and nipple) will either be unchanged, may look a bit fuller, or get larger and have shape change.

Board certified plastic surgeon, Dr. Shlomo Widder, can perform mini lift or areola reduction procedure where some of the areolar skin is removed and a purse-string suture is used to cinch up the skin around the areola to achieve a narrower diameter to the nipple areolar complex.

What can be done if the nipples themselves are retracted?

The reason for the retraction is that there are ducts attached to the nipple from the underlying breast tissue which invert the nipple.  During the procedure by itself, or with breast augmentation, these ducts can be divided to allow a normal or non-retracted appearance to the nipple.   If the nipple is long or large, nipple shortening or reduction can be performed.

If you’re considering a breast lift, breast implants or breast augmentation within the Washington DC and Northern Virginia area, contact top rated, Dr. Widder of Widder Cosmetic & Plastic Surgery.  His private surgical suite is conveniently located in Vienna, VA for patients in DC, Arlington, Alexandria, Fairfax and Loudoun counties.

If you are thinking about have a cosmetic surgery procedure, time is running out to receive 5% discount on your procedure.  Must schedule your consultation with Dr. Widder by December 31, 2018 to qualify for the 5% discount.  Call 703-506-0300 today to schedule your consultation.

Take Advantage of Holiday Promotion

Have you been thinking about a New You for the New Year?  Wanting to have a little incentive to finally make that call to schedule your consultation?  Dr. Widder’s Holiday Promotion is just the boost you need as this promotion is only for a short time.

Save 5% off ANY surgical cosmetic procedure(s) to include; Tummy Tucks, Breast Augmentations, Liposuction, Butt or Calf Implants, Facial Procedures, etc.

Call to schedule your consultation 703-506-0300.  Procedures must be booked by December 31, 2018 to qualify for the 5% discount.

Widder Cosmetic & Plastic Surgery is conveniently located in Vienna for all patients in Northern Virginia, Washington DC and those traveling from other areas.

Diet, Exercise and Weight Loss | Plastic Surgery Consultations

Plastic surgery consultations extend beyond the cosmetic to overall health and wellness of patients. Plastic surgery is often seen as a shortcut to achieving a better body, but embarking on the path to a new look begins with a new approach to diet, exercise and weight loss. In this interview, Doctor Widder the “D.C. Butt Doctor” discusses his approach to overall health and wellness as well as the book “Sugar Busters” by H. Leighton Steward, Morrison Bethea, Sam Andrews and Luis A. Balart.

Q: When people come in for liposuction or tummy tuck, do you also talk with them directly about diet, exercise, weight loss, or overall health issues?

Healthy Eating and Surgery

Yes, I do talk about health in general.  If someone smokes, I try to convince them to stop that bad habit.  If they are overweight, I usually recommend a book for them called Sugar Busters that talks about choosing low glycemic index foods.  I don’t believe in diets.  Diets are temporary. Most people can’t really maintain a certain diet over a long period of time, because it’s difficult.  But if you make lifestyle changes, it’s easier to maintain it over the long haul.

When I give patients the book Sugar Busters, it helps to explain to them the physiology of how the body makes fat.  For example, it is ok to eat pasta, but whole wheat pasta.  If they eat white pasta – refined flour pasta – that’s no good. That is a high glycemic food, which causes insulin surges and winds up damaging the body. You can eat rice, but brown rice. If you eat white rice, again, it is a food that is causing the release of insulin and too much insulin is the enemy. You want to reduce the release of insulin as much as you can.  All of this is discussed in the book quite extensively.  Sugar Busters, for me, is the food lifestyle Bible.  I always have copies of this book in my office and I give them to my patients free of charge to educate them on how to eat correctly.

Sugar Busters

Q: Do you find that most people who come to you are interested mainly in appearance or are they also interested in improving health?

Well, the majority of patients are probably interested in improving their looks and they’re looking for the easy way – a shortcut.  That’s reality because we’re humans.  To do it in the other way is very difficult.  People are busy and have so little time. They don’t have the energy required for intense exercise.  If you want to lose weight by exercise, you really have to do it in a very dramatic way, for hours.  There was an article in the Washington Post two years ago that talked about how many hours you have to exercise according to your age. In your 20’s, you can exercise only half an hour a day and still maintain your healthy Body Mass Index (BMI). When you get to your 30’s, you’ll need an hour for the same result.  In your 40’s, it’s an hour and a half.  By the time you’re in your 50’s, who can do two hours of exercise a day?  It’s very difficult.  So instead, people are coming to my office to make those changes through liposuction or tummy tuck.  Other patients are working very hard in the gym and just can’t develop calf muscles, pec muscles, or buttock muscles.  So they come into the office to get implants that give them the look they want.

Some people will consider a change in lifestyle.  I give them the book and a few of them make those changes, but the majority want to make life easy. When people improve their looks, their confidence goes up and the attention of the people around them or the people they’re interested improves.  They find immediate gratification from the procedures I provide.

Q: Is there anything else you’d like to share about using Sugar Busters to help your patients?

The original book came out in the 1980s.  Since then there have been a few editions with updates.  But the principle has always been the same – becoming aware of low glycemic index foods and insulin levels.  That’s what they base the whole theory on and it works. I personally followed the book and lost 28 pounds in six weeks.  Sugar Busters is an easy read and you can also apply it very easily.  It just takes a little bit of will.  It takes will because you do have to give up on a few things that are very tasty.  Overall, it’s important to help people find a realistic approach so that it is something they’ll stick with.  Most people aren’t going to give up their staple foods, but substitutions can help.  Instead of white potatoes, try sweet potatoes, or brown rice instead of white rice. I tell my patients: Even if you don’t apply all of the principles, if you can do only 80%, you will see significant, positive changes.

Do you have any questions about healthy eating, exercise or diet following plastic surgery? Contact Widder Cosmetic and Plastic Surgery in Northern Virginia for a free consultation: http://www.widderplasticsurgery.com/contact.php. Or call: (703) 506-0300

 

Trends and Motivations for Plastic Surgery for 20/30 Year Olds

Trends and motivations for plastic surgery vary from person to person, but younger people often have similar interests in specific procedures. Celebrities also have an impact on ones motivation to improve a particular aspect of the body. Dr. Widder explains some of the motivations he hears in his consultations that profoundly impact his patients decisions.

trends and motivations in plastic surgery

Q: Which plastic surgery procedures are the most popular for people in their 20’s and 30’s?

Breast implants and butt implants are very popular for patients in their 20’s and 30’s.

Q: What do you hear from your patients about why they choose buttock enhancement surgery and breast implants?

The reasons vary.  Everybody brings their own histories and their own aspirations for what they want to look like. Some do it for a functional reason, such as they would simply like their clothing to fit better.  Others are interested in clothes as well, but from a different perspective.  They may just want to look good in the latest fashions.  What many younger patients want most is a sexier, more attractive appearance in order to feel better about themselvs and possibly garner more attention.  Some also want to emulate celebrities like Kim Kardashian and J Lo.

Not long ago I had a patient who came in for a consultation for buttock enhancement surgery.  “Is it gonna look like J Lo?” she asked me.  I showed her pictures of a before and after case that seemed along the lines of what she was seeking and I challenged her to decide for herself: “Does this look like J Lo?”  The photo I presented showed a very, very nice result.  In my opinion, the shape of the buttocks was reminiscent of Jennifer Lopez’ figure.  I gave the patient time to compare shapes and sizes until we found the right celebrity look for her.

Q: Even though prospective patients mention various reasons, do you think enhancing sexual attractiveness is really the main goal?

Well, it is true that patients are concerned with the butt and the breasts because they are sexual targets. When you are young that is very important.  It’s also important for older people, but it is often not as intense an issue in later years because hormones levels tend to be a bit lower.  Cosmetic surgery can improve upon parts of the body and it can help make a person look and feel much more attractive.   I appreciate being able to do that for a person.  The enhancements are very exciting for younger individuals.  It can absolutely bring about advantages in one’s personal life, especially in the sexual realm.  Enhancing attractiveness can also cultivate advantages in other areas, such as in the workplace.

Whatever the reason, the forces that encourage people to have cosmetic surgery are incredibly powerful.  I respect the fact that patients choose to go through the discomfort and the inconvenience in order to improve on those areas they feel are deficient or less than optimal.  It is a big decision.  I take the decision-making period very seriously; I do my best to listen, provide guidance, and respect each patient’s needs and wishes.  As long as I feel that I can deliver what the patient is looking for, we move ahead with the procedure.

Q: What signs do you see or hear from your breast and butt implant patients that indicate how they feel before and after their procedures?

Afterward, you can see a new sparkle in their eyes.  They walk differently.  They have confidence.  When they come in for a consultation before surgery they have often heard good things about me, but I can see that they feel a bit unsure and they have concerns.  It looks to me as if they are thinking, “Am I going to have this surgery or not?  Will I be happy?”

Once they have it done, they are extremely happy.  You can see it in their eyes.  In my experience, eyes are the #1 indicator.  Try taking a look at pictures of before and after surgery and notice the eyes.  You’ll see that before surgery, many of them look dull and depressed.  Afterward, you can see a new energy projected from the eyes.  They’re brighter. It’s like there is a new confidence and a readiness to take on the world.

Feel free to contact our office to discuss your own motivations for considering plastic surgery or visit the office to take a look at our extensive portfolio of before and after pictures. 703-506-0300

Plastic Surgery and Older Adults

Some of the most common procedures for older adults include the facelift and tummy tuck. Dr. Widder describes his experience with this population and their motivations for cosmetic changes.

plastic surgery for older adults

Q: Some say “60 is the new 40.”  How does your work help your older patients keep up with that concept?

Cosmetic surgery is definitely part of the story.  Overall, people are taking better care of themselves today than in the past.  Medical care is better.  People are eating better and exercising more.  People are just in better shape.  Plastic surgery helps a great deal when attention to health and fitness doesn’t achieve everything a patient desires.

A woman who is 68 came to my center a while ago.  She is dating a fellow in his 40’s.  He thinks she’s got the nicest butt in Washington, D.C. and he doesn’t even know she’s had a butt implant.  I worked with another woman who had multiple procedures including a face lift and tummy tuck.  She’s in her 70’s and nobody is able to guess her age.

It’s not unusual in my practice to find women in their 60’s who date men in their 40’s.  Better overall health is part of the equation, and plastic surgery can work wonders as well.  Looking younger after cosmetic surgery can be a huge emotional boost.

Q: What are the main reasons sited by older people for coming in for a cosmetic surgery consultation?

A few of them will tell me they feel a disadvantage in the workforce.  Younger people are being hired and they feel they are treated differently as older employees.  Others tell me they still feel very energetic but when they look in the mirror, they see their mothers.  They want to look the way they feel.  Those are the most common reasons people are looking for surgery.

Q: Which procedures do the most to boost confidence in your older patients?

The tummy tuck and the face lift are the most popular.  A tummy tuck makes patients feel younger and a face lift makes them look younger.  Those are great confidence boosters.

Some patients start out by sticking their toes in the water, so to speak, and won’t go for a full face lift at first.  They’ll go for the eyelids and will wait to see how that works out for them.  Once they have the eyelids done and the results are satisfactory, they will go for something more.  Those patients are the minority, however; the majority of patients come in with the pre-made decision and they go for it.

Recently, a patient in her 60’s came in after three or four consultations with other doctors.  There were three reasons for her  decision to have the surgery with me.  One was that I took the time to give her the common sense explanations of why I do the face lift procedure the way I do.  This was something she didn’t get from other doctors.  Another factor was that I showed her extensive before and after examples.  She saw that what I was talking about really occurs in actual patients.  Finally, I was able to demonstrate how the technique I have been using for the past 10 years is quicker, less risky, and less expensive.  For her and her husband, it was a ‘no-brainer’.  Her surgery is scheduled for the beginning of next month.

Q: What are the main questions and concerns for older patients? 

I noticed that my older patients almost exclusively come to me through word of mouth.  If an older patient is referred, it’s much simpler for them to talk with me and  trust me.  Everyone, at first, is worried about surgery risks, but if they have been referred by someone else who had surgery in my center, they feel more at ease.

Another common concern is about the outcome of the procedure.  Since an older person was most likely referred by someone they know and have seen my work on their friends or family members, they usually feel confidence and comfort relatively quickly.  Knowing that the surgry center where they are having the surgery is accredited and that they will have a board certified surgeon and anesthesiologist is also very helpful and comforting to them.

It is very beneficial to older patients to see and speak with our office staff.  We have a woman in her 60’s who works in our office and she’s had multiple surgeries.  The staff sees what is going on in the surgery center.  Patients realize that if staff members thought that there was a surgical risk with the surgeon or the anesthesiologist, they wouldn’t be willing to have their own surgeries there.  In our case, older patients can see and speak with a woman on staff who has had five or more operations.  She looks terrific.  That makes it easier for potential new patients to make the decision.

If you would like to learn more about plastic surgery options, costs and considerations give us a call or fill out our online inquiry form. 703-506-0300

Plastic Surgery Trends | Breast – Butt – Labioplasty

Plastic surgery trends change over time and it is important to listen to new patient preferences as well as understand the latest technology and practices available. Dr. Widder discusses his own experience with trends in breast augmentation, butt implants, and labioplasty.

plastic-surgery-trends

Q: Has the popularity of breast implant surgery stayed strong in your practice?

Oh, yes.  I do quite a few each week. Tomorrow I’m doing two.  They are very common.  Breast augmentation surgery is still the #1 cosmetic procedure in the U.S.

 Q: In the past, you’ve expressed caution about the “Gummy Bear” breast implants trend.  Do you have any new thoughts on those?

I don’t use them.  I’d say 98% of the time I use saline implants and for the other 2%, I use silicone gel implants.  I never use “Gummy Bears” because the concept doesn’t make sense to me.  You have to make a bigger incision.  Then, you have to create a smaller pocket because this kind of implant is oval and if you make a large pocket it can flip from side to side.  It goes against my philosophy about creating a natural looking and feeling a breast.  A natural breast moves.  It jiggles.  If you create a small pocket, the capsule around the implant tightens up and then it doesn’t move like a normal, natural breast.  Both I and my patients are so happy with the saline implants that I keep using them.  If it isn’t broken, don’t fix it, right?

Q: Any changes in the butt implant procedures for you?  Is that part of your practice still growing?

Yes, interest is still on the rise.  For butt implants, I also continue to use the same procedure.  My patients are happy.  Early on – maybe 9 or 10 years ago – I used a different type of implant.  I used the so-called textured implant.  It had a rough surface and would create a lot of fluid collection in the pocket.  It would rub against the tissue, create inflammation, and fluid production was the result.  There were many problems with that type of implant so I began looking for something else.  The implants I have used for the last several years are excellent.  When you have problems, you have to start looking for something that is more predictable and less troublesome. Presently, I am very happy with the butt implants. Virtually every patient I operate on has no complaints and is very happy with the result.

Q: Do you have recent accounts of patients coming from far and wide for your work?

I had one come from Richmond about a week and a half ago.  A few more people have been expressing interest from the Midwest, the South, and even from beyond the contiguous U.S.  Today, people are looking for surgeons who are doing the best procedures no matter where they are in the world.  Just because someone is doing a procedure doesn’t mean it will be the way that particular patient likes it.  That’s why the Internet really is the great equalizer.  Everything is out there and there is transparency.

I had a patient who came to me from Arizona.  She was going to go to someone in California, but then she did more research and said that she likes my butts better. She flew all the way to Washington to have the surgery.  That is the beauty of the Internet – you just have to get the word out.

Q: You recently traveled to study labioplasty.  Have you been performing the surgery yet?

No, not yet.  I discussed it with the surgeon who does it more than anyone else in the U.S.  He is the one who created the technique I am interested in.  I’m going to go and see him.  He’s been out of the country, but either at the beginning or in middle of next month, I will go see him in one of his offices in New York or L.A.  I will watch the labia minora reduction surgery, and then I feel I’ll be ready to begin to offer it.  I have a couple of patients already lined up.

Labioplasty is becoming very popular.  Since I haven’t been performing it, I personally haven’t gotten a lot of queries yet, but a few patients have asked me, which is what raised my interest.  Once I put out a sign in our waiting area, I think I will have a good response to it.

When I mentioned my interest in performing this surgery to my account manager at RealSelf.com, she got very excited.  She said that there is a huge market for it in the U.S.  I don’t plan to become a guru in labioplasty, but soon I will be glad to offer it as a service to my patients.

Health Risk Misconceptions in Plastic Surgery

Health risk misconceptions are often fueled by limited information on the web and anecdotal information by persons who have experienced or heard, negative outcomes in surgery. In this interview Dr. Widder guides patients to seek complete information from their doctor as well as the American Society of Plastic Surgeons who can explain that risks in cosmetic plastic surgery are no greater than other forms of surgery.

shlomo widder

Q: As the “DC Butt Doctor,” do you receive many questions about the safety of cosmetic surgery procedures?

I actually get questions of this nature often.  Sometimes patients come to my office and have heard rumors about cosmetic surgery health risks.  They may be very eager, for example, to undergo surgery for buttock enhancement or some other procedure, but are hesitant because of complications they’ve only heard about.

Q: How do you respond to these questions and concerns?

I try to ease their minds by letting them know that there is no exceptional danger associated with cosmetic surgery.  As with all surgeries, there are risks, but that is not increased in the case of cosmetic enhancements.  I direct those who are still unsure to take a look at what the American Society of Plastic Surgeons has to say about preparing for a safe plastic surgery experience.  The recommendations are remarkably similar to prepping for any kind of surgery.

Q: Is the extra concern about cosmetic surgery due to the idea that it involves elective rather than necessary procedures?

Yes, I think that is what people believe sometimes.  But the truth is that plastic surgery is not always done for vanity’s sake, and can sometimes actually improve health.  Sometimes health issues require the help of a cosmetic surgeon.  For example, rhinoplasty can greatly improve the life of someone who finds breathing difficult because of obstructed nasal passages or breast reduction can alleviate back pain etc.  Even when surgery is for purposes of appearance, the risks are still not greater than when there is a medical objective As long as it is being done in an accredited surgery center by a board-certified plastic surgeon.  I encourage potential patients to learn all the facts about the procedure that is of interest.  Fear, especially without facts, is not helpful in making a good, confident decision.

Q: What is your general advice for those beginning to think about cosmetic surgery?

Always have the surgery in a surgery center accredited by a reputable organization like the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).  Make sure your surgeon is board certified.  Finally, it is very, very important to make sure to disclose any and all existing health conditions you may have and get cleared by your internist for any medical issue or if you are over age 45.  Anyone interested in more information about safety and preparing for a procedure can find it on my website and also at the site of the American Society of Plastic Surgeons.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond.  As the only plastic surgery center in the area offering buttock implants, other services include rhinoplasty, facelift, facial implants, otoplasty ear tuck, Botox and facial fillers, cheek, chin, and eyelids surgery, liposuction, breast lift, breast augmentation, breast reduction, gynecomastia surgery, pectoral implants, and calf implants.  Consultations are free of charge.

To find out more about the Widder Cosmetic & Plastic Surgery Center, stop by during office hours: 9 – 5 pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.

Upper Arm Lift Trend in Plastic Surgery

In this interview, Dr. Widder talks about the growing trend in upper arm lift plastic surgery. Careful consideration should be given to this procedure since there is a visible scar that will remain once the surgery is complete.

Michelle Obama and Jennifer Aniston's arms

Q: According to the American Society of Plastic Surgeons (ASPS), upper arm lifts for women have increased by an amazing 4,378 percent over the past 10 years.  What do you make of this current trend in cosmetic surgery?

Yes, our beauty ideals do change.  Many female celebrities are going for more sculpted shapes.  Jennifer Aniston and Kelly Ripa come to mind, and First Lady Michelle Obama has very solid upper arms.  Women see this and it inspires them to go for the same kind of look.  Not everyone manages to work out hard enough to achieve that sculpted look, so we, cosmetic surgeons can help.  The ASPS reported that only 300 U.S. women had upper arm procedures in the year 2000.  That went up to 15,000 in 2012.  It really is a huge change.

Q: Do you have any words of caution to offer for the many women who are following this trend?

Yes, I do.  The upper arm lift is called brachioplasty.  The procedure generally requires sometimes liposuction, or sometimes a surgical procedure during which loose skin is removed from the back of the arms. Liposuction requires only a few small incisions, however, in order to perform brachioplasty, you need to make an incision that extends from the elbow all the way to the armpit.  It leaves a visible scar that won’t go away completely.  When women are watching the fashion models on the runways in their sleeveless fashions and want to achieve a similar look, they should take time to consider this condition of the upper arm lift procedure.  It is a fine decision should a woman choose to do it, but only after the pros and cons are weighed carefully.

Q: Do you think that your being located in the Washington D.C. area indicates you will see more upper arm lifts in your practice because of a “Michelle Obama effect?”

I definitely do expect to continue to see an increase in upper arm lifts.  And yes, there is a bit more awareness of people in the political world in this area, but honestly, Michelle Obama is an international figure who is noted for her style, and the statistics show that this trend is being seen all over.  I like to keep up with the needs of my patients, so I am happy to offer the upper arm lift procedure.  Meanwhile, breast augmentation is also very much an important part of my practice.  The ASPS recently named breast augmentation the top plastic surgery procedure done in 2012.  Of course, I will continue to perform and specialize most of all in the buttock implant surgery because I am the only one in the area who does it.  People have come to trust my work with this procedure and will travel to work with me.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond.  As the only plastic surgery center in the area offering buttock implants, other services include rhinoplasty, facelift, facial implants, otoplasty ear tuck, Botox and facial fillers, cheek, chin, and eyelids surgery, liposuction, breast lift, breast augmentation, breast reduction, gynecomastia surgery, pectoral implants, and calf implants.  Consultations are free of charge.

To find out more about the Widder Cosmetic & Plastic Surgery Center, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.

Plastic Surgery and Self-Esteem

 

Plastic surgery and high self-esteem are directly linked. Dr. Widder discusses a recent study by European researchers from Researchers from Ruhr Universität and the University of Basel that confirms the vast numbers of anecdotal evidence seen in patients across the country following cosmetic surgery procedures.

Q: You have used your talent and skill to sculpt some of the D.C. area’s nicest looking bodies.  What do you think is the relationship between plastic surgery and self-esteem?

In my experience, the effect of plastic surgery on self-esteem is very positive.  I see it all the time with my patients.   I often receive thanks from patients and they tell me how much of a difference the physical changes have made in their lives.  They feel good about themselves and have more confidence.  A recent study has talked about this.  Plastic surgery can definitely improve self-esteem.

Q: Would you talk more about the study? 

Yes. The study showed that a better self-image and overall happiness is a common result of plastic surgery procedures.  It even goes on to explain that when many of the patients experience high self-esteem, their overall enjoyment of life increases as well.  The people in the survey weren’t out to transform their lives, but only to enhance a particular body part, so it is exciting to me that overall life improvement is also a common result.

More specifically, the study looked at people who had opted for surgery as opposed to those who didn’t.  Greater feelings of health and self-esteem were noted in the surgery recipients, as well as fewer feelings of anxiety.  They also felt more attractive, not only with respect to the body part that was enhanced, but overall.  No adverse effects were observed, so that is very good news.

Q: If someone is considering plastic surgery, are there any times in life you feel are best to make those changes?

Anytime it suits the individual is the best time, but it is often a good thing to do when one is at a crossroads in life.  It might be a divorce, a midlife crisis, career change or even after a bout of unemployment.  It is spring now, and that can be great timing.  Spring is a time of energetic rebirth, so it can be perfect occasion for stepping out, being bold, and discovering plastic surgery as a way to enhance life and getting ready for the summer.

Dr. Shlomo Widder, the “D.C. Butt Doctor,” offers premium services to fit every cosmetic surgery need in Northern Virginia, the Washington, D.C. metropolitan area, and beyond. To find out more about the WidderCosmetic & Plastic SurgeryCenter, stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.

Multiple Plastic Surgery Experience and Outcomes

Multiple plastic surgeries is not an uncommon experience for people who are very satisfied with their initial outcomes. Stories and experiences of plastic surgery patients in Northern Virginia, D.C. and Maryland are shared in this most recent interview with Doctor Widder of Widder Cosmetic and Plastic Surgery Center in Vienna, VA.

multiple plastic surgeries

Q: How common is it in your practice for patients to request multiple plastic surgeries?

 Lots of people do it. Many people lose a lot of weight as a result of gastric bypass surgery.  One of the consequences is a lot of loose skin.  Sometimes after gastric bypass, people are interested in further surgeries for the abdomen and the breasts.  Then they may want me to take care of the arms, the thighs, and sometimes the face and the neck.  I always remember one particular patient who had gastric bypass surgery.  I gave her a tummy tuck after the gastric bypass surgery.  The tummy tuck went well, so she did breast augmentation with a lift after that. She was so happy with that surgery that she sent me a picture – the picture was of her breasts and on it, she wrote: “Thank you, Dr. Widder!”  That’s a funny one.

Q: After the tummy tuck, why did she choose breast augmentation?

When women who have gastric bypass and/or a tummy tuck and lose a great deal of weight, the breast size goes down.   The breasts are made of breast tissue and fatty tissue.  The breast tissue doesn’t change after those operations, but the fatty tissue does.  The breast can become deflated – It will appear as loose skin without a significant amount of volume.  You can take care of it with just the lift procedure. I usually use the keyhole mastopexy.  It will improve the shape of the breast, but then she’ll have about an A cup.  For some women, an A cup is ok.  I had a largely breasted patient who wanted to be an A cup, so I gave her a breast reduction. But the majority of women want to be in the C range.  Maybe a small C or full B if they are athletic, or a full C to small D if they aren’t athletic and just want to look good in their clothes and bathing suit.  I had a woman patient who had an A cup size breasts before surgery, so she requested the implant and I combined it with the mastopexy or keyhole lift.  It’s called the keyhole lift because the incisions take the shape of a keyhole: there is around incision around the areola,  a vertical incision, and a horizontal incision at the crease area.  With that technique, you remove all the excess skin and achieve a very nice shape. You get a perky, beautiful breast.  To add the volume, I use the implants.  So her situation was a common one; it is very rare that a patient with such small breasts will go for just a lift.  Most of them do also want implants.

Q: Since you specialize in buttock augmentation, would you say there is an additional operation that tends to go with that?

Well, the butt augmentation can go very naturally with liposuction to enhance its shape.  Liposuction is more common with the fat injection procedure. Unfortunately, the fat injection to the butt does not last beyond 6-12 months.  With the butt implants, the change stays intact, so those patients look very good permanently.  As a result, I don’t do as many liposuctions associated with butt implants.

I do sometimes see patients that have me redo a procedure they already had done by someone else previously.  One woman came in for a redo tummy tuck and breast augmentation with a lift.  You can imagine how unhappy she must have been if I had to redo the surgery, because the tummy tuck surgery, in particular, isn’t a walk in the garden.   Yet, she was motivated to go through it again.  She was very, very happy with those procedures, so next, we moved on to liposuction of the thighs.  She was so pleased with the liposuction that the week after next we were doing the butt implants. The whole sequence has been at a very fast pace, all done in only six or eight months.  After the butt implants, she wants to do liposuction of the hips and waists.  She seems ecstatic with the changes – you can hear it in her voice.

Q: Do you have any other memorable stories about two or more surgeries?

 Yes. There is a woman who works in my office – she’s on my staff.  She has had multiple surgeries and looks phenomenal.  She’s a 65-year-old African-American woman, and she’s beautiful.  She looks like she’s 40.  I’ve done her tummy tuck, breast lift, eyelids, chin augmentation, liposuction in multiple areas, and calf implants.

Q: Which one started her journey with plastic surgery?

She started with the tummy tuck.  She just came in as a patient.  She had a very nice result and we at the practice thought she had a nice personality, so we offered her a position in the office.  Once she joined the team, we continued with the process of improvement.  After the tummy tuck, I gave her the calf implants.  Her breasts were a nice size naturally though droopy, she chose to go for a breast lift next.  These were followed by eyelids surgery,  chin implants, then liposuction of the abdomen, hips and waist, and finally liposuction of the thighs.  I think we did 8 or 9 surgeries in all.  She looks fantastic.

Widder Cosmetic & Plastic Surgery Center provides multiple plastic surgery options as well as single procedures for those looking to improve their appearance in one area. Stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com. Office Phone: 703.506.0300.

Plastic Surgery Implications for Weight Loss | Tummy Tuck and Liposuction

Weight Loss and Plastic Surgery

A welcome side effect of plastic surgery is that many people who have a tummy tuck or liposuction experience additional weight loss.  Dr. Shlomo Widder discusses this natural phenomenon and why it is important to maintain healthy eating habits post surgery.

Q: How does the tummy tuck procedure result in weight loss?

The reason you lose weight after a tummy tuck is that the procedure is not only a tightening of the abdominal skin but also tightening of the abdominal muscles. When you tighten the muscles, you increase the pressure on the stomach, and that in turn sends a message to the brain that says, “Stop filling me up.  Stop eating.”  That’s how patients lose weight.

I always tell my patients about that; it is part of my initial talk.  I tell them that hunger is managed in two ways.  One is a chemical, which involves sugar.  When the blood sugar goes down, you feel hungry and you eat.  The other is mechanical.  When the stomach is empty, it starts contracting and you might hear all those gurgling noises.  It is saying to the brain, “I’m empty – Fill me up.”  The stomach has special cells that measure pressure, but the brain is not so sophisticated as to tell the difference between pressure from food in the stomach or pressure from the outside.  So we can fool the brain by adding pressure from the outside by tightening the muscles.

I just did a tummy tuck for a military guy.  He told me that he was constantly hungry.  He was in good shape – trim and muscular – but he hadn’t reached what he physically wanted to achieve.  His stomach muscles were loose from lifting heavy weights.  Sometimes men, due to heavy lifting, rip the attachments of the abdominal muscles and it causes this problem.  For some women, a similar thing can happen when they have children.  The pregnancy stretches the abdominals and laxity of the muscles result.  If the muscles are loose, they just extend outward when you eat.  You don’t feel satisfied, so it is easy to keep on eating.  After his tummy tuck surgery, this man I mentioned, felt full and much less hungry.  He’s already lost 10 to 15 pounds and he’s achieved his weight goal.

Q: What will occur if you get liposuction or another procedure that encourages weight loss, and then continue a habit of overeating?

It depends on the surgical technique used.  When my patients have liposuction, I tell them that they have to lose, at least, the same amount of weight that I remove from them.  If they don’t lose that amount of weight, any new fat gained can go into those sections where I did not do the liposuction.

In order to do effective liposuction, you really have to enter with the suctioning cannula from many different directions in order to remove as many fat cells as possible.  For this reason, I take a very aggressive approach and go from multiple directions.  If a surgeon goes from only one or two entries, fat cells will be left between the tracks of the cannula, the tube that is used to aspirate the fat.  Each fat cell is able to store more fat by increasing its size by 50%.  So if you leave a lot of fat cells, two to three months after the procedure, it may look as if nothing was done.  But if you go from multiple directions and are very aggressive with the fat cells removal, the number of fat cells that remain will be reduced dramatically.  Then, no fat or very little can go in those areas in the future.  However, it can go elsewhere. If a patient keeps overeating in the same fashion as before, since the fat can’t go into the liposuction area, it might go to the shoulders, face, butt, breasts, and so on. So the secret really is for me to do a very thorough removal of the fat cells and for the patient to lose the same amount of weight that was removed by the liposuction.

 Q: If a person has a tummy tuck or liposuction, how long before he or she can take on an exercise regimen?  Are there exercises you recommend in addition to a shift in dietary lifestyle? 

 For liposuction, I limit their exercise for two weeks, and then for the following two weeks, they can increase exercise in a gradual fashion. On the first week back, they can exercise at a 25% capacity of what they did before.  The following week, I advise they go to 50% of their former activity level.  Then one month after the surgery, they are free of any limitation.  For a tummy tuck, they have to wait six weeks before any physical activity or lifting.  Then as with the liposuction, they can gradually return to normal activity over a two week period.  After two months, they are back to full speed.

The main type of exercise I recommend is cardiovascular, or aerobic.  Any type of cardio can get you in good shape.  It could be a stationary bike, it could be a treadmill –all of those machines at the gym are good.  The key is to put forth at least 20 minutes of constant effort during which the heart rate is raised to two-thirds of maximal capacity.  Do this, and you’ll be burning fat and lose weight.

For a free consultation and 5% off any surgical procedure, schedule an appointment on our website! http://www.widderplasticsurgery.com/contact.php

2013 Trends in Plastic Surgery

Trends in plastic surgery for 2013 can be gleaned from the American Society for Aesthetic Plastic Surgery statistical report for 2012. Dr. Widder discusses the findings in the annual report and confirms the trend of increased buttock augmentation in his own practice.

Q: As the “D.C. Butt Doctor,” what are your thoughts on the new report from the American Society for Aesthetic Plastic Surgery (ASAPS)?

The American Society for Aesthetic Plastic Surgery just released its 16th annual multi-specialty procedural statistics.  The report came out in March and basically points to the fact that cosmetic procedures are very much on the rise. Something in the vicinity of ten million cosmetic procedures, surgical and nonsurgical, were conducted in 2012.

I’ve been a cosmetic surgeon for over 25 years and I specialize in buttock augmentation. I have witnessed a definite rise in requests for this procedure over the last decade.  I am happy to say that my particular buttock implant technique is very effective and that has led it to be sought after, even by some you might call the Washington elite.  ASAPS lists butt augmentation as one of last year’s top 20 procedures. That makes sense to me.  Their findings and my personal experience over the last 10 years are in agreement that butt implants are done more often than ever. That indicates the overall increasing demand for this enhancement.

Q: Do you think your practice is going with the other trends ASAPS reported?

 Yes, it seems like I am on the same trend.  I’ve been doing a lot of breast augmentations, liposuction, and tummy tucks (abdominoplasty).  ASAPS also found these to be among the most frequent cosmetic procedures as of 2012.  I have a very safe, private facility where I perform these procedures regularly.

Q: Now that more and more people are seeking cosmetic surgery, do you have any advice for those who are ready to choose a doctor?

 It is really important to check your doctor’s credentials.  With the growing demand, there are a lot of untrained “doctors” out there who prey on unsuspecting patients.  I am certified by the American board of plastic surgery since 1989. I am a member of the American Society of Aesthetic Plastic Surgery (ASAPS), the American Society of Plastic Surgeons (ASPS), and the American Association for the Accreditation of Ambulatory  Surgery Facilities (AAAASF).

After credentials, attitude is also key.  My main goal is to stay attuned to the patient’s needs. That is one of the reasons I became the only plastic surgeon in Northern Virginia who offers buttock implants.  So many men and women are seeking the perfect posterior.  It is my goal to give people what they want.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5 pm, Mon – Fri, or contact us today!

Plastic Surgery Stories From Northern Virginia

Our interview today reveals plastic surgery stories following successful patient outcomes. Plastic surgery testimonials come in many forms, from letters of appreciation, fruit trees and even body art! Follow our blog for weekly insights and feel free to suggest topics or questions you would like answered.

Q: When do you normally see a patient for follow up?

Just after having the surgery, the patient stays in the recovery room for about an hour, then they go home. I call them at home that same night to make sure everything is all right and to answer any questions they might have.  Then, as a rule, every patient comes back in the very next day. I see them that following day to make sure there are no complications and that everything is going according to plan.  I change the dressing and again, answer any questions that may have come up.

Q: Do you have additional follow up after that?

I keep following up.  After the first follow-up visit, I will see them again after three or four days, then in another three or four days, and then in a week. We have another visit a month later, then three months after that.  That’s typically the end of the follow-up.  After that time, the patient can always call if anything comes up, or if they want to pursue another procedure, which is very common in my practice. When they see the power of change and are happy, they often want to do something else.

Q: Do you have any stories that stand out for you about patients who have come back to give you positive feedback?

One of the funniest stories was of a patient who lost a tremendous amount of weight.  She had come in initially for abdominoplasty, commonly called a tummy tuck, and then later came in to do a breast lift with implants because, after the significant weight loss, her breasts had lost volume.  So I did the surgery on her and after the healing process she was so happy that she took a topless picture of herself and wrote across her breasts on the photo, “Thank you, Dr. Widder!”  I still have that picture of her with the writing on the wall, so to speak.  It was especially funny because this was a very serious woman with a distinguished occupation.  It was great that she had the humor to do something like that because she was so happy.

thankyou breast note

Another patient who had a tummy tuck lost 44 pounds after the procedure. She came in a year later and nobody recognized her.  We thought she was someone coming in for a new consultation. She had lost such a huge amount of weight just from the tummy tuck and was quite pleased.

Q: Would you like to share any more success stories?

I once had a male patient who, when he first came in, looked like he could have been seven or eight months pregnant.  I did a tummy tuck on him.  I also told him about learning a new nutritional approach through the Sugar Busters book, so we approached his weight loss from both the chemical and the mechanical angles.  He lost 30 pounds in one month.  Another patient whose story is similar has a wife who says she can’t stand him anymore!  Apparently, he has a new habit of standing in front of the mirror admiring himself all day long.

I also did a butt augmentation recently on a woman in her sixties.  Now she’s dating a guy in his forties.  He doesn’t know that she had the butt augmentation, and he thinks she’s got the sexiest butt in town.

Many patients have gotten in touch to show and tell their success stories like these. It’s common that a patient will write a letter or send a gift.  Last week I did a butt augmentation for a patient who’d had fat injection previously that didn’t work.  She was so happy.  She knows that I’m a vegan so she sent me a huge fruit tree with cantaloupe, strawberries, and all kinds of other fruits.  It was a very nice token of appreciation.

Visit the Widder Cosmetic & Plastic Surgery Center during office hours: 9:00 – 5:00 p.m., Monday – Friday, or contact us today!  We have a mobile-friendly plastic surgery site!

Holiday Dress Guide Pre and Post Plastic Surgery

post-surgery-dress-guide

The implications for fashion following a buttock augmentation is a welcome consideration for new patients having undergone butt lift surgery. Doctor Widder shares his thoughts on what buttock augmentation surgery – and the right dress – can do for your holiday look.

Q: Through your work, you have learned a lot about shaping the ideal form. What can women do with fashion to accentuate the figure during the holidays?

Yes, body sculpting is my business, so I have a sense of what many women are looking for.  I do have a few tips on choosing clothes for the holiday season.  I suggest holiday dresses that give the look of fuller curves. With my surgery, I have helped hundreds of women to achieve the ideal posterior.  Everyone’s specific desire for a nice shape is a little different, but many women want to have a butt similar to a shapely celebrity like rapper Nicki Minaj. Over my ten years of specializing in buttock augmentation, I’ve really gotten a sense of the female perspective on beauty.

Q: What are some of the specifics women should look for when dressing up to accentuate their curves?

One of the best things women can do is to actively look for dresses that flatter the hourglass figure. A dress that is too loose can make the body look bigger or bulkier and will often fail to show off the shapeliness. Instead, choose a dress that provides some subtle shaping.

Accessorizing with a belt will give the look of a smaller waist and a rounder bottom.  A dress that falls just before or under the kneecap is of an ideal length.  That makes the legs look a little longer and sexier.  Two-tone dresses with the darker color on top aren’t ideal; they will only emphasize the lower half.  Side pockets aren’t a great idea, either.  They add extra bulk where it’s not necessary. I know looking great at holiday parties is important to lots of women, so these are just a few of my pointers.

Q: Clothes can do so much, but what are some of the general things you’d like to say about buttock augmentation surgery?

Buttock augmentation surgery has been my specialty for over ten years.  Recently, it has become more popular.  I have a lot of experience and a proven technique.  The surgery gives the patient the rounder and fuller backside including filling of the under the hips depression.  That also makes the waist look smaller, so it is very effective for overall body shape goals.  I have a state-of-the-art surgical center that houses surgery and recovery in one safe, caring place.

Fashion tips are always helpful, too, but the buttock augmentation surgery gives lasting results.  My patients wind up feeling fantastic and confident about their bodies.  Achieving the body you want might be the perfect thing to put on a holiday wish list.

About Dr. Widder: 

Dr. Shlomo Widder, the “Butt Doctor” of D.C., is the only Northern Virginia plastic surgeon who offers buttock implants.  He is a member of both the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery.  Services also include breast augmentation, breast reduction, breast lift, liposuction, Botox, face lift and facial fillers, eyelid, cheek, and chin surgery, pectoral implants, gynecomastia surgery (reduction of “man boobs”), otoplasty (ear tuck), calf implants, and rhinoplasty (nose job).  Widder Cosmetic & Plastic Surgery offers free consultations in its 3300 square foot facility and has served the Northern Virginia/Washington DC metropolitan for over 25 years. He has made it his mission to help women and men achieve their ideal posterior.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

How to Choose a Surgery Center

how-to-choose-surgery-center

Choosing a cosmetic and plastic surgery center is often a new experience for patients. Dr. Widder discusses what to look for when choosing a plastic surgery center in Northern Virginia, D.C. and beyond.

Q: What are the important factors for potential patients to look for in a plastic surgery center?

Safety is always a #1 issue.  So is the quality of the work done, of course?  Plastic surgery has become more and more available, and that means there are a lot of options out there for patients. Researching the facility and the surgeon is incredibly important before choosing a date for any procedure.

Q: Can you list the main things someone should look for when making a plastic surgery decision?

Yes, there are definitely four main things to look for if you’re thinking of having plastic surgery:

  1. Will the surgery be done by a Board Certified plastic surgeon and anesthesiologist in an accredited surgery center?
  2. Can you find positive Testimonials from satisfied patients?
  3. Are you sure your Privacy will be respected?
  4. Are the Location and the business hours suitable for your needs?

I’ve offered plastic surgery in the DC Metro region for more than 25 years, so I have a sense of what patients are seeking and what is important for them before, during, and after a procedure.

Q: What more can you share about your practice in relation to each of these points?

My surgery center, Widder Cosmetic, and Plastic Surgery Center are accredited by the American Association for Accreditation of Ambulatory Surgery Facilities and I am certified by the American Board of Plastic Surgery.  Anesthesia is only given by our board-certified anesthesiologist who has specialized in this work for over 30 years.  Our focus truly is on safety for the patient and the quality of the work.

People should realize that different surgeons use different methods and produce different results. Reviewing recent testimonials will give a potential patient a good sense of the surgeon’s work. At Widder Cosmetic and Plastic Surgery Center, we also offer a review of before and after pictures of previous clients.  Potential clients can see the results we achieved for others who had a procedure similar to what they are considering so they can make an informed decision.

Patients’ privacy is paramount in my center. We even have a private waiting room. Larger surgery centers and hospitals don’t afford their patients that level of privacy and discretion.

Finally, Widder Cosmetic and Plastic Surgery Center is right in the heart of Tyson’s Corner in Northern Virginia.  It is only 10 to 15 minutes from two major airports and is convenient to people in the Washington D.C. metropolitan area, Baltimore, and beyond. Our easy driving distance from many locations, indoor covered parking, and convenient hours make the center a good choice when looking for the right facility.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

Plastic Surgery Preparation – The Do’s and Don’t

plastic surgery preparation

This interview provides an overview of the standard preparations required before and after plastic surgery.  Many patients are unaware of the basic standards of care required for a successful outcome to their surgery. Let the negative outcomes of others serve as a warning to heed your surgeon’s advice! If you find this information useful, subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are some of the Dos and Don’ts that you give people in preparation for surgery?

I give them instructions that are true for any surgery, not necessarily specific to cosmetic surgery. All patients receive a form with the type of foods and medications they’re not supposed to have before surgery.  About ten days to two weeks before surgery, they have to stop taking any Advil or aspirin for example, which are blood thinners.  The same goes for tomatoes – they have salicylic acid which is also a blood thinner.   A patient shouldn’t drink coffee or tea or any caffeinated beverage the night before surgery or right after surgery because they can increase blood pressure. There are certain herbs and over-the-counter supplements that are also prohibited because they can interfere with anesthesia. Diet pills are an example of that.

 Q: What are your general recommendations for after-surgery care?

 For buttock augmentation, my recommendations are no physical activity, no heavy lifting, and no sex for one month.  When sitting, the patient should sit leaning forward so there’s no pressure on the incision. They can lie only on their stomach or their sides. Lying on the back is not allowed because that can put pressure on the incision and disrupt the wound.  Patients can walk and sit as long as they lean forward. You can drive, but you’ve got to drive cautiously and not wind up in an emergency situation.  If you drive, drive slowly. Be sure you’re in control and aware of your position, so that you’re less likely to lean back and hurt your incision.

Q: In addition to those recommendations, should patients simply stop any activity that makes them feel tender or painful?

Well, you want to be one step ahead. You have to be thoughtful and use common sense in a way that will prevent you from even feeling pain.  If there is already pain, you may have already broken the incision.  Right after butt augmentation, you should just lie in bed on your stomach, in the following days avoid any excessive or strenuous physical activity, and lean forward in your seat.  If you do that, you’ll be fine.

Q: One of the important things after breast augmentation surgery is for the patient to do breast massage to avoid hardening of the breasts. Are there similar things that should be done to improve outcomes after other surgeries?

With buttock augmentation, I don’t usually recommend massage – only in specific situations. In other surgeries like pectoral or calf augmentation, I recommend the same as with breast augmentation.  I teach them how to massage the implant in order to loosen up the scar so you don’t get what is called capsule contracture.  Capsule contracture is the condition where the scar tightens around the implant and can deform the implant or change its position.

Q: What can go wrong when patients don’t follow instructions?

I once had a patient who had calf augmentation surgery.  He walked half a mile from the parking lot to his house.  Obviously, he bled.  He called me at 2 o’clock in the morning and I had to take him to the OR to evacuate the hematoma.  Another patient who received buttock implants ended up with complications because she had sex shortly after surgery.  Someone else who had buttock implants went to a party.  She admired so much the results that she wanted to show it off, so she danced and moved and broke the sutures.  Yet another patient hurt herself by jumping out of a truck. Even sitting in a deep couch can cause problems by straining the incision.  So I tell people that they have to follow up and heed my instructions.  The recommendation come from doing surgery for a long time and having a lot of experience.

Do most people pay attention and take care of themselves?

The majority of patients listen, but there is always an exception to the rule.  I’d say that about 5% are not attentive and don’t do what I instruct them, then they have complications.  The most common complication is wound disruption. Once it happens, it just takes time for it to heal.  It is best when the patient just allows the body to take its time and gives it the opportunity to heal.  After one month, they can do whatever they want; there are no limitations.  If they want to climb the Himalayas, they can be my guests.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or contact us today!

How Does the Plastic Surgery Conversation Begin and What is the Initial Consultation Like?

MD Icon

The following interview features Dr. Widder’s experience and insights directly with men and women who are considering plastic surgery for the first time or are looking to explore a higher level of care and quality results. Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are the main questions you and a patient go through together to plan a course of action for surgery? How does the conversation start?

Well, when a patient comes to my office, I ask them “How did you hear about me? Did you visit the website?” Then I ask them “What brought you to the office today?” and “What can I do to help?” After that, they usually feel comfortable speaking about whatever is on their mind and any problem they have. Initially I just listen to what they say. Next, I ask to see the condition. If it’s a face, naturally, I see it immediately and I ask them what they would like to change. I show them manually how things would change with the procedure they are asking about. After that, I take them to the computer and we look at before and after pictures.

If it is a body issue, I ask them to show me the area of concern and we discuss whatever is bothering them – whatever can be improved. I show them what can be done, be it a breast or a tummy, the buttocks, the calf, or what have you. Suppose someone comes in interested in breast reduction. If it’s a man, this would be the pecs. When men talk about the chest, they usually have gynecomastia, or fat deposits on the chest. In this case, we consider a gynecomastectomy, which means I remove fat and breast tissue. With women, it will be a breast reduction – removing from the breast tissue and contouring the breast through tightening the skin envelope, creating a kind of biological bra.

So it’s up to the patient. It depends on the different issues that come up. I am quite thorough about the different options. I give them a few options – whatever they feel is most appropriate. Sometimes one option is more expensive than another and we’ll go for the other option, as long as it’s appropriate.

Q: Say someone did come in and wanted a breast reduction. What are the options?

Breast reduction is for a very large breast. Anything over a full C or D cup is a candidate for breast reduction if it’s bothering them – if they have the symptoms like shoulder pain, neck pain, limitation in exercise, in running, or if they have any intertrigo –irritation under the breast. So if they have those symptoms, I would offer them the procedure that I do. I will tell them that there are different techniques, but I’ve done the one that works for me for 25 years. I’ll show them the before and after pictures of the technique that I use. They are free to use somebody else if they prefer a different technique.

My technique is called The Keyhole. The Keyhole Technique is where you make an incision around the nipple, then vertically down the lower part of the breast, and then a horizontal incision in the crease under the breast. The other technique where the incision is only vertical results in a lot of redundancy, or loose skin. It takes a long time for the redundancy in the crease area to dissipate. Another method uses an incision just around the aereola and in the crease, but then again, I don’t like the results because they’re missing one dimension. They end up with a round breast instead of an oval, which I think is a nice breast.

There can be a lot of extra, loose skin because you either take the skin through the method I use, The Keyhole, or you leave it at the crease. With time it stretches, but it takes months and months to occur. I don’t think my patients will accept months of loose skin under the breast. If you use my technique, the breast is pretty almost from the start. Now, you have a scar, but if you are meticulous in your repair, the scar heals very, very nicely. Occasionally you have a challenge like a keloid scar, and if that is the case, I treat it with steroids. I inject with cortisone and that reduces the amount of scar formation.

When I was in training, they taught me to do the tummy tuck. They would make a very short scar, but end up with big “dog ears” – a bulge on both sides – after the tummy tuck. The reason they’d say that was the right way to do it was that the patient hates scars. What I learned through my experience is that patients don’t really care about scars as long as the procedure gives them a nice shape – as long as you hide the scar in a place where it doesn’t bother them that much. They hate the “dog ears” or bulges more, or in the case of the breasts, the laxity that causes rippled skin that ends up in the crease area. For me, the scar is a nonissue. Now, if the surgeon is not competent enough to make a nice scar, that’s a concern. My scars are very nice. It’s not that patients love my scars, but they prefer the nice results with the scar than the other way around.

Q: I imagine people ask you about safety issues. What are the things you tell people as they are considering a procedure?

If a patient comes to me referred by another patient of mine, then the issue is moot. They trust me, they know that I’m safe and reasonable and caring. They just talk about the procedure. In that case, they are interested in two things – the cost and the date. But if I have a new patient that came to me through the Internet or other printed media, they are interested in asking about safety. First of all, I tell them I am a board certified plastic surgeon. My office is accredited by the “AAAASF,” or the American Association of Accreditation of Ambulatory Surgery Facilities, which has very strict guidelines about safety. I have a board certified anesthesiologist who’s been in practice for over 30 years. So safety is really my utmost concern, and obviously I combine that with results. On my website there is a logo that says “Quality is our Niche.” Really, “Safety and Quality” is our niche.

Now I do tell them that no surgery is 100% free of any complication. They get written material about the procedure and any possible complications that can happen. Even in the best of circumstances, you can have complications for different reasons, especially if the patient is not compliant with my instructions. So all those issues are discussed in detail and they all promise that they’ll do their best. Most of them do.

Q: How long does your initial consultation take?

I have consultations that take 10-15 minutes. They know what to expect because they saw my work. Their friends had the surgery. I have many patients who do breast augmentation. It is very common in the Asian community. They see their friends and family members, and come in and say “Ok, let’s do it. Let’s do it tomorrow. Let’s do it next week.” Other patients are more detailed. It may take me half an hour, 45 minutes, or even an hour. With some patients, it will take me one meeting, with others two, three, or even four. It depends on the people, their level of anxiety, and their level of comfort with me. Some have never met me and really want to hear from me, but with the majority of patients, it is a really quick process. 10, 15, 20 minutes, and we go ahead with scheduling.

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.

Popular Plastic Surgery Procedures and a Fat Injection Warning

The Widder Cosmetic & Plastic Surgery Team is pleased to present the first in a series of personal interviews with Dr. Widder himself. Our goal is to share the deep knowledge and personal insights of one of the East Coast’s leading plastic surgeons. These interviews are unscripted and only lightly edited in order to share Dr. Widder’s ideas in his own voice and style.

These interviews feature Dr. Widder’s experience and insights directly with men and women who are considering plastic surgery for the first time or are looking to explore a higher level of care and quality results. Subscribe to our blog for weekly insights and feel free to suggest topics or questions you would like answered!

Q: What are some of the most popular cosmetic surgery procedures done today?

Well, I can give you the generic procedures – the most common in the U.S. It is a little different with my practice nowadays because I developed this niche surgery which is the buttock augmentation as a specialty which is becoming more and more of my practice.  The most common procedures in America nowadays are liposuction, breast augmentation, and tummy tuck – abdominoplasty.   In my practice, because of my emphasis on buttock augmentation, butt implants, I’m doing more and more. Tomorrow, I’m doing one or two. I’m also doing a tummy tuck tomorrow, which is a long case. I limit my surgery to eight hours.

As I said, liposuction and breast augmentation are the most common.  Then you have the whole gamut of other procedures like tummy tuck, rhinoplasty, and eyelid surgery – very, very common.

Q: Who comes to you for these procedures?

All ages, all economic positions or income levels, all races – I have Vietnamese, I have Korean, I have Chinese, I have American, obviously, I have Hispanics – a lot of people from South America, I have African Americans, so it’s kind of a mix.

Q: What got you interested in the butt augmentation operation?

Well you know, buttock augmentation, like breast augmentation is a sex symbol. The butt and the breasts are the most sexual symbols that we have. So breast augmentation is very common. Now butt augmentation is coming into vogue because of women like Kim Kardashian and Jennifer Lopez. I noticed that trend ten years ago. But it wasn’t as popular as nowadays.

What became popular first wasn’t the butt implant, but the fat injection – the Brazilian butt lift. The problem with it is it doesn’t last. It lasts for maybe six months or about year, and it disappears.  I mean, think about it – it’s illogical.  If you put in such a large amount of fat without circulation, without blood supply, how can it survive? So life proves it. It disappears after about six to twelve months.  Tomorrow I’m doing one where she had the fat injection and it disappeared, and now she’s coming to do the implants. Last week I did one who had the same situation. In the last year, I had eleven or twelve patients who came in for butt implants who’d had fat injections.  So obviously if they came to see me, it didn’t work.  I don’t believe in the fat injection in that quantity. There is a place for fat injection, but not in the butt. You can have fat injections to the face in small amounts.  It can survive.  But, not with 500 or 600cc of fat.  There’s no way in the world. When I did the operations, I could see it was almost completely gone.  There were just a few pockets of fat that survived.

So to answer the question, I understood that in society there is a need for such a procedure and not too many surgeons did it.  One of the reasons it wasn’t a very common procedure is that the technique wasn’t a good one.  In the old days when I started doing butt implants, I used to put them under the muscle. When you put them under the muscle, you can’t go all the way down.  You had to put them only on the upper part of the buttock because if you go under the lower muscle, you have the sciatic nerve.  It could cause severe damage to the patient.  So the implant was very small, it was just on the upper buttock, so it gave you a kind of bubble butt, you know? And it was very painful because it was under the muscle. Then one day about five or six years ago, I went to the international conference of the American Society for Aesthetic Plastic Surgery (ASAPS).  Here comes Doctor Jose Abel Peña from Mexico City and he showed the nicest butt that I’ve seen.  So I went to see him – I went to visit him for about a week and learned his technique.  After that, it’s all history.  That’s why it is becoming more common because the results are better.

Q: Do you think more people will find out about the fat injections not working and go with butt implants?

That is my hope, because fat injection is impractical.  In my experience it is not going to survive.  They are claiming that 50-70% of the fat remains. I don’t know if it’s true for every case, but I’ve seen twelve patients in the last year alone where it almost completely disappeared.  One of the patients paid $26,000 to do it.  Then she came to me and had the butt implants.  She’s very happy now.

###

To find out more about the Widder Cosmetic & Plastic Surgery Center stop by during office hours: 9 – 5pm, Mon – Fri, or visit our website at: www.widderplasticsurgery.com.

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