Board Certified
Plastic Surgeon
Since 1989

HORROR STORIES IN COSMETIC SURGERY CONTINUE!

Halloween may have passed, but scary results from poorly performed cosmetic surgery continue. In the words of a registered nurse, “One woman I took care of recently had terrible scarring around the ears from a badly done facelift by a ‘cosmetic surgeon’ she later found was not a plastic surgeon. He was really an ENT man, (an ear, nose and throat surgeon), but he hadn’t been board certified in plastic surgery,” she recalls. “The scars behind her ears were wide and thick, and she was complaining that her earlobes were lopsided and misshapen.”  The nurse continues, ““It happens all the time. I hear there’s a gastroenterologist who’s doing liposuction, because he took a weekend course. So now he has a certificate in lipoplasty!”

Despite these frightening stories, the benefits of cosmetic surgery are far more positive when placed in experienced, skilled hands. For example, my full and partial MACS, (Minimal Access Cranial Suspension), procedures lift the saggy deep tissue which presents as deep nasolabial folds, jowls and ‘turkey’ bands. This is accomplished by using strong permanent sutures that are weaved into the deep tissue and anchoring them to higher, strong structures such as bone etc. This method provides longevity to the facelift. Additionally, the skin is elevated vertically, creating a very youthful and natural look. This procedure is suitable for both young and mature patients with different skin laxity and tone.

Today’s facelift surgeries are much different than in the past. There are numerous techniques used, depending on the age of the patient, as well as the condition of the skin, and amount of laxity. Some techniques address the skin’s surface only, while others go deeper into the underlying tissues. In addition, a full facelift will address the entire face, while a forehead lift, cheek lift, or neck lift, addresses the top, middle, and/or bottom sections alone. Some of the more common variations are Skin Only, SMAS Facelift, Deep Plane Lift.

WHICH IS RIGHT FOR YOU?

Skin only: Also known as a cutaneous facelift, this facelift procedure is less invasive due to the fact that it addresses the skin only. The recovery is much quicker and the results are a bit more subtle than some of the other more invasive facelift procedures. Scarring is minimal as it is placed in the hairline just near the temple. This particular facelift offers the lowest risk to patients.

SMAS facelift: This is considered a traditional facelift approach, which in many cases is the gold standard for facelift surgery. It is a process that goes beneath the superficial layer of skin and manipulates a group of muscles known as the superficial musculo-aponeurotic system (SMAS). This surgery does garner more dramatic results with a longer recovery period. The incision is placed along the hairline from behind the earlobe to the temple so that the skin can be separated and lifted. Once the facial structures are in their new position, sutures are used to tighten, and secure the skin for a natural appearance.

Deep plane lift:This lift is appropriate for older patients with severe sagging and drooping. Facial cosmetic surgeons who are experienced in facelift surgery can create natural results even though this is the most invasive of all facelift procedures. This procedure goes deeper than the other approaches and adjusts the tissues and muscles so that deeper wrinkles can be addressed. Loose skin is removed and pulled gently tight for a rejuvenated appearance.

The bottom line in avoiding misinformation is to consultwith aplastic surgeon Certified by the American Board of Plastic Surgery. You will receive a thorough examination and be provided with an astute evaluation as to which Facelift approach is the best for you. My practice will be pleased to provide you with in-depth educational information at no charge. So, feel free to call: (703) 506-0300.

Patient Education is the Key to Better Understanding Breast Cancer & Plastic Surgery

National Breast Cancer Awareness Month calls our attention to the fact that In the United States, breast cancer is the most common cancer diagnosed in women after skin disease. Some 252,000 new cases of invasive breast cancer and 63,000 non-invasive breast cancer events were diagnosed in U.S. women this past year. Aside from lung disease, death rates associated with breast cancer are higher than any other type of cancer.

Receiving a breast cancer diagnosis is overwhelming. Therefore, it is essential for a woman, and her family, to become better educated about breast cancer in order to make informed decisions about your care.

PATIENT EDUCATION

Again, I wish to emphasize that gaining more “Patient Education” is imperative for adult women of all ages. One resource which I recommend women visit is Breastcancer.org where there is a wealth of information about this life-threatening disease, advances in treatment and resources you can utilize. Other helpful sites include: cancer.gov/bcrisktool/

which provides a breast cancer assessment tool; brightpink.org, offering online support for young women considering genetic testing; and

nationalbreastcancer.org, which has a substantial amount of information about this disease and finding support.

Happy Thanksgiving

We have so much to be thankful for this year, most of all YOU!  We are very honored that you come to Widder Cosmetic & Plastic Surgery Center for your plastic surgery needs. This Thanksgiving, we want to share our genuine appreciation for our patients. We’re so thankful for all of your support throughout the year.

If you or your family and friends are considering plastic surgery procedures, contact Widder Plastic Surgery before December 31, 2018 to schedule your Free Consultation and receive 5% off procedure.

What are the Most Popular Plastic Surgery Procedures?

Whether you’re considering surgical or non-surgical cosmetic procedures – The American Society of Plastic Surgeons has reported what the most popular procedures have been and the increase in procedures.

As we age, many factors affect our bodies and skin such as; lifestyle, diet, heredity, and other personal habits.  Gravity, facial movement and sleep positions are secondary factors that contribute to changes in the skin. When the skin loses its elasticity, gravity causes drooping of the eyebrows and eyelids, looseness and fullness under the cheeks and jaw (jowls and “double chin”), longer ear lobes, saggy boobs, loose skin stomach, arms and legs.

What can be done?  The only way to reverse the effects of aging is to have an excellent, reputable and caring plastic surgeon that has plenty of experience in both surgical and non-surgical cosmetic procedures.  Dr. Shlomo Widder has over 30 years of experience, is board certified and a member of ASPS, American Society of Plastic Surgeons and ASAPS, American Society of Aesthetic Plastic Surgery.

While many surgeries will never go out of style like; Breast Augmentations, Breast Implants and Tummy Tucks, many people are scheduling minimally-invasive procedures.  The ASPS has seen a 200 percent increase in Botox, Fillers, and Chemical Peels.  Each year, the number of plastic surgery cases increase, with a 2 percent increase in surgical procedures from 2016 to 2017 (2018 data won’t be available until 2019).  So, what were the most popular surgeries of 2017 into early 2018?

  1. Breast augmentation: Boob jobs will probably never go out of style. The enhancement of a patient’s boobs through the insertion of breast implants, was the most popular surgery according to the ASPS.
  2. Liposuction: 246,354 liposuction procedures were performed in 2017, 5 percent more than in 2016, per the ASPS. Liposuction can be performed under general anesthesia or local anesthesia, alongside other procedures, the relative convenience perhaps accounting for so much popular interest.
  3. Rhinoplasty: The third most popular surgery was the “nose job.”
  4. Eyelid surgery: Roughly the same number of nose jobs were performed as eyelid surgeries—or blepharoplasty, if you’re fancy. In 2017, physicians performed 209,571 total eyelid surgeries, which serve to tighten sagging skin or drooping eyelids, and can help reverse under-eye bags, the ASPS says.
  5. Tummy tuck: Also known as abdominoplasty, the removal of excess abdominal fat and skin and, often, the restoration of weakened stomach muscles rounded off the Top 5 Plastic Surgery Procedures list.

What do you think of this list?  Are any of the 5 listed a procedure that you’re considering?  If so, don’t trust your plastic surgery to just anyone.  Make sure to check credentials, experience and reviews to ensure you’re in good hands. Dr. Shlomo Widder has over 30 years of experience, is board certified and a member of ASPS, American Society of Plastic Surgeons and ASAPS, American Society of Aesthetic Plastic Surgery.  Conveniently located in Vienna, VA to serve the Northern Virginia, Washington DC and Maryland area.  Call today to schedule your free consultation.

Celebrity Plastic Surgery Inspirations

Celebrity inspirations for plastic surgery are the focus of this interview with Dr. Widder, one of Northern Virginia’s Top Plastic Surgeons. The rising popularity in butt augmentation has been influenced by Hollywood’s shapely stars including Jennifer Lopez, Kim Kardashian and even Nicki Minaj have peaked interest in a more uplifting posterior for many patients.

hollywood plastic surgery inspirations

Q: Which celebrities have the butt shapes that women most want to achieve with buttock implant surgery?

Well, the two celebrities most talked about for their butt size and shape are Kim Kardashian and Jennifer Lopez.  Some women seeking buttock augmentation have aspirations to achieve butts similar to  theirs.  You also have Nicki Minaj, but, in my opinion,  don’t try to imitate her butt size.  That doesn’t mean there’s  anything wrong with Nicki Minaj, it’s just that she has elected to have a butt outside of the normal size range.  She’s an entertainer so for her it is part of her performance.  However, what I try to create is a natural-looking butt that is attractive, proportionate, and not excessive in size to a point that it might cause sagginess later in life.

Q: Suppose someone came to you and said, “Make my butt look like Kim Kardashian’s.”  How would you go about it?  What are the features that stand out and how do you go about achieving them?

I really never studied her butt in detail because  they never really show it in detail  or good angles angles.  From the images that I see, I have an idea that it’s a nice, large butt.  My goal is to create fullness on the top of the butt, projection in the mid-section of the butt, and then extend it laterally so that it creates fullness on the side of the butt .  A lot of people have a  depression in the lateral area and many of my patients ask me to fill it up.  Some of them ask me if I can do fat injection there, and I tell them if I would do fat injection, it will most likely disappear within few months. Instead, I enlarge the pockets laterally ,  so the implant  fills up those sections of the butt.

Not everybody is interested in a fuller lateral butt.  Some of them want it a little tighter which makes them look more muscular.  People are different.  Everyone has a different goal and a different image of how they look in their mind.  When they come to the consultation, we discuss everything and I ask them, “What will make you satisfied?  What will make you happy with the way your butt looks?” For most of them, they want to look full on the top,  have a projection in the middle and  fullness laterally.  Some of them though, don’t want that lateral fullness.  Depending on their preference, I can place the implant a little further from or closer to the midline – the crack between the cheeks.  If I place it closer, it gives a tighter, a more muscular look.  If I push it a little bit laterally, it gives a more feminine, full look.

Q: What is more common among famous celebrity butts?  Are they more athletic or more feminine?

I think that they are more feminine.  J Lo and Kim Kardashian are fuller laterally.  There are other celebrities that have good size butts as well, and for most women, it is the femininity that interests them.  Most women I encounter don’t want to have any sharp angles, and the muscular look is more sharp-edged.  However, as I said before,  some people want that.  They are athletic and want to have the appearance of being in good shape.  The majority though, want the femininity, the roundedness, and the nice silhouette they can achieve along the hips and the lateral thighs.

Q: Do you think it is mostly size or shape that concerns patients when they come to you for buttock implants?

Well, it’s a combination.  As I mentioned, we talk about the shape beforehand and I adjust the procedure accordingly.  And patients are definitely interested in the size.  Sometimes it takes patients a little while to recognize the full effect of the change in size.  I had two different patients and I gave each of them the largest implants that I use – 565 cc.  They were both unhappy.  They thought it wasn’t big enough.  Then both of them at different times went to South Beach, Florida.  When they came back from there, they were happy.  They had gotten so much attention there because of their butts that they realized they’d made the right choice.

To discuss options for butt augmentation with Dr. Widder call the office or make an appointment.

Gummy Bear Breast Implants – Just Say Wait

The new Natrelle 410 cohesive gel implants have been conditionally approved by the FDA, but Dr. Widder explains why his practice is taking a wait and see approach. The natural look and feel of silicone and saline implants are an important consideration for those seeking cosmetic improvements.

gummy bear implants

Q: What do you think of the new breast implants, commonly known as the “Gummy Bear” implants?

They have been gaining a lot of interest lately, but for the most part, I really recommend people stick with the softer silicone or saline implants for a natural look and feel.

Q: What exactly are the “Gummy Bear” implants?  How do they differ from the implants you prefer?

The “Gummy Bear” type of implants are made of what is called cohesive gel.  Their official name is the Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Gel Filled Breast Implant.  They are considered form-stable, which means the gel substance makes them firmer than can either silicone or saline.  They are being manufactured by the healthcare company Allergan, Inc.  What they claim is that the implants will provide a natural “tear-drop” shape and that there will be less leakage in the case of rupture.  These claims are not yet proven.

Q: Do the “Gummy Bear” implants have official approval for use?

The Food and Drug Administration (FDA) gave them conditional approval in February of this year, which sparked the current buzz about them.  What people don’t realize is that the FDA’s conditional approval is not an endorsement.  Jeffrey Shuren, M.D., who is the director of the FDA’s Center for Devices and Radiological Health said, “We will be looking at the results from post-approval studies that will focus on their long-term safety and effectiveness.”  So Allergan, Inc. will be conducting a study that will follow 2,000 women and will take ten years.  Basically, the “Gummy Bear” implants are just entering a major trial stage.

Q: Do you have a sense of what the popularity or importance of these new implants might be in the future?

I believe they may show some promise for reconstructive surgery.  I don’t prefer them for the cosmetic surgery I do.  They are firmer and because of that, a larger incision is needed.  They can’t be inserted through a subareolar incision, which is the method I prefer to use.

I’m not the only surgeon who is wary of taking up the “Gummy Bear” fad.  Many doctors want to take their time to learn about them and to be sure they are making the right decision for each patient.  Dr. Oren Lerman of Lenox Hill Hospital in New York City commented on this to CBS in February.  He said, “These new form-stable implants are not necessarily a better product or a better choice for all women.”

I agree with that statement.  I still believe that for augmentation, saline implants are the best.  There is less scarring and they have the feel of a natural breast.  My patients love the results they get from saline implants.

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 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.