Beauty is a Choice! Now, During Cooler Fall Weather is the Best Time for Plastic Surgery in Dallas-Ft. Worth

When the leaves on the trees start to change, it is time for certified Dallas-Ft. Worth plastic surgeons to get ready. Fall is an ideal time for people who are not quite ready to deal with the summer heat and humidity of Texas summers. It also happens to be a great time for patients seeking elective cosmetic surgery procedures in Dallas-Ft, Worth because their recovery will be much easier during this season.

No one really wants to wear a tight, extra layer of clothing during a hot Texas July and it’s hard to hide a compression garment under a bikini further limiting typical summer fun activities. Cooler weather and the inherent clothing changes that occur along with it make wearing these garments more comfortable and easier to conceal under bulkier clothes (allowing for a more discrete recovery period) during. the fall.

The Holiday season also tends to provide more opportunities for time off from work. Extra days off or large blocks of time off from work (teachers) around the holidays provide ample time to get through the more difficult early stages of recovery without having to take additional days off from work. Changes in the ability to work from home due to COVID have also made it easier to recover from a job standpoint as many patients can easily work from home 3-4 days after surgery if not sooner depending on what procedure they had done.

The timing of surgery to full healing/recover also make this an excellent time of year to have surgery. The healing process takes 6 months. Although most will feel like they are back to normal much sooner than this, they won’t actually look their best until they are fully healed. Swelling is significant for the first 2 weeks after most procedures. By 2 months most, but not all of the swelling has resolved: however, there still can be fluctuations with increased activity or high salty diets. At 6 months all the post-surgical swelling will have dissipated. Consequently, having your surgery during the fall puts you on track to look your best by Spring.

If these reasons are not enough to get you thinking about having a cosmetic procedure this fall, there is one last one. It’s the gift giving season. The gift of a cosmetic procedure to someone who has been considering one or to yourself is a great idea and is usually much appreciated. 

We are just as happy to see you during this time of year! Make an appointment today and learn more about Fall Plastic Surgery season at North Texas Plastic and Reconstructive Surgery in Allen, TX by calling 214-618-2442 or visit us online HERE. We have over 20 years’ experience providing both surgical & non-surgical cosmetic procedures.

Plastic Surgery Insights from Dr. Slack

Breast Reduction Age

How Old Do You Need to Be to Have a Breast Reduction

Unfortunately, there is not a “textbook” answer to this question. There are many different factors that come into play when deciding with the patient and her parents whether a breast reduction procedure is warranted, including age, but this is not the only factor. The age of a patient most commonly comes into play when considering future breast growth.  The patient’s mental and emotional maturity are also important as they relate to how they will handle post-surgery scars as well as any potential complications should they arise.  If there isn’t enough of either, then I would recommend they wait a little longer before making the decision to have a breast reduction.

An understanding of the time frame of breast development in young girls is an important first step in determining the timing of surgery. Waiting until after breasts have stopped growing is preferable to performing a reduction procedure while they are still enlarging. Breast growth typically stops around 2 years after the onset of menstruation. Exceptions do exist in which the breasts are so large before they are fully developed that they are causing significant physical and psychosocial issues for a young woman. This does present a dilemma about what to do for everyone involved (patient, parents, and plastic surgeon).

Other important things to discuss during all breast reduction consultations with any woman of child-bearing age but particularly a younger woman is that her breasts will likely enlarge again when she becomes pregnant and may remain enlarged after pregnancy. Further, breast reduction surgery can result in the inability to breastfeed. The scars that are created after a breast reduction are also important to go over. I emphasize that they are permanent. They do fade over time but that does not mean that they fade away or completely disappear. The availability of information on the internet has created many problems for doctors in managing patients but for me it has been helpful in counseling young women considering breast reduction because they have usually already read about breast reduction but more importantly have seen pictures of the scars and even video of the procedure.

The youngest woman I have ever done a breast reduction on was 13 years old. I am not sure I would consider doing a breast reduction on anyone younger but that would depend on the individual circumstances surrounding the patient. As you can imagine, large breasts in an adolescent girl can be a significant problem, limiting her ability to participate in physical activity or the sports she loves as well as exposing her to potentially hurtful comments about her appearance from other, not so, sensitive adolescents. The ability to wear the styles of clothes other teens are wearing is also a consistent source of embarrassment and frustration. Trying to cope with all these issues during this delicate time of psychological development often leads to self-esteem issues and depression.

The 13-year-old girl who I referenced had 6 pounds of breast tissue removed from EACH breast. Her parents and I were couldn’t believe t her metamorphosis just two weeks after surgery, as she went from being a shy person with low self-esteem into an outgoing young woman without the physical limitations caused by large breasts that made it difficult for her to run or buy clothes off the rack. She felt so much better about herself. You could see it not only in how she carried herself, but you also saw it in her eyes. Her true bright, happy personality blossomed. It was truly life changing for everyone involved. 

I cannot explain to you how gratifying it is to be able to do that for someone and how reaffirming it is to me personally that I am doing the right thing for them.

If you or your daughter have questions about breast reduction procedures, please reach out to us, especially if you are in Allen, Plano, McKinney, or Frisco, TX, or the North Texas area.  We would be glad to help you as well.  Call or contact us HERE.

Skin Care and Anti-aging Insights from Devan Jesmer and Skin Remedy MD

What is the Most Effective Product for Anti-Aging

Believe it or not, sunscreen is the best product for anti-aging. Maybe it’s not what you would expect, but investing in a sunscreen that you enjoy wearing every day, and reapplying 1-2x a day, or every 2 hours when outdoors, is the biggest investment you can make in your anti-aging skincare regimen.

Spending the time and money on SPF now, is an investment that helps save money down the road, when you would otherwise need to consider peels, lasers, micro-needling and other treatments to undo only some of the damage caused from unprotected time in the sun.

To put it simply— UV light is a class 1 carcinogen, and wearing sunscreen is one of the ways that you can prevent skin cancer, as well as photo damage that causes aging. Up to 90 percent of the visible skin changes commonly attributed to aging are caused by the sun. Such changes are usually sunspots, wrinkles, loss of elasticity, and a leathery appearance, and they are typically seen many years after most of the sun exposure happened. (US EPA)

With proper protection from UV radiation, most premature aging of the skin can be avoided.

How much do I need to apply?

We recommend 1/4 a teaspoon for face, and another 1/4 teaspoon for ears and neck. Three finger lengths of SPF is equivalent to about 1/4 a teaspoon, so this is an easy way to measure the proper amount of sunscreen without having to break out your measuring spoon. Then, an additional teaspoon per each leg, each arm, on abdomen/chest and on your back.

How often should I reapply?

If you’re going to be outside in the sun, we recommend seeking shade whenever possible, and wearing UPF 50 clothing. Reapplying sunscreen every 90 minutes to two hours, depending on if you are going to be in the water, is crucial to prevent UV damage.

Day-to-day, we recommend reapplying 1-2x a day depending on your work situation and lifestyle. If going outside for lunch, or working near windows, we recommend reapplying around lunch time. If you are indoors all day and not near windows, reapplying once before you leave work is also a great idea. Cumulative sun damage from driving, or quick walks outside easily add up over time.

Here are a few Q&A tips:

What is the best way to reapply sunscreen?

The first is easy— simply take another three fingers of sunscreen and apply to your face.

If you are wearing makeup, use a dry sponge and dab a liquid SPF over your makeup. For the most part, this should help to keep makeup intact, but sometimes people also like to reapply a little powder and blush back over the next layer of SPF.

Another great way to reapply over makeup is with the Skinbetter Sunbetter Tone Smart SPF 68 Sunscreen Compact for light – to medium/tan skin and the Skinbetter Sunbetter Sheer SPF 56 Sunscreen compact which is sheer on all skin tones. This applies seamlessly alone or over makeup, making SPF reapplication a breeze.

If you have questions about sunscreen contact us by reaching out to us here: skinremedymd@drslack.net— we are happy to help!

Plastic Surgery Insights from Dr. Slack

How Much Does A Breast Augmentation Cost?

Not surprisingly, one of the most searched terms relative to breast augmentation is “what does a breast augmentation cost?” Costs actually vary from Plastic Surgeon to Plastic Surgeon as well as from region to region across the country. So short of actually contacting a Plastic Surgeon’s office and asking, it is difficult to get an accurate answer. In some cases, even doing this may not give you the total cost of a breast enhancement procedure.

There are several cost components to a breast augmentation, and it is important to know that each one has been included when asking for a quote. These include the fee the surgeon charges to perform the procedure, the fee the anesthesiologist charges for providing anesthesia services, the fee the facility charges for using the operating room and the cost of the breast implants.

None of these charges are standardized but there are some general rules to be aware of. For instance, having the procedure done in a hospital will generally cost more than having it performed in a surgery center or doctor’s office. The type of breast implants you choose will also affect the cost. Silicone breast implants cost more than saline implants (about $1000 more a pair) and as you move to more cohesive (gummy bear) silicone implants the cost increases as well (about $1000 more a pair then standard silicone gel implants). As you can see, it is important to know what to ask for or you may be in for a little sticker shock when see the final quote.

For reference, the cost of a silicone breast augmentation, soup-to-nuts, is about $6,000.00 and the cost of standard saline breast augmentation is about $5,000.00.   Breast augmentation with Ideal saline implants is around $6,000.00.  This is due to the increased cost of the Ideal implants. These fees include all pre- and post-op visits. Again, this is just what my office charges for an augmentation, but I believe it to be fairly representative of the Dallas-Ft. Worth area.

Dr. Charles Slack is an award-winning Board-Certified Plastic Surgeon whose office is based in Allen, TX and serves the surrounding areas largely in Collin County.   He is known for being incredibly compassionate and providing excellent results and care. 

If you are looking into a breast augmentation, or other plastic surgery procedure, contact us HERE, or call the office at 214-495-6464.  We would love to help you on your journey. 

Plastic Surgery Insights from Dr. Slack

 

 

What, No Drains with a Tummy Tuck????

Drains are a necessary evil after many different surgical procedures . They are placed to prevent the complication of seroma from developing. A seroma is the collection of fluid beneath the skin within the surgical site. It forms due to the normal leakage of fluid, serum and blood , from the raw surfaces of freshly cut tissue. Serum is the clear yellow fluid that you see oozing from a scrape after the bleeding stops. In plastic surgery there are many procedures that separate the skin from the underlying tissue so that it can be tightened . This creates a space , known as “dead space, ” that can fill up with fluid. This dead space is particularly large after a tummy tuck ; hence, the collection can be significant.

In general , seroma’s are not dangerous; however, they often produce an undesirable fullness beneath the surgical site and in rare instances can become infected. Further the presence of fluid between the skin and the underlying tissue prevents them from healing together. Therefore, it would be advantageous to prevent them from forming.

For many years, JP drains have been the staple for preventing seroma formation. These tubes , placed under the skin, drain the fluid out of the area so the raw surgical surfaces can heal. They are left in place until the fluid output falls below a certain amount (typically 30cc’s in 24 hrs) . For a tummy tuck they are usually in for at least a week. JP drains are excellent at preventing seromas but not 100 % and most would tell you they are no fun to have hanging out of your body for a week.

Another solution is to close the dead space created by surgery so there is no room for fluid to accumulate. This “drain free” option uses a suturing technique known as “progressive tension sutures” to prevent seromas. Studies have shown progressive tension sutures to be as effective if not more effective at preventing seromas then JP drains. They also result in less tension on the incision which can make for a finer scar. Downsides are the potential for the sutures to cause subtle indentations under the skin where they are placed. Since the sutures are dissolvable these indentations are generally temporary.

Seroma is the most common complication after a tummy tuck and is seen frequently with other cosmetic surgery procedures as well. It is important for your doctor to explain this to you and to go over the options that he or she will utilize to try and prevent it from developing. If you are interested in learning more about tummy tucks in or near Allen, TX and specifically drain free tummy tucks, please call to set up an appointment with Dr. Slack or connect with us online here.

Dr. Slack is a board-certified plastic surgeon serving the communities of Allen, McKinney, Frisco and Plano since 2001.

Schedule a Consultation Today!

Our team would be happy to go over your options and create an individualized plan for you through an in-person cosmetic consultation. To schedule a consultation, contact us.

Plastic Surgery Insights from Dr. Slack   

 

No narcotics after a tummy tuck, are you crazy?

In response to the opioid crisis in America, the US government asked physicians to consider prescribing less narcotic medication. This ask included reducing the number of narcotics patients were given after surgery. Some even went as far as suggesting no narcotics after surgery. I felt trying to reduce the number of pills prescribed was a good idea, but I didn’t feel that I gave that many pills out to begin with. No narcotics after surgery seemed unreasonable because there is pain after surgery, just ask anyone who has had surgery.

While Opioid pain medications are great for pain relief, they frequently have side effects that are not so great. Constipation is one of the most common ones and can be quite severe. Other issues range from a vague sensation of feeling “weird” while taking them to more concrete problems like nausea, dizziness, itching and in some cases inability to sleep due to feeling “wired”. Beyond these side effects, there are some individuals who can become physically addicted after their first exposure to opioids. All the more reason to limit opioid use or to avoid their use all together if possible.

Over the years, I had attended several lectures on non-narcotic recovery after surgery but found it hard to believe that anyone could recover without narcotics given the type of procedures I perform. Withholding a narcotic after surgery seemed like cruel and unusual punishment and a misuse of modern medicine even if the goal was noble. I was specifically concerned about how my tummy tuck patients would do. Then, as fate would have it, soon after one of these lectures I saw a patient for a tummy tuck who had a family history of addiction and did not want to have any narcotics after surgery. I told her I was concerned that she might not do well but that there were non-narcotic regimens we could try.

These regimens involve taking multiple medications several hours before surgery and then taking them regularly for 3- 5 days after surgery whether you are hurting or not. Each medication works to block different pain pathways. Working in concert they can provide very effective pain relief. This was indeed the case with my patient as she did remarkably well on this regimen. I subsequently started using it on more of my tummy tuck patients with similar success and then started using it for other typically less painful surgical procedures. Although I have found it works well in the majority of patients it does not work in everyone. At times I do have to prescribe an opioid for a few days but generally the amount I am giving is much less.

It is important to understand that each of us has a unique way in which we experience and deal with pain. The type of procedure you are having, your previous experiences with pain and your medical history all factor into what you may feel and consequently what medications you may need after surgery to control your pain. Given so many variables it is difficult to accurately predict what you specifically will experience after a particular procedure. As a consequence, it is incumbent on you and your surgeon to have an open discussion about what to typically expect and what options for pain control you are comfortable with. This is just a starting point.

Flexibility after surgery is critical if pain control is not adequate or the side effects of pain medications are not tolerable. The expectation of having no pain after surgery in not a reasonable expectation. Your pain level should be manageable with the proper medication; hence, the concept of pain management.

Our team would be happy to go over your options and create an individualized plan for you through an in-person cosmetic consultation. To schedule a consultation, contact us.

Award Winning Scar and Skin Repair Treatment

Venus Concept Venus Viva™ has been named Scar & Skin Repair Treatment of the Year from the My Face My Body Global Aesthetic Awards for 2020! The Venus Viva aesthetic device was recognized for innovation and customer excellence. Top plastic surgeon, Dr. Charles Slack, is pleased to offer Venus Viva treatment in his practice. Devan Jesmer, a highly experienced licensed aesthetician, provides this skin resurfacing treatment at his Skin Remedy MD med spa in Allen. 

Venus Viva is remarkably effective on acne scars, stretch marks, rosacea, enlarged pores, uneven skin texture, dyschromia (discoloration), pigmentation, and deep wrinkles. It is a highly customizable device that delivers exceptional results, while being safe for all skin types, regardless of age or skin color. The device works by delivering energy deep into the skin, using tiny electrode pins to create micro-dermal wounds with minimal impact to the epidermis. As the skin heals, it naturally boosts collagen and elastin production in your skin, resulting in healthier, firmer looking skin.

Rapid results and recovery mean you can be seen on your next Zoom call the following day! Results can be seen after only one treatment, but 3-4 treatments are recommended for optimal results. Treatments are typically done a month apart. Maintenance treatments two or three times a year are beneficial. For the best price, ask Devan about treatment packages. 

Devan offers a complimentary consultation to access your needs and will tailor a treatment plan specifically for you. To schedule your consultation, email her at skinremedymd@drslack.net or call 214-495-6464. 

Which Breast Implants are Best, Silicone or Saline?

Patients often ask if saline or silicone breast implants are better for breast augmentation. Understanding the characteristics of the various implants is key in choosing the appropriate implant that is going to achieve thelookand feel you desire. There are many types, sizes and profiles of breast implants to consider. Dr. Charles Slack, voted one of the best plastic surgeons in Dallas and Collin County by D Magazine, will work with youto select the appropriate implant for your procedure.

If your main goal for breast surgery is to enlarge your breasts, breast augmentation with either saline or silicone breast implants will accomplish your goal.

So, what are the differences between saline and silicone? Dr. Slack explains,“I think there are basically four important differences…implant feel, risk of seeing or feeling “rippling”, cost, and what happens when they leak. Most patients,after feeling saline and silicone implants, will tell you that the silicone implant feels more natural.”

This is because silicone is a thicker substance that is closer to the consistency of natural breast tissue. Saline implants generally feel “more watery”, which is no surprise, since they are filled with saline (which is essentially water). The better feel is important to consider if you have very little breast tissue.  The more breast tissue you have between your skin and the implant, i.e., the more thickness, the less noticeable is the difference in the feel. For instance, someone with C or D cup breast, wanting an augmentation,often will not be able to tell the difference between the two but for someone with an A or B cup, the difference is very noticeable. An exception to this is the IDEAL IMPLANTS® saline breast implant. It’s unique dual lumen, structured design results in a much more natural feeling saline implant.

Rippling, seeing or feeling implant undulations, goes hand in hand with implant feel. That is to say that the more “watery” an implant feels, the more likely you are to see and feel rippling, particularly if you have very little breast tissue. This problem can be seen with both silicone and saline implants but is more common with saline implants. Different thicknesses of silicone, known as silicone cohesivity, are available to help mitigate this risk with silicone implants and the design of the Ideal saline implants makes this problem very unlikely.

One advantage of saline implants over silicone is what happens when the implant leaks. All implants have a chance of leaking over the time they are in your body. The general risk is 1-2% per year that your implant will leak, so by 10 years the risk that your implant has leaked is 10-20%. If a saline implant leaks, there is usually an obvious difference in the appearance of your breast in a matter of days. The saline that leaks out is essentially water and is reabsorbed by your body. When silicone implants leak, there is little if any indication that there is an issue. This is referred to as “silent rupture”.  Since newer silicone implants are filled with more solid cohesive silicone gel, less silicone actually comes out of the implant when there is a leak. Silicone that does get out is usually contained within the scar tissue shell (capsule) that is formed by your body around the implant. Silicone, is not however, reabsorbed by your body. When it leaks it just stays there. Is this dangerous? As background, silicone implants were taken off the market in the United States for primary breast augmentation by the FDA in 1992. At that time there was a concern that silicone implants were causing health problems, specifically, autoimmune diseases, to develop in some women with silicone implants. Over the next 15 years, much research was done to investigate this issue. In 2007, after reviewing the data, the FDA felt there was not a link to autoimmune disease or any other medical issues and allowed them back out on the market. Despite this, many women still feel that their implants, both silicone and saline, leaking or not, were making them feel ill in a variety of ways. This is known as breast implant illness (BII). To be clear, breast implant illness is not a medically recognized disease, yet many feel they have it. At the request of those who felt they were affected; the FDA looked at breast implant concerns again in 2019. They found no evidence that breast implant illness existed but recognized that the symptoms of some women were alleviated after removal of their implants. As a consequence, they required labeling on implants warning about the possibility of getting breast implant illness from breast augmentation.

Finally, there is a significant difference in cost between silicone and saline implants. Silicone implants are generally about $1000 more a pair than standard saline implants. As mentioned previously, there are different degrees of cohesivity (thickness) among silicone gel implants and unfortunately as the cohesivity goes up, so does the cost. Although they are saline, Ideal breast implant pricing is more in line with the standard cohesive gel silicone implants.

Dr. Slack uses Natrelle®, IDEAL IMPLANTS®, Sientra, and Mentor breast implants for breast augmentation depending on which one he feels will provide the best results. He is offering a savings of $500 off breast augmentation with Natrelle silicone breast implants for those placing a deposit by January 29, 2021 for surgery by March 31, 2020! He is also offering aBONUS for selecting Natrelle® silicone breast implants! For details, see our SPECIALS page!

There are many other factors to consider beyond silicone or saline, including the size, type and profile of implants, their position in the chest area (on top of the pectoral muscle or partially under the pectoral muscle), and where the incision will be made. Dr. Slack can help you make these decisions by assessing your body shape, lifestyle, and overall goals.

Your first step is to schedule a private, cosmetic consultation with Dr. Slack. He will discuss your concerns and goals in detail. Patients find Dr. Slack to be the kind of surgeon whose wisdom and compassion make him easy to talk to about the sensitive topic of breast surgery. Contact Dr. Slack today.

Natural Looking Hair Restoration Results


Hair loss treatment options have improved tremendously! Your hair can be restored to a more natural, youthful appearance with little downtime. Thicker, fuller hair can be achieved through a minimally invasive technique called follicular unit extraction (FUE), a major advancement in hair restoration. Dr. Charles Slack in Allen highly recommends NeoGraft, a device utilized to harvest individual donor hairs from the back of your head and transplant thehairs to your crown or along your hairline.

Four years ago, Dr. Slack began noticing his own hair was thinning and his hairline was receding. After researching the latest technology in hair restoration, he chose to have the Neograft® treatment. Although Dr. Slack planned and designed his new hairline, the procedure was performed by highly trainedHair Transplant Technicians employed by Neograft.These technicians have more than five years of hair transplant experience and work throughout the United States. Dr. Slack opted to include Neograft® in his practice because he felt they offered the best technology and expertise for success. Read more about Dr. Slack’s personal journey in his blog, “The Doctor Becomes the Patient: Dr. Slack’s Experience with Neograft Hair Restoration.”

The Neograft® technology, a new method of individual donor hair harvesting, called FUE, is a tremendous improvement over the older method of removing a whole strip of hair from the back of the scalp. FUE involves harvesting and implantation of individual hair follicles one at a time for a more natural hairline and a much more comfortable recovery with minimal scaring.This advanced technology results in minimal discomfort for patients, no stitches, or staples with a shorter more discreet recovery time.

Neograft® is a harmonious blend of technology and human artistry. A hair transplant specialist uses the device as a tool to create your new hairline with the implantation of each follicle. The result is a natural looking, thicker, and fuller head of hair.

Benefits to the NeoGraft® Procedure:

  • Natural looking results
  • Least invasive procedure for hair transplantation
  • Patients who receive the NeoGraft® procedure feel little to no discomfort
  • No stitches or staples are used in the NeoGraft® procedure
  • No unsightly linear scar
  • Flexibility for any hair style of your choice, short or long
  • Shorter recovery time – patients can typically go back to work the next day
  • Fewer restrictions on your normal daily activities

To view before and after photos of Dr. Slack’s patients, see our NeoGraft photo gallery.

To schedule a consultation with Dr. Slack, contact our office.