What Treatments Build Collagen and Elastin?

Collagen and elastin are essential proteins found in the body that have many important functions. These two proteins work together to give the skin its shape and firmness. As we start to age, our collagen and elastin production steadily decline. Weak collagen translates to crepey, wrinkled skin, while weak elastic fibers contribute to sagging skin.

According to board certified plastic surgeon, Dr. Charles Slack of Allen, there are treatments that can help support our collagen production, “with age, collagen and elastin loss in skin affects how we look.  Venus Viva™ (nano-fractionated radio frequency needling) plus products like Sculptra® and Retin A, help stimulate collagen and elastin production…balancing their loss and making our skin look healthier. I feel these modalities are an essential part of a skin maintenance regimen that will keep you looking younger longerin addition to improvingyour appearance.”

Sculptra® Aesthetic is an innovative product that is injected like a filler. Unlike a filler, Sculptra® causes the body to create its own collagen, making it more of a “volumizer” of the entire face instead of just filling individual lines or folds. Because itstimulates your skin’s natural collagen production, it works more subtly than a filler, gradually producing improvement over time for a more youthful-looking appearance. Many patients who have been treated with it, feel that their results are more natural.

Retin A contains the active ingredient, Tretinoin, a naturally occurring form of vitamin A. Retin A works by speeding up the skin’s metabolism to promote cellular turnover. As skin cells turnover, they increasecollagen and elastin production, while preventing the breakdown of collagen, making it one of the most effective anti-aging topical treatments. In addition, it has been shown to be effective in reversing sun damage as well as some pre-cancerous skin conditions.

When patients need to stimulate collagen production and restore the elasticity of their skin, Devan Jesmer, licensed aesthetician of Skin Remedy MD med spa, uses the Venus Viva device for fast treatments with minimal downtime. This device uses tiny pins that safely deliver heat via NanoFractional Radio Frequency that penetrate into the deeper layers of the skin. The heating tightens collagen bundles in the skin while the needles createtiny micro-dermal wounds, which the body then naturally heals on its own. The healing processresults in the production of collagen fibers and healthy skin cells. The results are smoother, firmer skinwith reduced visibility of textural and hyperpigmentation issues.

Our skin starts to age in our 30’s and although you may not feel that yourskin is looking older, it’s never too early to start counteracting some of the aging process.

See our current Venus Viva special offer on our SPECIALS page

Loose Skin after Weight Loss. Now What?

After weight loss, especially substantial weight loss, loose skin often remains no matter how much diet and exercise you do. Your options to reduce loose skin vary depending on how much loose skin you have. Board certified plastic surgeon, Dr. Charles Slack, will discuss with you the best options for your specific body contouring needs.

Body lift procedures are offered as part of Dr. Slack’s body contouring options. A “body lift” may involve multiple cosmetic surgeries of the upper or lower torso. Post-bariatric patients often desire a total body lift to address the loose skin of the abdomen, buttocks, thighs, arms, and breasts. A combination of procedures can provide body contouring to achieve a slimmer silhouette and a healthier physique by removing excess or sagging skin on multiple body areas.

As a mother, you may desire a mommy makeover to restore your pre-pregnancy body with a combination of cosmetic surgery procedures that can transform your body’s appearance and improve your confidence. A mommy makeover can include some form of a tummy tuck, liposuction, breast lift, breast augmentation, breast reduction or a combination of these surgeries and can effectively reverse stretch marks, laxity of the abdominal skin, loss of abdominal muscle tone, breast droopiness with loss of firmness, fullness and overall volume. The benefits of a mommy makeover can provide improved appearance of the breasts and tone of the body.

Who is a Candidate for a Body Lift or Mommy Makeover?

A body lift or mommy makeover may be appropriate for the following healthy individuals for whom diet and exercise have been ineffective for sufficiently toning the body:

  • significant weight loss
  • multiple pregnancies
  • genetic predisposition
  • loss of skin elasticity with age

If you would like to learn more about which body contouring options are right for you, schedule a cosmetic consultation with Dr. Slack. Contact us today!

Dr. Slack’s photo gallery of his patients’ before and after cosmetic surgery photos may be helpful for you to review prior to your consultation with him.

Tummy Tuck, Liposuction or Something Else?

If you are frustrated by the excess fat and skin around your tummy, there are surgical (tummy tuck and liposuction) and non-invasive (Venus Freeze) body contouring options for you to consider. Despite exercise and healthy eating, many women and men desire a more trim, toned, and tighter abdomen. Pregnancy, for many women, also creates changes that make it difficult, if not impossible, to regain their pre-baby shape with diet and exercise.

Board certified plastic surgeon, Dr. Charles Slack and Licensed Esthetician, Devan Jesmer, will work together to tailor a body-contouring treatment plan designed to help you achieve your desired look.

Tummy Tuck Removes Excess Skin and Fat

Abdominoplasty, more casually known as a “Tummy Tuck”, surgically addresses three common problem areas of the abdomen: excess skin, excess fat, and muscle laxity or separation (rectus diastasis). This cosmetic surgery is performed to make the tummy flatter, tighter, and more youthful in appearance. Dr. Slack offers a range of tummy tuck procedures from mini, modified, to full abdominoplasty. A mini or modified abdominoplasty removes a smaller amount of skin and fat from the lower abdomen well below the navel. With a full abdominoplasty, much of the skin and underlying fat from just above the navel down to the pubic area are removed. Dr. Slack offers a “drainless” tummy tuck which means your downtime and recovery will be faster.

After pregnancy, you may need to add muscle repair to your tummy tuck. During your consultation, Dr. Slack can assess your abdominal muscles and if indicated, recommend tightening them (muscle plication) as part of your tummy tuck procedure. Muscle plication can be performed with any type of tummy tuck and is often needed to achieve as flat a result as possible. There are limits as to how much the muscles can be plicated. As a result, some patients may still have some residual fullness. This is usually due to poor abdominal muscle tone because the diastasis makes it difficult to effectively do core exercises. Plication repositions the muscles more centrally so that core exercises can be done to improve overall tone thus flattening the tummy even more.

Liposuction Just Removes Fat

Liposuction removes only fat; it does not remove or tighten skin. Many people, despite a healthy diet and a good exercise routine, still have localized fatty deposits that are out of proportion to the rest of their body. Liposuction is a good option in these types of patients but not so much in patients that are not living a healthy lifestyle. It is not for weight loss. These patients may see fat accumulate in other areas of their body after liposuction and ultimately may see the areas they had liposuction in become full again if they are not leading a more healthy lifestyle.

For the best body-contouring result, Dr. Slack may recommend combining a tummy tuck with liposuction to remove both the excess skin and fat. To have Dr. Slack help you determine your best treatment plan, schedule a cosmetic consultation with him.

Non-Invasive Skin Tightening

For a non-invasive skin tightening treatment, consider The Venus Freeze® with Devan Jesmer, L.E. at our med spa, Skin Remedy, MD. The Venus Freeze® uses radio frequency and pulsed electromagnetic fields to tighten collagen fibers as well as increases collagen production within the skin, yielding tighter, firmer skin. The Venus Freeze® softens facial lines; firms loose skin and fat pockets on the face, arms, and around the bra strap; contours the abdomen; and lifts the buttocks.

Contact us online or call us at 214-495-6464 to schedule a cosmetic consultation.

When is Eyelid Surgery Better Than Botox?

Our eyes can reveal our age and make us look tired. They are usually the first noticeable signs of aging. Now that we are wearing masks to protect us from Covid-19, as well as engaging in more Zoom conferences, our eyes are even more on display. Board-certified plastic surgeon, Dr. Charles Slack, will restore your youthful appearance with a customized treatment plan for addressing your goals in the eye area. Botox, eyelid surgery and browlifts can all improve the appearance of the skin around the eyes but do so in very different ways. Botox® Cosmetic treatment is well known for improving the appearance of wrinkles around the eyes (crow’s feet) and elevating the eyebrow by temporarily paralyzing muscles around the eye that contribute to these problems. Eyelid surgery, also known as Blepharoplasty and browlifts, surgically removes the excess skin and fat (in the case of a blepharoplasty) that make the upper eyelids look tired and puffy.

Botox® Cosmetic, Jeuveau®, and Dysport® are neurotoxins that are designed for the temporary improvement of moderate to severe lines caused by muscles used for some facial expressions. Using these products does not paralyze the whole face, just selective portions of facial muscles in order to achieve an improvement in appearance. A common fear is that using neurotoxins will create a “frozen” look. This is not the case. With selective injections by a skilled injector, treatments are individualized to each patient with specific goals in mind. This is particularly true for treatment around the eyes. Botox injections are effective at providing smoother skin and elevating the eyebrow (which can reduce the amount of excess upper eyelid skin) producing a refreshed, yet natural appearance. Because Botox is gradually degraded and eliminated by the body, the paralyzation and hence the result is temporary. Treatments need to be repeated every 3-6 months depending on how long it lasts in you. This is both the good and the bad of neurotoxins. If you do not like the way you look, you are not stuck with it for life. However, if do you like what it does for your appearance, you must repeat the treatment. Deeper lines and lines that are present without any facial expressions, may not be completely eliminated with neurotoxins but will usually look better.

As our eyes progressively age, our eyebrows begin to drop resulting in excess upper eyelid skin and a tired, “hooded” appearance. The amount your eyebrows have fallen will determine whether an upper eyelid lift (upper blepharoplasty), a browlift (forehead lift) or both are needed to achieve the rejuvenated appearance you desire. Many patients believe that they need a blepharoplasty when they begin to notice excess upper eyelid skin. However, as you age, the skin on your forehead begins to stretch, causing the eyebrows to drop and excess upper eyelid skin to appear. The amount your eyebrow has fallen will help determine the better option to rejuvenate your youthful appearance. To demonstrate this on yourself, just lift your eyebrow up with your fingers and notice how much improvement there is in the amount of upper eyelid skin.

As our skin ages, it also becomes thinner and easier to see the “puffy” fat pads and dark vessels that appear under our eyes. Lower eyelid surgery (lower blepharoplasty) utilizes a discrete incision along the inside of the eyelid to remove fat from underneath. While the eyes do continue to age after any facial cosmetic surgery procedure, the signs of aging become much less obvious by addressing the folded, excess tissue.

To answer to the question blepharoplasty or Botox, if you have moderate to severe skin excess around the eyes, cosmetic surgery will most likely be required. Botox, however, is a suitable treatment for mild to moderate wrinkling between and around the eyes and can provide some elevation of your eyebrow

thus helping to reduce the appearance of excess upper eyelid skin. Dr. Slack 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.

How to Look Your Best on Zoom

Video conferencing has caused us to take a hard look at ourselves. It has kindled a desire in many of us to want to look better while online. Whether it is tired-looking eyes, crow’s feet, forehead lines or the overall appearance of our skin, both men and women are seeking our help to look younger and more rested during videoconferences. Dr. Charles Slack and our Skin Remedy MD med spa in Allen work as a team to create a customized treatment plan to help meet the needs of each patient . Charles Slack, MD, has repeatedly been voted one of the best Plastic Surgeons in Dallas and Collin County by his peers in D Magazine’s annual “D Best Doctor’s” recognition.

There are many treatments and procedures that can help you look your best on video and in person. Dr. Slack and Devan Jesmer, our licensed aesthetician, work together to help you navigate the many surgical and nonsurgical treatments available as well as product options on the market. They will help you decide if skincare products, injectables, non-invasive cosmetic treatment, surgery or a combination is the best option for refreshing your online appearance.

Customized skincare is the foundation for healthy skin and looking your best. Devan provides complimentary skin care consultations and can help get you started on a medically directed skin care regimen.

Injectables, such as Botox® treatment, can help you look younger by diminishing the appearance of lines around the eyes and forehead, while fillers, such as Juvederm®, smooth the deeper facial lines and wrinkles around your mouth. Other fillers, such as VOLUMA®, restore needed volume to your cheeks.

If you’d are interested in a “no down time- lunch break” option to refresh your appearance, consider having a HydraFacial® treatment. It includes cleansing, exfoliating, and hydrating, with the added benefits of Vortex infusion of antioxidants, peptides, and hyaluronic acid into the skin. This treatment is fully customizable, based on your skincare needs and concerns. It delivers instant results, with visibly refined skin, a uniform complexion, and a hydrated glow with no downtime!

Check out our specials page for our HydraFacial® specials and more!

Droopy or sagging eyelids can make you look tired even when you are feeling fine. Eyelid surgery can make a significant improvement in your appearance, giving you a fresh, rejuvenated look. Eyelid surgery eliminate or reduce excess eyelid skin, fine wrinkles, puffy bags, and dark circles. It may be your best option for long lasting results, especially if injectables and fillers are no longer as effective. Eyelid surgery can be performed on the upper eyelids, the under-eye area, or both. A brow lift, facelift or other cosmetic surgery may be needed in combination to give you the look you desire.

Schedule a consultation with Charles Slack, MD or Devan Jesmer, LE to have them guide you in your treatment plan. Contact us by completing a consultation request online or call us at 214 -495 -6464.

Why Breast Implants with a Breast Lift?

“Often when I ask a patient what it is about her breasts that bothers her, she will tell me that her breasts are droopy. Yet, when I examine her breasts, they are not droopy at all. Instead, they lack or have lost fullness in the upper part of the breasts,” explains Charles Slack, MD.

For Plastic Surgeons, droopiness, also referred to as ptosis, is when part of the lower portion of the breast hangs below the natural breast fold. A breast lift is designed to remove the extra skin that allows the breast to hang down below the fold and to elevate the nipple to a higher, more youthful position. Unfortunately, breast lifts usually don’t restore upper breast fullness to the degree most patients desire. To achieve better upper breast fullness, an implant is often needed. Another misconception is that breast implants alone will lift breasts. In certain instances where the nipple is above the fold and there is only a small amount of droopiness, an implant can create the “appearance” of lifting the breast, but it really does not lift the breast. These two procedures are often performed together to create the look that a patient wants. Another benefit of combing a breast lift procedure with breast augmentation, is that it will save you money as well as time in surgery and recovery.

Savings on Natrelle® silicone breast implants can be found on our new SPECIALS page!

Your first step is to schedule a cosmetic consultation with board-certified plastic surgeon, Dr. Charles Slack. He will discuss with you if a breast lift with augmentation is your best option based on the results you desire. He will need to know your medical history, including any medications or supplements you are taking, past surgeries or medical conditions, and your overall health.  Dr. Charles Slack, voted one of the best plastic surgeons in Dallas and Collin County by D Magazine, will help you achieve a natural look that is long lasting.


Breast tissue changes over time just like everything else in life. Loss of elasticity can cause the breasts to take on a deflated, uneven, or sagging look due to:

  • Pregnancy
  • Breastfeeding
  • Aging
  • Weight changes
  • Gravity
  • Heredity

Breast lift with augmentation can restore the youthful appearance of your breast tissue while providing you needed volume. Your results will be firmer, fuller, lifted breasts with more symmetry.

By having both procedures performed during one cosmetic surgery, you will also save on the cost of anesthesia and reduce your downtime, which means fewer days away from work.

There are numerous types and sizes of breast implants to consider. Natrelle®, Ideal Implants®, Sientra, and Mentor are all options that Dr. Slack offers to his patients.

Now through August 31, 2020, Dr. Slack is offering savings on Natrelle® silicone breast implants! After breast augmentation surgery using Natrelle® silicone breast implants, you will receive $250 in credit toward Botox Cosmetic®, Juvederm® or other skin treatments. As an additional bonus, you will receive 25 units of Botox Cosmetic® treatment.

The best way to consider how you can look your best is to schedule a private 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 to schedule a consultation.

What happens during Breast Implant surgery?

Breast implant surgery is performed to add volume, restore firmness and add fullness to the breasts. Breast augmentation can also subtly lift the breast but not enough to correct significant droopiness. Dr. Charles Slack, voted one of the best plastic surgeons in Dallas and Collin County by D Magazine, helps women achieve a natural look that is long lasting.

After pregnancy, breastfeeding, and/or weight loss, breasts can lose volume and fullness. On the other hand, sometimes you are just not happy with the size of your breasts. A breast augmentation procedure is obviously intended to enlarge the breasts. However, a great surgical outcome involves much more than simply deciding on the cup size you want to be. It is important to choose a board-certified plastic surgeon who has extensive experience in cosmetic surgery. Also important is to be in good physical and mental health and have realistic expectations. In a cosmetic consultation, Dr. Charles Slack can guide you in achieving your desired look.

There are numerous types and sizes of breast implants to consider. Natrelle®, Ideal Implants®, Sientra, and Mentor are all options that Dr. Slack offers to his patients. Choosing the appropriate implant for your breast is a critical part of the process to help you achieve the breast augmentation results you are looking for. The factors considered in determining the right implant for you include:

  • breast shape
  • breast width
  • desired height of fullness
  • natural or rounded look
  • body type
  • desired increase in size
  • your lifestyle
  • Dr. Slack’s surgical judgment and recommendations

Now through August 31, 2020, Dr. Slack is offering savings on Natrelle® silicone breast implants! After breast augmentation surgery using Natrelle® silicone breast implants, you will receive $250 in credit toward Botox Cosmetic®, Juvederm® or other skin treatments. As an added bonus, you will receive 25 units of Botox Cosmetic® treatment. The best way to consider how you can look amazing is to schedule a private consultation with Dr. Slack. He will discuss your concerns and goals in detail with an explanation of what can and cannot be achieved for you with breast augmentation. 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 to schedule a consultation.

The Doctor Becomes the Patient: Dr. Slack’s Experience with Neograft Hair Restoration

I started thinking about it about three or four years ago. I began to notice that I could see the light shining through my hair when I was looking in the mirror. I didn’t really notice any specific bald spots, but certainly my hair was thining and my hairline was receding a little bit. Having two teenage boys with really thick full hair I thought, “Hey I could be that person again.”

This is how Dr. Slack’s own story of undergoing Neograft® Hair Restoration began. But things got serious after grabbing a snack at the hospital one day.

I was paying for a bag of chips at a self-service snack bar in our hospital when I noticed a man on the kiosk security screen. He was wearing my clothes and had a rather large bald spot on the back of his head. I turned around hoping to see someone dressed like me, but I was all alone… just me and my bald spot.

This is the moment that led Dr. Slack to research the latest technology in hair restoration. During his plastic surgery training in the 90s, the “strip method” was used. The surgeon removed a big strip of scalp off the back of the head. They sewed the wound up, but it often left a noticeable scar. Then they chopped up the strip and implanted it as “plugs.” These often had an unnatural look, and recovering from the procedure was painful. Dr. Slack knew he wasn’t interested in that approach – for himself or his patients. But his research revealed a major advancement in hair restoration in a method called Follicular Unit Extraction (FUE). 

With FUE, individual hair follicles are harvested one by one, and implanted one by one. There is no noticeable scarring and the pain is much less than the other, older methods out there. In addition, the fact that follicles are placed individually allows for a far more natural look than could previously be expected with a hair transplant. Dr. Slack explains, “It’s truly an art form, and it’s totally different than the way I was taught to do it.”

Neograft® is a company that developed a medical device to individually harvest and collect hair follicles. So, even though it is called the Neograft® procedure, Neograft® is just a tool used to simplify the FUE method for harvesting hair follicles.

Dr. Slack eventually opted to include Neograft® in his practice (and to use it for his own hair restoration) because he felt they offered the best technology and expertise for success. One aspect that means a great deal to Dr. Slack and his patients is that Neograft® sends Hair Transplant Technicians with a minimum of five to ten years experience to help conduct each hair restoration procedure.

Before a patient undergoes a Neograft® procedure, Dr. Slack visits with them to make sure they’re good candidates. Some people aren’t. Maybe they are young people who are likely to lose a lot more hair, or perhaps they have lost so much hair that there is not enough donor hair left to transplant in order to achieve the kind of result they are looking for. “I’ve turned more people away than I’ve accepted because some are just not good candidates. I would rather them spend their money on something else instead of spending it on a hair transplant that won’t give them the look they are seeking.”

For himself, Dr. Slack prepared for the procedure about a month in advance.

The back of your head has to be shaved so they can see the individual follicles. This look kind of looks awful. Having normal length hair everywhere else and then just a straight  shave in the back  – it’s the classic chili bowl cut. I decided to have my barber kind of do a fade cut about 10 days before my procedure. She wouldn’t cut it as close as I needed it cut, but at least it blended in better after the procedure and didn’t look quite so ridiculous. It also allowed people I knew to get used to my shorter hair cut before I actually had the procedure. To be honest, I would have never walked in and asked for that kind of hair cut but I actually liked it.

Dr. Slack recommends that his patients do the same before hair restoration. Getting a haircut that will work well with the shaved part of your head will make things less obvious. 

Besides his hairstyle, Dr. Slack started thinking about pain control. As a plastic surgeon, his patients’ comfort is always on his mind, but things are a bit different when planning for your own pain control.

The only thing I was worried about was having to get the numbing shots in the back of the head. Local anesthetics (lidocaine or Marcaine) are injected into the back of the scalp wherever the grafts are going to be implanted. I didn’t really relish the idea of multiple needle sticks but they were surprisingly not that big of a deal. A little a vibrating device is used to “distract” the nerves during the injections, so it wasn’t nearly as bad as I thought it was going to be. Some people may want to take a small dose of valium or hydrocodone prior to the surgery, but I couldn’t really prescribe them for myself legally. I didn’t really need them anyway.

Once his head was numbed, Dr. Slack was ready for his procedure to begin. The entire thing, from harvesting to implanting the follicles took about eight hours. The first few hours, when the follicles were being removed from the back of his head, weren’t too bad.

I was face down on a massage table when they were harvesting from the back of my head, and I would lie on my side one way or the other when they were harvesting from the sides. When I was on my side I just slept. When I was on my stomach I was on my phone, since there is a hole cut out in the head rest you can look through. I surfed the internet, answered emails and watched Netflix. So that was no big deal.


The part that was a big deal was simply being in a chair for so long. Dr. Slack appreciated taking a break to check emails and stretch his legs and a longer break to get lunch after the follicles had been harvested.

I came back to my office – we ordered from Jason’s Deli. I had a nice corn beef sandwich and some soup. The technicians had a little lunch break, too. It felt good to get up and move around and not be in the chair.

However, Dr. Slack found the next step – implanting the follicles – to be the most difficult. They had to access his hairline in the front and the bald spot on the back, so he was propped upright by pillows. He admits he found this uncomfortable after a while.

When they’re putting the hairs in, you’re just sitting up in the chair and they’re putting them in wherever they need to put them in so you can watch TV. We’ve got an iPad stand that you can use so you can watch Netflix or something else during the implantation. That’s the only time for me it got tedious.  In that last hour, I was ready to be done and felt kind of uncomfortable sitting in basically one position for so long. 

Once the procedure was complete, Dr. Slack was able to drive himself home since he had not taken any Valium or Hydrocodone. He had a light bandage on his head, and sat up and watched the Mavericks game, using a little Tylenol for pain. The next morning he washed his hair according to the same instructions he gives his patients – pouring soapy water over his head and then pouring more water over it to rinse. No rubbing or scrubbing.

I’d say the biggest problem for me was finding a comfortable position to sleep in. If you put the grafts in the back of your head to cover a bald spot, you can’t lay on the back of your head or you’ll dislodge your grafts. So the recommendation is you sleep with your head a little propped up off your pillow. I used one of those airplane pillow that goes around your neck, and I just couldn’t get comfortable. It was really hard to sleep that first night but it got better the following nights.

Over the next few days, Dr. Slack was prepared for what to expect from his experience with is own patients.


I knew I could go back to work in a couple days if I wasn’t self conscious about having some bruising, eye swelling, and maybe some scabbing. I went back to work and saw patients two days after I had the procedure, and did surgery a couple days later. Remarkably, nobody ever really commented on how I looked unless I pointed it out to them.






Dr. Slack did experience swelling around his eyes at day three or four, but that wasn’t too bad for him, as there was minimal pain. He was able to manage the discomfort with Tylenol, and he says, “it was not a bad recovery at all.”

Dr. Slack likes to remind everyone that the follicles will grow hair a little at first, but not to get too excited – this hair will fall out and it will take about eight months for the follicles to come out of their dormant state and begin growing new hair for good. This was Dr. Slack’s own experience and it’s been the experience of his patients, too. Even so, it didn’t prevent him from enjoying himself.

It isn’t Amazon prime. It’s not going to be on your doorstep tomorrow morning. You really can’t judge the results for about a year or so. But by two weeks I went on a boys’ trip to Detroit to watch the Cowboys and the Michigan games. I didn’t feel self-conscious one bit, and it didn’t look like I had anything done. I was fine. 

Men don’t come in for a lot of procedures. They may come in for Botox, or maybe some liposuction, but clearly what bugs men the most is not having their hair.


It was the same for Dr. Slack, and he seems to have found a solution to offer his patients that worked for him, too.


What You Should Know About Plastic Surgery Videos on YouTube

Everyday people watch more than a billion hours of YouTube. Increasingly, those hours include some time searching for health information and watching plastic surgery related videos in particular. Unfortunately, many of these videos are low quality and should be watched with caution, says new research published in the journal Plastic and Reconstructive Surgery.

Researchers graded over 500 videos on subjects like breast augmentation, breast lift, breast reduction, eyelid surgery, face lift, and tummy tuck. The videos analyzed came from a variety of sources, mainly physicians, patients, and product companies.

The videos were rated using the EQIP (Ensuring Quality Information for Patients) scale, scoring on a wide variety of criteria including:

  • Quality and accuracy of information presented
  • Clarity of video sponsorship or funding
  • Disclosure of risks, potential complications, and alternative treatments

With the average video scoring 13 out of 27 on the EQIP, the results of the study were not encouraging.

“Patients should be aware that the information contained in aesthetic surgery videos could be of low-quality and has the potential to be inaccurate,” said Ash Patel, MBChB, senior author of the study in this press release. “It involves a little research from the viewer, but they should check if the video is produced by a board-certified plastic surgeon.”

YouTube is a social media and entertainment platform, never intended as a gatekeeper for high quality medical information. Nonetheless it is a place where people seek this kind of information, and what they find often influences their health care making decisions.

That is why we urge all our patients to use a critical eye whenever viewing plastic surgery information on social media platforms like YouTube. Here are some questions to ask yourself the next time you view one of these kinds of videos:

Who produced the video?

Anyone can upload a video to YouTube and say nearly anything they want, but, according to the study, videos created by physicians tended to be of higher quality. Make sure the video you are watching is produced by a legitimate medical center, government entity, plastic surgery society, or board certified plastic surgeon. Look for logos and links to websites for verification.

Is the language general or product specific?

No one product, medication, or surgical procedure is perfect for everyone. Watch out for videos that appear biased toward one brand, as they are likely sponsored and created primarily to sell you a specific product. Language should be clear with limited use of jargon, and products should be presented using generic names. Not all sponsored videos are bad, but this information should be clearly disclosed.

Are risks, complications, or alternative treatments mentioned?

A well trained board-certified plastic surgeon is trained to put the patient first, and sometimes this means saying no to certain procedures. A careful balance of risks versus benefits should be part of every treatment decision. Pre-existing medical conditions and lifestyle choices are among the many considerations that come into play. A high quality video will address issues like risks, complications, and treatment alternatives to some degree.

Here, at North Texas Plastic and Reconstructive Surgery, we encourage you to do your homework when it comes to medical procedures and choosing a plastic surgeon. The internet, YouTube, and other social media can be terrific sources of information, as long as you use a critical eye. Always back up any information you learn there by talking to an actual board-certified plastic surgeon who knows you specifically, like Dr. Slack. And be on the look out for Dr. Slack’s new YouTube channel coming soon.

If you have questions about something you’ve seen on the internet, contact our Allen, TX office. You can make an appointment for a consultation today