What is Botox and what are the side effects?

April 28th, 2012

Thousands of people use Botox injections daily, so as someone who has never heard or utilized Botox injections, one may wonder, what is Botox and what are the side effects?

Botox is purified botulinum toxin and is used cosmetically to prevent or lessen the lines caused by muscle movement.

Dysportis a competitor’s product that does exactly the same thing but begins to work within 48 hours whereas Botox can take 4 to 7 days.  The toxin works by directly paralyzing the muscles it is injected into.  It works best for lines between the eyebrows and forehead lines but can also be used for crow’s feet and lines around the mouth and neck.

Dysport reports there are very few side effects such as the allergic reactions associated with Botox.  Headache is the most common side effect. If the toxin migrates to the eyelid muscles eyelid ptosis or drooping can occur. The effects of Botox can last 3 months or more in most individuals.

By: Dr. David N. Csikai, M.D.

Can a forehead lift be done endoscopically?

April 30th, 2011

Yes, a forehead lift can be done endoscopically and nowadays most cases should be done endoscopically as the technology is available along with numerous clinical studies showing their efficacy.

Performing a forehead lift endoscopically means there are less incisions involved and recovery can take place much quicker than with the archaic coronal approach. But when the endoscope is used for a browlift, strategically placed incisions may be hidden easier or concealed easier than traditional browlift surgery.

By: Dr. David N. Csikai, M.D.

How long after breast augmentation can you drive?

April 29th, 2011

The day of your breast augmentation, we require someone to drive you home. But if you are wondering how long after breast augmentation you can drive, most people are driving within a week.

The reason we recommend that you wait at least a week after breast augmentation to drive is mainly a safety issue.  The patient would need to be off pain medicine, of course, and have the ability to move the arms and turn around as needed.  My patient are able to get their arms comfortably over their heads by two days and are generally off pain medicine at that time.

Pain medicines can often impair drivers or make them drowsy and we recommend anyone taking pain medicines not to drive or operate a vehicle.

By: Dr. David N. Csikai, M.D.

Where can I find free plastic surgery?

April 29th, 2011

It can be difficult to find free plastic surgery.  Most insurance plans do not cover any types of cosmetic surgery or plastic surgery.

Some universities and training programs may offer discounted fees for this type of surgery. Sometimes, plastic surgeons will even offer their services as pro bono for individuals, but this is usually to the discretion of the surgeon performing the procedure.

There is a site I know of called myfreeimplants.com that allows people to have money donated for their procedure, but that would be up to the individual to decide if they would like to go that route.  There are also numerous finance companies like Care Credit that can be of service to you.

By: Dr. David N. Csikai, M.D.

Does a minifacelift include the neck?

April 26th, 2011

No. In general a minifacelift does not include the neck, it generally addresses only the mid to lower face.

A minifacelift is very effective in correcting deeper nasolabial folds along with some jowling.  Also, a minifacelift can help improve the cheek area of the face. To improve the neck, a full facelift(rhytidectomy)or just a necklift by itself would be needed.

By: Dr. David N. Csikai, M.D.

What are the procedures for a breast reduction?

April 26th, 2011

There are various procedures for performing a breast reduction.  The goal of all of these procedures is to reduce breast volume while at the same time improving the overall shape and “lifting” the breast.  The most common technique is called the inferior pedicle technique which leaves the nipple-areolar complex attached to breast tissue underneath.  Rarely would it be necessary to remove the nipple and then replace it.

Many women choose to have a breast reduction after pregnancy or weight gain, among other reasons, due to the fact that their large breast may not only be painful but pose as a threat to their health and wellness. Large breasts can be painful, cause back, shoulder and neck issues, and just be all-around restrictive for day-to-day activities. Most women DO wait until they’ve fully-developed or think they may be finished with having children before they opt to have a breast reduction performed.

Will I gain weight after breast augmentation?

April 25th, 2011

During consults, I have been asked this question many times, “Will I gain weight after breast augmentation?”  and in general my answer is,  ”The only weight gain should be the weight of the implants.”

After the placement of an average size breast implant, the weight gain should be about a pound or a little more per implant. Nothing catastrophic. There will be a little extra weight gained from the initial swelling but that should go away with time.

By: Dr. David N. Csikai, M.D.

What is a tummy tuck?

March 30th, 2011

It’s not uncommon to wonder what is a tummy tuck? The name itself doesn’t really describe what it is or what the procedure entails.

Abdominoplasty, the medical term for what is commonly called a “tummy tuck,” involves surgically removing excess skin and fat from the middle and lower part of the abdomen and sometimes tightening the abdominal muscles. The result is a flatter abdomen, and sometimes, a smaller waist, because the procedure corrects loose, sagging skin and excess fat. Any scars are usually located below the line of a swimsuit or underwear.

Many times, our patients will opt for a tummy tuck after having a liposuction procedure to remove any of that excess skin.

By: Dr. David N. Csikai, M.D.

What is cellulite?

March 15th, 2011

What is cellulite, you ask? Ah yes, the ever-pesky cellulite. So many patients ask what is cellulite on a daily basis and usually it’s followed by “How can I get rid of cellulite?”

Cellulite is a term that is used to describe fat deposits under the skin that outwardly give the skin a dimpled, or orange-peel like appearance. Cellulite is most often seen in women because the fat is arranged in large chambers separated by columns of collagen fibers.

Fibrous strands of tissue connect your skin to deeper tissue layers, creating compartments of ordinary fat cells. When the fat cells increase in size, the compartments bulge and produce the dimpling appearance on your skin.

In overweight people excess fat is stuffed in these compartments causing them to bulge out. On the surface of the skin, the bulging provides the dimply appearance of cellulite, especially in areas such as the hips, buttocks or thighs.

Oddly enough, cellulite is predetermined by genetics so even thin women can develop the appearance. Factors such as hormones, pregnancy, and aging may all attribute to the weakening of the collagen fibers to give the cellulite appearance.

By: Dr. David N. Csikai, M.D.

What Happens If I Don’t Wear My Garments After Liposuction?

March 14th, 2011

We sometimes have some of our liposuction surgery patients call up to our plastic surgery office and ask “what happens if I don’t wear my garments after liposuction” and our answer if simple. The purpose of the garment is to give you support after your liposuction procedure. Not only is the garment supposed to make you feel more comfortable and help with the swelling, but it’s supposed to help with your overall results.  I find that if a garment is not worn as it should be, the liposuction patient does not get as good a result.  Unfortunatley, the patient may be left with contour irregularities, unevenness and are not as trim as they would like to be.

So my advice, wear your garment after your liposuction procedure, you’ll be much happier that you did!

By: Dr. David N. Csikai, M.D.

Dr. Csikai is a top doctor in breast implants on RealSelf.com
Dr. David Csikai is a board certified plastic surgeon whose skilled team at First Coast Plastic Surgery has helped many Jacksonville plastic surgery patients achieve lasting, natural and youthful results. Dr. Csikai and the Jacksonville plastic and cosmetic surgery team at First Coast Plastic Surgery are considered the Jacksonville breast augmentation and Jacksonville breast enlargement specialists. Be sure to browse through our list of plastic and cosmetic surgery procedures to discover more about all of our surgical and non-surgical procedures! Contact one of our cosmetic surgery team members today for more information!
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