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Dr. Williams would like to introduce you to a new technique for managing pain after Abdominoplasty Surgery i.e. the Tummy Tuck! Long gone are the days of a bent over recovery! Dr. Williams' patients are now experiencing a much more positive surgery experience. This is all in thanks to an injectable local anesthetic used at the time of surgery. Exparel is used to relieve pain after surgery without the side effects faced using large doses of narcotic pain killers! Dr. Williams is continuously looking into new techniques to better the lives of his patients. This technique is an improvement upon the non-narcotic pain pump placed with a catheter, which had to be removed post operatively. Pain is the number one concern of most patients when deciding on whether to have a Tummy Tuck. Now it's one less thing to worry about!

 Visit http://www.exparel.com/what-is-exparel/clinical-studies.shtml for more information!

WHAT'S THE NEWEST FOR "TUMMY TUCKS" (ABDOMINOPLASTY)

While attending the Scientific Meeting of Aesthetic Plastic Surgery Society in New York City April 2013, a revolutionary concept of pain management for "Tummy Tuck" surgery was presented.

One of the major concerns of any woman considering a "Tummy Tuck" (Abdominoplasty) is the pain associated with this procedure.  During pregnancy, the abdominal muscles separate to allow for the enlargement of the uterus and growth of the baby.  After pregnancy, this separation results in a bulging appearance of the abdomen.  During the "Tummy Tuck" procedure, this muscle separation is repaired by suturing the muscles back together.  Suture repair of the abdominal muscles is the reason why "Tummy Tucks" are painful.

At the Aesthetic Surgery Center, a pain pump has been placed for all patient's having "Tummy Tuck".  Two small plastic type tubes with perforations like a "soaker hose" are attached to a small ball-like pump.  These "soaker hose" tubes are placed beneath the sutured abdominal muscles.  The pump then delivers a long acting local anesthetic (bupivacaine) to the muscles through the "soaker hose" tubing beneath the muscles.  The pain pump delivers a constant infusion of a numbing local anesthetic (non opioid drug) to the muscles for about three days.  This pain pump has significantly reduced the pain associated with this procedure.

Instead of using catheters and a pump to deliver this local anesthetic Pacira Pharmaceuticals has developed EXPAREL that is bupivacaine in a liposomal injectable suspension.  What is that??? The technology is unique , high tech, and complex.  Pacira's drug delivery technology called DepoFoam uses microscopic lipid (type of fat) spheres called liposomes to encapsulate drugs, and then release them over a desired period of time.  EXPAREL that is FDA approved is injected at the time of surgery into the abdominal muscles that are sutured.  The local anesthetic is released directly into the muscles over the ensuing next several post operative days.  Forget about the "soaker tubes" and carrying around a pump after surgery.

Look forward to seeing this exciting NEW technology used in many other areas as well.

FAT INJECTION FOR FACIAL REJUVENATION - NEW FACE LIFTS

Before you have a Face-Lift first read this and ask "What is going to be done and how is it going to be done?"

Rhytidectomy was one of the original terms to describe Facelift Surgery. Rhytidectomy means excision or removal of lines or wrinkles (Rhytids). As the operation was initially performed excess and loose skin was removed and the skin lifted to tighten the appearance of the skin laxity.

Over the past several years Face Lift Surgery has dramatically changed. Today the word Face Lift should be more accurately replaced with the term Facial Rejuvenation. This is because a great deal of research has been done to learn what happens as we age and the methods to best restore the aging process.

One of the most noticeable things that occur in our face as we age is that the shape of our face changes. In youth, the mid and upper cheeks are full. As we age the fullness of the mid and upper cheeks has decreased and or dropped "south". There is now fullness in the lower cheeks recognized as "jowling", "marrionette lines" and folds. In youth the face has a "heart shape". The aging face becomes elongated, rectangular or square in shape.

The aging appearance of the skin is a reflection of the underlying changes that have occured in the deeper tissue of the face and neck. It is not only the skin that ages, but the underlying muscles and deep tissues of the face age as well. The skin of the face and neck is attached to these muscles and soft tissue structures and as these descend, the skin is pulled down with it.

We have learned that if only the skin is lifted, it gives an abnormal tight and pulled "Joker-like" appearance. The skin alone cannot support and lift the deeper aging tissues of the face and as a result of that, the skin only Face-Lift does not last. We have learned to lift, elevate, and reposition the underlying muscles and soft tissues to the position that they had in youth. The skin is elevated with, and not holding up the underlying deep tissue of the face and neck. The result is a natural, non pulled appearance that is long lasting.

To maintain even longer lasting results, the elevated muscle and soft tissue structures of the face are sutured to the bone. This is done in the newer MACS (Minimal Access Cranial Suspension) Face Lift.

It is now recognized that as we age there is not only a descent of the skin, muscle and soft tissue of the face and neck, but there is also loss of fullness to certain areas of the face. It is the loss of fat in there areas that cause the face to have an aging appearance. It is important not only to lift and elevate the face, but to fill the face in those areas that have soft tissue loss. This is the new concept for true Facial Rejuvenation.

There are many soft tissue fillers that are now available. The most well known is Juvaderm. Juvaderm is however very expensive and typically only lasts for about a year. A newer method is using fat obtained from one's own body, providing an excellent soft tissue filler, since it is fat that has been lost from those areas in the aging process. Most people also have enough fat to obtain all that is needed to restore the lost facial volume. It is also very interesting that recent research suggests that fat has stem cells that may provide something more than just filling.

In conclusion, a Face Lift performed at the Aesthetic Surgery Center is no longer just a lift. It is a combination of elevating and repositioning the muscle, soft tissue and skin of the face as well as restoring the youthful volume of the face to provide the best in Facial Rejuvenation.