Leo R. McCafferty, M.D., F.A.C.S., aesthetic plastic surgery

Blog

A Fresh Look at Eye Lifts

July 7th, 2010

If friends, family and coworkers have suggested you look tired, but you really feel fine, perhaps there’s more to it than just getting a few more Z’s…

It might be the effect aging can have on the upper and lower eyes.

But don’t worry– a personalized aesthetic plastic surgery consultation could be the first step toward helping you look rested and natural!

The Face Facts
The first thing we do when a patient comes to us concerned they’re looking tired is perform a facial analysis, beginning with the eyes.

We analyze the eyes at the eyebrow, examining the level of the eyebrow relative to the eyelashes; low eyebrows can tend to make an eyelid look heavy.

We also examine the upper eyelids for hooding—that is, excess skin that can weigh down the upper lid. After that, we take a look at the fullness or “bags” under the eyes.

To ensure the end result will remain balanced, natural and harmonious, we also analyze the forehead, face and neck.

Looking Back to Look Forward
As a part of facial analysis, we recommend patients bring in photos of themselves, when they were younger. This helps us understand how the position of the features may have shifted over time, to ensure the patient’s look remains natural and personalized.

Eyelid Rejuvenation Where Less Really is More
Almost all problems resulting from eyelid surgery happen when the skin is overtrimmed, or overtightened— errors that can lead to disastrous results. That frightened or startled look associated with eye lifts happens when upper eyelids have been tightened too much, and no longer close properly over the eye. Sometimes the forehead itself has been raised too high, exceeding natural placement of the eyebrows.

This odd look can also lead to some dangerous complications, such as dry eye and chronic tearing–  issues that are more than a nuisance; they can damage your cornea.

This is why we believe in taking a conservative approach with eyelid procedures. With careful pre-operative analysis and planning, we ensure the work we do is not only natural and rejuvenating, but completely safe.

Helping You Prepare for Eyelid Rejuvenation
If eyelift surgery is the chosen option for facial rejuvenation, we work with patients to:

  • Minimize any medications or products that could increase bleeding
  • Cease smoking, three weeks prior to surgery and two weeks afterward. Smoking and nicotine reduce the flow of blood and oxygen to the skin, which the skin needs to heal.

We also recommend patients take arnica, an herbal supplement that helps reduce bruising. All of these steps help reduce complications with surgery, making it as safe as possible.

A Painless Procedure?
Believe it or not, there really is minimal discomfort resulting from an eyelift. The procedure is done under a local anesthetic with sedation, so patients don’t see, feel or remember the surgery.

If you think an eyelift or other form of facial rejuvenation might be right for you, contact us for your facial analysis, and you might be on your way to a natural, more rested-looking you.

Putting Your Best Face Forward: Facelifts and Facial Rejuvenation

June 3rd, 2010

You’ve probably seen the names in magazine ads or on television: “Mini Lifts,” “Lunch Time Lifts,” Lifestyle Lifts,” “Quick Lifts,” “One-Hour Lifts,” and others. Maybe you’re wondering if one might be the right way to freshen your look.

When it comes to trade names for specialized facelift procedures, we believe these terms only add confusion.

No two faces are alike and, consequently, no two facelifts can be alike. A “mini-lift” for one person might be a “maxi-lift” for another, so we view facelifts, not as specific, one-size-fits-all surgery techniques, but as facial rejuvenation– a pre-planned process tailored specifically to help each patient look their personal best.

Careful Planning for Successful Rejuvenation
We begin by spending time with each patient, discussing the patient’s goals, what they like and don’t like about their look, and analyzing the face. At this point, we encourage a patient to bring in photos of themselves from twenty or thirty years ago—even high school yearbook pictures. This is not to try to take the patient back to that point in their life, but to better understand the facial features, their placement, and restore them so the patient’s look becomes refreshed and natural.

After analysis, some patients may find they don’t even need a facelift. Injectible fillers like Restylane or Juvederm may do the trick to restore deflation of the face. Fat injections can also be an effective tactic to plump the tissue. Even eyelid surgery alone can make a difference in creating a more youthful, refreshed appearance. Our consultation will help determine the right plan for you.

Preparing for a Facelift/Facial Rejuvenation
If surgery is the appropriate facial rejuvenation tactic to take, there are a number of things we ask patients to do to prepare:

  • Stop smoking for three weeks prior to surgery and two weeks after surgery. Why? Smoking adds risk to any form of surgery. Carbon monoxide in cigarettes competes for oxygen in the bloodstream. This oxygen is necessary to heal wounds. Nicotine also narrows the blood vessels, constricting the blood flow to the tissue. These factors make it more difficult for wounds to heal, and increases the risk of infection.
  • Take time for a proper skincare program, to achieve best results. Our in-house aestheticians consult with each patient about the patient’s current skincare regimen. We examine the products a patient is already using and may eliminate or add products to ensure success.
  • Discontinue all vitamins and herbs that might thin the blood, and increase risks during surgery. It’s our job to analyze a patient’s medications, understand their social habits and suggest adjustments accordingly for safe, long-lasting results.
  • Take arnica, a homeopathic medication, as well as eat moderate servings of pineapple. Both of these help decrease post-surgical bruising.

Recovery and the Results of Rejuvenation
In the past, facelift surgery was more invasive, leading to longer healing times, but with today’s smaller incisions, recovery time is shorter and more convenient, with minimal if any discomfort.

Twenty-four hours after facial rejuvenation, the bandages come off and are exchanged for a lighter bandage. In just 48 hours, patients can safely shower.

Seven days after surgery the last stitches are removed. At this point, one of our aestheticians will guide the patient with makeup. It’s not unusual for a patient to leave this appointment feeling confident enough to join friends for a lunch out!

In ten days, patients can return to work, normal activity, and normal makeup, with no one suspecting they’d had surgery.

During the second and third weeks, patients can return to low impact exercise—anything where the head remains above the waist, so swelling will not occur.

Discover A Fresher, More Youthful Look
With proper pre-operative planning, facial rejuvenation can be a safe, effective way to rediscover a refreshed and natural look.

Contact us today for your facial analysis consultation.

How Our Practice is Different for Plastic Surgery: New Video!

March 19th, 2010

What makes Dr. Leo McCafferty’s practice unique in the increasingly-active field of plastic surgery? Find out from Leo McCafferty himself in our new video.

Thinking About Plastic Surgery? Advice from an Expert- New Video!

March 12th, 2010

If you’ve been thinking about plastic surgery, but aren’t sure where to start, you won’t want to miss this new video. Here, Dr. Leo McCafferty shares what to look for when choosing a qualified plastic surgeon– so you can make your most informed decision.

What is Fraxel and How Does It work? New video!

March 4th, 2010

Watch our new video as Dr. McCafferty explains the benefits, common treatment areas, and typical treatment process involved with Fraxel laser skin resurfacing.

The Skinny on Liposuction: Separating Facts from Fiction

March 1st, 2010

You hear a lot about liposuction in the media today, whether it’s on television, in magazines or on the Web. But more information isn’t necessarily better information.

At the offices of Dr. Leo McCafferty, we’re here to help you separate the rumors from reality— and the facts from fiction— about liposuction. Check out some of these common liposuction rumors and get the credible information you need to better understand this innovative procedure, and what it could mean to you.

FICTION: “Liposuction is a great way to lose weight quickly.”

FACT: Liposuction isn’t meant to be a substitution for diet and exercise. Liposuction is a way to treat areas of fat in the body that simply do not respond to diet and exercise. Liposuction is typically done in healthy patients that are already in relatively good shape, but who have trouble spots which are out of proportion with the rest of the body– like the outer thigh/saddlebag area, the lower abdomen or the hips.

If a patient is generally overweight, we at the offices of Dr. Leo McCafferty won’t offer that patient liposuction. Instead, we’ll offer them a nutritional consultation and work with their primary care physician to make sure the patient is a proper candidate for liposuction. Perhaps diet and exercise are the answer. And we’ll guide the patient toward the right, more conservative option, before considering a surgical solution.

FICTION: “If you remove fat from one part of the body using liposuction, it will just come back elsewhere on the body.”

FACT: Most healthy people fluctuate five or ten pounds over the course of the year over a lifetime. And for these people, liposuction acts as a quite permanent solution to unwanted areas of fat. This means fat liposuctioned from the thighs will not typically show up later in the patient’s breasts. And fat removed from the lower abdomen won’t show up later in the upper abdomen, and so on.

FICTION: “Once you’ve had liposuction, you can eat whatever you want. You don’t need to worry about diet and exercise.”

FACT: Liposuction isn’t a free ticket to eat whatever you want, avoid exercise and otherwise abuse your body. Continuing with a healthy diet, and regular exercise following liposuction is a great way to retain the shape you want. Liposuction works, but it has to be part of an overall healthy lifestyle.

FICTION: “This new liposuction technique worked for my friend, so it’s the right choice for me!”

FACT: There are so many different types of liposuction these days— tumescent, super-wet, SmartLipo™, and magic lipo, among others. But when it comes to liposuction, it’s not the name attached to the procedure or the wand itself, but the surgeon waving the wand that ensures a successful procedure. That’s why you should discuss the different types of liposuction with your plastic surgeon, find out the benefits and drawbacks of each, and work together to determine the right type for you. Remember, what’s right for one patient, isn’t necessarily ideal for another.

FICTION: “Liposuction is a painful procedure requiring a lot downtime.”

FACT: Believe it or not, liposuction isn’t a painful procedure. Patients can expect some bruising, but recovery is swift, and patients can generally be back to exercising within a week.

FICTION: “Once you have liposuction, the results are instantaneous.”

FACT: While there is some instant gratification with liposuction, the real results of the procedure take patience. You will notice a difference when you first remove the garment dressing 48 hours after surgery, of course. But over the next year, as the healing process continues, that’s when you’ll see the liposuction really take effect. The swelling will go down, the contours will soften and the shape will fine-tune. We’ve taken photos of patients during their follow-up visits throughout the year, and you’d be amazed at the subtle differences that take place over time.

FICTION:  “Liposuction is an extremely dangerous procedure.”

FACT: Liposuction is surgery, and therefore should be taken seriously. But if performed by an accredited, state-licensed, American Board of Plastic Surgery facility, by a surgeon who has the credentials to do the procedure in both a hospital and in-office, then liposuction can be very safe.

To learn more about whether liposuction might be right for you– and to get the facts on any liposuction questions or concerns you might have– contact the offices of Dr. Leo McCafferty for a personal consultation.

Fast, Phenomenal Fraxel

February 9th, 2010

Whether it’s acne scarring, dark spots, sun damage or general skin rejuvenation, the Fraxel skin resurfacing tool is one of today’s most versatile ways to improve skin with little to no downtime.

What is a Fraxel, Anyway?

Fraxel is a type of laser that treats the depths of the skin— the place where aging, pigmentation issues, and acne scarring can occur—all without injuring the skin’s surface.

While traditional carbon dioxide laser skin treatments can be effective but quite painful— often requiring intensive creams and over a week to heal— a Fraxel treatment has few side effects. With Fraxel, patients experience a light pinkness to the skin, similar to a slight sunburn. There may also be a small amount of swelling. But both swelling and pinkness subside in about a day, making it an excellent treatment choice for a busy lifestyle.

The Right Candidate for Fraxel
Your skin is unique to you, and that’s why it’s very important to consult with a licensed professional about Fraxel and any other skin resurfacing options you may be considering.

Here at the offices of Dr. Leo McCafferty, we will:

  • Work to understand your medical history
  • Perform a physical examination of the skin
  • Consult with you about your lifestyle and needs
  • Discuss all the available options to meet your skincare goals, including Fraxel

It’s important to remember, Fraxel is just one skin resurfacing treatment available in our offices. These treatments can vary in intensity, from topical creams and lotions, or light chemical peels with almost no downtime, to more powerful and involved options. If Fraxel isn’t the right option for you, we will tell you and suggest appropriate alternative solutions.

But when performed on the right candidate and done by a licensed professional, Fraxel can be a very safe and effective treatment for common skincare concerns.

How to Prepare for Fraxel

Patients planning to undergo Fraxel treatment should limit exposure to the sun, particularly if your skin tends toward hyper-pigmentation (darkening of the skin). If skin does show hyper-pigmentation, we may prepare it with carefully-selected creams and lotions before and after Fraxel treatments.

You may also need to avoid certain make-ups and creams directly before and after Fraxel treatment. A personalized evaluation will help us determine the right preparation tactics for you. Just bring your products with you, and we’ll analyze them, to help you get the best results.

Making the Right Choice for Your Skin
Fraxel is a successful treatment for acne scarring, discoloration and other skin problems, offering little to no downtime. But Fraxel is just one of many treatments available. There’s no better way to find out whether Fraxel is the ideal one for you, than by having a medical consultation. We’ll help you get the results you’re looking for—safely—all through a personalized skincare program.

Contact us for your private consultation today!

Tummy Tucks: Flat Stomach, Smooth Process

October 7th, 2009

You’ve exercised. You’re down to your ideal weight. And you still haven’t achieved that tight, flat stomach you imagined.

But there are a number of procedures available— from full and mini-tummy tucks to liposuction— that can help you tighten that tricky mid-section and get the slim, smooth look you want.

Abdominoplasty—better known as a “tummy tuck”— flattens the abdomen by tightening the lax skin and muscles of the abdominal wall. These may have become less taut as a result of childbirth, weight gain and loss, abdominal surgeries, and other factors.

A mini-tummy tuck, with or without liposuction, can be very useful for individuals with the small horizontal scars of C-sections or hysterectomies. These operations sometimes heal so that the skin overhangs the scar, creating a seamed, uneven appearance, which can be readily smoothed with this “mini” procedure.

Whether you would benefit from a full tummy tuck, a mini-tummy tuck– or other options, such as liposuction— depends on factors including the amount of fat currently within the abdominal region, the skin itself, your muscle tone, the length of any scarred incisions, and more. A mini-tummy tuck, for instance, doesn’t address the upper abdomen or the muscles below the navel, while both mini- and full tummy tucks remove only a small amount of fat from the body; for more than this, liposuction might be the preferred option. A personal consultation can help decide.

If our consultation determines abdominoplasty is the right choice for you, the procedure is done taking particular care to prevent scarring. This includes education on everything from scar massage to choosing the right sunscreen.

Recovery from abdominoplasty takes just two to three weeks. During this time, you can resume much of your day-to-day schedule, though it’s important to avoid heavy lifting and other strenuous activities, to give your procedure the opportunity to heal.

We’ll see you in our offices at least once in the first week to make sure your procedure is healing smoothly. At three weeks, you can begin a limited exercise routine. Then, by six weeks, you can typically resume your normal exercises, restriction-free.

At the offices of Dr. Leo McCafferty, we respect the differences in our patients, and recognize that no two cases are alike. Through a personal consultation, we get to know your history, understand your goals, perform a physical consultation and present the many alternatives available to you. Let us help you discover the procedure best designed for your body and for you. Contact us today.

Freshen Your Look with Injectable Wrinkle Treatments

September 29th, 2009

“Bad day?” “You look tired.” “Didn’t sleep well last night?”

Have you heard concerns like these from family, friends and even coworkers—yet you haven’t felt tired or irritable?

They might simply be reacting to the effect skin deflation can have on the face. As we age, the skin doesn’t just relax and sag—it loses volume. This can cause changes in the fullness of the cheeks and lips, it can deepen the folds around the mouth, and it can cause fine lines between the eyebrows and on the forehead. All of this can cause you to look tired or even angry.

But fillers and other injectables such as Botox® are non-surgical solutions that can help add volume back into the face, creating a happier, more rested appearance— ideal if you’re not quite ready to try cosmetic surgery.

Fillers— like the popular Restylane®, Perlane® and Juvederm® products—are injected into areas of the face that have experienced skin deflation. They plump up those areas, for a more youthful look. The results can be seen instantly, with no down-time, and can be reversed if a patient doesn’t feel comfortable with the effects. In our offices, we’ve never had to reverse a filler treatment, but patients enjoy added confidence knowing the option is available. Expect these results to last from six months to a year.

Botox®, on the other hand— the most common non-surgical procedure of 2008, with 2.4 million procedures done— works by relaxing the lines in the face rather than filling them in. Typically, it is injected between the eyebrows, the forehead and the “marionette folds” around the mouth. Used for many medical conditions, extensive research shows no adverse effects when applied in cosmetic procedures. Unlike fillers, Botox starts to work in a few days, with its peak effectiveness in approximately a week. Results typically last three to five months.

In addition to fillers and Botox, the offices of Dr. Leo McCafferty also offer a complete range of non-surgical and cosmetic surgery options, including Dysport®—which works similarly to Botox— fat injections, facial rejuvenation procedures and more.

To determine the right options for you, we will meet with you to understand your goals, perform a thorough evaluation, and suggest the non-surgical or surgical solution that will help you attain the best results.

Adult men and women of all ages are turning to injectable treatments and other non-surgical options to rejuvenate their look for work, special events and just to regain a fresher appearance.

Contact us today for a consultation. Gift certificates are available.

Finding a Lift through Breast Augmentation

July 22nd, 2009

Perhaps you’ve always felt self-conscious in a bathing suit, or at the gym… Or maybe motherhood and time have changed your body so you feel less confident or youthful…. Whatever your concern, breast augmentation is a very personal decision with very personalized goals.

That’s why, here at the offices of Leo McCafferty, M.D., F.A.C.S., we work with you to understand your needs, help you know what to expect, and make sure your breast augmentation procedure is a safe, professional process with ideal results

Breast Lift or Breast Augmentation?
If you’re looking for a breast lift but are concerned about scarring, breast augmentation might be the right choice for you. Implant procedures cause significantly less scarring than standard breast lifts—just an inch-and-a-half scar is typical—and breast augmentation also offers the lift many patients are looking for.

Implant Safety and Options
Did you know breast augmentation is actually a very safe procedure? Due to extensive research, in 2006 silicone gel implants were re-approved for use by the FDA. In fact, no implantable medical device has been studied more thoroughly over the last ten years than breast implants—including stents, pacemakers and other internal devices. And with this safety, comes options. Today’s patients have a choice of either saline or silicone implants. We’ll work with you to choose the type appropriate for you.

Things to Keep in Mind about Breast Augmentation

  • The most successful breast augmentation procedures take your natural form and enhance it. We’ll consult with you as part of an individualized, analytical process, to make sure we understand the look you want, discuss how it will (or won’t!) work with your unique physique, and guide the procedure accordingly
  • You’ll need to set aside about five to seven days for recovery. While recovery doesn’t involve significant pain, typically there is some soreness. That’s why most patients set aside about five days to a week for recovery, before returning to work and other tasks in an active life. Avoid heavy lifting and extreme arm motion for this first week.
  • After one week, most patients can resume a modified exercise routine. Breast augmentation procedures typically only require a week down-time. During the second week you may begin lower impact cardio and lower body exercises. By week three, you should be able to resume many of your normal physical activities, including your regular exercise routine. We will be following you closely during the weeks after surgery to make sure that your recovery is properly managed, and help you get back to your routine as quickly as possible.

At the offices of Leo McCafferty, M.D., F.A.C.S., we understand breast augmentation because we have extensive involvement in its research. From work in peer-reviewed aesthetic surgery journals to scientific studies with the FDA, Dr. McCafferty and his experienced staff are prepared to help you through all phases of the procedure. This means if won’t be long before you’ll feel more confident, look great, and get back to living life to its fullest.

For more information on Breast Augmentation procedures, click here.


Member, American Society of Plastic and Reconstructive Surgeons; Member, American Society for Aesthetic Plastic Surgery