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The Walker Plastic Surgery Blog

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“Shared medical appointments” results in more face-to-face time between patients and their surgeons


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You may not be familiar with shared medical appointments (SMA)s. SMAs are a gathering of at least two patients, who are seen together by a doctor and/or entire healthcare team in a setting that encourages questions, sharing, and experiences.


Though not for everyone, SMAs are experiencing an increase in popularity. Many SMAs now include an individual, private examination and meeting with the doctor, maintain the confidential feel of a surgery decision while hearing from other patients who are also considering a surgery or have already experienced one.


According to a study by the American Society of Plastic Surgeons, “patient satisfaction rates were compared for 26 women who chose an SMA against 26 who chose traditional appointments. Results demonstrated very high patient satisfaction rates—89 percent overall and 92 percent with regard to the thoroughness of care, in both the shared and individual appointment groups. More than 75 percent of patients who participated in the shared appointments said they would be likely to choose the same option in the future.”

Breast size and teen mental health


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It’s no surprise that teens are, at any time, at a state of emotional fragility. As young girls make their transition into adulthood, many are bothered by their shapes. But just how much does this dissatisfaction affect them?


A recent study by the American Society of Plastic Surgeons shows that “differences in breast size have a significant mental health impact in adolescent girls, affecting self-esteem, emotional well-being, and social functioning.”


"The observed impaired psychological well-being of adolescents with breast asymmetry may indicate the need for early intervention to minimize negative outcomes," wrote Dr. Brian I. Labow of Boston Children’s Hospital (and coauthors).


The study went on to point out that plastic surgery is not always the answer, particularly in younger girls. Instead, mental support or consultation may be the appropriate answer.

Reparative tribal piercing plastic surgery on the rise



With every trend that involves “permanently” puncturing the body comes a new one a few years down the road: restorative plastic surgery.


A few years ago, it was very trendy to get “tribal” style ear piercings—often called gauges—which create large holes in the ear. The result? Now, a few years later, is that participants in this once-fashionable statement are turning to plastic surgery to restore their more natural pre-trend look.


According to CBS News: “Cutting away the excess skin is the only way to fix them. So Palmer had cosmetic surgery to reshape his earlobes. Plastic surgeon Adrian Richards says the procedure involves removing the excess stretched ear tissue and using internal and external stitches in the earlobe to recreate a more normal shape.”


Personal preferences aren’t always the main reason people undo their extreme looks, either. Many patients seek out restorative surgery because they find themselves difficult to employ.

“Selfie Era” brings increased demand for plastic surgery



It should come as no surprise to anyone with a smart phone that the increasingly popular “selfie” has brought about a new trend with it.


Plastic surgery—particularly procedures that affect the area seen in a selfie (above the waist)—has enjoyed a surge due to this social media phenomenon.


According to a poll by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), about a third of its 2,700 members indicated seeing an increase in requests for procedures due to patients being more aware of their image in social media. This was shown in a 10% jump in rhinoplasty last yaer, as well as a 7% rise in hair transplants and 6 % increase in eyelid surgery.


This winter, some women opting for surgery to fit into boots


Every woman loves a great pair of boots, especially in the winter. But while many rely on footwear as a fashion statement, some are going to extreme lengths to to wear the season’s trendiest looks


According to Dr. John Zavell in Toledo, Ohio, women are opting to surgically remove excess muscle or fat from around the calf and thigh to fit into boots. Women are turning to “liposculpture” to wear the season’s best-known footwear.


But if you’re going to undergo this surgery, which can cost up to $12,000, plan ahead: recovery time can be up to half a year, meaning you’d have to wait til late spring just to debut your new look.

Botox breast lift?


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With breast lifts being one of the most popular surgeries in America, it’s no wonder doctors are attempting to make the procedure faster and less invasive.


“It is a knifeless instantaneous breast lift,” says Dr. Neetu Nirdosh, creator of the procedure. According to Yahoo News, “the “breastox” treatment, Nirdosh says, takes less than 30 minutes, lasts for up to six months, and promises to make breasts look perkier and up to one cup size larger. The technique purportedly works by using Botox to relax the pectoral muscles, which leaves the shoulder muscles to do the heavy lifting—hence the “breast lift.” “


However, Dr. Jennifer Walden, an Austin-based surgeon, expressed skepticism: “Botox cannot do what a surgical breast lift can do. People who are candidates for a surgical breast have excess saggy skin and drooping. Botox can’t address any of those things.”


For a more permanent solution, opt for a surgical procedure to ensure lasting results.

“Vacation Breasts” and the two-week augmentation surgery


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So many women wrestle with the idea of undergoing breast augmentation, debating over size, timing, and appearance. What if potential patients could “test drive” their look without ever going under the knife?


That’s just what one surgeon is looking to make possible. According to ABC News, Dr. Norman Rowe of New York is aiming to do just that. The developer of the “insta-breast,” Dr. Rowe has created a 24-hour saline injection to mimic the effects of a breast augmentation, allowing patients to see how they might look after committing to surgery.


Dr. Rowe is now working on a solution that will provide the implant effect for up to three weeks, to provide a more permanent and realistic simulation.

Dr. Walker Chairs Knock Out Abuse 2014


Knock Out Abuse Against Women is a Washington, D.C. based organization that for the past 21 years has promoted awareness and raised money to combat domestic abuse. Since 1993, Knock Out Abuse Against Women has raised more than 8 million dollars to aid victims of domestic violence through supporting shelters for women and children whose lives have been shattered by abuse, poverty and homelessness.

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Diane von Furstenberg on Aging

Diane von Furstenberg, affectionately referred to as DvF in her ever-expanding empire that includes clothing, lifestyle, and now, a reality series, has recently commented on aging without the use of plastic surgery.
"The hardest part of the whole thing is the way I look because with no plastic surgery at my age, it's not the easiest thing," she told E!
For women looking for non-surgical alternatives to plastic surgery, Dr. Walker provides a wide range of services for anti-aging, including fillers, which provide youthful volume, and Botox, which decreases the aging appearance of fine lines. 
Particularly for television personalities, injectables can offer patients great results with little downtime. The result is a refreshed, rejuvenated appearance, without ever going under the knife. For example, Ultherapy is a non-surgical approach that helps tighten skin by using an ultrasound technology with no down time and ideal for someone who is a surgical candidate  but not yet ready.

Plastic surgeries up over 200% in the last dozen years

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According to a study from the American Society of Plastic Surgeons this month, plastic surgeries have more than doubled in the last 12 years.
Even with the economic crisis in the last decade, patients seeking surgeries has grown significantly. The study cites the advent of minimally invasive procedures (particularly injectables) as the reason for this growth. This is coupled with a decrease in major cosmetic procedures. Face lifts, for example, are now less popular.
The study also cited factors like insurance changes, location (and real estate markets, unemployment rates, and media within specific cities), and healthcare concerns as reasons plastic surgery procedures have increased so much.
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Dr. Walker Featured in The Washington Post


The Buzz hears:

Plastic surgeon Rondi Walker will chair this year’s Knock Out Abuse Against Women, the annual fundraiser that promotes awareness of domestic violence. The event is Nov. 13. Walker is a mother of three and has been on the nonprofit’s board for two decades. Cheryl Masri and Jill Sorensen founded the charity in 1993. In the past 21 years, Knock Out Abuse has raised more than $6.5 million dollars to benefit local charities.


Besides excessive sun exposure and smoking the most common cause of facial aging is the gradual loss of fat in our face. Fat loss begins early in our twenties and continues throughout our lives. Not only does fat waste away, a change in the quality and quantity of the  skin’s elastin fibers and collagen results in a slow diminishing of the skin’s elasticity. Bone mass diminishes with age and facial muscles begin to atrophy. Naturally, this slow aging process alters facial structure and results in a collapsed appearance of the mid-face and cheekbones. Bone loss is most pronounced in the 70s and 80s and the majority of bone resorption occurs around the base of the nose and center of the face.

Fat loss occurs in specific facial areas that are prone to fat resorption: the cheeks and areas around the brow and eyes. The lips and temples are affected next. A quick look in the mirror will let you know if fat loss is adding years to your appearance. As you look at your face answer the following questions:

1. Has your face become square?

2. Are your cheeks sagging?

3. Do you have hallow troughs under your eyes?

4. Does your skin appear to be falling off your bones?

5. Is the area between the sides of your eyebrows and hairline sunken?

6. Are the corners of your mouth turning downward?

7. Do your lips roll in, making it difficult to apply lipstick?

8. If you get the lipstick applied does it seep into the fine lines above and below your lips?

If you have answered yes to any of the above, there is a good chance that volume loss is the source of your aged appearance.

The best ways to restore facial volume and stimulate collagen formation depends on two factors the amount of fat lost and the degree of skin laxity.

The Quick Fix

If you have minimal skin sag and facial deflation the use of hyaluronic acid fillers and collagen stimulating injectables are a fast and easy way to treat the problem. Certain facial areas may be corrected with thinner fillers such as Beletero, Juvederm or Restylane. However, larger areas with more pronounced volume loss will require a heavier filler that combines a more viscous hyaluronic acid with or without calcium hydroxyaptite such as Radiesse, Scuptura Aesthetic and Juvederm Voluma C. These fillers provide subtle improvement, results last between six to eight months.

The Natural Option: Your Own Body Fat!

Micro-liposuction is used to harvest fat cells from your hips or abdomen. The fat is washed and concentrated prior to injection. Fat transfer is a minor surgical procedure, and there are a few days of downtime but the results are well worth it.

The cost benefit proves advantageous if your condition requires multiple filler injections. Fat augmentation varies with each patient but usually lasts five to ten years, and the skin has an incredible smooth, healthy glow.

Combination Therapy

If you have loose skin and have also experienced volume loss, the best options are a face-lift or Ultherapy combined with structural fat grafting or the more viscous fillers. Utherapy is a beneficial skin tightening procedure for patients who have minimal skin laxity or cannot have surgery. A face-lift: micro, mini or standard removes excess skin. The micro face-lift requires only a small incision above the ear.. The mini and standard face-lift reposition underlying facial support structures and fat, creating a firmer look. A face-lift, in combination with fat grafting, not only tightens the skin but also fills in deep wrinkles and areas of depression. Your face is not only rejuvenated, it looks more youthful.

There are different ways to treat and restore volume loss. An individualized approach that is planned with your board certified plastic surgeon will yield the best results.

Mark Your Calendar: Knock Out Day April 1st

In honor of Dr. Walker's chairmanship of Knock Out Abuse, enjoy 20% procedures and treatements on April 1st to support efforts in fighting domestic violence.

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