Tuesday, August 31, 2010
Saturday, August 28, 2010
Article in Cosmetic Surgery Times by Dr Cheski on the Trans Umbilical Breast Augmentation or TUBA
Transumbilical and transabdominal breast augmentation
Optimal outcomes seen in two different approaches to breast augmentation proceduresPublish date: Jan 1, 2004
By: Nancy Ortman
Source: Cosmetic Surgery Times
Email|Print|ShareDel.icio.usDiggRedditFacebook|Save|License
Dr. Cheski
Philadelphia - Expanding incision sites to include areas of the abdomen for breast augmentation endoscopy offers the same advantages as umbilical entry over other approaches, said Peter Cheski, M.D., at the AACS Symposium on Body Augmentation and Contouring.
The incision site for TUBA (transumbilical breast augmentation) is through the umbilicus. "Because I've expanded it to a number of different areas, I now more commonly refer to it as 'transabdominal' augmentation." Either approach offers less scarring and recovery time over other, more traditional methods, he said.
Abdominal entry may be through an old C-section scar in the suprapubic region. Likewise, if the patient has a scar from hernia repair or gallbladder or appendix operations, Dr. Cheski may elect to enter through the old scar as opposed to placing a new scar in the umbilicus.
Patient has the last say The decision to use an alternate abdominal site is usually driven by patient desire. "Some patients have a very small or an 'outie' belly button or other anatomical consideration where they really don't want their belly button altered. Also, fairly regularly, I see patients who have a phobia about people touching their belly buttons."
Hernia or recurrent infections from a belly button ring may be medical contraindications to umbilical entry. He also uses the abdominal approach for patients seeking abdominoplasty with breast augmentation.
"We raise the abdominoplasty flap all the way up to the costal margin. We use the transumbilical instruments to tunnel from the superior lateral aspect of the flap to the subpectoral pocket," he said.
But roughly 90 percent of his augmentations use the transumbilical approach, making an incision just under the hood of the belly button. "We tunnel on the left and right side in the subcutaneous plane and then pierce through the inframammary crease and place a dissector at the lateral border of the pectoralis major muscle." A submuscular pocket is created using specially designed dissectors. "One of the keys to good pocket shape is control and proper shaping of the inframammary crease," he added.
Expanding incision sites for breast augmentation to include areas of the abdomen yields similar results to the TUBA technique. Note the symmetry, after photo, left. (Photos Peter Cheski, M.D.)
When that is completed on both sides, a sizer is placed in the pockets and overinflated to 150 percent to 200 percent of the anticipated fill volume.
"Because you're really stretching things, you can see any irregularities and then further dissect them," said Dr. Cheski. Any small capillary bleeders that might be slightly oozing are also tamponaded with the pressure.
Since the sizer is disposable, damage from instruments is not a problem. He sizes the patient by seating her in different positions. "Some patients like the implant a little higher up, with more superior fullness. Some people like a little more sloping, anatural shape of the breast. And some patients like a breast that is even more sloping with the nipple riding higher on the breast; we can control all of those positions to some degree."
A small and then a large bullet-tipped dissector is used that is similar to a liposuction cannula with a spreading bullet at the end to open a pocket from the umbilicus to the submuscular pocket. Blunt hockey-stick-shaped dissectors are placed under the muscle to sweep the muscle up off the chest. "The blunt dissector will not detach the muscle medially nor will it release the inframammary crease," he said.
Another hockey stick dissector with 2-mm serrations is used to lower, control, and shape the inframammary crease. The tissue at the inframammary crease is engaged and the pocket is seesawed back and forth so it can only lower the inframammary crease 2 mm to 3 mm at a time. "You don't overdrop the crease and you have nice control over where that crease is going to be," he said.
The sizer is then removed and the corresponding implant is chosen. Implants are rolled up like a cigar and passed with the aid of a tube through the umbilicus and then inflated once in place. "I tend to use a regular-profile implant and over-inflate it slightly. But I am using more of the high-profile implants to a minimum-fill volume. I find the physics of their sidewall is better and result in less rippling. I don't want to over-inflate because then you get too much anterior projection and a more narrow implant."
Show me the scar Advantages of a transabdominal breast augmentation include no scar on the chest or breast whatsoever, with less risk of loss of sensation to the nipple. There is also less interference with mammograms than with the periareolar approach because there is no scarring in the breast tissue. And because the procedure is submuscular, the breast gland and, thus, breast-feeding, are conserved.
Like the TUBA technique, the transabdominal approach leaves no scar on the chest or breast whatsoever , with less risk of loss of sensation to the nipple. (Photos Peter Cheski, M.D.)
Advantages add up Pain and recovery are improved with the transabdominal approach as well, claimed Dr. Cheski, and he believes there is less capsule contracture. Perhaps, he added, because any collections of blood or serosanguinous fluid are drained with a gravity- dependent drain through the umbilicus. "Fluid remaining around the breast implant can form a hard crust on the implant that can contribute to capsule contracture," he theorized. Since breast tissue is not violated, staphylococcus from the breast ducts is not injected into the pocket. Minor low-grade infection may be a contributing factor to the complication.
However, Dr. Cheski is pleased with his patient outcomes. Of the last 800 cases, including 18 with abdominoplasty, there was capsule contracture in eight patients, two that required further surgery. Rippling occurred in eight patients and, in nine, deflations that required removal and replacement of the implant. None of these occurred within the first two months of surgery. One patient required a scar revision after surgery, and three patients required a mastopexy later.
"In all nine of the cases that had a deflation we were able to go back through our primary incision," whether the umbilicus or another abdominal area, he said. For capsule contracture, "We have done a capsulotomy through the belly button, although it's more difficult than the areolar approach." When doing mastopexy, you lose the cosmetic advantages that are evident with the transumbilical/transabdominal approach. "So, typically, I would just do the implant through the areola," he said.
Optimal outcomes seen in two different approaches to breast augmentation proceduresPublish date: Jan 1, 2004
By: Nancy Ortman
Source: Cosmetic Surgery Times
Email|Print|ShareDel.icio.usDiggRedditFacebook|Save|License
Dr. Cheski
Philadelphia - Expanding incision sites to include areas of the abdomen for breast augmentation endoscopy offers the same advantages as umbilical entry over other approaches, said Peter Cheski, M.D., at the AACS Symposium on Body Augmentation and Contouring.
The incision site for TUBA (transumbilical breast augmentation) is through the umbilicus. "Because I've expanded it to a number of different areas, I now more commonly refer to it as 'transabdominal' augmentation." Either approach offers less scarring and recovery time over other, more traditional methods, he said.
Abdominal entry may be through an old C-section scar in the suprapubic region. Likewise, if the patient has a scar from hernia repair or gallbladder or appendix operations, Dr. Cheski may elect to enter through the old scar as opposed to placing a new scar in the umbilicus.
Patient has the last say The decision to use an alternate abdominal site is usually driven by patient desire. "Some patients have a very small or an 'outie' belly button or other anatomical consideration where they really don't want their belly button altered. Also, fairly regularly, I see patients who have a phobia about people touching their belly buttons."
Hernia or recurrent infections from a belly button ring may be medical contraindications to umbilical entry. He also uses the abdominal approach for patients seeking abdominoplasty with breast augmentation.
"We raise the abdominoplasty flap all the way up to the costal margin. We use the transumbilical instruments to tunnel from the superior lateral aspect of the flap to the subpectoral pocket," he said.
But roughly 90 percent of his augmentations use the transumbilical approach, making an incision just under the hood of the belly button. "We tunnel on the left and right side in the subcutaneous plane and then pierce through the inframammary crease and place a dissector at the lateral border of the pectoralis major muscle." A submuscular pocket is created using specially designed dissectors. "One of the keys to good pocket shape is control and proper shaping of the inframammary crease," he added.
Expanding incision sites for breast augmentation to include areas of the abdomen yields similar results to the TUBA technique. Note the symmetry, after photo, left. (Photos Peter Cheski, M.D.)
When that is completed on both sides, a sizer is placed in the pockets and overinflated to 150 percent to 200 percent of the anticipated fill volume.
"Because you're really stretching things, you can see any irregularities and then further dissect them," said Dr. Cheski. Any small capillary bleeders that might be slightly oozing are also tamponaded with the pressure.
Since the sizer is disposable, damage from instruments is not a problem. He sizes the patient by seating her in different positions. "Some patients like the implant a little higher up, with more superior fullness. Some people like a little more sloping, anatural shape of the breast. And some patients like a breast that is even more sloping with the nipple riding higher on the breast; we can control all of those positions to some degree."
A small and then a large bullet-tipped dissector is used that is similar to a liposuction cannula with a spreading bullet at the end to open a pocket from the umbilicus to the submuscular pocket. Blunt hockey-stick-shaped dissectors are placed under the muscle to sweep the muscle up off the chest. "The blunt dissector will not detach the muscle medially nor will it release the inframammary crease," he said.
Another hockey stick dissector with 2-mm serrations is used to lower, control, and shape the inframammary crease. The tissue at the inframammary crease is engaged and the pocket is seesawed back and forth so it can only lower the inframammary crease 2 mm to 3 mm at a time. "You don't overdrop the crease and you have nice control over where that crease is going to be," he said.
The sizer is then removed and the corresponding implant is chosen. Implants are rolled up like a cigar and passed with the aid of a tube through the umbilicus and then inflated once in place. "I tend to use a regular-profile implant and over-inflate it slightly. But I am using more of the high-profile implants to a minimum-fill volume. I find the physics of their sidewall is better and result in less rippling. I don't want to over-inflate because then you get too much anterior projection and a more narrow implant."
Show me the scar Advantages of a transabdominal breast augmentation include no scar on the chest or breast whatsoever, with less risk of loss of sensation to the nipple. There is also less interference with mammograms than with the periareolar approach because there is no scarring in the breast tissue. And because the procedure is submuscular, the breast gland and, thus, breast-feeding, are conserved.
Like the TUBA technique, the transabdominal approach leaves no scar on the chest or breast whatsoever , with less risk of loss of sensation to the nipple. (Photos Peter Cheski, M.D.)
Advantages add up Pain and recovery are improved with the transabdominal approach as well, claimed Dr. Cheski, and he believes there is less capsule contracture. Perhaps, he added, because any collections of blood or serosanguinous fluid are drained with a gravity- dependent drain through the umbilicus. "Fluid remaining around the breast implant can form a hard crust on the implant that can contribute to capsule contracture," he theorized. Since breast tissue is not violated, staphylococcus from the breast ducts is not injected into the pocket. Minor low-grade infection may be a contributing factor to the complication.
However, Dr. Cheski is pleased with his patient outcomes. Of the last 800 cases, including 18 with abdominoplasty, there was capsule contracture in eight patients, two that required further surgery. Rippling occurred in eight patients and, in nine, deflations that required removal and replacement of the implant. None of these occurred within the first two months of surgery. One patient required a scar revision after surgery, and three patients required a mastopexy later.
"In all nine of the cases that had a deflation we were able to go back through our primary incision," whether the umbilicus or another abdominal area, he said. For capsule contracture, "We have done a capsulotomy through the belly button, although it's more difficult than the areolar approach." When doing mastopexy, you lose the cosmetic advantages that are evident with the transumbilical/transabdominal approach. "So, typically, I would just do the implant through the areola," he said.
2010 is a Great Year For Face Lifts
2010 Is One of the Best Years Ever For Facial Rejuvenation
The last two years, and potentially the next year or two, have been found to be probably the best time in history for Facelift Surgery and Facial Rejuvenation. This is for a number of reasons: advances in techniques and procedures and combination of procedures has never been better; the recession has put economic pressure on all elective purchases, such as cars, housing, jewelry, and even plastic surgery – especially the most expensive procedure – the facelift; and people are often opting for temporary fixes with fillers, Botox, and short term lasers and the like.
The fillers, such as Juvederm and Restylane, are quite effective but do not nearly give the results of surgery and last for typically 5 to 8 months. Radiesse is thicker is designed for larger, more deeper lines and grooves and can last over a year. However, none of these things can achiev e or even address many of the things that a face and neck lift achieve. Fa face and neck lift actually rejuvenates the underlying structure and volume of your face and neck. It is not meant to change you look, as you see with bad work, but is meant to restore the previous structure of your face at a younger age ie raising the cheek, preventing hollowness at the temples, smoothing out your nasolabial and marionette lines – the lines between the lateral part of your nostril to the corner of your mouth and from the corner of your mouth down to either side of your chin just in front of the jowl area, redraping and correcting the jowls, tightening the skin of the lower face and neck, and minimizing or eliminating the banding in the neck – the platysmal bands. It is meant to be long lasting, although you will continue to age at a normal rate. Often this is done with fat and stem cell injection and/or a chemicall or laser peel.
The skill and techniques are so far advanced fro the facelifts of old, and the recovery is significantly less. I have patients that have had a face and neck lift and have gone out for dinner the next night. Further, the results should look rejuvenating, not pulled or unnatural. I like to say that good plastic surgery does not look like plastic surgery.
Finally, facelift surgery is one of the most expensive cosmetic surgery procedures, by a long shot. Because of the economy, the cost for a facelift have been the lowest that they have ever been, adjusting for inflation, even though the quality is better than ever.
Dr Peter Cheski has pioneered a number of minimal recovery with maximal result techniques, such as the percutaneous suspension forehead lift, minimally invasive cheek lift and the neck slin. These surgeries involve only minimal incisions and both minimal surgery and recovery time. He also combines these techniques with the modern facelift to give maximum results with minimal recovery.
His most important mantra is to have a very natural look to the face, neck and eyes. He is uniquely trained, first achieving training and Board certification in Head andNeck Reconstructive Surgery before pursuing his cosmetic training. He has been performing facial surgery for eighteen years and has done thousands and thousands of cases. The “Innovative Research Award” from the Department of Otolaryngology – Head and Neck Surgery after presenting his work involving these minimally invasive facial techniques. Destination Southern California named him the “Best Surgeon for Facelifts.” He pwns 3 Surgical Centers in the Los Angeles area which are accredited by The Joint Commission on Accreditation of Health Care Organizations or JCAHO/Jayco/The Joint Commission, which has some of the most rigid and stringent standards for Surgical Centers. Most Surgical Centers are not accredited by Jayco because of its higher standards and ability to perform unannounced surveys and inspections. Most Hospitals are however Jayco accredited, such as Cedars Sinaii, UCLA, Harvard Mass General and the like. Know that when you undergo anesthesia, you are in the highest standards for Operating Rooms in the United States.
The last two years, and potentially the next year or two, have been found to be probably the best time in history for Facelift Surgery and Facial Rejuvenation. This is for a number of reasons: advances in techniques and procedures and combination of procedures has never been better; the recession has put economic pressure on all elective purchases, such as cars, housing, jewelry, and even plastic surgery – especially the most expensive procedure – the facelift; and people are often opting for temporary fixes with fillers, Botox, and short term lasers and the like.
The fillers, such as Juvederm and Restylane, are quite effective but do not nearly give the results of surgery and last for typically 5 to 8 months. Radiesse is thicker is designed for larger, more deeper lines and grooves and can last over a year. However, none of these things can achiev e or even address many of the things that a face and neck lift achieve. Fa face and neck lift actually rejuvenates the underlying structure and volume of your face and neck. It is not meant to change you look, as you see with bad work, but is meant to restore the previous structure of your face at a younger age ie raising the cheek, preventing hollowness at the temples, smoothing out your nasolabial and marionette lines – the lines between the lateral part of your nostril to the corner of your mouth and from the corner of your mouth down to either side of your chin just in front of the jowl area, redraping and correcting the jowls, tightening the skin of the lower face and neck, and minimizing or eliminating the banding in the neck – the platysmal bands. It is meant to be long lasting, although you will continue to age at a normal rate. Often this is done with fat and stem cell injection and/or a chemicall or laser peel.
The skill and techniques are so far advanced fro the facelifts of old, and the recovery is significantly less. I have patients that have had a face and neck lift and have gone out for dinner the next night. Further, the results should look rejuvenating, not pulled or unnatural. I like to say that good plastic surgery does not look like plastic surgery.
Finally, facelift surgery is one of the most expensive cosmetic surgery procedures, by a long shot. Because of the economy, the cost for a facelift have been the lowest that they have ever been, adjusting for inflation, even though the quality is better than ever.
Dr Peter Cheski has pioneered a number of minimal recovery with maximal result techniques, such as the percutaneous suspension forehead lift, minimally invasive cheek lift and the neck slin. These surgeries involve only minimal incisions and both minimal surgery and recovery time. He also combines these techniques with the modern facelift to give maximum results with minimal recovery.
His most important mantra is to have a very natural look to the face, neck and eyes. He is uniquely trained, first achieving training and Board certification in Head andNeck Reconstructive Surgery before pursuing his cosmetic training. He has been performing facial surgery for eighteen years and has done thousands and thousands of cases. The “Innovative Research Award” from the Department of Otolaryngology – Head and Neck Surgery after presenting his work involving these minimally invasive facial techniques. Destination Southern California named him the “Best Surgeon for Facelifts.” He pwns 3 Surgical Centers in the Los Angeles area which are accredited by The Joint Commission on Accreditation of Health Care Organizations or JCAHO/Jayco/The Joint Commission, which has some of the most rigid and stringent standards for Surgical Centers. Most Surgical Centers are not accredited by Jayco because of its higher standards and ability to perform unannounced surveys and inspections. Most Hospitals are however Jayco accredited, such as Cedars Sinaii, UCLA, Harvard Mass General and the like. Know that when you undergo anesthesia, you are in the highest standards for Operating Rooms in the United States.
Dr Cheski Named Best Facelift Surgeon in Southern California
Dr Peter Cheski was named “Best Surgeon and Best Surgeon for Facelifts” by Destination Southern California
Dr Peter Cheski was chosen as one of "America's Top Platic Surgeons" by The Consumers Research Council in Washington, D.C. He has listing in “The Guide to America’s Top Surgeons” He has extensive training and experience in facial surgery, including face and neck lifts, brow lifts, blepharoplasty, brow lifts and stem cell facelifts. He has a patient centered approach to the face, not doing the same face surgery on every patient but addressing the particular needs and desires of the patient. Dr Cheski believes in a normal natural look after a facelift. Dr Peter Cheski does not like the old fashoined pulled or "wind tunnel" look of many other face lifts. He has been a major developer in some of the advanced more natural and more long lasting facial rejuvenation and lift procedures. Some of these developments and contributions have been: The Stem Cell Facelift"; The Neck Sling; Advanced cosmetic techniques for fixation for face and brow fixation in face lift and brow lift; treatment of neck bands; and many others. He is well recognized as one of the top face surgeons in the United States. He is a member of The American Academy of Facial Plastic Surgery, The American Academy of Cosmetic Surgery; and the American Academy of Otolaryngology / Head and Neck Surgery with added qualifications in Facial Plastic Surgery. He is a Diplomate or Board Certified by the American Academy of Otolaryngology - Head and Neck Surgery and a Diplomate of the American Board of Cosmetic Surgery and a Fellow of The Royal College of Physicians and Surgeons of Canada, which is the equivalent to Board Certified in the United States with added qualifications in Head and Neck Surgery and Facial Plastic Surgery. He is also a Fellow of the
Unlabeled
Los Angeles Facial Plastic and Cosmetic Surgery | Peter Cheski, MD
Expert advice: know your doctor. | Goliath Business News
Beverly Hills Breast Augmentation | Los Angeles Plastic Surgeon | Southern California Breast Augmentation Specialist
Destination Southern California, Beaches, Southern California Attractions and Vacation Destinations
Los Angeles Breast Implants | Los Angeles Breast Enlargement | Los Angeles Breast Augmentation
In The Media - Peter Cheski, MD, FRCS - Breast Augmentation Specialist
Dr Peter Cheski was chosen as one of "America's Top Platic Surgeons" by The Consumers Research Council in Washington, D.C. He has listing in “The Guide to America’s Top Surgeons” He has extensive training and experience in facial surgery, including face and neck lifts, brow lifts, blepharoplasty, brow lifts and stem cell facelifts. He has a patient centered approach to the face, not doing the same face surgery on every patient but addressing the particular needs and desires of the patient. Dr Cheski believes in a normal natural look after a facelift. Dr Peter Cheski does not like the old fashoined pulled or "wind tunnel" look of many other face lifts. He has been a major developer in some of the advanced more natural and more long lasting facial rejuvenation and lift procedures. Some of these developments and contributions have been: The Stem Cell Facelift"; The Neck Sling; Advanced cosmetic techniques for fixation for face and brow fixation in face lift and brow lift; treatment of neck bands; and many others. He is well recognized as one of the top face surgeons in the United States. He is a member of The American Academy of Facial Plastic Surgery, The American Academy of Cosmetic Surgery; and the American Academy of Otolaryngology / Head and Neck Surgery with added qualifications in Facial Plastic Surgery. He is a Diplomate or Board Certified by the American Academy of Otolaryngology - Head and Neck Surgery and a Diplomate of the American Board of Cosmetic Surgery and a Fellow of The Royal College of Physicians and Surgeons of Canada, which is the equivalent to Board Certified in the United States with added qualifications in Head and Neck Surgery and Facial Plastic Surgery. He is also a Fellow of the
Unlabeled
Los Angeles Facial Plastic and Cosmetic Surgery | Peter Cheski, MD
Expert advice: know your doctor. | Goliath Business News
Beverly Hills Breast Augmentation | Los Angeles Plastic Surgeon | Southern California Breast Augmentation Specialist
Destination Southern California, Beaches, Southern California Attractions and Vacation Destinations
Los Angeles Breast Implants | Los Angeles Breast Enlargement | Los Angeles Breast Augmentation
In The Media - Peter Cheski, MD, FRCS - Breast Augmentation Specialist
Thursday, August 19, 2010
New President Elect of American Society of Cosmetic Breast Surgery - Dr Peter Cheski
Congratulations: Dr Peter Cheski chosen as President Elect of The American Society of Cosmetic Breast Surgery
At the Annual Meeting of The American Society of Cosmetic Breast Surgery held in Newport Beach, California, The Board of Trustee’s of The American Board of Cosmetic Breast Surgery voted Dr. Peter Cheski as President elect of The Society. Dr. Cheski will subsequently become President of The Society for the following year.
The Purpose of this society is to help medical and para-medical professionals provide the highest quality of care to women who desire reconstructive and cosmetic breast surgery, both for primary and revision surgery. As well, the society hopes to help women who need cosmetic help with deformities of the ches left by treatment of breast cancer. This is achieved through training, education, research, and the interchange of ideas.
Feelings of adequacy and self esteem are related to breast appearance, which can be caused by: Developmental micromastia; Postpartum involution; post surgical deformities; breast ptosis/sagging; and Breast Asssymetry. Men can also suffer from Gynecomastia or enlarged male breasts, which can also be corrected with surgery. This can be done with liposuction, excision of breast tissue, treatment of excess skin, or a combination of these and potentially other techniques. Dr. Cheski was featured on the Dicovery/TLC and BBC Special called “Boys with Breasts”. Some of these procedures may be covered by health insurance, while others are considered cosmetic and may not be covered.
Dr Cheski is particularly devoted to the practice of breast surgery, as well as education and research in the cosmetic and reconstructive breast surgery for both men and women. He has been a Faculty Member at Numerous National Meetings on Breast Surgery and been an Expert Panel Member on many Expert Panels on Breast Surgery and Breast Implants. He has been involved in a number of FDA Studies on Breast Implants.
He regularly has doctors from around the country visit him to learn state of the art breast surgery techniques. He yearly gives a number of lectures to breast surgeons from around the country, and since 2004 he has given a Live Surgical Demonstration on Breast Surgery for surgeons from around the country. He is a Lifetime Fellow of the American Society of Cosmetic Breast Surgery. His Board Certifications are many. He is a Diplomate of The American Board of Cosmetic Surgery, The American Board of Otolaryngology – Head and Neck Surgery and a Fellow of the Royal College of Surgeons. His Breast Surgery techniques have been featured on The Discovery Channel, TLC, Fox, Fox News, NBC, CBS, KCAL, The BBC, and television from Denmark to Italy. He has also had numerous print and radio appearances regarding breast augmentation. Dr Peter Cheski treats both men and women in need of breast or chest surgery. For more information contact the American Board of Cosmetic Breast Surgery www.ascbs.org, www.breastaugdr.com, or www.DrCheski.com or call 1 888 4CHESKI
At the Annual Meeting of The American Society of Cosmetic Breast Surgery held in Newport Beach, California, The Board of Trustee’s of The American Board of Cosmetic Breast Surgery voted Dr. Peter Cheski as President elect of The Society. Dr. Cheski will subsequently become President of The Society for the following year.
The Purpose of this society is to help medical and para-medical professionals provide the highest quality of care to women who desire reconstructive and cosmetic breast surgery, both for primary and revision surgery. As well, the society hopes to help women who need cosmetic help with deformities of the ches left by treatment of breast cancer. This is achieved through training, education, research, and the interchange of ideas.
Feelings of adequacy and self esteem are related to breast appearance, which can be caused by: Developmental micromastia; Postpartum involution; post surgical deformities; breast ptosis/sagging; and Breast Asssymetry. Men can also suffer from Gynecomastia or enlarged male breasts, which can also be corrected with surgery. This can be done with liposuction, excision of breast tissue, treatment of excess skin, or a combination of these and potentially other techniques. Dr. Cheski was featured on the Dicovery/TLC and BBC Special called “Boys with Breasts”. Some of these procedures may be covered by health insurance, while others are considered cosmetic and may not be covered.
Dr Cheski is particularly devoted to the practice of breast surgery, as well as education and research in the cosmetic and reconstructive breast surgery for both men and women. He has been a Faculty Member at Numerous National Meetings on Breast Surgery and been an Expert Panel Member on many Expert Panels on Breast Surgery and Breast Implants. He has been involved in a number of FDA Studies on Breast Implants.
He regularly has doctors from around the country visit him to learn state of the art breast surgery techniques. He yearly gives a number of lectures to breast surgeons from around the country, and since 2004 he has given a Live Surgical Demonstration on Breast Surgery for surgeons from around the country. He is a Lifetime Fellow of the American Society of Cosmetic Breast Surgery. His Board Certifications are many. He is a Diplomate of The American Board of Cosmetic Surgery, The American Board of Otolaryngology – Head and Neck Surgery and a Fellow of the Royal College of Surgeons. His Breast Surgery techniques have been featured on The Discovery Channel, TLC, Fox, Fox News, NBC, CBS, KCAL, The BBC, and television from Denmark to Italy. He has also had numerous print and radio appearances regarding breast augmentation. Dr Peter Cheski treats both men and women in need of breast or chest surgery. For more information contact the American Board of Cosmetic Breast Surgery www.ascbs.org, www.breastaugdr.com, or www.DrCheski.com or call 1 888 4CHESKI
Dr Peter Cheski Voted President Elect of American Society of Cosmetic Breast Surgery
Congratulations: Dr Peter Cheski chosen as President Elect of The American Society of Cosmetic Breast Surgery
At the Annual Meeting of The American Society of Cosmetic Breast Surgery held in Newport Beach, California, The Board of Trustee’s of The American Board of Cosmetic Breast Surgery voted Dr. Peter Cheski as President elect of The Society. Dr. Cheski will subsequently become President of The Society for the following year.
The Purpose of this society is to help medical and para-medical professionals provide the highest quality of care to women who desire reconstructive and cosmetic breast surgery, both for primary and revision surgery. As well, the society hopes to help women who need cosmetic help with deformities of the ches left by treatment of breast cancer. This is achieved through training, education, research, and the interchange of ideas.
Feelings of adequacy and self esteem are related to breast appearance, which can be caused by: Developmental micromastia; Postpartum involution; post surgical deformities; breast ptosis/sagging; and Breast Asssymetry. Men can also suffer from Gynecomastia or enlarged male breasts, which can also be corrected with surgery. This can be done with liposuction, excision of breast tissue, treatment of excess skin, or a combination of these and potentially other techniques. Dr. Cheski was featured on the Dicovery/TLC and BBC Special called “Boys with Breasts”. Some of these procedures may be covered by health insurance, while others are considered cosmetic and may not be covered.
Dr Cheski is particularly devoted to the practice of breast surgery, as well as education and research in the cosmetic and reconstructive breast surgery for both men and women. He regularly has doctors from around the country visit him to learn state of the art breast surgery techniques. He yearly gives a number of lectures to breast surgeons from around the country, and since 2004 he has given a Live Surgical Demonstration on Breast Surgery for surgeons from around the country. He is a Lifetime Fellow of the American Society of Cosmetic Breast Surgery. His Board Certifications are many. He is a Diplomate of The American Board of Cosmetic Surgery, The American Board of Otolaryngology – Head and Neck Surgery and a Fellow of the Royal College of Surgeons. His Breast Surgery techniques have been featured on The Discovery Channel, TLC, Fox, Fox News, NBC, CBS, KCAL, The BBC, and television from Denmark to Italy. He has also had numerous print and radio appearances regarding breast augmentation. Dr Peter Cheski treats both men and women in need of breast or chest surgery. For more information contact the American Board of Cosmetic Breast Surgery www.ascbs.org, www.breastaugdr.com, or www.DrCheski.com or call 1 800 4CHESKI
At the Annual Meeting of The American Society of Cosmetic Breast Surgery held in Newport Beach, California, The Board of Trustee’s of The American Board of Cosmetic Breast Surgery voted Dr. Peter Cheski as President elect of The Society. Dr. Cheski will subsequently become President of The Society for the following year.
The Purpose of this society is to help medical and para-medical professionals provide the highest quality of care to women who desire reconstructive and cosmetic breast surgery, both for primary and revision surgery. As well, the society hopes to help women who need cosmetic help with deformities of the ches left by treatment of breast cancer. This is achieved through training, education, research, and the interchange of ideas.
Feelings of adequacy and self esteem are related to breast appearance, which can be caused by: Developmental micromastia; Postpartum involution; post surgical deformities; breast ptosis/sagging; and Breast Asssymetry. Men can also suffer from Gynecomastia or enlarged male breasts, which can also be corrected with surgery. This can be done with liposuction, excision of breast tissue, treatment of excess skin, or a combination of these and potentially other techniques. Dr. Cheski was featured on the Dicovery/TLC and BBC Special called “Boys with Breasts”. Some of these procedures may be covered by health insurance, while others are considered cosmetic and may not be covered.
Dr Cheski is particularly devoted to the practice of breast surgery, as well as education and research in the cosmetic and reconstructive breast surgery for both men and women. He regularly has doctors from around the country visit him to learn state of the art breast surgery techniques. He yearly gives a number of lectures to breast surgeons from around the country, and since 2004 he has given a Live Surgical Demonstration on Breast Surgery for surgeons from around the country. He is a Lifetime Fellow of the American Society of Cosmetic Breast Surgery. His Board Certifications are many. He is a Diplomate of The American Board of Cosmetic Surgery, The American Board of Otolaryngology – Head and Neck Surgery and a Fellow of the Royal College of Surgeons. His Breast Surgery techniques have been featured on The Discovery Channel, TLC, Fox, Fox News, NBC, CBS, KCAL, The BBC, and television from Denmark to Italy. He has also had numerous print and radio appearances regarding breast augmentation. Dr Peter Cheski treats both men and women in need of breast or chest surgery. For more information contact the American Board of Cosmetic Breast Surgery www.ascbs.org, www.breastaugdr.com, or www.DrCheski.com or call 1 800 4CHESKI
Friday, June 11, 2010
वोतेद #२ डॉक्टर इन लोस Angeles
Home > California > Los Angeles's Top 10s > Top 10 Doctors in Los Angeles Top 10 Doctors in Los Angeles: No. 2 See #1 in Los Angeles >>
« Previous Dr Peter Cheski MD Plastic Surgery Rating: 5.0 Category: Plastic Surgery Health & Medical, Doctors & Other Healthcare Professionals, Doctors, Plastic Surgery (more) 2034 Cotner Ave
2nd Floor
Los Angeles, California 90025
(310) 575-1500 Map data ©2010 Google - Terms of Use
I love the staff you all were great.?
Guest By:
« Previous Dr Peter Cheski MD Plastic Surgery Rating: 5.0 Category: Plastic Surgery Health & Medical, Doctors & Other Healthcare Professionals, Doctors, Plastic Surgery (more) 2034 Cotner Ave
2nd Floor
Los Angeles, California 90025
(310) 575-1500 Map data ©2010 Google - Terms of Use
I love the staff you all were great.?
Guest By:
American Society of Cosmetic Surgery
Dr Peter Cheski, MD, FRCS, FAACS, FASCBS has been elected President Elect of the American Society of Cosmetic Breast Surgery by the Board of Trustees. Next year Dr Cheski will be President of the American Society of Cosmetic Breast Surgery.
Dr Peter Cheski and practice below the standard of care
Dr Peter Cheski discusses Medical Malpractice, Lawsuits, Lawyers, and Practice below the Standard of Care
Medicine and Law are both complex but yet judgemental sciences. I have decades of both training and practice in medicine including Face lift, Neck Lift, Face and Neck Lift, Brow Lift, Blepharoplasty ( Eye Lift) Facial Rejuvenation, Stem Cell Face Lift, Fat Injection, Rhinoplasty ( Nose Reshaping ) , Septoplasty, Improved Nasal Breathing, Nose, Cheek, Chin and Facial Implants, Cheek or Midface lift, Laser Facial Surgery and Laser Facial Resurfacing, Sinus Surgery, Chemical Peels, Phenol Peel, VIPeel, Thermage, Thermacool, Facial Fillers and injections, Botox, Dysport, Juvederm, Artefill, Silicone, Restylane, Radiesse, Collagen, Skin Care, Esthetician, Spa and MediSpa services, Microdermabrasion, liposuction, laser liposuction, Radiofrequency Liposuction, Breast Implant and Breast Augmentation (Saline and Silicone) with all approaches ( Periareolar, Inframammary, Axillary and Transumbilical ), Breast Lifts, Breast Revision Surgery, Correction of rippling, Mastopexy, Breast Reduction and Reconstruction, Arm Lift and Liposculpture, Abdominoplasty / Tummy Tuck, Thigh Lift and many others.
Medical malpractice lawsuits can come in many ways, but most must demonstrate that the medical provider, surgeon, or physician be considered “below the standard of care for a similar provider in a similar situation in a similar or same community.” Just because a complication occurred does not mean that a breach of the standard of care occurred. Complications or sub optimal results can occur even if the physician and or surgeon was within the standard of care.
Medicine and Law are both complex but yet judgemental sciences. I have decades of both training and practice in medicine including Face lift, Neck Lift, Face and Neck Lift, Brow Lift, Blepharoplasty ( Eye Lift) Facial Rejuvenation, Stem Cell Face Lift, Fat Injection, Rhinoplasty ( Nose Reshaping ) , Septoplasty, Improved Nasal Breathing, Nose, Cheek, Chin and Facial Implants, Cheek or Midface lift, Laser Facial Surgery and Laser Facial Resurfacing, Sinus Surgery, Chemical Peels, Phenol Peel, VIPeel, Thermage, Thermacool, Facial Fillers and injections, Botox, Dysport, Juvederm, Artefill, Silicone, Restylane, Radiesse, Collagen, Skin Care, Esthetician, Spa and MediSpa services, Microdermabrasion, liposuction, laser liposuction, Radiofrequency Liposuction, Breast Implant and Breast Augmentation (Saline and Silicone) with all approaches ( Periareolar, Inframammary, Axillary and Transumbilical ), Breast Lifts, Breast Revision Surgery, Correction of rippling, Mastopexy, Breast Reduction and Reconstruction, Arm Lift and Liposculpture, Abdominoplasty / Tummy Tuck, Thigh Lift and many others.
Medical malpractice lawsuits can come in many ways, but most must demonstrate that the medical provider, surgeon, or physician be considered “below the standard of care for a similar provider in a similar situation in a similar or same community.” Just because a complication occurred does not mean that a breach of the standard of care occurred. Complications or sub optimal results can occur even if the physician and or surgeon was within the standard of care.
The Modern Rhinoplasty - Nose Job
Rhinoplasty for the New Century – The Nose Job is no longer the Plastic Look of Old
By Peter Cheski, MD, FRCS, FAACS, FASCBS
The Rhinoplasty, or “Nose Job” is an operation that is centuries old, yet continues to evolve and improve with every decade. Nasal surgery today is dramatically improved from even ten or twenty years ago.
The primary change is the change in cosmetic surgery in general, in that surgery must be considered in harmony with all of the other features of the body, personal desires, adjunctive treatments, and underlying functional or medically necessary procedures.
Just as correction of hernias or C-Sections scars should be addressed when a tummy tuck is performed, evaluation and correction of such disorders as nasal obstruction, mouth breathing, snoring, sleep apnea, sinus disease, allergies, post-nasal drip, and allergies should be performed.
Also, the nose should be considered in harmony with the entire face and with the desires of the patient. It was not more than a few decades ago that every patient would receive the same nose job. This led to a nose that might be ideal for some, but look fake, plastic, or even ridiculous on a different face with a different facial profile, sex, and ethnicity. We have all seen examples of this. The Rhinoplasty of today should take into consideration the patient’s pre-existing facial structure, sex, ethnicity, and most importantly the patient’s desires.
The modern rhinoplasty should address both functional and cosmetic issues at the same time. It is one of my favorite operations to perform for many reasons; it can significantly improve someone’s appearance and self confidence, as well as their breathing and sleeping; I have had the surgery myself and am very happy that I have; and I am uniquely trained for this procedure as I have completed a full residency in Otolaryngology – Head and Neck Surgery as well as an accredited post-residency Fellowship in Cosmetic Surgery and Facial Cosmetic Surgery. I have passed board certification, re-certification, and equivalent examinations( in Canada, The Royal College of Surgeons>, in fields such as Otolaryngology, Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, and Cosmetic Surgery. Over the last 17 years I have performed thousands and thousands of nasal surgeries and it continues to be one of my favorite, if not my most favorite, operation.
Health Insurance may cover some of the improvements in nasal and sinus function, but of course will not cover cosmetic improvements. I try to improve both nasal function and cosmetics at the same time to avoid 2 surgeries, 2 anesthesias, and 2 recoveries.
For the surgery itself, I try to individualize it to every patient. Often pictures or pre-operative imaging is used to most fully understand the patient’s pre operative desires.
Some doctors use external incisions on the nose on a routine basis. This leaves scars on the nose that are permanent. I almost always avoid external scars on the nose. All of the surgery is done from inside the nose and closed with dissolvable sutures, leaving no external scars on the skin of the nose or the face. Also, I almost never use packing in the nose. The packing is extremely uncomfortable and claustrophobic. By avoiding packing, nasal surgery has very minimal pain and a much faster recovery. When I had my nose done, I had the surgery on a Friday, by Saturday I was out shopping, was back to work on Monday, and in the Gym on Tuesday. I only took one pain pill on the night of the surgery and nothing after that. As you can see from the statistics below, Rhinoplasty continues to be on the rise.
New survey indicates more than 17 million
cosmetic procedures performed last year in U.S.
Procedures by AACS members increased 8 percent since 2008
CHICAGO (March 9, 2010) – A procedural survey conducted by the American Academy
of Cosmetic Surgery says more than 17 million cosmetic surgery procedures were
performed in the United States in 2009.
The total number of procedures from this first-time study far surpasses any number that
has previously been reported in the U.S. This is the first nationwide survey of its kind
done by the AACS. In addition to the annual polling of its own members, the AACS also
surveyed random physicians across the country to find out who is performing cosmetic
surgery procedures.
The total number of procedures performed by AACS members has increased by eight
percent since 2008.
Among AACS member practices, the biggest increase in invasive procedures in the last
five years are in blepharoplasty (eyelid lift), abdominoplasty (tummy tuck) and
rhinoplasty (nose). For less-invasive procedures, the biggest increase over that five-year
period is in laser resurfacing, chemical peels and fillers.
For AACS members, rhinoplasty surgeries had a 74 percent increase. Facelifts were also up this year, from by a 44 percent spike.
By Peter Cheski, MD, FRCS, FAACS, FASCBS
The Rhinoplasty, or “Nose Job” is an operation that is centuries old, yet continues to evolve and improve with every decade. Nasal surgery today is dramatically improved from even ten or twenty years ago.
The primary change is the change in cosmetic surgery in general, in that surgery must be considered in harmony with all of the other features of the body, personal desires, adjunctive treatments, and underlying functional or medically necessary procedures.
Just as correction of hernias or C-Sections scars should be addressed when a tummy tuck is performed, evaluation and correction of such disorders as nasal obstruction, mouth breathing, snoring, sleep apnea, sinus disease, allergies, post-nasal drip, and allergies should be performed.
Also, the nose should be considered in harmony with the entire face and with the desires of the patient. It was not more than a few decades ago that every patient would receive the same nose job. This led to a nose that might be ideal for some, but look fake, plastic, or even ridiculous on a different face with a different facial profile, sex, and ethnicity. We have all seen examples of this. The Rhinoplasty of today should take into consideration the patient’s pre-existing facial structure, sex, ethnicity, and most importantly the patient’s desires.
The modern rhinoplasty should address both functional and cosmetic issues at the same time. It is one of my favorite operations to perform for many reasons; it can significantly improve someone’s appearance and self confidence, as well as their breathing and sleeping; I have had the surgery myself and am very happy that I have; and I am uniquely trained for this procedure as I have completed a full residency in Otolaryngology – Head and Neck Surgery as well as an accredited post-residency Fellowship in Cosmetic Surgery and Facial Cosmetic Surgery. I have passed board certification, re-certification, and equivalent examinations( in Canada, The Royal College of Surgeons>, in fields such as Otolaryngology, Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, and Cosmetic Surgery. Over the last 17 years I have performed thousands and thousands of nasal surgeries and it continues to be one of my favorite, if not my most favorite, operation.
Health Insurance may cover some of the improvements in nasal and sinus function, but of course will not cover cosmetic improvements. I try to improve both nasal function and cosmetics at the same time to avoid 2 surgeries, 2 anesthesias, and 2 recoveries.
For the surgery itself, I try to individualize it to every patient. Often pictures or pre-operative imaging is used to most fully understand the patient’s pre operative desires.
Some doctors use external incisions on the nose on a routine basis. This leaves scars on the nose that are permanent. I almost always avoid external scars on the nose. All of the surgery is done from inside the nose and closed with dissolvable sutures, leaving no external scars on the skin of the nose or the face. Also, I almost never use packing in the nose. The packing is extremely uncomfortable and claustrophobic. By avoiding packing, nasal surgery has very minimal pain and a much faster recovery. When I had my nose done, I had the surgery on a Friday, by Saturday I was out shopping, was back to work on Monday, and in the Gym on Tuesday. I only took one pain pill on the night of the surgery and nothing after that. As you can see from the statistics below, Rhinoplasty continues to be on the rise.
New survey indicates more than 17 million
cosmetic procedures performed last year in U.S.
Procedures by AACS members increased 8 percent since 2008
CHICAGO (March 9, 2010) – A procedural survey conducted by the American Academy
of Cosmetic Surgery says more than 17 million cosmetic surgery procedures were
performed in the United States in 2009.
The total number of procedures from this first-time study far surpasses any number that
has previously been reported in the U.S. This is the first nationwide survey of its kind
done by the AACS. In addition to the annual polling of its own members, the AACS also
surveyed random physicians across the country to find out who is performing cosmetic
surgery procedures.
The total number of procedures performed by AACS members has increased by eight
percent since 2008.
Among AACS member practices, the biggest increase in invasive procedures in the last
five years are in blepharoplasty (eyelid lift), abdominoplasty (tummy tuck) and
rhinoplasty (nose). For less-invasive procedures, the biggest increase over that five-year
period is in laser resurfacing, chemical peels and fillers.
For AACS members, rhinoplasty surgeries had a 74 percent increase. Facelifts were also up this year, from by a 44 percent spike.
Tuesday, April 13, 2010
Dr Peter Cheski chosen best facelift surgeon in southern california
HOME Contact Me Travel Blog
Los Angeles Cosmetic Surgeon
Best Surgeon For Plastic Surgery And Facelifts !
This Los Angeles cosmetic surgeon is listed in the Guide to America's Top Plastic Surgeons. And was voted "Best Plastic Surgeon" by AV Press in 2006, 2997, and 2009.
Peter Cheski MD, FRCS, a leading cosmetic and reconstructive plastic surgeon, was also named by the Consumer's Research Council of America in Washington D.C. as one of the "America's Top Surgeons".
Doctor Cheski of Los Angeles, Southern California, is an upcoming President Of The American Society Of Cosmetic Breast Surgery.
And the coveted Innovative Research Award In Surgery has been renamed after Dr. Cheski.
Los Angeles Plastic Surgery
This outstanding plastic surgeon was choosen as NBC's Exclusive Pro in cosmetic surgery and is also a Health and Beauty expert for NBC's show "Your LA.
Dr. Cheski has made numerous TV appearences as an expert in cosmetic surgery on NBC, ABC, CBA, KTLA, Fox, FOX News, Inside Edition and many others.
This doctor is also the developer of instrumentation for the Tran sumbilical Breast Augmentation.
Cosmetic Surgery Facelifts
Dr. Cheski is a top lecturer and live demonstrator in surgery to surgeons from around the World.
He has performed over 10,000 cosmetic procedures and has received many honors.
Peter Cheski MD, is a member of the American Academy of Cosmetic Surgery * American Academy of Facial Plastic and Reconstructive Surgery * American Academy of Otolaryngology * The Royal College of Surgeons in Canada * The American Society of Cosmetic Breast Surgery *.
This is the only plastic surgeon I personally would trust with any cosmetic surgery procedure. He is simply the best Los Angeles cosmetic surgeon!
For more information, or to schedule a FREE consultation with Dr. Cheski, call his West Los Angeles office at (310) 575-1500, or visit his website at www.drcheski.com.
Return from Los Angeles Cosmetic Surgeon to Destination Southern California Home Page
Los Angeles Cosmetic Surgeon
Best Surgeon For Plastic Surgery And Facelifts !
This Los Angeles cosmetic surgeon is listed in the Guide to America's Top Plastic Surgeons. And was voted "Best Plastic Surgeon" by AV Press in 2006, 2997, and 2009.
Peter Cheski MD, FRCS, a leading cosmetic and reconstructive plastic surgeon, was also named by the Consumer's Research Council of America in Washington D.C. as one of the "America's Top Surgeons".
Doctor Cheski of Los Angeles, Southern California, is an upcoming President Of The American Society Of Cosmetic Breast Surgery.
And the coveted Innovative Research Award In Surgery has been renamed after Dr. Cheski.
Los Angeles Plastic Surgery
This outstanding plastic surgeon was choosen as NBC's Exclusive Pro in cosmetic surgery and is also a Health and Beauty expert for NBC's show "Your LA.
Dr. Cheski has made numerous TV appearences as an expert in cosmetic surgery on NBC, ABC, CBA, KTLA, Fox, FOX News, Inside Edition and many others.
This doctor is also the developer of instrumentation for the Tran sumbilical Breast Augmentation.
Cosmetic Surgery Facelifts
Dr. Cheski is a top lecturer and live demonstrator in surgery to surgeons from around the World.
He has performed over 10,000 cosmetic procedures and has received many honors.
Peter Cheski MD, is a member of the American Academy of Cosmetic Surgery * American Academy of Facial Plastic and Reconstructive Surgery * American Academy of Otolaryngology * The Royal College of Surgeons in Canada * The American Society of Cosmetic Breast Surgery *.
This is the only plastic surgeon I personally would trust with any cosmetic surgery procedure. He is simply the best Los Angeles cosmetic surgeon!
For more information, or to schedule a FREE consultation with Dr. Cheski, call his West Los Angeles office at (310) 575-1500, or visit his website at www.drcheski.com.
Return from Los Angeles Cosmetic Surgeon to Destination Southern California Home Page
Saturday, April 10, 2010
Stem Cell Facelift
Stem Cell facelift represents a process whereby the hidden genetic potential of adult stem cells is awakened. Human fat has been shown to be an excellent source of adult stem cells. By transplanting carefully harvested autologus (your own) fat, we eliminate any potential for an allergic reaction. During the procedure, both the donor and the recipient sites are pre-treated with growth factors. This important step leads to greatly improved “take” of the transplanted fat.
Introducing the “Stem Cell Facelift,”
Complete Facial Rejuvenation offers a Cost-Effective Alternative to Surgery
Over the decades, multiple procedures have been presented for rejuvenation of the face, most of them stressing the need for extensive surgery in the form of a facelift. In the last 10 years, use of temporary fillers has become a very popular avenue for temporary rejuvenation, or at least for creating the illusion of a younger, more rested, facial appearance.
Now, with the advent of stem cell technology and a wealth of information about the aging process, a revolutionary new procedure, termed a “Stem Cell Facelift” was created the world renowned anti-aging physician and plastic surgeon Vincent Giampapa, MD, FACS. The procedure was presented in Paris on October 17th at the World Academy of Anti-Aging and Cosmetic Medicine.
The “Stem Cell Facelift” is a complete facial rejuvenation procedure without involving any surgery. The procedure, which Dr. Giampapa has been performing for the last 4 years, restores the youthful contour and shape of the face as well as skin tightness, and evens out color irregularities caused by the aging process and environmental sun exposure.
Although fat grafting to the face has been known and utilized for over a decade with a varying amount of success, this new approach, of transplanting “Adult Stem Cells” and fat from the lower abdominal area, and awakening them as well as the local stem cells within the face with specific stem cell growth factors, is a revolutionary technique to facial rejuvenation.
The patients treated have exhibited marked improvement not only in the underlying soft tissue contours of the face but the skin itself. These specific “Stem Cell Growth Factors” induce the skin and fatty layers to produce more of their own cells. The Factors stimulate or initiate “a signal” to both the local stem cells within the skin and fat as well as the transplanted adult stem cells from the lower abdomen to multiply and restore themselves.
Adult Stem Cells, are now known to be a source for producing other “hormone like” substances to enhance both skin quality and the underlying subcutaneous fatty tissues of the cheeks, the mid face and the skin in general. The result is a long term marked improvement that enhances both skin quality as well as the underlying youthful contours of the face.
The procedure is accomplished under local anesthesia in about an hour in the office setting. This is a procedure that avoids the need for a hospital trip and general anesthesia. Recovery time takes about a week. At the end of this time, light powder and makeup is easily applied, and the results document an extremely natural, full rested facial contour.
The “Stem Cell Facelift” may also eliminate the need for ongoing facial “filler” injections like Restylane, Juvederm and the other hyaluronic acid fillers. The improvement of the skin frequently eliminates the need for Botox for many patients as well.
Stem Cell facelift represents a process whereby the hidden genetic potential of adult stem cells is awakened. Human fat has been shown to be an excellent source of adult stem cells. By transplanting carefully harvested autologus (your own) fat, we eliminate any potential for an allergic reaction. During the procedure, both the donor and the recipient sites are pre-treated with growth factors. This important step leads to greatly improved “take” of the transplanted fat.
Introducing the “Stem Cell Facelift,”
Complete Facial Rejuvenation offers a Cost-Effective Alternative to Surgery
Over the decades, multiple procedures have been presented for rejuvenation of the face, most of them stressing the need for extensive surgery in the form of a facelift. In the last 10 years, use of temporary fillers has become a very popular avenue for temporary rejuvenation, or at least for creating the illusion of a younger, more rested, facial appearance.
Now, with the advent of stem cell technology and a wealth of information about the aging process, a revolutionary new procedure, termed a “Stem Cell Facelift” was created the world renowned anti-aging physician and plastic surgeon Vincent Giampapa, MD, FACS. The procedure was presented in Paris on October 17th at the World Academy of Anti-Aging and Cosmetic Medicine.
The “Stem Cell Facelift” is a complete facial rejuvenation procedure without involving any surgery. The procedure, which Dr. Giampapa has been performing for the last 4 years, restores the youthful contour and shape of the face as well as skin tightness, and evens out color irregularities caused by the aging process and environmental sun exposure.
Although fat grafting to the face has been known and utilized for over a decade with a varying amount of success, this new approach, of transplanting “Adult Stem Cells” and fat from the lower abdominal area, and awakening them as well as the local stem cells within the face with specific stem cell growth factors, is a revolutionary technique to facial rejuvenation.
The patients treated have exhibited marked improvement not only in the underlying soft tissue contours of the face but the skin itself. These specific “Stem Cell Growth Factors” induce the skin and fatty layers to produce more of their own cells. The Factors stimulate or initiate “a signal” to both the local stem cells within the skin and fat as well as the transplanted adult stem cells from the lower abdomen to multiply and restore themselves.
Adult Stem Cells, are now known to be a source for producing other “hormone like” substances to enhance both skin quality and the underlying subcutaneous fatty tissues of the cheeks, the mid face and the skin in general. The result is a long term marked improvement that enhances both skin quality as well as the underlying youthful contours of the face.
The procedure is accomplished under local anesthesia in about an hour in the office setting. This is a procedure that avoids the need for a hospital trip and general anesthesia. Recovery time takes about a week. At the end of this time, light powder and makeup is easily applied, and the results document an extremely natural, full rested facial contour.
The “Stem Cell Facelift” may also eliminate the need for ongoing facial “filler” injections like Restylane, Juvederm and the other hyaluronic acid fillers. The improvement of the skin frequently eliminates the need for Botox for many patients as well.
Q: I want to get breast augmentation, but don’t want any scarring. Also, I am concerned about breast feeding and mammograms? Is there a procedure that will work for me?
Cosmetic breast surgery, as all surgery, is evolving towards minimally invasive techniques because of their many advantages, decreased complications, and improvement in post operative pain and recovery time.
This has led to the development of the TransUmbilical Breast Augmention (TUBA) or breast augmentation through the belly button. I have designed many of the instruments for this technique, and currently, to my knowledge, perform more of these procedures than anyone in the world. Many of the instruments that I use are named after myself.
This technique is an evolution in breast augmentation, much like how gallbladders are now removed through the belly button, tubes are tied through the belly button, and heart catheterization is done through small incisions in the groin. There are many advantages to this technique. The incision is done through a small mark under the hood of the belly button, leaving no scars on the breast. There is no cutting around the nipple and areola. This decreases the chance of permanent loss of nipple sensation, as confirmed in clinical studies. There is no cutting through the breast tissue, gland, or ducts. Thus there is less interference with breast feeding and mammograms. Further, clinical studies have shown a significant decrease in hardening of the breast and a much improved recovery time. Patients with this technique have less pain and typically are back to driving and regular activities within 2 to 3 days. One can resume working out within 2 to 3 weeks.
I perform all the different approaches in breast augmentation, but this is my preferred technique and comprises approximately 85% of my primary breast augmentation practice. This technique can be combined with other techniques through the belly, such as liposuction, umbilicoplasty (tightening of the skin and/or stretch marks round or on top of the belly button) or tummy tuck, and can be combined with breast lifting techniques. I have been performing this technique since 1997 and place approximately 1000 implants per year.
My personal experience with this technique shows a significant decrease in complication rates as compared to other approaches. I have never had an infection on a primary breast augmentation with this approach. Rates of capsule contracture (hardening of the pocket around the implant), hematoma, breast implant deflation from the surgery, and decrease in nipple sensation are much less than other approaches in breast augmentation. Doctors from around the world regularly come to watch me perform this technique and I lecture regularly about this technique at national and international meetings.
This procedure can be performed under or over the muscle, although I strongly recommend going underneath the muscle as it leaves a more natural look and feel and is better for breast feeding and mammograms. I typically use smooth round saline implants, which leave the most natural feel. These implants, when designed with the proper surgical pocket, appear round when the patient is lying on her back and teardrop shaped when standing.
I also perform many other cosmetic plastic surgery procedures on the face and body. For more information, please contact me at 310 575 1500 or www.DrCheski.com
Cosmetic breast surgery, as all surgery, is evolving towards minimally invasive techniques because of their many advantages, decreased complications, and improvement in post operative pain and recovery time.
This has led to the development of the TransUmbilical Breast Augmention (TUBA) or breast augmentation through the belly button. I have designed many of the instruments for this technique, and currently, to my knowledge, perform more of these procedures than anyone in the world. Many of the instruments that I use are named after myself.
This technique is an evolution in breast augmentation, much like how gallbladders are now removed through the belly button, tubes are tied through the belly button, and heart catheterization is done through small incisions in the groin. There are many advantages to this technique. The incision is done through a small mark under the hood of the belly button, leaving no scars on the breast. There is no cutting around the nipple and areola. This decreases the chance of permanent loss of nipple sensation, as confirmed in clinical studies. There is no cutting through the breast tissue, gland, or ducts. Thus there is less interference with breast feeding and mammograms. Further, clinical studies have shown a significant decrease in hardening of the breast and a much improved recovery time. Patients with this technique have less pain and typically are back to driving and regular activities within 2 to 3 days. One can resume working out within 2 to 3 weeks.
I perform all the different approaches in breast augmentation, but this is my preferred technique and comprises approximately 85% of my primary breast augmentation practice. This technique can be combined with other techniques through the belly, such as liposuction, umbilicoplasty (tightening of the skin and/or stretch marks round or on top of the belly button) or tummy tuck, and can be combined with breast lifting techniques. I have been performing this technique since 1997 and place approximately 1000 implants per year.
My personal experience with this technique shows a significant decrease in complication rates as compared to other approaches. I have never had an infection on a primary breast augmentation with this approach. Rates of capsule contracture (hardening of the pocket around the implant), hematoma, breast implant deflation from the surgery, and decrease in nipple sensation are much less than other approaches in breast augmentation. Doctors from around the world regularly come to watch me perform this technique and I lecture regularly about this technique at national and international meetings.
This procedure can be performed under or over the muscle, although I strongly recommend going underneath the muscle as it leaves a more natural look and feel and is better for breast feeding and mammograms. I typically use smooth round saline implants, which leave the most natural feel. These implants, when designed with the proper surgical pocket, appear round when the patient is lying on her back and teardrop shaped when standing.
I also perform many other cosmetic plastic surgery procedures on the face and body. For more information, please contact me at 310 575 1500 or www.DrCheski.com
procedurs
Follows are some of the procedurs that we perform
Face lift, Neck Lift, Face and Neck Lift, Brow Lift, Blepharoplasty ( Eye Lift) Facial Rejuvenation, Stem Cell Face Lift, Fat Injection, Rhinoplasty ( Nose Reshaping ) , Septoplasty, Improved Nasal Breathing, Nose, Cheek, Chin and Facial Implants, Cheek or Midface lift, Laser Facial Surgery and Laser Facial Resurfacing, Sinus Surgery, Chemical Peels, Phenol Peel, VIPeel, Thermage, Thermacool, Facial Fillers and injections, Botox, Dysport, Juvederm, Artefill, Silicone, Restylane, Radiesse, Collagen, Skin Care, Esthetician, Spa and MediSpa services, Microdermabrasion, liposuction, laser liposuction, Radiofrequency Liposuction, Breast Implant and Breast Augmentation (Saline and Silicone) with all approaches ( Periareolar, Inframammary, Axillary and Transumbilical ), Breast Lifts, Breast Revision Surgery, Correction of rippling, Mastopexy, Breast Reduction and Reconstruction, Arm Lift and Liposculpture, Abdominoplasty / Tummy Tuck, Thigh Lift
Face lift, Neck Lift, Face and Neck Lift, Brow Lift, Blepharoplasty ( Eye Lift) Facial Rejuvenation, Stem Cell Face Lift, Fat Injection, Rhinoplasty ( Nose Reshaping ) , Septoplasty, Improved Nasal Breathing, Nose, Cheek, Chin and Facial Implants, Cheek or Midface lift, Laser Facial Surgery and Laser Facial Resurfacing, Sinus Surgery, Chemical Peels, Phenol Peel, VIPeel, Thermage, Thermacool, Facial Fillers and injections, Botox, Dysport, Juvederm, Artefill, Silicone, Restylane, Radiesse, Collagen, Skin Care, Esthetician, Spa and MediSpa services, Microdermabrasion, liposuction, laser liposuction, Radiofrequency Liposuction, Breast Implant and Breast Augmentation (Saline and Silicone) with all approaches ( Periareolar, Inframammary, Axillary and Transumbilical ), Breast Lifts, Breast Revision Surgery, Correction of rippling, Mastopexy, Breast Reduction and Reconstruction, Arm Lift and Liposculpture, Abdominoplasty / Tummy Tuck, Thigh Lift
Trans Umbilical Breast Aumentation
Dr Cheski Discusses Issues in Breast Augmentation.
Issue: Saline versus Silicone implants
There is a lot of misinformation about this because much of the literaturerumours, and word of mouth about silicone implants is based on liquid silicone implants from the 1970’s, 80’s and early 90’s. The silicone implants used now are a cohesive gel implant, and they behave much differently . The silicone implant has a higher rate of leakage and the leaks are harder to detect and correct. Silicone implants come pre-filled and thus require a larger incision/scar and are much more difficult to match size in patients who have one breast larger than the other. Further, the silicone implants are more expensive.
Some people think that cohesive gel implants(modern silicone) have less rippling and a more natural feel. This is true with the old liquid silicone implants, but I, and many other surgeons, have found that the new implants actually have more ripples and a higher rate of capsule contracture(hardening of the breasts) . To get FDA approval, the implants are now safer but the trade off is a higher rate of rippling.
In contrast, the new saline implants are far superior to the saline implants of old. I have found that there is a significant decrease in rippling and more natural feel, especially among the high profile saline implants. The implants are inserted uninflated and are inflated in place, thus they can be inserted through a much smaller incision, resulting in a much smaller scar. A leak or deflation is much safer and is easier to detect and correct. Further, there is a much lower risk of capsule contracture, especially when placed through the belly button.
I use both saline and silicone implants, but I much prefer the saline implants.
Issue: Minimizing and Treating Rippling
Place the implant under the muscle. I prefer the High Profile Saline Implant. Their configuration has a sidewall that ripples less. Also, more of the implant is under the muscle and less hanging toward the armpit.
I have developed a unique technique to minimize the risk, or treat, rippling. For very thin patients or for patients who has rippling, I suggest fat grafting to the area of rippling which provides a cushion between the skin and the implant. This masks any potential rippling.
Issue: Capsule Contracture:
To minimize the risk of capsule contracture, I prefer to use saline High Profile under the muscle and use massage post operatively. Also, placing the breast implant through the belly Button, or TUBA) greatly reduces the chance of Capsule Contracture
Issue: Need to change implants every 10 years.
This used to be true with the old implants, but it is no longer the case. In fact the implants are guaranteed for life by the manufacturer, which covers a replacement implant plus provides money toward the surgery.
Named by the Consumers Research Council of Washington DC as one of America’s Top Surgeons. Voted Best Plastic Surgeon by AV Press. Listed in the Guide to America’s Top Plastic Surgeons. Chosen “Best Plastic Surgeon and Facelift Surgeon” by Destination Southern California, Chosen “Best Doctor” by AV Press, Named by the Consumers Research Council of Washington DC as one of “America’s Top Plastic Surgeons”. “Innovative Research Award in Surgery” renamed after Dr Cheski as “The Dr Peter Cheski Innovative Research Award in Surgery”. Chosen as NBC’s Exclusive Pro in Cosmetic Surgery. Chosen as KTLA’s Expert in Cosmetic Surgery. “Normal natural results” as stated by Howard Stern, Developer of instrumentation for Transumbilical Breast Augmentation. Lecturer and Live Surgical Demonstrator and teacher to surgeons from around the world. Over 30,000 procedures performed. Many Charitable Honors, including The Huntingtons Disease Society of America “Humanitarian Award of Medical Excellence”, Previous Board Member of Safe Passage and awarded the Award of Honor for charitable work with victims of domestic violence .
And most of all, a kid from small town Oshawa Ontario Canada who was blessed with a loving supporting family and a good upbringing.
Face lift, Neck Lift, Face and Neck Lift, Brow Lift, Blepharoplasty ( Eye Lift) Facial Rejuvenation, Stem Cell Face Lift, Fat Injection, Rhinoplasty ( Nose Reshaping ) , Septoplasty, Improved Nasal Breathing, Nose, Cheek, Chin and Facial Implants, Cheek or Midface lift, Laser Facial Surgery and Laser Facial Resurfacing, Sinus Surgery, Chemical Peels, Phenol Peel, VIPeel, Thermage, Thermacool, Facial Fillers and injections, Botox, Dysport, Juvederm, Artefill, Silicone, Restylane, Radiesse, Collagen, Skin Care, Esthetician, Spa and MediSpa services, Microdermabrasion, liposuction, laser liposuction, Radiofrequency Liposuction, Breast Implant and Breast Augmentation (Saline and Silicone) with all approaches ( Periareolar, Inframammary, Axillary and Transumbilical ), Breast Lifts, Breast Revision Surgery, Correction of rippling, Mastopexy, Breast Reduction and Reconstruction, Arm Lift and Liposculpture, Abdominoplasty / Tummy Tuck, Thigh Lift
Issue: Saline versus Silicone implants
There is a lot of misinformation about this because much of the literaturerumours, and word of mouth about silicone implants is based on liquid silicone implants from the 1970’s, 80’s and early 90’s. The silicone implants used now are a cohesive gel implant, and they behave much differently . The silicone implant has a higher rate of leakage and the leaks are harder to detect and correct. Silicone implants come pre-filled and thus require a larger incision/scar and are much more difficult to match size in patients who have one breast larger than the other. Further, the silicone implants are more expensive.
Some people think that cohesive gel implants(modern silicone) have less rippling and a more natural feel. This is true with the old liquid silicone implants, but I, and many other surgeons, have found that the new implants actually have more ripples and a higher rate of capsule contracture(hardening of the breasts) . To get FDA approval, the implants are now safer but the trade off is a higher rate of rippling.
In contrast, the new saline implants are far superior to the saline implants of old. I have found that there is a significant decrease in rippling and more natural feel, especially among the high profile saline implants. The implants are inserted uninflated and are inflated in place, thus they can be inserted through a much smaller incision, resulting in a much smaller scar. A leak or deflation is much safer and is easier to detect and correct. Further, there is a much lower risk of capsule contracture, especially when placed through the belly button.
I use both saline and silicone implants, but I much prefer the saline implants.
Issue: Minimizing and Treating Rippling
Place the implant under the muscle. I prefer the High Profile Saline Implant. Their configuration has a sidewall that ripples less. Also, more of the implant is under the muscle and less hanging toward the armpit.
I have developed a unique technique to minimize the risk, or treat, rippling. For very thin patients or for patients who has rippling, I suggest fat grafting to the area of rippling which provides a cushion between the skin and the implant. This masks any potential rippling.
Issue: Capsule Contracture:
To minimize the risk of capsule contracture, I prefer to use saline High Profile under the muscle and use massage post operatively. Also, placing the breast implant through the belly Button, or TUBA) greatly reduces the chance of Capsule Contracture
Issue: Need to change implants every 10 years.
This used to be true with the old implants, but it is no longer the case. In fact the implants are guaranteed for life by the manufacturer, which covers a replacement implant plus provides money toward the surgery.
Named by the Consumers Research Council of Washington DC as one of America’s Top Surgeons. Voted Best Plastic Surgeon by AV Press. Listed in the Guide to America’s Top Plastic Surgeons. Chosen “Best Plastic Surgeon and Facelift Surgeon” by Destination Southern California, Chosen “Best Doctor” by AV Press, Named by the Consumers Research Council of Washington DC as one of “America’s Top Plastic Surgeons”. “Innovative Research Award in Surgery” renamed after Dr Cheski as “The Dr Peter Cheski Innovative Research Award in Surgery”. Chosen as NBC’s Exclusive Pro in Cosmetic Surgery. Chosen as KTLA’s Expert in Cosmetic Surgery. “Normal natural results” as stated by Howard Stern, Developer of instrumentation for Transumbilical Breast Augmentation. Lecturer and Live Surgical Demonstrator and teacher to surgeons from around the world. Over 30,000 procedures performed. Many Charitable Honors, including The Huntingtons Disease Society of America “Humanitarian Award of Medical Excellence”, Previous Board Member of Safe Passage and awarded the Award of Honor for charitable work with victims of domestic violence .
And most of all, a kid from small town Oshawa Ontario Canada who was blessed with a loving supporting family and a good upbringing.
Face lift, Neck Lift, Face and Neck Lift, Brow Lift, Blepharoplasty ( Eye Lift) Facial Rejuvenation, Stem Cell Face Lift, Fat Injection, Rhinoplasty ( Nose Reshaping ) , Septoplasty, Improved Nasal Breathing, Nose, Cheek, Chin and Facial Implants, Cheek or Midface lift, Laser Facial Surgery and Laser Facial Resurfacing, Sinus Surgery, Chemical Peels, Phenol Peel, VIPeel, Thermage, Thermacool, Facial Fillers and injections, Botox, Dysport, Juvederm, Artefill, Silicone, Restylane, Radiesse, Collagen, Skin Care, Esthetician, Spa and MediSpa services, Microdermabrasion, liposuction, laser liposuction, Radiofrequency Liposuction, Breast Implant and Breast Augmentation (Saline and Silicone) with all approaches ( Periareolar, Inframammary, Axillary and Transumbilical ), Breast Lifts, Breast Revision Surgery, Correction of rippling, Mastopexy, Breast Reduction and Reconstruction, Arm Lift and Liposculpture, Abdominoplasty / Tummy Tuck, Thigh Lift
Subscribe to:
Posts (Atom)