Houma, Louisiana (985) 223-2602

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Understanding Injectables

Understanding Injectables

Injectables are a major part of the services offered by our cosmetic surgery practice. They are popular with patients, compared to more involved procedures, since they require practically no downtime after their completion. As a board certified plastic surgeon, Dr. Mark Peters offers a full range of injectables for his patients. He can guide you on which ones are best for you and how each one works. Basically, the three most common injectables we offer are Botox Cosmetic®, Juvederm®, and Radiesse®.

 

BOTOX® Cosmetic

This has been used for years in the plastic surgery field and is probably the one most people think of first when asked about injectables. It is made up of a substance known as botulinum toxin. When it is used by a skilled plastic surgeon, it is simply injected under the skin where it acts as a neurotransmitter inhibitor. In other words, it blocks the muscles under the skin where it’s injected from receiving the brain’s signals to contract. This enables the skin to relax, which reduces the appearance of any wrinkles. The effects of this injectable last for about four months.

BOTOX® Cosmetic is ideal for improving:

  • Crow’s feet (Lines emanating from the corners of your eyes.)
  • Frown lines (Lines between your brows.)
  • Lines on your forehead

 

JUVÉDERM® ULTRA and ULTRA PLUS

These injectables are hyaluronic acid fillers. This is a natural compound that stimulates collagen production, which increases your skin’s fullness and its volume. Our treatment with Juvederm Ultra and Ultra Plus can last for a maximum of two years.

JUVÉDERM® ULTRA and ULTRA PLUS are ideal for improving:

  • Folds in the skin on the lower part of your face.
  • Nasolabial folds.
  • Bags or circles underneath your eyes.
  • A lack of lip fullness or definition.

 

JUVÉDERM VOLUMA® XC

This is an additional type of Juvederm that is considered more of a volumizer rather than a filler. It can also provide a lifting effect, which is why it is popular for use in the upper cheeks to rejuvenate this part of the face. Patients can expect the benefits of this injectable to last for a maximum of two years.

JUVÉDERM VOLUMA® XC is ideal for improving:

  • Flat or sagging cheeks that come with aging.
  • A loss of definition in the midface area.

 

RADIESSE®

This injectable is another one that adds fullness and volume to the skin. It does this by injecting a protein called calcium hydroxylapatite, which stimulates collagen production in your skin. Its effects can last a maximum of two years.

RADIESSE® is ideal for improving:

  • Deep nasolabial folds in the skin around your nose.
  • Folds in the skin of your lower face.

 

All injectables are non-surgical treatments and do not require downtime after the procedure. Repeat treatments will be necessary to maintain ideal results. During your consultation, you and Dr. Peters can discuss your aesthetic goals to determine which filler will work best for you.

At Dr. Mark Peters’ cosmetic surgery practice, we are proud to offer the above procedures to help our patients deal with flaws that do not require surgery to handle. Treatment with these injectables is extremely convenient for those near Houma, where our practice is located. You are able to continue on with your life immediately afterward. Dr. Peters can inform you of which filler may be best for you after a consultation in which you lay out your aesthetic goals.

To schedule your consultation with Dr. Mark Peters, contact our office at (985) 227-4325 or fill out our online contact form here for more information.

What’s the skinny on fat transfer?

Transferring Your Own Fat to Rejuvenate and Contour Your Body

When considering cosmetic surgery to address issues having to do with body fat, the natural inclination is simply to have it removed. Recently, though, transferring fat from one part of the body to another has become all the rage. I recently had the chance to review fat transfer methods and techniques at the International Fat Grafting Forum in New Orleans, which is not far from my practice in Houma. This cosmetic technique is particularly popular when it comes to women using it to augment their buttocks.

As a plastic surgeon, I believe fat transfers most powerful application is when it’s used in conjunction with other cosmetic procedures. Take face lifts as just one example. This procedure alone does not fully restore youthful appearance because the volume you had when you were younger is still missing. A fat augmentation by transferring fat from one area of the body to certain areas of the face can enhance a face lift and boost its rejuvenating effects. A similar effect can be achieved when using it in conjunction with a breast augmentation or breast lift. I look forward to providing safe options for reliably delivering better results across a range of cosmetic procedures thanks to the exciting new frontier of fat transfer.

 

The Benefits of Using Fat

  • You get two benefits for the price of one. Most of us typically already have some extra fat on us somewhere, or we might not be needing the services of a plastic surgeon. By removing it from one area, I can increase the contour and definition there while achieving the same result in another spot where it’s transferred to.

  • Fat is very versatile. It is able to be placed just about anywhere around the body. When placed in the face, it is particularly good at rejuvenating appearance, and its use in the buttocks can give you the shapely, contoured butt you’ve always wanted.

  • It offers lasting results. Transferring fat on its own or to augment other cosmetic procedures can deliver potentially permanent results, which translates into excellent bang for your buck.

Fat transfer appears to be a procedure that isn’t going away any time soon. In fact, statistics from the American Society of Plastic Surgeons show a 200 percent increase in the use of this procedure in butt augmentations from 2013 to 2014. There’s no doubt pop culture is a major contributor to this with stars such as Kim Kardashian, Jennifer Lopez and Nikki Minaj having highlighted their body contours and inspiring other women to follow suit. Additionally, this cosmetic technique continues to undergo the same types of improvements and refinements that are typical of other cosmetic procedures, which means greater numbers of people are now candidates for it.

 

Take the Next Step

If you wish to find out more about how this procedure can help you reach your aesthetic goals, please call to schedule a consultation with me, or make an appointment here. You can click the following link https://www.drmarkpeters.com/view-your-procedure-in-3d/ to watch a video that answers many questions about fat transfer with an educational animation. Let it inspire you to realize that your appearance and self-confidence are under your control and are, potentially, only a short cosmetic procedure away.

Mommy Makeover: Putting the “Hot” Back in Momma!

Young mother and daughter playing in a park

Becoming pregnant is a major commitment for a woman. This is true not only in terms of having to raise and care for the children but also the physical impact that a pregnancy has on your body. When your belly enlarges due to pregnancy, this causes the skin to become stretched. There is a similar situation when your breasts become temporarily enlarged during this time.

You may find that these attributes of pregnancy can leave you with a body that has been physically altered in a way that makes you feel less attractive. This can negatively affect your self-esteem, which can, in turn, negatively affect your relationships with others. Fortunately, there are plastic surgery procedures that can help to rejuvenate your body and leave you feeling more attractive than ever.

Dr. Mark Peters uses various cosmetic surgery procedures to perform what he refers to as a “mommy makeover.” These procedures include breast lifts, breast augmentations, tummy tucks and liposuction. Depending on your specific situation, one or more of these procedures can transport you to the aesthetic goals you have for your post-pregnancy body.

 

Breast Lift and Breast Augmentation

A breast lift is intended to address the sagging and loosening of skin that can occur when your breasts have enlarged due to pregnancy and then reduce back down in size. Essentially, the procedure rejuvenates the appearance of your breasts and realigns the location of the nipple relative to the fold at the bottom of the breast, which is called the inframammary fold. Depending on your particular situation, you may want a breast augmentation in addition to a breast lift.

A breast augmentation entails the enlargement and shape enhancement of your breasts through the placement of silicone or saline implants. There are a number of options when it comes to this procedure, and Dr. Peters can go over them with you and help you arrive at the one that best suits your goals.

 

Tummy Tuck and Liposuction

Your abdominal area is probably the one place that takes an even bigger physical hit from a pregnancy than your breasts. During the months that your pregnancy is showing to the world, your abdominal skin is stretching out to a degree that is hard for it to fully snap back from afterward. This means you can expect to have loose, excess skin and a loss of muscle tone as well.

If you find yourself in the above situation, you may find a tummy tuck is an excellent way to return your abdominal area to a far more desirable aesthetic. This procedure will remove excess skin and tighten your abdominal muscles, which typically results in a smooth waistline and a rejuvenated appearance.

Ensuring optimal appearance from a tummy tuck may entail combining this procedure with liposuction. Tightening the skin and muscles is one thing, but this additional procedure will also remove any excess fat under the skin enabling the procedure to yield the best possible results.

 

Restore Confidence in Your Appearance

The office of Dr. Mark Peters is conveniently located in Houma, which is just outside New Orleans. The plastic surgery services our practice offers will enable you to look and feel your best. If you’re thinking that a “mommy makeover” may be something you are interested in, please contact our office. During a consultation, Dr. Peters will lay out for you what his cosmetic surgery skill can do to restore a positive self-image and all the benefits that will have in your everyday life.

Find out how a “Mommy Makeover” can help you achieve your goals. To learn more, please schedule a consultation by calling board-certified plastic surgeon Dr. Mark Peters at (985) 227-4325 or by filling out our online contact form.

Fresh Pumpkin Pie

Celebrate Thanksgiving with Dr. Peter’s Very own Fresh Pumpkin Pie Recipe!

This pie recipe has been passed down from Dr. Peters mother and he now bakes it every year for his family.  As you are celebrating Thanksgiving tomorrow, don’t forget to give thanks for all your many blessings! Life is truly a gift and we are all so blessed to leave our mark here.  HAPPY THANKSGIVING!

Dr. Peters’ Fresh Pumpkin Pie

½ cup granulated sugar

½ cup dark brown sugar

2 tsp. ground cinnamonthanksgiving blog 2

¾  tsp. nutmeg

½  tsp. ground ginger

½ tsp. ground cloves

1 Tbsp. all purpose flour

3 eggs, beaten

1 ½ cups heavy cream

¼ cup unsalted butter, softened

1 tsp vanilla

1 ½ cups fresh pumpkin puree

 

Preheat oven to 425º F.

Combine granulated sugar, brown sugar, cinnamon, nutmeg, ginger, cloves, and flour in a large mixing bowl.  Whisk eggs, cream, butter, and vanilla in a medium mixing bowl.  Add this mixture to the dry ingredients and mix until smooth.  Add the pumpkin until well combined.

Place unbaked pie crust (from scratch or prepared) into 9” pie pan and pour batter into pie crust.

Place the pie into the oven at 425º for 15 minutes then  reduce heat to 325º and bake for 40-50 minutes longer.  The pie is done when a toothpick placed into the center of the pie comes out clean.

 

Tips for Consultation Confidence

consult

Deciding to have plastic surgery can be a nerve-wracking process.  Many people experience concern over choosing the right Doctor, which procedure to receive and managing the time off of everyday life for healing.  The most important part of this process is to have a consultation with the Doctor or Doctors that you feel you’d be most comfortable with.  Read our tips below to learn more about how to manage the process and gain your confidence about your plastic surgery decisions during your consultation.

#1. Expect to pay a fee for the consultation

A lot of people have questions about surgery and the consultation is meant for this.  But let’s face the facts, professionals should not be expected to give free advice.  You wouldn’t expect a dermatologist to tell you how to treat your skin for free, or a therapist to help you through your struggles for free.  Professionals spend years of their life learning their trade, so expect to pay for their knowledge and experience.  Your willingness to pay the consultation fee lets the Doctor know that you are committed to your interest in surgery.

#2. Bring a loved one for support

There are a lot of people who may want to be involved in your surgical experience or have questions of their own. We suggest you bring ONE loved one with you to your consultation.  Either your spouse, parent, sibling, friend..whomever you are most comfortable with.  It will help you to feel a bit more relaxed, and they may have some questions to ask that you might not have thought of!

#3. Bring a list of questions written down to ask your Plastic Surgeon

This step is so important!  Often times people come for a consultation and forget questions they would have liked to ask.  If you bring a list with your questions written down, then you will get all the answers to your questions and it ensures you won’t forget! You can also refer back to this list with your answers written down in the future if you would like.

#4. Determine if you will need financing options beforehand

Financing is a great way to match your surgical goals with everyday life.  Determining if this is necessary before your consultation is very helpful, and will aid in the flow and ease of your consultation.  If you would like to book surgery ASAP, and need financing, you can apply before your consultation.  Knowing how much you have been approved for beforehand will help us to move the process along and get your surgery booked as soon as possible!

#5. Do your research from credible websites and organizations

This is CRUCIAL to setting your expectations and your understanding of the surgical process.  Credible websites and organizations will provide you with information that is accurate, relevant and detailed.  We recommend the following websites and organizations as places for you to read up on for more information:

 

#6. Be honest

Being honest during your consultation is the only way to ensure that you and the Doctor are on the same page with realistic expectations and goals. Be forthcoming with your medical history, personal information and expectations so that there are no misunderstandings.

We hope these tips are helpful for you! Remember, the goal is always to provide you with the highest level of care and bring you closer to your desired image.  Call us at 985.223.2602 to guarantee your spot in our schedule for a consultation with your new found consultation confidence!

Pre-Wedding Package Before you say, “I do…”

Here comes the bride! Are you ready? Now that the date is set, you’ll be busy making preparations for The Big Day. It’s a happy time, but the stress can be your skin’s worst enemy. Make a vow to look your absolute best by letting Belle Nouveau prepare you for center stage. At Belle Nouveau we offer customized skin analysis, medically supervised treatments and makeup application to give you that special glow. A quick spa facial will not give you the same results as our comprehensive monthly plan. Take his breath away. Smile for the camera. You’ve never looked more beautiful.
Special arrangements can also be made for your wedding party, and mother of the bride and groom.

Mommy Makeovers – Can you really get your body back?

As a mom, you understand that sacrifice comes with the territory. However, having children does not have to cost you your appearance. Pregnancy and breast feeding can take their toll on a woman’s body leaving residual skin and fat around the tummy, sagging breasts and stretch marks. Can you really get your body back? The answer is a resounding “yes!” The Mommy Makeover is one of the most satisfying and safe combination procedures for women who want their pre-pregnancy figures restored—or improved. It involves a tummy tuck, liposuction, breast enhancement and stretch mark removal. Some patients need only one of these procedures…others need a combination to achieve the look they desire. Dr. Peters will discuss all your options during your consultation. Pregnancy significantly changes a woman’s body. The beauty of a “mommy makeover” is not only in the final results. Certainly, patients find that they look and feel better regaining newfound confidence in their appearance. But the best part is the consolidated healing and recovery. Perfect for busy moms. And the results are remarkable. The only evidence you were ever pregnant will be in the car seat.

Eternal Beauty – The virtual fountain of youth can be yours

Are you a baby boomer? The kids are (almost!) out of the house and the calendar is full of reunions, weddings, 50th birthday parties and job related special events. You feel great, but lately, the mirror is not so kind. Let us help you rediscover the beauty you think you left behind. There is no reason not to look as good as you feel. Perhaps some non invasive skin treatments, injectables or fillers will set the clock back. Maybe a minimally invasive procedure like an eyelid lift will make all the difference in your appearance. Dr. Peters performs a full range of the latest cosmetic enhancement procedures. Consider scheduling a consultation to learn more about looking your best for those special days coming up… and every day in between.

Saline Implants vs. Silicone Gel Filled Implants

A conversation with Dr. Mark Peters on
Saline Implants vs. Silicone Gel Filled Implants

When were silicone implants put back on the market and how do we know they are now safe? The FDA approved the silicone gel filled implants for general use in November 2006. In 1992 they were restricted in the market because they were suspected of contributing to systemic illnesses. The manufacturers of the implants cooperated fully with the FDA and always maintained the implant’s safety. Over 3000 peer reviewed studies have been conducted over the past 15 years showing silicone was and is unrelated to any medical problems in women. There are also over 33 epidemiologic studies showing no statistical differences for auto immune disorders occurring either with or without implants and after following over 30,000 women receiving silicone gel filled implants, there is no association with connective tissue diseases.,Silicone implants have been the most scrutinized device ever and as it turns out, were never “unsafe.” There is no reason to hesitate when choosing a silicone implant. In fact, throughout the study period while silicone was denied to primary augmentation patients, those patients requesting a revision or those needing reconstruction were allowed silicone implants with no adverse reactions reported.

What are the pros and cons of silicone vs. saline?
Both saline filled implants and silicone gel filled implants come in different profiles (moderate, moderate plus, and high), surfaces (textured and smooth), and shapes (round and “tear-drop”). Each implant has different advantages and disadvantages; each produces a different “look” for the patient. Although either implant is capable of producing a natural appearance, the silicone gel filled implant feels and looks more like natural breast tissue. Patients desiring a more defined “takeoff” (this is the transition between the chest and the top of the breast) seem to prefer the saline filled implant which results in a more defined upper pole. There is a cost issue. The silicone gel filled implant costs about $750-800 more than the saline filled implant. While neither are considered lifetime devices, both come with similar warranties.

In general, I spend time with each patient listening to the type of features they are seeking for their new breast shape. I stop short of recommending one implant over another because I feel that the choice of implant is such a personal one. I am willing to tell patients which will look the best given their anatomy, but ultimately it is their decision.

I’ve heard that saline gives the doctor more options. What does that mean?
Simply put, the saline implant has the ability to be adjusted in the operating room. In other words, the surgeon can fill the implant with a range of saline to optimize the symmetry. The silicone gel implant comes filled and therefore set in its volume. Although sterile sizers (these are “test” implants) can be used to optimize the symmetry, the gel implants come in fixed volume increments (300cc, 325cc…and so on) so some asymmetry of the breast volume may result. When the patient is having a breast augmentation without a lift, the incision required for the silicone gel filled implant is longer than the incision for the saline. This is due to the fact that the saline implant is empty, then filled; and the silicone gel implants comes filled. Therefore, if you choose to have silicone, you will probably not have the option of a transaxillary (under the armpit) incision.

You have said they are both safe, but does one have more complications than the other?
Implants have their own potential complications (see the Breast Augmentation Complication section) and there are difference between the silicone gel filled implants and the saline filled implants. Regarding the rupture and deflation of the implants, the silicone filled implants have a much lower rupture rate than the saline. This is, in part, due to the filling valve found on the saline implant. When saline implants deflate, the saline is absorbed by the body and the determination that it is deflated is relatively easy (there is a volume change over a 24-36 hour time period). Determining whether a silicone gel filled implant is ruptured is more difficult because of the cohesive gel which is now used to fill these implants. If you were to cut a gel filled implant in half, the gel would remain without “oozing” out. It would be as if you cut a gummy bear candy in half. Externally, you would likely not see any changes in the breast. This is referred to as “silent rupture.” Overall, less than 4% of patients ever experience a rupture of either type of implant during the first seven years. The risk of rupture continues to increase over the life of the implant.
The gold standard test to assess the integrity of the silicone gel filled implant is MRI. The MRI also has to use special equipment (breast coils) in order to evaluate the implants and not every MRI facility has them. The FDA actually recommends getting an MRI the third year after surgery and then every other year. This is not required and it is simply guidelines issued by the FDA when they approved the gel filled implants for general use. The cost is prohibitive, so while it is recommended we don’t know how many patients follow these guidelines.

Capsular contracture rates are generally regarded as being higher when using silicone gel filled implants. This is due to the fact that when the implants are passed through the incision, the silicone gel filled implants come into more contact with the skin. And as mentioned in the Complication section, the exposure to the skin bacteria is greater and, therefore, resulting in a higher capsular contracture rate for the silicone gel filled implants. My personal experience has shown less than 1% with either the silicone or saline implants due to the betadine and antibiotic solution protocol I use during surgery.

Can I have either implant under or over the muscle?
I will uniformly place the saline filled implants under the pectoralis major muscle. This is due to the fact that the saline implant is easily felt (rippling) and can be seen. When a patient selects a silicone gel filled implant, I have the option of placing the implant above the muscle. In this location, the implant has a more direct effect on the breast effectively producing a more natural shape. This would be true for the saline filled implant as well, but I believe that the benefit is outweighed by the rippling. The placement of the implant above the muscle shortens the recovery period and is less uncomfortable than placing the implant beneath the muscle. Any discomfort is easily managed with oral medication and should not be a consideration when selecting an implant since the recovery in either case is brief when compared with the life of the implant.

Where can I get more information?
If you wish to read more about breast implants, then you can go to https://www.breastimplantsafety.org.

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