November 2012 - Dr. Mark Peters
Houma, Louisiana (985) 223-2602

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

You want your wedding day to be the most special day of your life. Toward this end, you make sure that everything is arranged to perfection. Where the ceremony will take place, who will cater it, hiring the photographers, picking out the invitations are all just a few of the considerations swimming around in your head. The one thing that trumps all of this, though, is being sure that you look your best when the big day arrives. Part of this has to do with wedding dress selection, but the rest involves anything you can do to personally make yourself look as good as possible.

In this day of social media, you know pictures of you and the groom will be circulating around the internet forever afterword. Most women schedule their wedding many months in advance, so they have time to diet to fit into the dress of their dreams. You may be thinking about taking it a step further and going under the knife before the big day.


Having the Body You Want for Your Special Day and Beyond

Plastic surgery is not just for celebrities anymore. These types of procedures have been coming down in price over the past decade, and more regular people are taking advantage of advances in this field to look their best. The biggest benefit of cosmetic surgery is that the improvements you experience will last way beyond this big day and make you look and feel better for years to come.

The next question is what type of procedure to get. This will depend on your particular situation and what areas you may think could use some work. Breast augmentation and breast lift surgeries are a couple common ones and, aside from facelifts, are probably the two biggest procedures people think of when plastic surgery is mentioned. A tummy tuck, possibly combined with a little liposuction, is another option to help ensure you fit in that ideal dress.

Of course, as a bride, your long, flowing dress will be covering a lot of bodily flaws, so procedures having to do with the face area are popular before this big day. A rhinoplasty would be an example of such a surgery for those who feel their nose could use a little work. The other potential worry about getting this type of work done is where to go and choosing the right doctor to do it.


Take the Next Step for a Better You

Luckily for women located near Houma, Louisiana, Dr. Mark Peters is a board-certified plastic surgeon with over 10,000 procedures to his credit in his more than 20 years in practice. Our practice handles consultations on a regular basis. Women come for various types of work for many different reasons. If you wish to see what we can do for you to help you on your special day, contact our office for your own consultation, so Dr. Peters can help to make you the most beautiful bride you can be.

Mommy Makeovers – Can you really get your body back?

Having children can bring tremendous joy to any mother’s life along with all the responsibilities. You have undoubtedly become used to putting the needs of your kids ahead of yours as you try to make the best life possible for them. While this is admirable, you should allow yourself to focus a little bit on your needs and happiness as well.

The process of pregnancy can transform your body, and it typically does so in ways that make you shy away from the mirror. You have tried diet and exercise, but you can’t seem to get anywhere near the shape you were in before you became pregnant. You may want to consider another option.


Think About Getting a Mommy Makeover

This type of makeover is basically a name given to one or more cosmetic surgery procedures that have the goal of restoring your body to its pre-pregnancy glory. Pregnancy stretches the skin of the breasts as well as the skin and muscles of the abdomen. This can play havoc with your appearance after your pregnancy as the skin is frequently not elastic enough to snap back to where it was previously. This can cause excess skin that may even be abundant enough to result in folds of skin.


The Procedures That May Be Involved

One big cosmetic procedure that is a favorite after pregnancy is a tummy tuck as this both tightens the skin around the abdominal area and helps with muscle tone there. This is sometimes done in conjunction with liposuction, which actually removes excess fat under this skin. This potent combination can restore you to the body you may be missing every time you pass by a mirror.

Breast enhancement is another common plastic surgery option for women who have had children. You may notice that your breasts are sagging compared to how they were. A breast lift can bring them back up to where you’d like them to be. Additionally, you may opt for breast augmentation at this time if their size has ever been a concern for you.

Fat transfer is another procedure that you may benefit from. Basically, this takes fat from a place on your body where you don’t need it and puts it someplace where it might do some good. You can put those “love handles” to good use by removing the fat from them and perhaps using it for a butt augmentation if you’ve ever dreamed of having a figure similar that of Jennifer Lopez or Kim Kardashian.


Restore Your Confidence With a New You!

If you live near New Orleans, and believe you might be interested in a mommy makeover, you are in luck. The office of Dr. Mark Peters is located in Houma. He is a board-certified plastic surgeon who has done over 10,000 procedures for satisfied clients. Our office does cosmetic surgery consultations on a regular basis. We can schedule one for you, so Dr. Peters can assess your situation, and see exactly what procedures you need to have your mommy makeover transform your body into the one you had before pregnancy or perhaps even better! As a mother, you spent a tremendous amount of time worrying about everyone else in the family, so allow yourself this one indulgence that will also benefit your family through your new-found confidence and happiness.


Eternal Beauty – The virtual fountain of youth can be yours

Hitting middle age and beyond can be difficult for many of us. You may still feel fairly good and energized, but when you look in the mirror, you’re no longer seeing that person you feel like on the inside. If the ravages of aging are making it so that simply eating well and exercising are no longer enabling you to maintain the shape and appearance you desire, it may be time to consider taking things a step further,


A Major Step to Regain Lost Youth

Plastic surgery is something that has been coming down in price over the years and is no longer simply for celebrities or the wealthy. Techniques have also been getting better over the years, which serves to improve results and recovery time. Perhaps you’ve brought a couple kids into the world, and you want the belly back that you had in your twenties. A tummy tuck might be just what the doctor ordered. If your face is getting you down when you looking in the mirror, a facelift may lift it and you up again.


Smaller Steps to Rejuvenate Your Appearance

“Surgery” can sound like a daunting word. Perhaps you feel you only need a small boost in your appearance that doesn’t warrant going under the knife. There are minimally invasive procedures such as an eyelid lift that can rejuvenate old looking eyes, and make your whole face look younger. There are also non-invasive skin treatment options such as injectables or fillers that will set the clock back by diminishing wrinkles and fine lines.

We can all agree that aging is certainly better than the alternative. That said, there’s no law that says we have to age gracefully. If you’re a baby boomer, you can fight the aging process every step of the way and maybe even set it back for a while. Cosmetic surgeons have plenty of options available for you depending on how seriously you want to set back the sands of time on your face and body.


What to Do Next

If you are lucky enough to live anywhere in the vicinity of New Orleans, you are not far from the cosmetic surgery practice of Dr. Mark Peters located in Houma. Dr. Peters is a board-certified plastic surgeon who has been in practice for over 20 years. Our office takes calls from people every day who are asking what they can do to roll back the ravages of time. If you’re not sure if you need a facelift, eyelid lift or some non invasive skin treatment, let us give you a consultation to help you find what may be the best procedure to make looking in the mirror a pleasure again.

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

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