Your Face Refreshed: How Do You Get There? Wednesday, July 15, 2020
Facial rejuvenation is an exciting prospect no matter how much correction you want to achieve. The only hiccup in knowing how to move forward is trying to decide the best way to accomplish your goals. There are several options for facial rejuvenation now available. The most commonly known are the surgical facelift and the nonsurgical facelift, both of which are performed in our Denver office. If you are ready to refresh your face but aren’t quite sure which approach you want to take, we’re about to offer two simple questions to help you take the next step.
How Quickly Do You Want to Look Refreshed?
You’ve become frustrated enough with the signs of aging to explore ways to correct your concerns. When asked how quickly you want to see a difference, of course your knee-jerk reaction will be to say “now”! Many people respond in this way; and why not, with that being a real possibility? If your priority is to look younger and more refreshed right away, then injectables may be the ideal solution for you. A liquid facelift, as it has been called, can make the face look up to 10 years younger. It is accomplished with various products, from Botox to dermal fillers to Kybella; sometimes a combination of all of these. With injectables, we can treat:
- Worry lines on the forehead
- Low eyebrows
- Undereye puffiness or hollowing
- Flattened cheek contours
- Thin or deflated lips
- Nasolabial folds around the nose and mouth
- Marionette lines at the corners of the mouth
- Mild jowling at the jawline
- Double chin
With so much that injectables can accomplish, is there any downside this option? Possibly. Injectables can last up to two years and as little as a few months, so treatments will need to be repeated periodically to maintain a youthful appearance.
How Long Do You Want Results to Last?
By pointing out the potential downside of injectables being that they only last temporarily, we point out the primary benefit to facelift surgery. With this technique, the lower and mid-face are beautifully rejuvenated in a way that makes the face look about 10 years younger. A facelift can decrease a mild double chin, jowling, creases around the nose and mouth, and can restore some of the contours of the midface. It does not correct problems around the eyes, brows, or forehead (other procedures do that). After a short recovery period, people who have a facelift enjoy results that last for many years. These results can be enhanced with injectables if so desired.
Now is a great time for facial rejuvenation! To schedule a consultation in our Denver office, call 303.399.7662.
Why Exercise and Plastic Surgery Go Hand-in-Hand Monday, June 15, 2020
We often think of plastic surgery as something someone turns to when diet and exercise don’t put them where they want to be, cosmetically speaking. To undergo any plastic surgery procedure is to make a meaningful investment in oneself. Overall, patients who reduce fat, tighten their abdomen or another area, enhance their breasts, or rejuvenate their faces are happy that they did. In fact, many patients are more motivated than ever after plastic surgery to maintain a healthy, active lifestyle.
Regardless of the procedure that is performed, it is important to follow plastic surgery up with healthy habits that include regular exercise. The benefits that come from good habits include:
- Long-term results are more easily maintained with regular exercise, especially body-contouring.
- Sustained self-confidence, both in the physical outcome of surgery and in the self-discipline it takes to maintain results.
- Optimal health and a decreased risk of developing various weight-related diseases.
- Better overall mood and emotional health due to regulated levels of “happiness hormones” produced during and after exercise.
Exercise is not only recommended after one has healed from a plastic surgery procedure but also during their recovery process. The activities that are engaged in may be light, but they are advantageous to promoting blood flow that supports tissue recovery. Light activity also reduces the risk of developing a blood clot after surgery. For this reason, many surgeons encourage their patients to begin walking as soon as they feel up to it following their procedure.
Resuming an Exercise Routine After Surgery
Exercising after plastic surgery is advantageous but only if taken slowly. Too much too soon could result in a prolonged recovery period at best and unnecessary surgical complications at worst. While walking is encouraged, patients are advised to postpone more rigorous exercise until they have fully recovered. How long this takes depends on the procedure as well as the body’s natural healing process. Every person is different, which is why we make activity recommendations based on direct follow-up visits with each patient.
In general, it may be possible to resume light cardio such as riding a bike or certain low-intensity workouts 2 to 3 weeks post-op. More moderate activities may resume about one month after surgery. It may take 6 to 8 weeks for the body to be ready for more strenuous exercise that includes heavy lifting or strain.
Are you interested in a particular plastic surgery procedure or spa service? Contact our Denver office at 303.399.7662 to schedule a visit.
Gynecomastia Correction: Looking Beyond Liposuction Friday, May 15, 2020
Many men throughout many years have been affected by the condition doctors call gynecomastia. Men who consult with their doctor or the internet about what is more often called enlarged male breasts, or man boobs, are often surprised to know there is a medical term to describe what they are living with. They are even more surprised to learn that there are treatments that may help them return to their natural, masculine shape.
In recent years, the awareness of male breast enlargement as something more than obesity has increased. This has enabled men to at least begin to understand that they are not alone, nor are they without hope. However, with so much information circulated about gynecomastia, there is a chance that the right treatment may not be immediately identified. By the time a man sees a plastic surgeon for gynecomastia, there is a strong chance he has tried to correct his shape with diet and exercise. In many cases, patients tell us they have tried that and supplements or hormones because losing weight didn’t help. We know why, and it’s a big deal.
The Nature of Gynecomastia
There is a common misconception that breasts are made up only of fat. This is especially true for men. If there is any knowledge of breast tissue that is different than fatty tissue, it relates to women. It makes sense that women have more structural complexity in the breast area. They have milk ducts and breast glands that make their breasts grow in the first place. Rarely do we stop to realize that men also have glandular tissue in their breasts. Due to hormone differences, though, the average male breast gland is typically not stimulated to grow. Not typically. But when it is, we have to know how to address it.
Breast tissue is glandular. It is dense and heavy. On the contrary, fat tissue, which is part of the breasts, is soft and made of fat cells. Most cases of gynecomastia involve an excess of both types of tissue. And then there is the skin. In some cases, skin laxity exacerbates the appearance of female-like breasts. This is often seen in men who have lost a substantial amount of weight.
Depending on the tissue involvement, gynecomastia may look like:
- Puffy nipples. This is indicative of gynecomastia that involves swelling in the breast gland. Men who are slim and fit can still develop this symptom of gynecomastia. Furthermore, men who undergo liposuction alone may experience this sign of gynecomastia sometime after their procedure.
- Female-like breasts. This degree of gynecomastia is very common and involves an excess of breast and fatty tissue that extends beyond the nipple area.
- Sagging breasts. When men have lived with enlarged breasts for a long time or have lost a lot of weight, they may be left with enlarged, sagging breasts. This is because stretched skin has lost its ability to retract.
Gynecomastia surgery is not all about removing fat. For the best results, a plastic surgeon usually removes fat and breast tissue. In more severe cases, the skin is also pulled tighter and trimmed to restore the masculine curve to the chest.
Get the details you need about male breast reduction. Call our Denver office at 303.399.7662 to schedule your consultation.
Could Liposuction Cause Loose Skin? Wednesday, April 15, 2020
Liposuction is a popular plastic surgery procedure among men and women of all ages. This body contouring technique has been performed millions of times in the past several years and has continually evolved to achieve the best possible results with the lowest amount of risk. As far as we’ve come with various liposuction techniques, including the use of tumescent fluid and ultrasound waves to disrupt fat cells before removal, there is one problem that has yet to be resolved. That is the issue of loose skin after liposuction.
The Cause of Loose Skin after Liposuction
Does the liposuction procedure cause loose skin? It does not. Our skin is supported by various chemicals, including collagen, elastin, and hyaluronic acid. After age 20, the cells that make these chemicals enter a state of dormancy. Without continual production of these vital substances, the skin loses firmness, elasticity, and overall resiliency. This is why we get wrinkles. It’s also why tissue can sag more easily after liposuction.
The liposuction procedure creates tiny tunnels when fat cells are removed through a small hollow tube. The tunnels are then filled with the surrounding fat cells that have been left intact. By collapsing into tunnels, the layer of subcutaneous fat that has been treated becomes smooth. We want this so the body doesn’t look lumpy. However, the shift in subcutaneous fat will naturally affect the appearance of the skin. The outermost layer of tissue isn’t being plumped by fat cells anymore. If it does not have good elasticity, it may pucker and look loose after fat is removed.
Can Loose Skin be Treated?
The best way to treat loose skin after liposuction is to keep this from happening in the first place. A skilled plastic surgeon observes all facets of tissue to determine what can be achieved with the intended procedure. When conducting consultations for liposuction, Dr. Berschof observes the skin for signs of laxity. This helps him predict how the skin may respond to having less fat beneath it. When the skin is lax, it means that it may not retract or bounce back as well as it could. When laxity is noticed, the option for skin tightening can be discussed.
Surgical tissue tightening is usually referred to as a lift. Excess skin and loose tissue on the backs of the arms is addressed with an arm lift. The abdomen is treated with a tummy tuck. A thigh lift can be performed to restore nice contours to this area after liposuction. The benefit of any one of these techniques is that loose skin can be eliminated for good.
Dr. Berschof has been performing liposuction and body lift procedures for several years. During your consultation, he will provide you with a professional opinion about what liposuction can and cannot do for you.
To schedule your liposuction consultation in our Denver office, call 303.399.7662.
Male Breast Reduction Could Be Your Best Gift to Yourself Sunday, March 15, 2020
The word “breasts” is one that we have historically associated with women and probably always will. While both men and women technically have breast tissue, the appearance of breasts on men’s bodies is quite different than what we see on women’s bodies. The concept of male breasts doesn’t align with our image of what the male chest looks like. For the man whose body has developed more than the normal amount of breast tissue, years of frustration and emotional turmoil may ensue. Trying to understand the factors that contribute to enlarged male breasts is only slightly beneficial. What we really need to do is resolve the problem, and the best way to do that is with surgery.
What is Male Breast Reduction Surgery?
Gynecomastia is the condition that is characterized by enlarged male breasts. The underlying cause of this problem could be genetics, weight, the use of certain medications or drugs, or hormones. When a man has true gynecomastia, he may have rounded or puffy breasts regardless of how much weight he loses. Male breast reduction surgery is a proven method of restoring masculine contours to the chest. The procedure should only be performed by a board-certified plastic surgeon and only after a thorough consultation, an examination of breast tissue, and discussion about what surgery should entail and why.
Nearly all breast reduction procedures for men involve liposuction to remove the excess fatty tissue causing the breasts to enlarge. In some cases, the breast gland also needs to be removed. This can be done through a small incision around the areola, the colored skin around the nipple. Removing the breast gland eliminates the risk that the breast could become puffy in the future. Depending on the condition of the skin and degree of gynecomastia that has occurred, a man may also need to have overlying skin tightened. Dr. Berschof relies on years of experience to achieve the best results for men suffering from gynecomastia.
Male Breast Reduction Recovery
Male breast reduction is an outpatient procedure. Patients are released into the care of a loved one once they have regained an adequate degree of alertness after surgery. At home, they must follow post-surgical instructions for showering and caring for healing incisions. A compression garment is applied after surgery and should be worn as directed to help manage swelling. The results of breast reduction can be seen right away. Though a few activity restrictions may remain for up to 6 weeks, patients can expect to resume most normal activities in 10 to 14 days.
If you are in the Denver area and wish to regain your masculine chest contours, call 303.399.7662 to schedule a consultation to discuss male breast reduction.
Is Blepharoplasty Your Ideal Rejuvenating Procedure? Friday, February 14, 2020
Aging wouldn’t be such a bad thing if it didn’t cause us to look so worn out. The changes that affect the skin, especially the delicate tissue around the eyes, do that and more. Hooded, sagging eyelids depict fatigue and cause people to perceive the face as angry-looking. People with tired-looking eyes are also people that others often see as unfriendly or uninterested. Inaccurate perceptions can have a profound effect on a person’s social and professional success. Fortunately, aging eyelids have become much easier to correct. In recent years, the number of people undergoing blepharoplasty has increased significantly. Here, we discuss how to determine if this procedure may be ideal for you.
Who is a Good Candidate for Blepharoplasty?
People often ask about the “right age” for blepharoplasty. This is an especially common question among patients in their forties. Cosmetic lifts like eyelid surgery are meant for older people, right? No. Many forty-somethings undergo blepharoplasty to address age-related tissue sagging and hooding before appearance is severely impacted. Conversely, blepharoplasty is also often ideal for people in their sixties or seventies. The bottom line here is that there is no “right age” for blepharoplasty. Eyelid rejuvenation is ideal for you when the tissue on the eyelids looks droopy, saggy, puffy, or otherwise problematic.
Blepharoplasty and the Question of Scarring
You may realize that all types of surgeries leave scars where incisions are made. This fact can present concerns related to blepharoplasty. How will scars on the eyelids look? Won’t everyone be able to see them? Interestingly, blepharoplasty scars are quite discreet. The visibility of scarring relates to the thickness of the skin. Because the skin on the eyelids is so thin, the scars that result from incisions made in the natural crease of the upper eyelid are hardly noticeable. By that, we mean the only way someone would see your upper blepharoplasty scars is if they were looking for them while you had your eyes closed. Lower blepharoplasty incisions are usually made on the inside of the eyelid where resulting scars are not visible.
Learn more about blepharoplasty and how a little eyelid rejuvenation could refresh your whole look. Call our Denver office at 303.399.7662 to schedule a consultation.
Why Microdermabrasion Should Be Part of Your Beauty Routine Wednesday, January 15, 2020
Today, we've got a sea of skincare products we can incorporate into our beauty routine to support aging skin. Medical-grade skincare, in particular, carries the nutrients the skin needs to regenerate at maximum capacity. However, we sometimes need a more powerful modality to keep this process going. This is why we recommend periodic microdermabrasion treatments for adults of all ages.
What is Microdermabrasion?
Microdermabrasion is a form of gentle exfoliation that is performed using a slightly abrasive instrument. The point of treatment is to remove dead and damaged cells that cover the surface of the skin.
How Microdermabrasion Works
Treatment is very simple and can be performed during your lunch hour. First, the technician cleanses the skin. Then, a small handpiece is used to spray fine crystals along the epidermis. With each gentle swipe of the handpiece, crystals gently abrade the upper layer of the epidermis and get swept back up into the applicator via soft vacuum pressure. After the entire face has been treated, a warm towel or brush is used to remove any crystal debris.
Microdermabrasion can be combined with light chemical peel treatment to achieve more dramatic results. This combination remains gentle enough to avoid substantial downtime. At most, patients typically experience minor redness that lasts an hour or so.
- Benefits of Microdermabrasion
- Brighter complexion
- Smoother skin
- Softening of fine lines
- More even skin tone
- Deep-cleaning of the pores
An additional benefit of microdermabrasion is that there are very few side effects to speak of. Post-treatment redness typically resolves within two hours. If microdermabrasion is combined with a chemical peel or if the treatment itself targets a deeper layer of epidermal tissue, slight stinging or burning may be felt during treatment. This usually does not affect post-treatment recovery.
We enjoy helping patients in the Denver area feel their very best. Understanding that not all beauty concerns call for plastic surgery, we are pleased to provide several nonsurgical treatments that can quickly boost the beauty of the skin. To schedule your microdermabrasion treatment, call 303.399.7662.
Has Your Face Lost its Energy? It Can Be Revived! Sunday, December 15, 2019
It may sound funny to say that the face has energy. However, we all know what this looks like in real life. Think back to a time when you met someone that you instantly liked. What did their face look like? Chances are, the magnetic attraction had nothing to do with 5-Star beauty and much more to do with the energy exuded from their expressions.
When the face starts to age, it isn't as good at projecting the energy we feel on the inside. Tissue and muscular changes can make us look angry or sad, or all-out unfriendly. In many cases, these inaccurate character traits revolve around the appearance of the eyes. Here, we discuss the common problems we see and how they can be dealt with.
Problem: Frown Lines
Most of the lines that develop around the eyes and on the forehead are due to muscle movement. We use the same muscles in the same way every time we squint, frown, smile, laugh, and make other facial expressions. Just like doing crunches in the gym tones the abdominal muscles, frowning tones the muscles used to make that expression. Muscles that are toned are constantly contracting. Botox releases the contracted state so the muscles can rest. To eliminate frown lines (and worry lines and crow's feet), a small amount of Botox is injected into the muscle. It's that easy. Treatment lasts less than 15 minutes. Results last about 4 months.
Problem: Under Eye Bags and Circles
Correction: Dermal Fillers
The skin changes with age, and so does the fatty tissue just beneath the dermis. Under the eyes, tissue changes can do two things. They can cause the fat pads under the eyes to look swollen or they can cause the eyes to look sunken. Either way, the resulting appearance ages the face. Dermal fillers can disguise puffiness and correct mild shadowing by adding volume to the subcutaneous tissue beneath the eyes. Dermal fillers injected into the curved line that separates the under-eye area from the upper cheek eliminates the crease and makes bags disappear. Adding volume beneath the eyes also changes the reflection of light off the skin. This is how dark circles can be improved.
Problem: Under Eye Bags
Correction: Eyelid Surgery
Didn't we just state that dermal fillers are a good solution for under-eye bags? We did. They are. However, they don't last forever. Dermal fillers can improve the under-eye area for up to 2 years. For more permanent rejuvenation of the eyelids, we consider blepharoplasty. This minor plastic surgery uses a small incision just at the lash line to access fatty tissue. This tissue may be repositioned to smooth the under-eye area, or some may be removed. Loose skin is then tightened to achieve a look that refreshes the face.
It isn't difficult to bring good energy back into the face. To discover the approach that's best for you, schedule a consultation in our Denver office at 303.399.7662.
Are You Considering Rhinoplasty? Keep These Points in Mind! Friday, November 15, 2019
Rhinoplasty, or a nose job, is one of the top plastic surgery procedures across the board. It is sometimes referred to as a "cosmetic surgery" procedure, but we should remember the important distinction between various types of surgical training, especially when discussing matters of the nose. Rhinoplasty surgery is popular because, when it goes well, the results can permanently improve a person's appearance, as well as their self-confidence. For rhinoplasty to go well, the patient must understand all points, even those that aren't talked about as much as others. We're going to cover those here.
- No nose is a perfect nose. We get it. It's difficult to look at the celebrity nose you've long admired and think of it as imperfect. This can be somewhat tricky. See, the nose that you may love on another person's face is perfect for them (although we'd bet there are still tiny imperfections). Their nose was made for their face, either by their genes or by a good plastic surgeon. When you visit a plastic surgeon for rhinoplasty, their job will be to reshape your nose so it fits perfectly with your other facial features.
- You may be disappointed. When the time comes to remove surgical dressings and take a look at the initial results of rhinoplasty, patients should expect to see minimal improvement. At first, the nose will look swollen. The skin around the nose and eyes will be bruised to some extent. The lips may even look slightly puffy. This is not the time to assess anything more than how the nose is healing. Over several weeks, the nose will look significantly better. After one year, the final outcome of surgery will be evident.
- Things may change. Among them are breathing and vocal tone. Breathing changes are typically for the better when rhinoplasty is done well. Vocal tone changes are usually subtle. They happen because changes inside the nose change the vibrations that occur when speaking or singing. Unless your voice is a big part of your career or hobby, this probably won't matter a bit.
- Some things may not change. When there is an aspect of appearance that we do not admire in ourselves, it stands out like a sore thumb. To us, that is. You may have felt self-conscious about the shape of your nose for years but others may have never noticed. Therefore, when you feel thrilled at the new shape of your nose, others may not notice the change you do. In this matter, the important thing is that you're happy with the New You, not that anyone else is.
Dr. Bershof is certified by the American Board of Plastic Surgeons, as well as board-certified in Head and Neck Surgery, making him one of a few plastic surgeons in the United States double-boarded in plastic surgery procedures. If you would like to consult with Dr. Bershof about rhinoplasty. Call our Denver office at 303.399.7662.
Restore a Youthful Appearance and More with a Neck Lift Tuesday, October 15, 2019
The neck can be a tricky area of the body. Its skin is susceptible to sun damage. Its muscles may become weak and loose along with that sun-damaged skin. In the uppermost part of the neck, just under the chin, the effects of aging may allow small fatty deposits to develop, giving way to a double chin. It is when these effects combine when many people consider a neck lift.
Neck lift surgery is performed for several benefits that are not gained with a facelift alone. It is for this reason that a lot of patients choose to combine these two techniques. One improves the lower face, and one improves its frame. Through this limited-incision surgery, a patient can obtain benefits such as:
- Improved chin and jawline contours
- Tighter muscles below the chin
- Smoother skin, reduced platysmal bands
- Tighter, younger-looking skin (no more turkey neck or crepey skin)
- Thinner looking neck
A Youthful and Rejuvenated Appearance Through Neck Lift Surgery
As much as we’ve come to observe the face for signs of aging, it has become easy to overlook the neck. Studies suggest that the neck is one of the very first areas of the body that will show the signs of aging. In some cases, patients achieve the results they desire with a neck lift alone, no facelift needed. When necessary, minor liposuction can also be included to remove fatty deposits that create the appearance of a double chin.
Techniques may differ based on the problem that needs correcting. Cervicoplasty is a surgical technique in which fat, connective tissue, and skin are tightened and trimmed for a smoother appearance. Platysmaplasty is a technique that addressed loose neck muscles, those that result in horizontal lines, usually in the mid-neck area. Platysmaplasty is also sometimes referred to as a midline lift for this reason.
Neck lift surgery typically incurs a short recovery period of five to seven days. After this short time, patients resume normal activities with very few remnant side effects like swelling or bruising.
Learn more about neck lift surgery and how it can refresh your appearance. Call 303.399.7662 to schedule a consultation in our Denver plastic surgery office.