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Dr. Rhys Branman's Cosmetic Surgery Blog

Pros and Cons of Keller Funnel for Breast Augmentation

April 8, 2013 - Rhys Branman, MD
Have you heard of the Keller Funnel? It is a device used by some surgeons for breast augmentation. The Keller funnel is helpful for placing the implant into the chest pocket for some surgeons. The funnel basically looks like a pastry bag or piping bag, the kind used for decorating cakes. It is used to slip a breast implant into place. Just as the saline implant is rolled up and slipped into place then filled while in the body, the Keller Funnel allows surgeons to slip a silicone implant into the body. Before 2006, during the ban on silicone implants,...

Neck Lift or Face Lift?

- Rhys Branman, MD
The curve and shape of the neck is a large part of facial aesthetics. The relationship of the neck to the lower third of the face is a basic factor in planning surgical rejuvenation. Most patients do not know the technical name of a neck lift. One technique is called a platysmaplasty. The platysmaplasty involves removing a small part of the muscle that extends from your collarbone to the angle of your jaw. This procedure removes that "turkey waddle" or double chin that many of us accrue as we get older. Platysmaplasty is only effective when the platysma muscle is...

Realistic Expectations When Seeking Cosmetic Surgery

April 5, 2013 - Rhys Branman, MD
Cosmetic surgeons are always talking about realistic expectations. What exactly does that mean, you might ask. Here is an interesting term that may help explain. The "range of believability" is the concept. What do you believe can be achieved? When a person first seriously considers seeking cosmetic surgery, it may feel as if new potentially liberating options have opened up. On the other hand, it may feel scary. These feelings describe a range of expectation, or belief about what is possible. Just from that range of possible feelings, you can see that cosmetic surgery is an emotional issue. It's easy...

Looking at Before and After Pictures

April 3, 2013 - Rhys Branman, MD
We all know that researching your cosmetic surgeon is critical for the outcome of your procedure and safety. Elective surgery involves some risk, just as any other surgery does. Of course you want the best outcome as well. One thing you should do is ask how often and how recently your surgeon has performed the procedure you are seeking. Another thing you will want to do is to look at his or her portfolio, the before and after pictures of patients he has operated on. But how do you know what to look for in these pictures? First of all,...

FYI Teens & Breast Reduction Surgery

March 29, 2013 - Rhys Branman, MD
Breast reduction at Little Rock Cosmetic Surgery is for adult women. Macromastia is the condition in which women have abnormally large breasts. Of course, to some degree this is subjective. What may seem too large to one woman, may not to another woman. Despite this, at some point overly large breasts can become burdensome causing damaging physical symptoms. Recently, there has been controversy about a teenage girl with very large breasts. This troubles me because the school she attended suggested to her mother that the girl have breast reduction surgery. Cosmetic surgery for teens is controversial, but to have it...

What’s Up With Kate’s Nose?

March 27, 2013 - Rhys Branman, MD
Everyone seems to want Kate Middleton's nose lately! The Duchess of Cambridge's face has been splashed all over the media, particularly close-ups on her nose. Needless to say, as a board certified cosmetic surgeon, I am obviously not adverse to performing rhinoplasty, but for goodness sake, don't you want a distinctive nose of your own? All this hoopla reminds me of the Oscar Wilde quote, "Be yourself, everyone else is taken." It is true that corrections of various slight deformities and unaesthetic curves of the nose can improve your appearance. It is important to match a nose to your face,...

Choosing Lip Augmentation

March 25, 2013 - Rhys Branman, MD
Lip augmentation is a deceptively complex subject. Most patients would love to have a permanent solution to full sensuous lips, but the lips are a very sensitive area. Most often it is simpler to use injectable fillers for better results. So although there are many choices, I prefer injectable hyaluronic acid or Silikon 1000. The hyaluronic fillers I prefer are Juvéderm® or Restylane®. For a more permanent solution, I prefer Silikon 1000 to lip implants. One would think lip implants would be an easy solution for lip augmentation, however lip implants can be a bit hard and stiff, and patients...

Recent International Survey

March 20, 2013 - Rhys Branman, MD
You may have noticed the statistics are in on the new international survey of cosmetic procedures performed globally. The ISAPS (International Society for Aesthetic Plastic Surgeons) International Survey on Aesthetic/Cosmetic Procedures Performed in 2011 recruited almost 1000 surgeons to participate in a survey. This survey resulted in the numbers of procedures that were most popular in more than 25 countries. The United States recorded the most procedures, however this number may be reflecting the fact that the United States had the most surgeons who responded to the survey, 5,950. Brazil followed closely at 5,024 surgeons responding. China was third with...

Sexiest Part of the Body

March 18, 2013 - Rhys Branman, MD
Some say the sexiest part of the body is the breast, others say the buttocks, and others say the face! When ranked by women, cosmetic procedures most wanted to improve their sex life, breast augmentation comes out on top, followed by lip enhancement, and liposuction, then the famous Brazilian Butt lift . . . of course these were American women. How about in men? Strong arms? Strong chin? Full head of hair? But are anyone of those parts of the body the sexiest? Not sure? In a recent poll, only 53% of people rated the brain the sexiest part of...

Revolutionary New Techniques?

March 15, 2013 - Rhys Branman, MD
Companies constantly develop new cosmetic surgery products with names designed to catch your attention when they are splashed over the media. For instance, you may have heard of Zeltiq or Liposonix, new non-invasive liposuction techniques. The process of Liposonx uses focused ultrasound to heat the fat to 131 degrees Fahrenheit, which is then said to be removed by a process of phagocytosis  where the white blood cells ingest foreign particles, the fat in this case. Whereas, Zeltiq or Cool Sculpting involves freezing the fat cells, which cause their death. The fat cells are then processed out of the body in...
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