Latisse Special Offer

Latisse 1st Anniversary Celebration. Allergan, the company that markets Latisse (eyelashes) is offering up to $100 savings on BotoxCosmetic and Juvederm XC when you purchase a kit of Latisse. Call our office for more details - 864-676-1707.

New Top Ten: Plastic Surgery Statistics From 2009

The word is out. The American Society of Aesthetic Plastic Surgery just published it's annual statistics for cosmetic surgery.

TOP FIVE FOR WOMEN (90%)
1. Breast Augmentation
2. Liposuction
3. Eyelid Surgery
4. Tummy Tuck
5. Breast Reduction

TOP FIVE FOR MEN
1. Liposuction
2. Rhinoplasty
3. Eyelid Surgery
4. Breast Reduction
5. Hair Transplantation

Our own experience with women is similar, although Facelift is also very common. For men in our practice the procedures differ from national trends. We do more facelifts and necklifts along with eyelid surgery. We do liposuction, male breast reduction (gynecomastia treatment), but not rhinoplasty or hair transplants (but we do plenty of laser hair removal).

In the non-surgical realm, wrinkle treatment with botulinum toxin (Botox or Dysport) remains the most common procedure.

TOP FIVE NON-SURGICAL TREATMENTS:
1. Botox (Dysport)
2. Filler (Hyaluronic, Restylane, Juvederm)
3. Laser Hair Removal
4. Microdermabrasion
5. Chemical Peel

In our practice, the trends are similar. Botulinum toxin & injectable fillers are most common. Laser & intense pulsed light treatments for hair, pigment, blood vessels, skin texture, etc. are common as well. We offer a wider range of options than just hair removal. We also offer more advanced non-surgical treatments than microdermabrasion.

Further details are available from ASAPS at: www.surgery.org/media/statistics

Low-Cost Procedures in the Local News

The local newspaper (The Greenville News, www.greenvilleonline.com) recently ran a McClatchy News Service article with the title, "Demand grows for low-cost cosmetic procedures." It is a well written article that refers to statistics from the American Society of Aesthetic Surgery and the American Society of Plastic Surgeons. Dr. Graham is a member of both organizations. www.PlasticSurgery.org and www.Surgery.org. It also quotes non-surgeons and dermatologists.

One major point is that patients are seeking more temporary "quick fixes" now.

We are proud that we offer our patients both injectable and/or laser solutions and definitive surgical rejuvenation. We suggest patients tell us the results the seek and the available down-time, and we will offer options that are suitable for them.

Ranges of options for face, breast & body are not new for The Aesthetic Center. Dr. Graham has extensive training and experience. In addition, his staff includes a post-graduate nurse practitioner with special experience and laser and injectables, and two Skin Care Specialists for non-invasive skin treatment. We treat a broad range of issues from blotchy pigment, fine lines and expression lines to gravity lines. We have professional product lines, unavailable in department stores, spas or salons.

Plastic Surgery Top Ten: 2000 decade's biggest trends

2010's start gives us the perspective to look back over the decade of 2000 and decide what the most important trends were in plastic surgery. The publication Plastic Surgery News did this in their Jan/Feb issue and here is their list:

10) MEDICAL TOURISM increases and raises the concern about sacrificing quality for cost.
9) Increased OFFICE-BASED COSMETIC SURGERY -- now chosen by the majority of patients over a hospital or out-patient multi-use facility.
8) Increase in MAJOR WEIGHT LOSS patients, following gastric bypass or other bariatric surgery.
7) POLITICAL ADVOCACY for plastic surgery, including stopping the national cosmetic procedure 5% tax from Washington and various state bills.
6) Stressing HIGH STANDARDS. After high profile deaths including Kanye West's mother Donda, and the author of First Wives Club Olivia Goldsmith, the media and the public became more interested in the message of quality & safety repeated by the American Society of Plastic Surgery.
5) Hyaluronic acid SOFT TISSUE FILLERS (Restylane, Juvederm, etc.) and others became available, offering patients new options for facial aesthetic enhancement. The injectable products influenced many non-plastic surgeons to become cosmetic physicians (outside their primary specialty).
4) BOTOX became FDA approved for cosmetic use in 2002 and launched a major trend in non-surgical cosmetic medicine. Dysport continued the trend and PurTox and Xeomin await FDA approval in 2010.
3) "REALITY TV" found millions of viewers eager for plastic surgery entertainment, and spawned several copycat series. Plastic surgeons saw a new openness and interest among patients.
2) SILICONE GEL implants were allowed back by an FDA decision in 2006. Long-term studies of newer models are underway.
AND FINALLY...
1) FACE TRANSPLANTATION becomes a reality. Two such procedures have been performed in the US, and several others overseas. Victims of our recent wars may be the next major area for this marvelous reconstructive work.

We can only hope that the next decade will bring as many wonderful and exciting advances to plastic surgery, so that we have even more to offer our patients.

Dysport & Botox; wrinkle treatment by Dr. Graham in Greenville, SC

Latest Seminar Tomorrow: Facial Cosmetic Surgery & Non-surgical

Tuesday, October 6th at 6:30pm Dr. Graham and his staff will host an evening about facial rejuvenation procedures, both non-surgical and surgical.

There will be refreshments and you'll tour the office and surgical suite. Dr. Graham has a presentation of up-to-date information and before & after photos. They'll be examples of light-based SkinTyte (non-surgical), Juvederm & Restylane (HA fillers), Botox (Dysport) neurotoxins, Laser peels, Obagi Professional skin care. He'll show neck liposuction, chin implant, eyelid blepharoplasty, necklift, standard facelift, short-scar cheek lift, minimally-invasive browlift, etc.

Call today 864-676-1707 or e-mail info@expertplasticsurgeon.com

Facelift: making the result natural and beautiful.

Beautiful, natural facial rejuvenation is possible through facelift surgery. It all in how the surgeon does his work.

Dr. Graham is widely known for achieving such high quality results for his female and male patients. Our photo gallery gives many examples and we'll show you more when you visit the office for a consultation. http://www.expertplasticsurgeon.com/photogallery/facelift-necklift-4805. The skin is not pulled overly tight. The mouth is not stretched. the cheeks aren't flattened. The expressions remain natural. Many times your friends will only notice that you look better somehow, less tired, or they might think you lost some weight. Of course, if the concerns include slack jowls, "turkey-neck," lax cheek and neck skin, etc. those will be improved markedly.

Most patients feel well in days and return to light activities in about a week. There is relatively little down-time. You can resume exercise and an active lifestyle in 3 weeks.

If you want more information, see our website. Our contact page will get you started, and give you information on how to schedule a consultation. http://www.expertplasticsurgeon.com/html/contact.html
Call 864-676-1707.
E-mail info@expertplasticsurgeon.com

Our specialized cosmetic plastic surgery practice can offer an in-office, private, nationally accredited surgical suite, with MD anesthesiology (board-certified). We perform facelift, cheeklift, short-scar facelift, necklift, neck liposuction, browlift, endoscopic browlift, eyelid blepharoplasty, fat graft augmentation of loss of fullness, lip augmentation, cheek augmentation, chin augmentation, chin implants, hyaluronic acid fillers (Restylane & Juvederm), Botox & Dysport, laser skin tightening, laser peels, intense-pulsed light (IPL). We serve NE Georgia, Western North Carolina, South Carolina, including Greenville, Spartanburg, Anderson, Columbia, Greenwood, Greer, Taylors, Clemson, Seneca, Reserve and Clifts Communities, Tryon, Landrum, Hendersonville, Asheville, Highlands, Cashiers, Beavard, etc.

Eyelid cosmetic blepharoplasty in Greenville, South Carolina

Eyelid tuck (blepharoplasty) is the most common facial cosmetic surgery both nationally and in our practice in Greenville, Upstate South Carolina.

People notice our eyes as the most expressive part of our face. The skin is thinner there and years of expressions & possibly sun damage cause wrinkles, deeper lines, thinning of the lower rim, protruding fat bags, draping loose skin. Gravity pushing the forehead and eyebrows down adds to the tired or sad impression that the eyes can give.

Surgery can be the answer for some of those problems. Blepharoplasty can removes skin folds, tighten skin, remove protruding fat pads, and add support to loose lids. Browlift can reduce forehead lines, raise overly low eyebrows, and decrease fullness of the upper, outer eye socket area. Laser peel can greatly improve skin texture, crinkling, wrinkling, crepiness. Some skin tightening is possible too. Lighter laser treatments are available that have shorter recovery times and don't need anesthesia.

Comprehensive treatment means more than surgery, and we have staff and experience with many other methods. Obagi Professional Skin Care is very helpful, particularly for pigmentation and surface texture concerns. Botox and Dysport are important to reduce excessive muscle motion in the squint & frown areas. Restylane and Juvaderm injectable fillers solve under-eye hollows and thin lower rims. We offer Latisse, the only FDA approved product to grow thicker, longer, darker lashes. We also offer lash and brow tinting or more permanent tattoo eyeliner or brow tint. Patients enjoy visits with out Skin Care Specialists and Nurse Practitioner. They enhance your results and enjoyment.

If you're interested in eyelid or other facial rejuvenation contact us by e-mail at info@expertplasticsurgeon.com or call 864-676-1707.

Eyelid & Facelift Surgery: Attention turns to facial procedures

With summer almost over and fall approaching we notice a trend among our patients' interests. Many now want facial cosmetic procedures, often thinking ahead to looking their best for holidays, social and family gatherings.

Patients who have visited our office in the past and people who review our website have seen our strong emphasis on facial cosmetic surgery. Dr. Graham is well known for beautiful, natural looking facelifts, necklifts, short-scar cheeklifts, eyelid tuck (blepharoplasty), browlifts, laser wrinkle treatments, Botox & the new Dysport, lip enhancement, fillers such as Restylane, Perlane and Juvaderm, and finally natural fat grafts.

In addition to Dr. Graham, we have talented and experienced staff including 2 Skin Care Specialists (licensed estheticians) and our nurse practitioner (advanced-practice nurse). They enhance the results of both pre-op and post-op surgical patients and of women and men who want non-surgical enhancements. After surgery, our patients are provided sessions to reduce swelling and any bruising, improve circulation and increase comfort. If ultrasound or laser technology will speed healing, they can provide those as well.

Often we see a new patient who is wondering about facial cosmetic surgery, but isn't ready yet. We'll provide detailed information to help them with their decision. We have tools that they can use to help without surgery. For example, early eyelid skin wrinkles can improve with some combination of Obagi skin care products, microlaser peel, or Botox & Dysport neurotoxins. As another example, signs of age around the mouth can be improved with laser skin tightening (non-ablative), Juvaderm & Perlane fillers, and possibly selective Botox / Dysport. We also offer permanent make-up (medical tattooing) including lip liner, lip color, and eye liner which enhance those areas further. If you have facial pigmentation problems caused by sun exposure, hormones, etc. we have several treatments that can give you uniform smoother appearing skin.
http://www.expertplasticsurgeon.com/html/facelift.html
http://www.expertplasticsurgeon.com/html/other-face.html
http://www.expertplasticsurgeon.com/html/injectables.html#botox
The majority of our patients come from the million or so residents of Upstate South Carolina (Greenville, Spartanburg GSP, Anderson, Greer, Greenwood, Abbeville, Laurens, Clinton, Union, Gaffney, Inman, Taylors, Easley, Pickens, Clemson, Seneca). Georgia communities including Hartwell, Clayton, and Toccoa are included. North Carolina patients frequently consult us (Asheville, Henderson, Brevard, Highlands, Cashiers, Franklin, Waynesville). We do accommodate patients traveling from out-of- state through GSP airport, local hotels or B&B's, or those staying with family locally.

Items in the media

Some recent online articles about cosmetic plastic surgery.


http://www.theweekender.com/cover/One_lift__tuck_or_suction_at_a_time__cos_07-28-2009.html

http://www.healthywomen.org/blogs/midlifematters/2009/07/lines-and-wrinkles-be-gone.html

Safe, Experienced Injectables (Juvaderm,Restylane,Botox,etc.)

We want patients to have a great experience, whether they need standard facial rejuvenation surgery, some type of mini-lift, or enhancement with injectables such as Juvaderm, Restylane or Botox.

We recommend you do your homework. Ask about certification by the American Board of Plastic Surgery or the American Board of Otolaryngology (with Certificate of Added Qualifications in Facial Cosmetic Surgery) for surgical procedures. Ophthalmologists should also be experienced around the eye area.

Recently, doctors from all unrelated specialties have been attracted to cosmetic surgery (ie. Emergency Medicine, Obstetrics and Gynecology, Internal Medicine, General Surgery, etc.). When you find a "Medical Spa" or "Cosmetic Medicine" practice, inquire about the board certification and experience of the physician. If other personnel will be performing your injections (nurse[RN], nurse practitioner [NP-C], esthetician [non-medical] or technician [un-licensed]) you need to know even more.

Dr. Graham and Janice Sarrer NP-C have excellent background and specific additional injectable training.

The Physicians Coalition for Injectable Safety was set up by reputable organizations to promote public safety. See their site at http://www.injectablesafety.org/. They have videos and quality information. There is additional info on our site http://www.expertplasticsurgeon.com/html/injectables.html

Dysport is new Botox alternative. More news

Since my recent post (June 13th) about the new FDA approval of Dysport as an alternative to Botox, I found another media mention in the Washington Post. My website discussion of neurotixins applies equally to Botox and Dysport. http://www.expertplasticsurgeon.com/html/injectables.html#botox

http://www.washingtonpost.com/wp-dyn/content/article/2009/05/22/AR2009052202257.html

Magic Wand Analogy (laser or injection): Check out the Witch or Wizard (plastic surgeon) using that thing! (copyright)

Wrinkle treatments, newest lasers, latest filler injections. We regularly get calls and we welcome questions about new developments. We are constantly looking at the many offerings of companies to find the best to offer our patients. Each new "Botox-alternative," "non-surgical facelift," "minilift" or "new laser wavelength" is a potential benefit, but quality studies are often lacking.

The "magic wand" analogy occurred to me recently. Potential patients need to ask the question posed by Glinda in the Wizard of Oz, "are you a good witch or a bad witch?" You don't need to know so much about the wand as the one waving it. The witch or wizard using the magic wand is the person who will determine the quality of your outcome.

Expert surgeons can obtain similarly excellent facelift results using a variety of techniques (SMASectomy, SMAS plication, MACS lift for example). Quality "injectors" using Botox at different concentrations or Juvaderm Ultra Plus versus Perlane can obtain superior results. The most important questions are questions about the doctor or nurse's skill, training and experience. You are not just buying a uniform product (25 units of magic neurotoxin). You are buying their medical experience.

So, my advice is don't worry so much about the wand, seek quality witches and wizards; you want the good ones.

Reloxin approved by FDA (Dysport in Europe) - Botox alternative

An alternative to Botox will be available later in 2009. Medicis Corporation, which markets Restylane and Perlane as well as other dermatologic products, announced recently that the FDA has approved its application to market an alternative botulinum toxin in the USA. Medicis has licensed the product known as Dysport in Europe from Ipsen Corporation there.

The new toxin Reloxin will work similarly to BotoxCosmetic, but with different dosages due to different activity of the product. Doctors will need to evaluate its effects on patients and adapt correct dosages.

Dr. Graham has been aware of this alternative neurotoxin for many years due to it's overseas use, and will evaluate it's benefits and risks for our patients when available here. We are one of the most active Botox users in the area, and will certainly offer proven benefits to our patients.

For a press announcement see www.nytimes.com/2009/04/02/fashion/02SKIN.html?_r=1
For more information on our practice and botulinum toxin seehttp://www.expertplasticsurgeon.com/html/injectables.html#botox

We hope Reloxin will be a less expensive alternative to Botox!

Summer Question & Answer Sessions: Cosmetic Surgery

SUMMER OFFICIALLY BEGINS JUNE 21st.

Join us for question & answer sessions. Dr. Sutton Graham and his staff at the Aesthetic Center for Breast & Cosmetic Surgery will host two summer presentations.

o Good chance to learn more about how procedures can benefit you.
o Opportunity to have your questions answered.
o Ways to help a friend or family member get helpful information. Bring them along! They’re welcome.
o Find out about new procedures, costs, downtime, and specialized ways we minimize discomfort.


YOUR BEST FACE: Tuesday June 16th 6:30-8:00pm
Subtle or dramatic, but always natural. Injectables, minimally invasive, short-scar, modified techniques. And when established procedures give the best results.
Eyelift. Facelift. Necklift. Botox, Juvaderm & Restylane. Chin suction lipectomy. And more.

BETTER BREAST & BODY: Tuesday, June 23rd, 6:30-8:00pm
Procedures that accomplish what diet & exercise cannot. Clothes fit better. Better proportions. More shapely. Chest, arms, hips, tummy, thighs. Lifts, implants, fillers, tucks, liposuction.

See why we have a reputation for excellent care and excellent results!

REGISTRATION IS IMPORTANT. Plus you can send us any questions in advance.

Register online by e-mail through our website (see the “Quick Question” box). Tell us how many are coming with you. http://www.expertplasticsurgeon.com/.

Or register by phone 864-676-1707.

Refreshments will be provided.

ASPS annual statistics are out. And the Top Five are...

The American Society of Plastic Surgeons (ASPS) is the large national organization of board-certified plastic surgeons. Their 2008 statistics were recently published. Reconstructive surgery and minimally invasive cosmetic procedures (laser, fillers, neurotoxin) increased compared to 2007.

As expected cosmetic surgery was down, but a relatively small 9%. Articles in The New York Times (April 6th, "When All You Have Left Is Your Pride") and the Wall Street Journal ("Keeping Up Appearances") may explain why patients continue to seek care to enhance their appearance. In some circles, appearance may be critical in a time of high competition for jobs. Time Magazine had a recent article about the popularity of Botox for men.

The top 5 cosmetic surgery procedures in 2008: Breast Augmentation, Rhinoplasty, Liposuction, Eyelid Surgery, and Tummy Tuck. Botox was the most popular non-invasive treatment (5 million in 2008).

For a complete listing visit www.plasticsurgery.org/Media.html

See our article in TALK Magazine

"Super-charged Anti-agers," is the title of an article featuring Dr. Graham and three other area physicians, in the Beauty & Style section. Dr. Graham represented the specialty of plastic surgery. In addition there were two dermatologists and a family practitioner.

All of them discussed their opinions on specialized skin care, non-surgical treatments, new technologies, Botox, fillers, demographics, celebrities, etc. Click on the title above for the link to TALK Magazine, December, 2008.

For more: http://www.expertplasticsurgeon.com/html/injectables.html#botox

Interest in Cosmetic Procedures in a Down Economy

In addition to general reporting on the US economy, many national media reports mention the impact on cosmetic surgery and cosmetic medical procedures.

Greenville and Upstate South Carolina appear to have several advantages. Our regional economy is stronger because of our exporting sector. We continue to have employers expanding and investing. We have not seen the dramatic home price inflation of other areas. Our region remains attractive to families moving from many parts of the country.

In our practice, as summer winds down, Skin Care clients return to continue their routines and minimize the effects of past sun exposure. Minimally invasive procedures (BotoxCosmetic, Restylane, Juvaderm, MicroLaserPeels, laser hair removal, etc.) continue being popular. Breast and facial cosmetic surgery procedures continue to be the most sought after, followed by body contouring (tummy tuck and liposuction). We expect to be busier as fall season approaches.

Botox, Browlift, Blepharoplasty: How Do I Choose?

How do I tell which procedure or combination will give me an improved appearance around my eyes? Well, during an in-person consultation, we would demonstrate on your face and help you decide, but here are some hints:

1. Frown lines and squint lines or crow's feet respond to Botox treatments. A browlift may give longer lasting improvement in frown lines, but more motion will usually remain. Only the Botox will reliably improve the squint lines.

2. Excessive active lines crossing the forehead do not go away with typical browlift. Instead the entire forehead unit moves up a little (gravity has pulled it down). Botox can diminish the lines, or make them go away if they're mild.

3. Be careful about using Botox for too much forehead treatment. You may have either no natural forehead expressions (people wonder about you) or you may have drooping brows (we use our forehead muscles to lift our brows).

4. If your eyebrows are slightly too low, a little Botox beneath the inner and outer corners can give a little lift, without surgery.

5. If your eyebrows and thick skin just under the brows closes-in around your eyes, that responds best to surgical browlift. In addition, that procedure may improve your upper eyelid appearance.

6. Hooding of the eyelid skin over the lid or lashes improves with blepharoplasty (eyelid lift, tuck)

7. Puffy, thick upper eyelid folds respond to blepharoplasty.

8. Finally, a laser peel can greatly improve the texture of the eyelid skin. Sometimes that would be enough, without skin removal.

Obviously, some or all of these techniques may work together to enhance your appearance.

"Water Bottle Lips" Instead of "Smokers Lines"

Friends tell me that the national news ran an amusing item. It seems someone has decided that sucking from the spout of sports water bottles on a regular basis may cause wrinkles in the skin around the lips. Hydration is good for the skin, so don't stop drinking plenty of water.

Smoking was a problem in two ways. It seemed to accelerate skin aging chemically and smokers pursed their lips while sucking in the smoke.

If excessive lines develop, we offer a variety of solutions:

• Obagi skin care
• Fillers such as Restylane or Juvaderm
• Skin Tightening, minimally invasive
• Laser Peels