Saturday, May, 27, 2017

PPSKC’s Laser Therapy Zaps Vertical Lip Lines – Kansas City

KANSAS CITY – Blepharoplasty – or eyelid surgery – takes care of drooping upper lids and bags under the eyes. A forehead lift, also known as a brow lift or browplasty, is a cosmetic surgery procedure used to elevate drooping or prominent brows and to remove deep furrows. Both treatments address areas of the face that project fatigue, sternness or worry – even if a person is not feeling any of those things.


Lips portray negative things if marred by fine lines and wrinkles which can convey displeasure or aggravation. Many men and women in their middle years ask how to revitalize this area.

“While faithful use of moisturizer has its benefits, laser resurfacing really delivers in the deeper perioral zone,” says board-certified plastic surgeon Dr. Brad Storm, a team member at Premier Plastic Surgery of Kansas City (PPSKC). “Whether the patient is a former smoker or a sun worshipper, localized skin resurfacing can give dramatic results.”

Deeper erbium laser treatments often are paired with Premiere Rejuvenation Skin Peels to achieve the best results. Some patients opt for additional augmentation with injectable fillers – such as JUVÉDERM® – or fat grafting, which diminish vertical lip lines and volumize the lips.

Laser therapy may entail ablative fractional erbium techniques or non-ablative delivery. An ablative laser uses controlled blasts of light energy to remove thin layers of skin. A non-ablative laser is used to stimulate collagen growth in the skin and to improve tone.

As with all plastic surgery and cosmetic intervention, the risks and benefits must be weighed.

Clients who have diabetes, a weak immune system or who have an autoimmune disease may not be the best candidates for skin resurfacing, says Dr. Storm. Those who have had facial radiation therapy, have a history of keloid scarring, or who have used a strong acne medication should opt for cosmetic alternatives to laser therapy.

To discuss laser skin resurfacing with Dr. Brad Storm or one of his experienced colleagues – Dr. John B. Moore or Dr. Federico Gonzalez – please call the office at (913) 782-0707 to set up an appointment. PPSKC’s hours are 9 a.m. to 5 p.m. Monday-Friday.

Male Patients Commonplace in Cosmetic Surgery Offices

KANSAS CITY – The Million Man March is marking its 20th commemoration this year with a gathering set for the National Mall in Washington DC on Oct. 10. There’s another million man march going on this year in the United States, too. More than one million cosmetic procedures were performed on men in 2014 with just as many – if not more – expected this year.

male-lipo-botoxAccording to the American Society for Aesthetic Plastic Surgery (ASAPS), Americans spent $12 billion dollars on cosmetic procedures with more than 10 million surgical and nonsurgical procedures performed in 2014.

“Nationally, about one in 10 patients are men,” says Dr. John B Moore, a board-certified plastic surgeon at Premier Plastic Surgery of Kansas City (PPSKS). “Liposuction, eyelid surgery, rhinoplasty, ear surgery and male breast reduction are the most common cosmetic surgery procedures chosen by men.”

Between 1997 and 2014, cosmetic procedures for men increased more than 270 percent, according to records kept by the ASAPS. This surge has been attributed to increased social acceptance, vocational competition and an image- and brand-saturated culture. Guys want to maintain a youthful appearance because they believe it will add to their security at work, especially if clients and peers equate youth with a greater capacity for creativity and productivity. If they are socially active, men want to look just as attractive as women do.

Botox can relax deep frown lines, laser treatment can reduce the appearance of age spots, and a chin lift or CoolSculpting offers non-invasive fat-removal, which will help men look better in their dress shirts. A nip and tuck around the eyes has the potential to make patients look more alert. A heavy-lidded man might look sleepy in the boardroom. That’s never a good job strategy.

If you have been contemplating cosmetic surgery, schedule a confidential consultation today with Dr. John B Moore at (913) 782-0707. The office offers a full range of cosmetic procedures to both males and females. The professionals at PPSKC promise to deal with each potential client honestly and with privacy.

The office is in Suite 370 in Doctors Building No. 1 at 20375 W. 151st Street in Olathe, KS, 66061. Patient care hours are 9 a.m.- 5p.m. Monday-Friday. Surgical care is offered nearby at the Olathe Medical Center, 20333 W. 151st St., just off I-35 in Olathe, KS – a short drive from downtown Kansas City, Missouri.

Pre-op Prep Optimizes Tummy Tuck Experience

KANSAS CITY – Is it possible to “train” for a tummy tuck? Yes, there are things you can do to prepare for abdominoplasty. Dr. Federico Gonzalez, a board-certified plastic surgeon at Premier Plastic Surgery of Kansas City (PPSKS) offers these valuable pointers for patients “pre-gaming” for the best possible tuck experience.

tummy-tuckPre-Surgery Tips for Abdominoplasty

  • Stop smoking. Tobacco use impairs one’s ability to heal. Nicotine products are included in the ban. Stop smoking at least four weeks prior to surgery.
  • Lead a healthy lifestyle. Stay away from people who have colds or other illnesses. Wash your hands religiously, and get enough rest.
  • Practice good nutrition. This cannot be emphasized enough. Eat bright leafy vegetables, high-fiber grains, vitamin-packed fruits, and lean proteins. Avoid crash diets.
  • Drink plenty of water, and avoid excessive alcohol intake. Maybe even skip the cocktails until you are at the pool with your new tummy and your killer bikini.
  • Protect your skin. Cleanse with gentle soaps, and moisturize with a high-quality lotion. If you are outside or use a tanning bed, use sunscreen with a high SPF.
  • Go to the gym or take regular walks. Healthy lungs and a healthy heart handle the stress of surgery better. If you have a little less body fat, the end results look better in most cases.
  • Schedule time off from work. Arrange for childcare, carpool subs and meals. Designate someone to go with you on the day of surgery and to drive you home. A patient with support does much better than someone who attempts to do too much too soon.
  • Be sure to get prescriptions filled and to take care of any other pre-operative treatment or medical clearances. Do this early, so you don’t run into last-minute snafus.
  • Preview the “don’t-take” list given to you by your surgeon. Aspirin, blood thinners, anti-inflammatory medications, Vitamin E, and many over-the-counter supplements and prescribed medicines can cause surgery-day problems.
  • Look at other pre-op notes and get your ducks in a row. If you need to get post-op supplies, do it ahead of time.
  • Stop eating or drinking the night before surgery. Midnight is usually the cutoff, but your surgeon may ask you to abstain even earlier. Gum, mints, candy – even excessive water – is on the STOP list.
  • Know the route to the operating facility. Preset your GPS. You’ll have to be up early and don’t want to make any traffic mistakes. Arrive on time for the surgical prep. Running late only adds stress to what should be an exciting day.

If you would like to consult Dr. Federico Gonzalez about abdominoplasty, call (913) 782-0707 to set up an appointment. Clinic hours at Premier Plastic Surgery  are 9 a.m.-5 p.m. Monday-Friday.

Genitalia Surgery by Dr. Federico Gonzalez, Kansas City

For many reasons, surgical rejuvenation of the female genitalia is becoming more widely discussed and accepted. Trends in fashion in clothing have influenced this acceptance. A larger number of media publications and outlets have made it more acceptable to discuss the appearance of the female genitalia. Relaxed inhibitions about sexual behavior have also made it more acceptable to discuss problems and issues regarding the female genitalia.

genitalia-surgeryA number of women are plagued with enlarged vaginal labia or developed the condition after childbirth. This may result in discomfort with physical activity such as aerobics, running, or riding a bicycle. It may be uncomfortable in clothing such as workout tights or blue jeans. In some cases, it may affect the appearance of clothing such as yoga pants or a bathing suit. Many of the patients with labia minora hypertrophy or vulvar enlargement are self-conscious about their appearance out of clothing and it may cause pain or discomfort during sexual activity.

Dr. Federico Gonzalez is an internationally recognized expert in the performance of labioplasty surgery. He has developed the most advanced technique for labia minor reduction, which has been published in an international plastic surgery journal. His technique reliably reduces the labia minora in a custom manor for each patient based on measurements at the time of surgery. The scars are minimal and his technique reliably produces excellent appearance with virtually no complications.

Dr. Gonzalez also performs mons reduction surgery, labia majora reduction surgery, labia majora enhancement surgery, vaginoplasty, and clitoral unhooding surgery as well. These surgical procedures can be combined with any plastic surgical cosmetic procedure by this board certified plastic surgeon.
Federico Gonzalez, MD, FACS

Plastic Surgery Part of Aftercare Following Extreme Weight Loss

KANSAS  CITY – The Journal of the American Medical Association’s internal medicine edition just published an article stating that more than 67 million Americans over age 25 were obese. This startling figure is based on data collected between 2007 and 2012 as part of an ongoing study conducted by the Centers for Disease Control and Prevention.


It is not surprising that thousands and thousands of people in the United States are turning to bariatric surgery to address their morbid obesity.  In 2013, 179,000 Americans had weight-loss surgery, according to the American Society of Plastic Surgeons (ASPS). Forty-two percent of those procedures involved a gastric sleeve. Thirty-four percent had Roux en-Y (RNY) – or gastric bypass surgery, and about 14 percent chose gastric banding.

Over time, the majority of bariatric patients lose a massive amount of weight. In the process, they must create new eating habits, be diligent about exercise, and address the emotional and psychological changes that follow extreme weight loss. Follow-up care often includes plastic surgery to remove excess skin and to surgically sculpt specific areas of the body – for example, brachioplasty, an arm lift to remove “bat wings.”

“It is not uncommon to see extreme weight-loss patients at Premier Plastic Surgery of Kansas City a year after their surgeries,” says Dr. Federico Gonzalez, a board-certified plastic surgeon. “They’ve lost the weight, but excess skin in the upper arms, chest, belly, thighs and face is left behind. The extra skin may cause discomfort or problems in getting clothes to fit. My colleagues and I can address these issues.”

According to ASPS, the world’s largest organization of board-certified plastic surgeons, thigh lifts and upper arm lifts were the most popular surgical procedures selected in 2014, following significant weight loss. Breast lifts increased 10 percent, and the number of tummy tucks jumped 4 percent. ASPS began specifically tracking procedures related to bariatric surgery in 2009.

“A person’s troubles are not over once they’ve had weight-loss surgery,” says Dr. Moore. “In fact, that’s just the beginning of the process. The weight loss is great, but sagging skin can be painful, unsightly and discouraging. Resistance training for muscle growth helps support some of the tissue, but more often than not follow-up surgeries are warranted.”

If you have had – or are planning to have – bariatric surgery and need a board-certified plastic surgeon as part of your aftercare team, please call the office of Dr. Federico Gonzalez at (913) 782-0707 between the hours of 9 a.m. and 5 p.m. Monday-Friday. Premier Plastic Surgery of Kansas City’s suite is No. 370 in Doctors Building No. 1 at 20375 W. 151st Street in Olathe, KS, 66061.

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Will Diabetes Affect Cosmetic Surgery?

KANSAS CITY – We see a lot of good surgical candidates walk through the doors at Premier Plastic Surgery. They are healthy, physically fit, well-nourished and psychologically sound. Unfortunately, we consult with many men and women who are less than optimal patients for elective cosmetic procedures. They are looking for answers like anyone else, but come in with a lot of added risk factors.

A triad of problems tops the list of things that could potentially compromise surgery and healing:

  • Poor medication management
  • Smoking
  • Diabetes

diabetes-cosmetic-surgeryIt’s vital that patients fully disclose their medical history and current lifestyle habits. This includes all health conditions, as well as use of alcohol, drugs, tobacco, homeopathic products, over-the-counter medications, and prescriptions. Many of these items compromise blood clotting, anesthesia, organ function, blood pressure and wound healing. To do their best work, Premier’s board-certified plastic surgeons – Dr. John B Moore, Dr. Brad Storm and Dr. Federico Gonzalez – need to know everything. This facilitates case management and risk reduction.

Smokers must cease their habit several weeks pre- and post-operation – if not permanently. Diabetics must have their blood sugar strictly under control before surgery and afterward. Smokers and diabetics are notoriously poor healers, so these cases must be managed closely to promote satisfactory outcomes.

Diabetes and Plastic Surgery

Diabetic surgery patients have a particularly challenging road, depending on their age, fitness, circulation, kidney health, current treatment protocol, immune system condition, and their ability to strictly control diet and blood sugar levels. Surgery involves a degree of physical and mental stress, which impacts hormone levels. In the diabetic, these changes can contribute to lower insulin secretion, increased insulin resistance, reduced cellular glucose uptake, and a buildup of acidic ketones in the bloodstream.

High urinary output may make diabetics prone to dehydration. In post-op surgery patients, excessive urination takes vital fluids away from cells trying to heal and may cause other complications. Hydration, electrolyte levels, and renal health must be watched closely in diabetic patients.

Nerve damage, fragile skin, cardiovascular inflammation, and an increased risk of infection and tissue death are also concerns for plastic surgeons considering surgery on clients with diabetes. Wounds take longer to heal, exposing incisions to contaminants for a longer period of time. Following wound care instructions is of utmost importance. Weighing a potential patient’s ability to comply with post-op protocol is a vital part of the consultation process.

Reducing Risks before Cosmetic Surgery

  • Keep blood glucose within target zone
  • Eat a nutritious, protein-rich diet
  • Maintain hydration
  • Avoid cigarettes, alcohol and drugs
  • Exercise
  • Keep stress levels low
  • See your family doctor regularly

By following the aforementioned lifestyle routine, you will become a better surgical candidate. Needless to say, non-insulin dependence is the goal, whether you are considering cosmetic surgery or not.

If you have diabetes and would like to consult with one of our physicians about the possibility of having a breast lift, nose job, or liposuction, please call our office at (913) 782-0707. We’ll weigh the benefits and risks together. And, don’t forget that we offer a wide range of non-invasive cosmetic procedures and products in our Premier Skin Care Center.

VECTRA 3D Imaging Enhances Plastic Surgery Consultations

Vectra-StandingKANSAS CITY – To provide potential plastic surgery patients with a more accurate portrayal of cosmetic outcomes, the board-certified physicians at Premier Plastic Surgery of Kansas City have added VECTRA® M3 imaging and “Sculpt My Dream” simulation technology to their patient services. These tools allow patients to visualize surgical options and give doctors the means with which to explain procedures and show cosmetic choices.

In the past, viewing before and after photos of other people was the only way to show clients their options.  However, all patients are different and pre and post op photos have limited value and may allow patients to develop unrealistic expectations. While the doctors at Premier Plastic Surgery encourage clients to look through the photo galleries on this website, they were excited to adopt the latest consultation-enhancing technology.

Drs. Moore, Storm and Gonzalez have partnered with Fairfield, New Jersey’s Canfield Scientific, Inc., a leading provider of clinical imaging systems in the United States. The surgeons now are using Canfield’s VECTRA® M3 system. Incorporating multiple cameras, VECTRA takes a series of high-resolution photos of the patient from different angles. These simultaneous images are used in conjunction with a patient’s personal information, resulting in a customized, three-dimensional virtual model of the patient.

vectra-pt-docWhile VECTRA is useful for planning cosmetic surgery of the head and neck, rhinoplasty surgery for the nose, chin implants and body lifts, the program is especially beneficial in determining whether a breast lift is needed and what size and style of implants best suit augmentation candidates. Uneven breast size and positioning are common. This new 3D software allows surgeons at Premier to pinpoint asymmetry and show patients a surgical plan to address the unevenness.

Canfield’s “Sculpt My Dream” simulation also delivers a dose of reality. It allows our surgeons and clients to manipulate physical traits and rotate the model, so they can visualize potential surgical outcomes. A ghost image can even be overlaid with original physical traits to help the client “project into the future.” The enhanced communication maximizes understanding during consultations and helps clients make more informed decisions.

Premier Plastic Surgery believes that when combined with accurate medical history, a healthful lifestyle, and strict attention to post-surgical after-care, VECTRA and the Sculpt My Dream technology pave the way for long-term patient satisfaction.  If you think you are ready to weigh the possibilities, please call (913) 782-0707 to set up a consultation with Dr. John B. Moore, Dr. Brad Storm or Dr. Federico Gonzalez.

Premier Plastic Surgery of Kansas City is located in Suite 370 in Doctors Building No. 1 at 20375 W. 151st Street in Olathe, KS, 66061. Hours are 9 a.m. to 5 p.m. Monday-Friday.

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