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When BOTOX® Cosmetic and Facial Fillers Aren’t Enough

Comparison of young and oldBOTOX® Cosmetic and facial fillers seem to be the gold standard in fast and easy ways to eliminate the wrinkles and fine lines that make us look and feel older. These are the most common non-surgical cosmetic procedures for a good reason: they show results. However, there may come a time when even the power of fillers isn’t enough to rid you of the effects of aging and sun damage. While BOTOX® Cosmetic and facial fillers provide wonderful touch-up results, which for some is all they require, no injection can match the results offered through surgery.

How Will I Know if I Need Surgery?

BOTOX® Cosmetic and facial fillers such as JUVÉDERM® and Restylane® are designed to target signs of aging such as wrinkles, fine lines, and minimal volume loss. These injections can provide natural results with little to no downtime; however, they are only temporary solutions to a non-temporary problem. Unlike long-lasting surgery, fillers are only designed for minimal changes and improvements. Deep lines, sagging skin, puffy bags around the eyes, and jowls are all common signs of aging that BOTOX® Cosmetic and facial fillers cannot address the way their surgical counterparts can.

What Type of Surgery Would Be Best for Me?

Limited-Incision Facelift

The limited-incision facelift procedure surgically removes excess skin while tightening the underlying fat and muscle, leaving you with a younger, refreshed look. The limited-incision facelift targets the lower area of the face, including the jowl area. While the recovery time of a limited-incision facelift is greater than that of facial fillers, it is shorter than a more extensive traditional facelift. Patients can experience noticeable tightening, lifting, and rejuvenation of the face that will last for years.


Blepharoplasty targets both the upper and lower eyelids (areas that fillers cannot address). Eyelid surgery can take years off of your appearance by removing the sagging skin and fat on the upper eyelids and the puffy bags below your eyes that may interfere with your expressions and vision. Since the skin around the eyes is among the thinnest on the body, it is the first to show the visible signs of aging. Blepharoplasty can open your eyes and reveal a youthful, rejuvenated appearance.


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10 Things to Know About Tummy Tuck Recovery

A tummy tuck is designed to reduce unwanted sagging skin to look and feel better with the shape of your body. Tummy tuck surgery can restore the confidence of people after weight loss or pregnancy—the two most common reasons people develop excess skin. While choosing a qualified surgeon is necessary for achieving amazing results, your recovery will play an important part in creating your final results. These are 10 things you should know about your tummy tuck recovery.

1. You may not feel great because of the anesthesia…

Most patients require general anesthesia for their surgery. The side effects of anesthesia can be grogginess, nausea, lightheadedness, and dry mouth. It is normal to not feel great within the first 24 to 48 of your surgery. Not only is your body trying to heal itself, but it is also attempting to shake off the remaining anesthesia in your body.

2. It’s not easy to walk up stairs...

We recommend creating a resting area on the bottom floor of your house if your bedroom is upstairs. Most people lie on the couch or in a recliner. However, while it may be uncomfortable to walk initially, moving every couple of hours will help prevent blood clots and actually help you feel better.

3. You should wear a compression garment…

A special compression garment or abdominal binder will be recommended by your surgeon, and you should wear it throughout the entirety of your recovery. The compression garment helps minimize excess swelling and promotes tissue contraction. It aids in creating the final body shape you desire.

4. You need to properly care for your incisions…

Proper incision care is important to prevent infection and reduce the appearance of possible scarring. Your surgeon will provide detailed care instructions about when and how you should care for your incisions.

5. You will have a schedule of medications to take…

You will be prescribed pain medication, muscle relaxants, and possibly antibiotics to take following your surgery. These should be taken on a strict schedule outlined by your doctor to ensure that you take them before you feel any pain and because it prevents you from taking too much pain medication.

6. You can bathe 48 hours after your surgery...

You cannot shower right away when you get home because of your bandages and incisions. While the recommendation varies among surgeons, you should be able to bathe 48 hours after your surgery. However, you shouldn’t take a bath or swim until your incisions are fully healed, which happens at four to six weeks.

7. You’ll take time off work…

You should properly plan for tummy tuck surgery, which includes taking time off from work or school. We typically suggest taking two to three weeks off from work, depending on the level of physical activity associated with it, but talk with your surgeon about what he recommends.

8. You cannot exercise for three weeks…

While you should get up and walk around within the first several hours of your surgery, you need to avoid any strenuous movements and heavy lifting for at least three to four weeks. Your body is healing, and you don’t want to affect the integrity of your incisions. Your surgeon will recommend when you can resume your exercise routine during a follow-up visit.

9. Your follow-up appointment with your surgeon is important...

Don’t forget to go to your follow-up appointments. You will have several appointments spaced out throughout your recovery. Your follow-up care is important to answer any questions you may have and to ensure your incisions are healing properly and your results are developing the way they should.

10. Don’t judge your results until you are healed...

People are prone to judging the quality of their results while they are still healing. You will experience bruising and swelling initially, which impacts the quality of your results. It’s important that you don’t base how happy you are on what you see right away, but rather wait until all swelling has subsided, which can be several months after your surgery.


Breast Augmentation Recovery

Graphic Design for Breast Augmentation Recovery

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If you are considering a breast augmentation, planning ahead for your recovery can help ensure that the process goes smoothly. The first few hours of your recovery will take place in our surgical center as you wake up from the general anesthesia. Your surgeon will have already supplied you with detailed care instructions and a prescription for all of the medications (pain management and antibiotics) you will take for several days. You will need someone to drive you home and care for you during the first 24 hours of your recovery.

Once home, you should rest for two to three days. You will feel tired from the anesthesia and pain medication. It is important to stay hydrated and to supply your body with adequate nutrients so you heal properly. Clean your incisions per your surgeon’s instructions. The following is the timeline you can expect for your recovery.

*For more information on breast augmentation surgery, you can call 503.561.7000 to schedule a consultation with our board-certified plastic surgeon, Dr. Austin.


How Is Eyelid Surgery Performed?

Portrait Of Beautiful Sexy Woman With Closed Eyes And Black Surgical Lines On Skin.The eyes are the most telling things on your face, and as the adage goes, the eyes are the windows to the soul. However, as the skin on the eyelids is among the thinnest and most delicate on our bodies, the eyes are often the first area to be affected by the aging process. Time, heredity, lifestyle choices, and skin type all have an effect on your eyes. Damage to this skin not only makes you look older than you feel, but it can also affect your eye’s ability to accurately convey emotion since heavy eyelids often make one look fatigued and upset. Eyelid surgery, or blepharoplasty, is the surgical process of removing excess skin and fat deposits around the eyes, leaving you looking refreshed and more awake.

The Procedure

Upper Eyelid Surgery

Upper eyelid surgery aims to refresh your look by removing drooping and sagging excess skin from above the eyes. Excess skin and fat deposits in this area not only contribute to showing distortions of your real emotions but can also play a part in impairing your vision. Upper blepharoplasty uses local anesthesia with sedation, or general anesthesia may be used. An incision is made along the natural fold of your upper eyelid, and the underlying muscles and tissues are tightened. Excess fat deposits are then removed or repositioned before the incision is closed with sutures. If you have excess skin, it will be trimmed and removed before closing the incision. Because the incision is made within the natural creases of the eye, the scar will be hidden in the folds and can be covered with makeup. Scars will fade over time.

Lower Eyelid Surgery

Lower eyelid surgery is designed to remove excess skin and fat deposits that sit beneath the eye and contribute to a tired, puffy look. This technique is performed under local anesthesia with sedation or general anesthesia. An incision will be made along the lower lash line. Fat deposits and excess skin will be removed before the incision is closed with sutures, tissue glue, or surgical tape.

Transconjunctival Blepharoplasty

Transconjunctival blepharoplasty focuses on removing or repositioning excess fat deposits in the lower eyelids and is not for patients who have excess lower eyelid skin. Whereas traditional lower eyelid surgery (also known as transcutaneous blepharoplasty) removes both excess skin and fat deposits through an incision along the lash line, transconjunctival blepharoplasty uses an incision on the inside of the the lower eyelid to address fat deposits. Since the incision is made on the inside of the eyelid, there will be no visible scar.


Regardless of whether you have upper eyelid surgery, lower eyelid surgery, or both, you will be sore in the days following your procedure. Cold compresses and pain medication will be provided to make you comfortable. While you can return to work within a few days, it is recommended to take it very easy (no heavy lifting or exercise) and protect your eyes from bright lights for at least two weeks. While recovery is never fun, once you get through it, you will be able to enjoy your more youthful and alert eyes.


Having a Tummy Tuck After Weight Loss

If you have been on a weight loss journey, there’s one negative side effect that you may already be aware of—excess skin. While losing weight is about becoming healthy and transforming your lifestyle, you probably want to look amazing at the end of it. It’s no secret that many people live with excess skin following their weight loss. While you may be living a lifestyle that helps you feel great, these redundant folds of skin can keep from achieving the body contour you desire. No need to worry; tummy tuck surgery is the answer you’re looking for.

Why Did I Develop Excess Skin?

Our skin is made of elastin fibers, which are designed to stretch and still regain its shape. However, when a person is overweight, the skin stretches for too long or past a point where it can easily return to its original appearance. While genetics play a role in the amount of skin you develop, almost everyone who undergoes major weight loss will have some degree of excess skin.

Tummy Tuck Before and After by Dr. Austin

Can You Prevent Excess Skin During Weight Loss?

Some people will try to tell you that losing weight slowly and drinking water are the keys to preventing excess skin development. This may be true for people losing mild to moderate amounts of weight. The fact is, there is no way to avoid the excess skin when you lose a significant number of pounds. You shouldn’t feel embarrassed by the skin and shouldn’t think you did anything wrong. It’s simply an unfortunate byproduct of becoming healthier.

How Do I Treat Excess Skin Following My Weight Loss?

Luckily, you don’t need to live with those folds of excess skin. Unwanted abdominal tissue is the most common issue weight loss patients deal with. Tummy tuck surgery effectively removes excess skin from the abdomen. If needed, an extended variation of a tummy tuck can be performed, which treats the hips and lower back as well. With a tummy tuck, your plastic surgeon can contour your abdominal appearance, helping to enhance and refine your physique.

Additional Body Contouring

It’s common to have excess skin in areas other than the abdomen. A consultation with a plastic surgeon will help you determine which set of body contouring procedures you need to achieve the body contour you desire. Some of those procedures include:


Know Your Options As a Breast Cancer Patient

About 12 percent of women will develop some form of breast cancer in her lifetime. Getting a breast cancer diagnosis can be one of the scariest and most confusing times in your life. However, new technologies combined with early diagnosis means that a breast cancer patient has numerous options. There are a number of treatments you are entitled to as a breast cancer patient.

Insurance Coverage for Breast Cancer Patients

In 1998, a law was passed that requires most group insurance plans to cover mastectomy and breast reconstruction. The Women’s Health and Cancer Rights Act (WHCRA) applies to plans starting after 1998 and to group health plans, health insurance companies, and HMOs that cover the medical and surgical costs of mastectomy. Under WHCRA, your mastectomy benefits include:

  • Reconstruction of the breast that was removed by mastectomy

  • Surgery of the unaffected breast to ensure symmetry and balance

  • External breast prostheses that are needed before or during the reconstruction process

What Is Breast Reconstruction After Mastectomy?

A mastectomy is a common first treatment for many breast cancer patients. With this procedure, the breast tissue, including glandular tissue, is removed. A mastectomy can leave you without a breast and nipple-areola complex.

Breast reconstruction is a popular choice after a mastectomy to restore the appearance of the breast. Breast reconstruction is usually performed in several steps, and the ultimate goal is to provide you with new breasts that look and feel as natural as possible. Two breast reconstruction options are discussed below:

Implants and Tissue Expansion

The implant/tissue expansion breast reconstruction uses implants to shape a new breast appearance. Expanders are placed beneath the skin and muscle to create a pocket for your implants. Once the tissue is stretched adequately, the expander is removed, and silicone or saline implants are placed. Your ideal implant choice will be determined after an extensive consultation process with your reconstructive plastic surgeon.

Autologous Tissue Reconstruction

Autologous tissue reconstruction is another option for women. Autologous tissue reconstruction uses skin, fat, and sometimes muscles from donor areas of your body, such as the abdomen, back, buttocks, or thighs. This tissue is used to sculpt a new breast mound, and implants may be placed to achieve the breast size you desire.

Breast Cancer Events

In honor of breast cancer awareness month, Northwest Family Services is hosting the 13th annual Discover Pink Walk to bring attention to breast cancer, honor breast cancer survivors, and raise funds for the Women’s Health Program of Marion and Polk Counties. The funds will be used for early detection screenings and breast cancer treatment support for women in need. The Discover Pink Walk takes place at the Oregon State Capitol, and the opening ceremony begins at 10:00 am.

For more information about the breast reconstruction process, schedule a consultation with Dr. Austin by calling 503.561.7000 or by contacting us online.


New Implant Choices Offer Patients More Variety

In early 2017, the FDA approved a new line of implants produced by Allergan. NATRELLE INSPIRA® SoftTouch breast implants join the ever expanding family of products offered by Allergan. These new implant options come with one important thing for patients—choices. With more sizes, shapes, textures, and designs, you have a wider variety of options, which can ensure that you gain the most natural-looking breast augmentation possible.

NATRELLE INSPIRA® SoftTouch Implants

NATRELLE INSPIRA® SoftTouch is the most recent update in a long line of NATRELLE® implants offering various degrees of gel firmness and form stability. These implants are FDA approved for women over 22 years of age and they offer patients medium firmness. The SoftTouch joins other implants like Natrelle INSPIRA® for increased fullness, Natrelle® Classic for a traditional round look, and the Natrelle® 410 for shaped fullness.

Silicone breast implantChoosing Your Ideal Implant

An increase in implant options means a more tailored result for you. However, your implant type isn’t the only factor to consider when choosing an ideal implant. Size, projection, and placement will affect the final look and feel of your breasts. Making these decisions is a process best done with a board-certified plastic surgeon during your consultation.

Undergoing a Consultation

During your consultation, several physical factors are evaluated, which can impact the best implant for you. Additionally, you will discuss your aesthetic goals with your surgeon. We recommend having a detailed idea of what you want your breasts to look and feel like, rather than simply having a size goal in mind. Common factors discussed during your consultation include:

  • Chest width

  • Breast density

  • Activity levels

  • Ideal breast shape

  • Medical history

If you have questions about your breast implant options or want a breast augmentation consultation, you can schedule an appointment with Dr. Austin today. Please call our office at 503.561.7000 or contact us online.

Breast Augmentation Myths Debunked

Woman Holding ImplantIf you are considering breast augmentation surgery, you may have come across some possibly unsettling information in your research about the safety and longevity of your results. However, many of these notions surrounding breast augmentation and implants are misleading or even downright false. Over 300,000 women undergo breast augmentation surgery each year, and it is considered one of the most routine plastic surgery procedures to perform.

These are common breast augmentations myths, and the truth about them.

Implants Must Be Replaced After 10 Years

Most breast implant manufacturers claim that implants need to be replaced after 10 years. While the material that comprises implants can wear down over time, this doesn’t mean that your implants must be changed once they have reached the 10-year mark. If your breasts still look and feel great, you probably won’t need to change them. It is recommended that you see a surgeon after 10 years of having your implants to make sure you don’t have a slow leak, but if your implants are in good condition there is no reason to change them.

Breast Implants Cause Breast Cancer

This is probably the most significant controversy surrounding breast implants. Do they increase your risk of cancer or cause an autoimmune disease? Multiple studies have been performed, and they show no link between breast implants and increased rates of breast cancer. If you have risk factors that make you more prone to developing breast cancer, such as a family history or your age, it is recommended that you undergo a mammogram before surgery and participate in routine visits while you have breast implants.

Breast Implants Affect Your Ability to Breastfeed

Implants don’t affect your ability to breastfeed, but certain types and locations of incisions can. If an implant is inserted through a periareolar incision, there is a chance that nerves or milk ducts become damaged in the process. This may impact your ability to nurse. If you plan on having children in the future, it is important to discuss your concerns with your surgeon.

You Can Choose Your Cup Size

Many people believe that with breast augmentation you can transform your B cup into a D cup. This is not necessarily true. Your body, implant placement, and implant projection will all impact the final size and shape of your breasts. Rather than focusing on your cup size, we recommend that you undergo a breast augmentation that attains your aesthetic goals and looks natural and proportionate to your body.

Any Surgeon Can Perform Breast Augmentation Surgery

While in theory, anyone with a medical degree can perform breast augmentation surgery, you definitely shouldn’t let them. Always choose a board-certified plastic surgeon to perform any cosmetic or plastic surgery enhancement. A surgeon who is board certified in plastic surgery has proven they have undergone extended education in the field and have passed a series of exams that demonstrated their skills. A board-certified plastic surgeon will better understand your anatomy and the techniques required to provide you with amazing results.

For more information on breast augmentation surgery, you can schedule a consultation with Dr. Austin. You can call our office at 503.561.7000 or contact us online.


Sweep Away Summer Skin Damage

With summer getting ready to kick itself into high gear, you probably find yourself anticipating that much-needed summer fun. You have your bikini picked out, and those poolside essentials packed, you’re ready to soak up the sun. However, all that fun in the sun has more effects than simply relaxation. Too much sun exposure can lead to summer skin damage.

What Causes Summer Skin Damage?

Colorful portrait of young attractive woman wearing sunglasses

Skin damage resulting from the sun can occur at all times of the year, even on cloudy days, but it is at a high during the summer. The sun emits both UVA and UVB rays, which are forms of ultraviolet light that can have long-lasting effects on our skin. If you have ever had a sunburn, then you know the harmful side effects of UV rays. In addition to red, itchy skin, sun exposure can lead to:

  • Dry skin
  • Sunspots
  • Hyperpigmentation
  • Fine lines
  • Wrinkles
  • Solar comedones (blackheads)
  • Skin cancer

So Should I Just Avoid the Sun?

While some people opt to stay indoors during the summer, there are many of us who long to lay poolside and soak up those rays. If you plan on spending a lot of time outdoors this summer, you should take steps to protect your skin from harmful UV rays. Sunscreen is the most important skin-protecting accessory. Always choose a broad-spectrum SPF, and the paler you are, the higher SPF you might want to use. Other ways to protect your skin can include:

  • Sitting in the shade when possible
  • Wearing wide-brimmed hats that protect your face
  • Wearing loose-fitting clothing that protects your skin
  • Reapplying sunscreen throughout the day

I Protect Myself, But I Still Have Dull Skin After Summer

You can protect your skin all summer, but the effects of the heat and UV rays can still rob you of glowing, vibrant skin. At Dr. Austin’s office, we use the DermaSweep™ MD microfusion treatment to help restore beautiful skin throughout the summer and into the fall. DermaSweep™ treatments are non-invasive and are designed to target the following issues that summer fun can give your skin:

  • Wrinkles
  • Hyperpigmentation
  • Dry skin
  • Rough or uneven skin texture
  • Skin laxity

If your skin doesn’t have the vibrant look and feel you desire, schedule your DermaSweep™ consultation with Dr. Austin’s office. You can call us at 503-561-7000, or you can contact us online.

Meet Dr. Austin

Originally from California, Dr. Austin practiced in Mt. Vernon, Washington before relocating to Salem, Oregon in 1996. He was educated at Stanford University and UCLA School of Medicine, and received his residency training at the University of Washington, Seattle, and at the University of Michigan in Ann Arbor. Dr. Austin’s practice encompasses a broad range of aesthetic cosmetic surgery, as well as reconstructive surgery following cancer surgery, trauma, and congenital anomalies.

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