Dream Peel Questions Answered

What is the Dream Peel?
Do you have uneven skin tone, deep pigment issues or melasma? The Dream Peel is a superficial peel designed to improve the texture and appearance of hyperpigmented skin which involves a medicated masque and an at-home regimen.

Does it Hurt?
There is no pain and little-to-no irritation during the application of the masque. The following days, the irritation might reach the level of a minor sunburn.

What Happens When I Come to Get the Peel?
You just come in for an office visit, where our esthetician will prepare the fresh compound to be applied. We'll put it on, and you'll leave our office with it still on. We give you instructions on when to take it off, depending on your skin type. It will likely be on anywhere from 5-10 hours.

What Happens When I Go Home?
You will be given products to wash the masque off and sooth your skin after the appropriate time. We will give you instructions on what times to apply certain products after that. Your regimen will change after one week.

What Results Can I Expect?
Results will vary but generally patients will see a significant improvement in the appearance of pigmented areas. Dark spots will lighten and skin texture and tone will improve. Although most patients experience peeling of their skin, not every patient will notice this. If you do not notice actual peeling, please know that you are still receiving all the benefits of the Melanage Dream Peel, such as: stimulation of collagen production, improvement of skin tone and texture, and diminishment of fine lines and pigmentation. Proper skin evaluation by your doctor prior to your peel is important and will help predict the outcome of your peel. We have some before and after photos that can give you an idea of the results you can expect as well.

How Often Can I Have This Peel?
You may have this peel once every 6 months.

What Could Prevent Me From Getting This Peel?
If you are pregnant or nursing, have active rosacea, active cold sores, history of warts or have used acutane within a year, you should not have this peel applied.

How Much Does This Peel Cost?
The cost may very depending on several factors, but it ranges from $650 to $1,000, including post treatment products. You can most likely expect to pay close to $800.

Neck Liposuction and Chin Augmentation

Neck liposuction and chin augmentation are two common cosmetic surgery procedures that physicians are performing. Typically, these two procedures in conjunction with the other are used for people that wish to add definition to their faces and reduce the appearance of a small or receding chin.

Neck liposuction can help shape the contours of one’s neckline, while also allowing them the opportunity to add an identifiable marker on their chin line. This procedure is carried out using a specific machine that has been manufactured to break up fat deposits in a particular area, break them down and later drain them through a tube outside of the body.

Although the procedure may sound evasive, it is relatively quick and does not leave a large amount of scarring in the area where it was performed. People that are excellent candidates for this procedure generally have skin that still contains a certain amount of elasticity, and they are generally healthy in all other aspects.

The chin implant cosmetic and plastic surgery procedure is typically done in a means to provide an appearance of prominence to this central region. The implant is generally used to give the patient who is receiving the surgery an attractive jaw line that also balances out their facial structure. Aside from providing balance to the face, this procedure will also improve a person's profile, giving them a better symmetrical appearance.

Plastic surgeons will perform both cosmetic procedures on individuals that are under general anesthesia or some type of local anesthetic. Normally, the chin implant that is inserted into this region is made from a hard plastic material, so it can resemble human bone. There are some surgeons that will elect to use your bone in which to pull your jaw line forward.

However, in most cases a basic hard plastic implant will be inserted into this area. A surgeon will make an incision underneath the chin so the scar for this procedure cannot noticeably be admonished. After an incision has been made in the region where the implant will be placed, the surgeon will insert the implant and then commence in stitching up the suture wound.

Neck liposuction will enhance your profile when accompanied by a chin augmentative surgery. Typically the surgery is performed on an out-patient basis. However, before the patient is prompted to exit the liposuction surgeons office they will be given proper aftercare guidelines and have to come back to the office for follow up evaluations throughout the healing process of the surgery.

Neck liposuction is generally a way to accentuate a chin implant. Patients can choose to have one or both of the surgeries performed in conjunction to the other. However, whichever surgery that a patient decides upon the plastic surgeon will be more than obliged to carry out that patient’s request.

The type of scarring that you can expect to see after the recovery period has ended will fade overtime. Depending on the precision of the surgeon, any scars from the procedure may not be noticeable at all.

Please feel free to ask us any other questions you may have regarding neck liposuction or chin augmentation. We offer free cosmetic consultations with a board certified plastic surgeon. You can email us questions at surgeryvp@unmc.edu or call us at 402-596-4000.

What can I do about Sagging Breasts?

As a woman begins to age, she may begin to notice that the skin around her breasts has gotten looser, causing her breasts to sag. This occurs after having children, after significant weight loss or naturally as a woman ages because her breast tissue will begin to decrease over time. There are two surgical ways that a woman can combat this problem: either a breast lift without breast implants, or a breast lift with implants.

A breast lift, or mastopexy, improves the appearance of your breasts in several ways. It elevates your breast tissue, removes excess skin from the lower portion of your breast and then reshapes your remaining breast skin. At the same time, it relocates your nipple and areola to a higher position. If your areolas have stretched over time, they can be reduced in size.

A commonly performed breast lift technique uses incisions that follow your breast’s natural contour. The resulting scar, which is permanent but will fade to some extent over time, encircles the areola and then extends vertically down the breast and horizontally along the crease underneath the breast. There are other breast lift techniques that may eliminate the horizontal incision, the vertical incision, or both. The use of any particular pattern of incisions depends on individual patient factors and your plastic surgeon’s recommendation.

In some cases, in order to address the fullness problem of the breast due to the decrease in breast tissue, a surgeon will require that either a saline or silicone implant be placed into the breast area while performing the breast lift. An implant will help bring back the natural fullness of the breast as well as provide a level of volume to this area as well. In most cases the implant will be placed below the pectoral muscle, and then a routine breast lift will also be performed.

The procedure is performed as an outpatient procedure and patients are normally able to leave shortly after the procedure has been completed. Patients will need to follow up with their plastic surgeon throughout the healing and recovery process of the lift. The plastic surgeon will evaluate your progress during the recovery process, and ensure that all aftercare methods are being followed accordingly.

In order to ensure that you are a proper candidate for a breast lift with or without implants, you will need to meet with a plastic surgeon, who will be able to evaluate your particular case. Based on their evaluations they will determine the best surgical option for your lift, or if you can be a candidate that simply needs breast implants to provide the lift that you desire. Although this is a fairly common procedure for most plastic surgeons, it is recommended you find a board-certified plastic surgeon that has routinely performed this procedure.

Please feel free to ask us any other questions you may have regarding breast lifts. We offer free cosmetic consultations. You can email us questions at surgeryvp@unmc.edu or call us at 402-596-4000.