Traci Temmen M.D. Blog

Female Plastic Surgeons – Traci Temmen, M.D. Tampa, Florida

I grew up on a working farm in rural Missouri.  My father was a row-crop farmer, and before that, a truck driver that hauled hazardous materials.  To say that I grew up in a male-dominated, masculine environment is an understatement.  I was usually the only girl in the feed store ordering soybeans and the only woman picking up a fertilizer buggy at the local Missouri Farmer’s Association.  This was how I grew up, all I knew, and it never seemed out of the ordinary or uncomfortable at the time.

I sometimes think this is one of the reasons that I had no hesitancy when applying to medical school and pursuing a male-dominated surgical specialty.  I had been surrounded by “big, aggressive men” my whole life and surgery seemed no different.  I often tell the story of my first surgical rotation in medical school.  I had requested a cardiac surgery rotation and gotten it, only to realize later than I got my first choice only because no one else had wanted it!  At that time, the cardiac surgeons at my medical school were known for being “mean,” throwing instruments, and constantly yelling at everyone in the room.  My first day in the cardiac OR was no different- while that cardiac surgeon was an excellent technician and did a perfect operation for his patient, he did yell, throw Debakey’s, and generally petrify everyone in the room.  Afterwards, a friend asked me how my first day in the cardiac OR went.  I said, “Great!”  She said, “But didn’t the cardiac surgeon yell at you?!”  I responded, “Yeah, I guess so, but my dad and his friends were worse!  Cardiac surgery is not so bad!”

In the almost 20 years since I started medical school, operating room culture, and the medical culture in general, has changed a lot.  The operating room is a much more collaborative space and “disruptive physicians” are greatly frowned upon.  However, there is still a gender gap in medicine, plastic surgery, and surgery in general.  I can’t say, nor can anyone, exactly say why this is, but I assume the presumed more aggressive nature of surgeons and demanding lifestyle may have something to do with it.

With that said, as recently reported in the journal Plastic and Reconstructive Surgery- Global Open, while nearly half of current graduating medical students are female, only about 12-13% of surgeons are female.  Among practicing plastic surgeons, nearly 20% are female plastic surgeons; the percentage for women in plastic surgery training programs is slightly higher.  However, in the more male-dominated surgical specialties like neurosurgery, orthopedic surgery, and cardiothoracic surgery, female surgeons only account for 10% or less of practicing surgeons.  These numbers are slowly rising for women in surgery, but there is no doubt that women plastic surgeons still work in a male-dominated field.

Perhaps surprising to some, I do not recall every being discriminated against for being a woman while in college, medical school, or plastic surgery residency.  Sure, there were the older veteran patients that always thought I was the nurse or thought women had to go to nursing school before going to medical school (seriously!!), but nothing that I found overly offensive, hurtful, or discriminatory.  I don’t know if these actions truly never happened or if I had just been desensitized to such “offenses” through my childhood.  Either way, I never noticed it.  Unfortunately, this has certainly not been the case for most other female plastic surgeons that I’m friends with or the other women surgeons I know.

In summary, while the gender gap is narrowing in medicine and in surgery, women are still underrepresented in most specialties, including plastic surgery, and particularly in the more “male” specialties like orthopedic, neurosurgery, and cardiac surgery.  The cause for this gender difference is unknown, and while it is decreasing, we have years to go before there is an equal playing field for women plastic surgeons and female surgeons, in general.

I love being a woman plastic surgeon!  I feel I am able to better understand, communicate with, and connect with my patients than my male counterparts.  I also know that some women patients prefer a female plastic surgeon when discussing their personal insecurities or desires.  My message to anyone considering a career in surgery is DO IT!  Surgery, and especially plastic surgery is fun, fulfilling, and gives me a sense of accomplishment every day!  I routinely mentor female medical students or women considering a career in medicine.  For more information on female plastic surgeons, feel free to contact me by email.

What Will My Breasts Look Like After Implant Removal

Breast implant removal or breast explantation is a procedure used to remove previously placed implants. Some women seek explant procedures in response to changes in their breast size over time while others choose to remove their implants due to dissatisfaction or regret after breast augmentation. While both breast augmentation and explantation require careful consideration, many patients make the decision much more quickly for augmentation while the decision to remove them is often a more extensive, lengthier process.

Many patients worry about the appearance of their breasts following explantation and therefore must be emotionally prepared with realistic expectations for the final result. Removing breast implants will have a dramatic effect on the resulting size of the breasts and in some cases the removal may leave behind excess skin and/or asymmetries. Dr. Traci Temmen is extremely helpful when it comes to this aspect of the pre-procedural process as she patiently and thoroughly advises patients on the changes they should expect during every stage of implant removal and beyond.

In the case that only explantation is desired, it may be possible to remove the implants through the same incision site through which they were placed. Although some patients can undergo explantation without consequence and with aesthetically pleasing results, others are not as fortunate. Depending on the condition of the implants, current breast size, degree of sagging, and implant size, many women consider having a breast lift, breast reduction, or liposuction and fat transfer in addition to the implant removal or explantation for optimal cosmetic results. Each of these additional procedures helps to provide the patient with normal and natural looking breasts despite removal of the implants. However, even those patients that opt for implant removal alone should not be dismayed by their breast appearance immediately following explantation. In the weeks to months following implant removal, the skin of most breasts will contract while the soft tissues will expand or “fluff out.” This gradual healing process results in a fuller, tighter, and much more attractive result than what may be seen immediately after breast implant removal.

The recovery process for explantation varies depending on the degree of changes and the method in which the result was obtained although most patients typically return to work within a few days following the surgery. Breast implant removal surgery starts at $4,900; this price may vary depending on the method of removal, complexity, and optional pairing of implant removal with other surgeries such as a breast lift, breast reduction, or liposuction with fat transfer to the breast (i.e. natural breast augmentation). Dr. Temmen performs all aspects of revision surgeries and will help you decide on the best plan to fit your lifestyle, goals, and desired outcome. To see before and after photos in addition to those pictured on the website, call the office at 813-877-2277 to schedule a consultation with Dr. Traci Temmen in Tampa, Florida!

Breast Implant Illness

The subject of Breast Implant Illness (BII) has gained recent attention among patients with breast implants and those considering breast augmentation with implants.  While little scientific research has been done on this controversial topic, a minority of patients with breast implants attribute certain systemic symptoms to their implants.  Some of these symptoms include mental confusion, joint pain, hair loss, dry eyes, chronic fatigue, and persistent flu-like symptoms.  Further confusing the issue is the fact that these symptoms are frequently encountered in women suffering from other common illnesses such as hypothyroidism, menopause, depression, anxiety, and general aging.  Additionally, certain patients do feel a subjective improvement in symptoms upon removal of their implants while many other patients continue to experience symptoms even years after removal of their implants.

The safety off all medical devices, including breast implants, are studied in depth by the use of high-quality medical studies and scientific research before they are approved for use.  All medical devices used in the United States must pass rigorous testing done by the Food and Drug Administration (FDA) before they are allowed to be used in humans.  Throughout years of research, there is no evidence or pathophysiological explantation as to how silicone or saline breast implants could be the sole cause of the symptoms experienced by women concerned about Breast Implant Illness.

As trained doctors and researchers, plastic surgeons base their medical decisions on scientific studies, FDA guidelines, and evidence-based medical practices.  However, these studies rely on statistics taken from studying large patient populations, not the individual patient experience.  With that said, there is a community of individual breast implant patients suffering with symptoms of breast implant illness.  These patients gain support and comfort from online resources, social media, and hopefully their treating plastic surgeon.

If you feel you are having symptoms of breast implant illness, don’t hesitate to contact Dr. Traci Temmen in Tampa, Florida.  Dr. Temmen will provide honest and reliable answers to all of your questions and concerns regarding breast implants and the associated risks of placement or explantation.  For patients concerned about breast implant illness, there is a variety of treatment methods depending on individual needs, anatomy, and desires.  The implants can be simply removed, the implants and be removed as well as the capsule, or the implants can be removed while still inside of the capsule (called en bloc removal).  Additionally, if cosmetics is also a concern, the breasts can then be further refined with a fat transfer to the breast, a breast lift, or breast reduction.

In summary, there are a variety of treatment methods for women considering breast implant removal for breast implant illness.  Dr. Temmen in Tampa, Florida will listen to your concerns and help individualize a treatment plan to best fit your needs and lifestyle.  To schedule a consultation for implant removal with Dr. Traci Temmen, call 813-877-2277 today.

 

Surgical vs. Non-Surgical or Liquid Rhinoplasty

Surgical Rhinoplasty

Traditional rhinoplasty is a surgical procedure performed when fairly large changes to the nose are needed or desired.  Surgical rhinoplasty is often performed through an “open approach” where a small incision is made at the base of the nose, but can also be performed through a “closed approach.”  Whether open or closed, the nasal bones, cartilage, and musculature can then be changed to produce a more aesthetic result.  Surgical rhinoplasty is often performed to refine or reduce the overall size of the nose and, in those cases, involves reductive techniques such as reducing a bump on the bridge of the nose, refining the nasal tip, or making the width of the nose smaller.   Although results may take longer to appear, surgical rhinoplasty is the only procedure capable of significantly altering the shape and size of the nose permanently. It is also used to correct internal and functional issues such as breathing impairments. Rhinoplasty surgery is usually performed under general anesthesia and the length of time varies based on the level of complexity and the patient’s desires. Due to the surgical techniques utilized and resulting changes from the procedure, recovery involves more bruising and swelling as compared to nonsurgical rhinoplasty. There is not a predetermined age requirement for a surgical rhinoplasty although it is recommended that a patient reach facial skeletal maturity before considering surgery. This typically occurs around 14 years of age at the earliest for girls and later for boys. The cost of traditional or surgical rhinoplasty varies by region of the country but usually starts around $5,900 to $6,900.  A traditional rhinoplasty is the ideal procedure for patients interested in permanently refining the shape and size of the nose in a significant way.

Nonsurgical Rhinoplasty aka Liquid Rhinoplasty

Nonsurgical rhinoplasty, also known as liquid rhinoplasty, is the term given to the alteration of the appearance of the nose using dermal fillers and/or a person’s own fat.  In general, liquid rhinoplasty is used to cover or camouflage areas of the nose and is thus used for augmentation or enhancement of certain features.  Liquid rhinoplasty can be used to cover bumps, define the tip of the nose, help correct asymmetries, and/or add overall volume. Due to injections occurring within the skin, surgeons are able to contour the nose in a detailed and precise manner. Nonsurgical rhinoplasty does not correct functional issues as the filler or fat is injected only in the superficial layers of the nose and does not impact the nasal passages or airways. General anesthesia is not required for this procedure which allows patients to monitor progress and give personal feedback throughout in order to achieve optimal results. Because the procedure does not involve surgery, results can be seen immediately with practically no down time. Although results are immediate, the enhancements from dermal fillers fade over time and results typically only last for up to two years.  While appealing in many ways, nonsurgical rhinoplasty is limited in scope and duration of  results. Patients interested in temporarily camouflaging certain aspects or making subtle refinements in the shape of the nose may be a good candidate for liquid rhinoplasty.  The cost of a nonsurgical rhinoplasty varies, but averages around $500-$700 per syringe of dermal filler used.  The price of a liquid rhinoplasty using liposuction and fat transfer varies significantly depending on if the procedure is performed under local or general anesthesia, the amount of liposuction performed, and other associated procedures.

If you would like more information on either surgical or nonsurgical rhinoplasty, call today to schedule a consultation with Dr. Traci Temmen in Tampa, Florida.  During the consultation you will have a chance to discuss your areas of concern and decide which treatment option is best for you!

 

 

What is a Board Certified Plastic Surgeon

As a patient deciding to have plastic surgery for the first time, it can be overwhelming and confusing when trying to find the right surgeon. A variety of factors contribute to a patient’s decision on who to trust to perform their surgery. Although surgical experience, personality, training, and reliable references are all important factors to consider, board certification by the American Board of Plastic Surgery may be the most important of all. This is often times where patients are misled as there is a significant difference in the meaning of a physician who is “board certified” versus one who is board certified by the American Board of Plastic Surgery.

Plastic surgery is focused on achieving a more desirable appearance and therefore procedures can create a life-long impact. In order to make an informed decision regarding the right plastic surgeon based on your needs and desires, it is important to understand what it truly means to be a board-certified plastic surgeon. The United States has very few legal limitations regarding  the types of procedures a physician can perform as well as how these procedures can be advertised. This legal loop hole allows for any kind of doctor to perform plastic surgery procedures without any formal training!  Furthermore, if a doctor is certified in their respective field (i.e. Ob-Gyn, Emergency Medicine, Internal Medicine, etc…), that doctor can “truthfully” say that they are “board-certified.”  Granted, that doctor is not board certified in Plastic Surgery, but they conveniently leave that part out!  Finally, there are many “made-up,” legitimate-sounding boards that allow any practitioner to be a member for a fee (of course) and intentionally mislead patients into thinking they are being treated by a board-certified plastic surgeon.  California has recently taken legal action against one of these “made up” boards and their false advertising:

Wednesday, December 19, 2018- Taken from the American Society of Plastic Surgeons Website

Today, the Medical Board of California (MBC) took a major step to protect patients in the state when it unanimously voted against allowing members of the American Board of Cosmetic Surgery (ABCS) to advertise as “board certified” cosmetic surgeons. ASPS is proud to have worked in advance of this vote to educate the MBC and show that ABCS certifications are not backed by a level of training that puts them on par with American Board of Medical Specialties (ABMS) member boards.

“This is, frankly, a tremendous relief. California has a large number of cosmetic surgery patients and the most ABCS members of any state, which means it holds the greatest potential for those patients to be misled by advertisements that a doctor is a ‘board certified cosmetic surgeon’,” says ASPS President Alan Matarasso, MD, FACS. “Today’s ruling means those patients are less likely to choose a particular provider because they were exposed to a confusing ad. That’s going to make patients safer. Our specialty owes a huge debt of gratitude to all the plastic surgeons who invested their time and talents to help protect our patients.”

Today’s ruling closes the book on a two-decades-long story. In 1996, California law was changed so that the state’s physicians could only advertise ABMS certifications, unless a non-ABMS board was specifically reviewed and deemed equivalent to an ABMS member board by the MBC. ABCS has applied for equivalency under this process multiple times, and the MBC has repeatedly found that ABCS falls short of the state’s standard that requires their training programs to be equivalent in scope, content, and duration to training accredited by the Accreditation Council for Graduate Medical Education (ACGME).

While ABCS has previously had the option to re-apply, that is no longer the case. In 2018, California changed its board certification law and eliminated the MBC’s equivalency review process as of Jan. 1, 2019. As a result, ABCS cannot apply again and force the MBC to reconsider today’s decision.

The American Board of Medical Specialties (ABMS) is the national agency that regulates sub-specialty boards. Only those that have completed a residency in plastic surgery, underwent at least five to six years of rigorous training, and have taken a written and oral plastic surgery board examination are qualified to obtain plastic surgery board certification. The American Board of Plastic Surgery is the only plastic surgery board recognized by the ABMS that has the ability to evaluate the level of skill and training of plastic surgeons. Every surgeon that completes a plastic surgery residency and becomes board certified is trained to perform a full range of reconstructive and aesthetic procedures. Due to the high level of education and extensive training required to achieve board certification in a sub-specialty, board certified plastic surgeons are more qualified and more likely to provide you with optimal results.

Dr. Traci Temmen in Tampa, Florida went to medical school for four years at the University of Pennsylvania School of Medicine. Following graduation, she moved to Tampa, Florida to continue her training in an integrated plastic surgery residency for six years. She has been in private practice since 2011 and is a proud member of the American Board of Plastic Surgery.

 

Brazilian Butt Lift Safety

If you follow many plastic surgeons on social media or listen to the news, you will have heard recent safety concerns about the Brazilian butt lift surgery, also known as the BBL.  A Brazilian butt lift generally refers to liposuction of the trunk with transfer of the harvested fat to the buttocks and hips to create a curvier, more voluminous buttocks.  Unfortunately, if not performed correctly by an experienced, board certified plastic surgeon, the fat transfer portion of the Brazilian butt lift can be deadly.  Fat injected deep into the gluteal muscle can inadvertently enter the deep veins of the pelvis.  Once in this large vasculature system, fat globules can cause fat emboli in the lungs and even death.

Many surgeons and patients are now asking then, “Is the BBL safe?”  The answer is yes.  the Brazilian butt lift is a safe surgery if performed by a safe plastic surgeon.    So, what do plastic surgeons do to make the BBL a safe surgery and take the best care of their patients?  Most importantly, fat should not be injected deep into the buttocks and is only transferred into the subcutaneous layer above the gluteus muscles.  Additionally, the fat should be injected with blunt cannulas with constant attention paid to exactly where the injecting instrument is located.  Finally, proper patient positioning, tactile control of the instruments, and transferring the fat under low pressure all ensure optimal patient safety.

Because of this concern over the safety of the Brazilian butt lift surgery (and the fact that the BBL neither originated in Brazil nor actually “lifts” the buttocks), some plastic surgeons have started to refer to this procedure as Safe Subcutaneous Buttock Augmentation, or SSBA.  This name highlights the fact that when performed correctly, with fat transferred only in the subcutaneous layer, this surgery can safely and efficiently augment the buttocks and hips.

Dr. Traci Temmen in Tampa, Florida is just as concerned about her patients’ safety as they are.  She performs each Brazilian butt lift with meticulous attention to detail, safety, and aesthetics.  She monitors everything in the operating room, right down to the thermostat setting, to guarantee her patients the safest, most beautiful result possible.  Dr. Temmen routinely attends plastic surgery conferences where BBL safety is a core topic and stays up to date on the most recent BBL literature to ensure she is at the forefront of this evolving surgery.  If you are interested in a safe Brazilian butt lift, call Dr. Traci Temmen today at 813-877-2277.

 

Labiaplasty vs. Vaginal Rejuvenation

While labiaplasty and vaginal rejuvenation are both surgical procedures of the female genitalia, they differ in several ways. Labiaplasty surgery is designed to reduce the size of the labia minora in order to decrease discomfort and improve cosmesis.  Vaginal rejuvenation surgery is a reconstructive procedure that tightens the vaginal opening and vaginal canal.

Labiaplasty

The labia minora are located inside the labia majora and consists of two folds of tissue surrounding the opening of the vagina. Just like breast size or height, the labia minora can be enlarged or asymmetric from birth or may develop these changes gradually over time.   Regardless of the reason, an enlarged or asymmetric labia minora can result in painful intercourse, difficulty finding comfortable exercise clothing, irritation of the groin area, and dissatisfaction with the overall external appearance.  Labiaplasty is the surgical reduction in size or adjustment of appearance of the labia minora. It is used to improve external appearance, correct asymmetries, and/or address discomfort experienced during exercise, sex, walking, sitting, and other activities of daily living.

Dr. Traci Temmen usually performs labiaplasty surgery under local anesthesia as in in-office procedure.  Patients can drive themselves to the office, drive home, and the surgery itself takes about 30-45 minutes.  Clitoral hood reduction, double fold excisions, perineoplasty, labia majora reduction, and fat transfer to the labia majora can often be done at the same time.  The recovery time for labiaplasty is relatively quick; patients can resume normal activities and return to school or work after approximately 2-3 days and sexual activity after 6 weeks.

Vaginal Rejuvenation – Vaginoplasty – Vaginal Tightening

 Vaginal rejuvenation, also known as vaginal tightening or vaginoplasty, is a surgical procedure that tightens the muscles of the vaginal wall and decreases the size of the vaginal opening.  Many women seek this procedure after vaginal deliveries or the natural effects of aging on the pelvic floor.  These patients often complain of a lack of friction during sex, tampons “falling out,” and a sensation of vaginal gaping or widening.   After undergoing vaginal tightening patients note increased sensation and friction during sex as well as a feeling of greater core tone.

Dr. Traci Temmen performs vaginal rejuvenation under general anesthesia in the operating room and takes about one to one and a half hours to perform.  Patients go home the same day, may return to work within two to three days, and can resume exercise and sexual activity after six weeks.

The cost of labiaplasty procedures typically start at $3,200 while vaginal tightening starts at $6,900; these prices may vary depending on the level of difficulty, any associated procedures, and anticipated time in the operating room. Most health insurance plans do not cover either procedure but Dr. Temmen has a variety of payment options to accommodate your financial needs. Regardless of your areas of concern or discomfort, Dr. Traci Temmen will strive to achieve the results you desire, both functionally and aesthetically.

 

Rhinoplasty – Nose Job

Rhinoplasty, more commonly referred to as a nose job, is one of the most popular cosmetic procedures used today. Patients of all ages have the procedure to correct deformities which may have been caused by an accident, address structural problems that impair breathing, and/or to improve the overall physical appearance of the nose. In the past, there was little variation among the appearance of the nose for patients who underwent rhinoplasty. In contrast to giving patients the “one-size-fits-all” nose, current trends have changed significantly to give a more natural look based on an individual’s ethnic and cultural backgrounds. Surgical techniques have also expanded allowing for more creativity while procedures are less invasive with minimal cartilage removal.

These procedural differences allow for the achievement of a look that does not alter the complete appearance of the patient. With a more natural look, each procedure is individualized producing a unique result according to the patient’s ethnic background, cosmetic desires, and anatomy. A typical procedure is fairly quick and the patient is able to return home the same day. Recovery time frame varies but most patients are able to return to work after one week and normal daily life after approximately two weeks. Bruising and swelling will minimize as time passes but some signs of it can continue to be expected for up to four weeks. Although some patients are able to see the final results sooner than others, it can take up to six months for the final appearance of the nose to be seen. Regardless of the issues you have concerning your nose, Dr. Temmen can help you achieve the look and shape you desire.Book your one-on-one consultation with Board Certified Plastic Surgeon Dr. Traci Temmen today: 813-877-2277 or Email

Brazilian Butt Lift Surgery vs. Squats

Dr. Traci Temmen, board certified plastic surgeonDr. Traci Temmen is a board-certified plastic surgeon. Today, Dr. Temmen compares the results a woman can expect from a Brazilian butt lift and the gains that can be made from sculpting the posterior with squat exercises.

One of the most common questions I get asked by patients, and the most common comment I see on Instagram or Facebook, is “Can’t I get the same results as a Brazilian butt lift just by doing squats?” Because there is so much confusion over this topic, I’ve decided to clear the air once and for all!

Squat Goals
But first, a little anatomy lesson. The shape of the butt, and for that matter, the entire body, is determined by three different factors: 1) the bony structure, 2) the length/location and bulk of muscle, and most of all 3) the distribution and volume of fat.

A person’s bony structure cannot be changed and is determined by genetics alone. The length and location of muscles cannot be changed; however, muscle bulk can be increased with exercise and/or weight lifting. Fat cells can increase or decrease in size (i.e. volume) depending on a person’s weight, diet, and exercise, but the number and distribution (or rather density) of fat cells does not change after approximately two years of age and is determined by genetics and family history.

This explains why some people, for example, seem to carry all their extra weight in their abdomen or thighs — because of their genetics and family history they have a higher density of fat cells, and thus a higher volume of fat, in their abdomen or thighs. Thus, these areas are the first where they gain weight and the last areas from which they lose weight.

Surgery vs Squats

Unlike a gluteal implant, a BBL looks and feels natural.

Introducing the BBL
A Brazilian butt lift uses liposuction to transfer unwanted fat from your midsection to your behind, shaping it and providing extra volume. The BBL does not alter the bony structure of the buttocks, nor does it affect the length, location, or size of the muscles targeted by doing squats. However, during a Brazilian butt lift, fat is removed via liposuction from areas of high fat cell density/volume (usually the abdomen, flanks, iliac rolls, and back), and transferred to areas of lower fat cell density/volume (in this case, the lateral hips, buttocks, and sometimes upper thighs). Thus, a Brazilian butt lift is able to sculpt a beautiful, curvy shape for those patients where diet and exercise alone cannot.

Related: “When can I start doing squats after BBL?”

A Brazilian butt lift does not alter the bony structure of the buttocks, nor does it affect the length, location, or size of the muscles targeted by doing squats. However, during a Brazilian butt lift, fat is removed via liposuction from areas of high fat cell density/volume (usually the abdomen, flanks, iliac rolls, and back), and transferred to areas of lower fat cell density/volume (in this case, the lateral hips, buttocks, and sometimes upper thighs). Thus, a Brazilian butt lift is able to sculpt a beautiful, curvy shape for those patients where diet and exercise alone cannot.

It may be surprising to some, but those patients interested in a Brazilian butt lift often do more squats, lunges, and “glute” exercises than anyone else. However, because of genetics and family history, these patients’ bodies typically have shorter gluteus maximus muscles and an unfavorable distribution and density of fat, usually in the abdomen, lower back, and “love handles,” that obscures and distorts the true gluteal shape despite rigorous diet and exercise.

The next logical question, then, is why do some men and women who follow a strict diet and exercise regime, and do a lot of squats, have a perfect butt? That’s because through careful diet and exercise, they are able to capitalize on and augment their favorable anatomy. Because of their genetics and family history, these people often have well-placed gluteal muscles and a lower density of fat cells (which then determines volume of fat) in the abdomen, lower back, and flank areas. Thus, their gluteal shape can be seen and admired more readily!!

Advantage: BBL
So, the short answer is: for some unlucky women, due to their genetics and family history, doing squats, having a strict diet and exercise program will unfortunately NOT provide the same results as a Brazilian butt lift. For those patients with a more favorable anatomy and family history, it can! To see if you are a candidate for a Brazilian butt lift, or any other cosmetic surgery procedure you might be curious about, book a one-on-one consultation with Board Certified Plastic Surgeon Traci Temmen, MD: 813-877-2277

Dr. Traci Temmen’s October 15 Plastic Surgery Patient of the Month: Labiaplasty- Recovery

Postoperative Day 1-

 

Like usual, I saw October’s Patient of the Month on the day after her labiaplasty surgery. Because she had taken a little prescription pain medication, she was unable to drive herself, and thus her mother had driven her to her appointment. Patients who do not require preoperative anxiolytics (like Valium) or postoperative prescription pain medications (like Percocet) are able to drive themselves to and from their labiaplasty surgery.

Temmen Post

Upon arrival, the patient was quickly brought into an examination room at the Plastic Surgery Center of Tampa. She said she did well overnight, was able to sleep relatively well, and had tried to elevate her legs and pelvis as instructed.

 

After Results

PreOn examination, the patient had a small amount of postoperative bleeding and swelling, which is all normal. Despite this, I could tell she was going to have a dramatic improvement in her level of comfort and appearance once she was completely healed. I emphasized with the patient to spend the weekend relaxing, wear the postoperative compression garment as instructed, and to use ice packs as necessary. Finally, I arranged to see her again in 3 days for her second postoperative appointment.

 

 

 

Postoperative Day 4-

 

I saw my October Patient of the Month, a labiaplasty patient, on postoperative day 4 for her second postoperative appointment. She said she was still having pain and taking some of the prescription pain medications in the evening when she was most sore. However, because she did not require pain medications during the day, she was able to drive herself to her appointment. She did admit to not wearing the compression garment all the time, as instructed. Otherwise, she said she was healing well and remained in good spirits.

 

A quick physical examation showed she still had some swelling and had developed a small amount of bruising on the posterior (or backside) labia minora. A small amount of bruising following a labiaplasty is not uncommon, particularly in those patients who do not have a lot of postoperative compression. Despite this, I was happy with how she was healing and arranged to see her again in one week. I gave her “doctor’s note” in case she wanted to take a day off class in the coming week and told her to call for anything.

Postoperative Week 2 ½-

 

My October Patient of the month, a labiaplasty patient, couldn’t make it to her regularly scheduled appointment, but she was kind enough to message and email me on her progress! She said, “I have zero complaints, everything is looking awesome. I had the smallest bit of swelling at the location of the lowest stitch area the other day after doing a lot of walking and none since. I really couldn’t be happier.  I’ll reschedule as soon as possible!”

 

She was also able to send a 2 ½ week follow-up photo. As you can see, most of the swelling is decreased, she has no more bruising, and all of her external sutures are dissolved and/or fallen off. Assuming all continues to go well, I will allow her to discontinue vaginal precautions after her next follow-up appointment and gradually resume exercise.

 

Dr. Traci M. Temmen

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