Category Archives: Dr. Pound Blog

Cosmetic Surgery- Things you should know

Cosmetic surgery is the medical specialty concerned with the correction and restoration of form and function. It can greatly improve and bring in change in your physical appearance. Before you undergo any cosmetic surgery procedure, there are a couple of things to consider.

The surgery changes the way you look. It makes alterations in parts of your body that are functioning in the right manner, but does not look the way you want them to. The procedure can enhance your physical looks and increase your self-esteem.

Your expectations
One thing you should carefully consider is your expectation from the procedure. Do you believe you will end up looking very different after the procedure? Check your expectations. Have realistic expectations from the procedure. Nothing can make you look like a Hollywood actress. Cosmetic surgery can bring in few changes in you, but it cannot change your appearance completely.

Cost of the procedure
Cosmetic surgery is not covered with any health insurance. This is because it is not done for your health, but for your looks. So you should know the cost of the procedure beforehand. The cost of the procedure varies from place to place. The cost depends on the type of surgery, doctor’s fee, anesthesia cost, hospitalization facility and area to be treated.

Risks involved in the procedure
Cosmetic surgery procedures involve some risks. You may experience swelling, bruising, pain, discomfort and bleeding. The side effects of the surgery subside with time. The doctors suggest you topical medicines to lessen the pain and any other discomfort. You are recommended to take all the precautions before and after the treatment suggested by the cosmetic surgeon.

Psychological effects: After cosmetic surgery, you feel good about yourself. It helps you re-gain your self confidence and increases your self esteem.

Recovery
Like other medical procedures, cosmetic surgeries also require time to recover fully. The recovery time depends on the type of surgery being performed. For ex: It takes 3 to 4 weeks to recover after breast augmentation surgery, whereas after rhinoplasty you can resume to your normal activities within a week.

Finding a cosmetic surgeon
You should go to an experienced and knowledgeable cosmetic surgeon. Most of the risks involved in the surgery can be prevented by having an experienced surgeon work on you. Research well on the surgeon’s background and success rate. This will make sure that you are in safe hands.

For a reliable and credible cosmetic surgery Call 404.256.1400.

Liposuction-Procedure and Facts

Liposuction is one of the most common and popular cosmetic plastic surgeries today. People choose this procedure to get back into shape. The procedure removes extra fat from the body that does not respond to traditional weight- loss methods. Apart from traditional Liposuction, a number of new techniques have also come up that includes Ultrasound-assisted lipoplasty, the tumescent technique and the SmartLipo techniques that utilize lasers to remove extra fat from the body areas.

Procedure

In traditional Liposuction, a cannula is inserted into the patient’s body, and fat is suctioned out. The cosmetic surgeon first marks the area to be treated. After this, an IV line is attached to the patient and is hooked up to vital monitors. Anesthesia is given to the patient through the IV. Now the surgeon will make several tiny incisions of half an inch in the area from where fat is to be suctioned. Through these incisions, a cannula is inserted. This cannula is manually directed around in the body to remove the fat. The fat is suctioned out of the body via tubes. This process is repeated for each incision.

Facts about the surgery

A person weighs more during the first 2 to 3 weeks, following the procedure. This is because of the fluid retention in the body after the surgery. The full effect of the procedure will be noticed  2 to 3 months after the surgery. Traditional Liposuction may cause swelling and takes time for it to go away completely. Liposuction removes fat from the body but does not affect the fat under the skin known as cellulite. If too much fat is removed during the procedure, the appearance of cellulite worsens.

This is not a permanent treatment. Fat cells in the body can be removed and re-created. So you have to keep your weight stable and should exercise regularly. If you gain weight, the fat will come back again. Usually fat tends to come back in the stomach and waistline areas.

Facial Rejuvenation for young and youthful skin in Atlanta, Georgia

Aging is a natural process. As we age our skin loses its elasticity and we tend to get wrinkles. The signs of aging are more noticeable on the face, but today there are many techniques that can help you look young again. Facial rejuvenation is any cosmetic procedure used to restore the appearance of a younger age to the human face. It is a set of surgical procedures that targets to restore the facial geometry and skin appearance which are typical of youth.

Facial rejuvenation process includes:

Chemical peels: It involves the application of a chemical solution that burns off the top layer of skin. This procedure removes fine lines and wrinkles and also given an even tone to the skin. Apart from this, Photofacial and Microdermabrasion are also popular techniques that improve the appearance of the skin. In Photofacial intense light is applied, to stimulate the production of collagen. In Microdermabrasion, fine sand crystals are used to remove layers of the Dermis to reveal the younger looking skin underneath.

Botox injections: Botox is a purified therapeutic agent that helps in reducing and softening of frown lines, forehead furrows, creases, crows feet, and cords in the neck.

Brow Lift: Popularly known as an endobrow lift, or open brow lift or a temporal lift, the procedure is used to correct sagging in the forehead skin, upper eyelids, and eyebrows and gives you a youthful appearance.

Facelift: Also known as rhytidectomy, the procedure can improve the appearance of signs of aging. The process removes excess fat, tightens underlying muscles.

Eyelid surgery: This procedure involves the removal of fat along with excess skin and muscle from the upper and lower eyelids. It can correct drooping of the upper lids and puffiness under your eyes.

Nose job/Rhinoplasty: It is a plastic surgery procedure used for correcting and reconstructing the shape of the nose, in such a way that its functions are restored. It also helps in correcting nasal defects like congenital defect and respiratory impediment.

In addition to these, facial rejuvenation also includes Lip surgery and Ear surgery. These techniques can take you back to your youthful days. For any of these treatments or combination of them, consult a reputable and qualified Plastic Surgeon like Dr Edwin Pound. Make a list of plastic surgeons in your area. Shortlist the list as per your requirements. Call them one by one and take appointments to meet them personally. Clear all your questions and schedule a date for treatment.

Ease your wrinkles with a Brow Lift by Dr Edwin Pound

As we age, our skin starts showing signs of it. Wrinkles and expression lines appear foremost on the forehead. With age, the muscles and skin on our forehead begins to lose its elasticity. This droop makes you look fatigued, frustrated and angry. So if you are bothered by expression lines and other signs of aging in your brow region, consider brow lift. It is the most easiest and common procedures to reverse the visible signs of aging.

Brow Lift surgery smoothens the line and lift the sagging skin on the forehead and give you younger and refreshing looking skin. It is a very quick and easy procedure to enhance your appearance. Usually people between the age of 40 to 60 undergo this surgery. The procedure can be performed using one or two techniques.

The first technique is known as classic lift and involves a lengthy incision along the hairline. The incision starts at the beginning of one end and ends at another. During the procedure, the hair on both the incision line is tied back, and the forehead skin is separated from the tissue below. The surgery removes the tissues and segments of muscles and skin that are responsible for wrinkles.

Endoscopic lift is another procedure to perform brow lift. In this procedure, the doctor makes around three, and a half inch cut into the top of the scalp. In this cut, a pencil thin scope is inserted which is connected to a camera. This allows the doctor to view beneath the skin, to perform the procedure. The skin is lifted, and underlying tissues are smoothed out or are removed entirely. The small incisions are washed away and stitched. Sometimes they are also covered with gauze and antiseptics.

Advantages of the Brow lift surgery
It minimizes the creases that develop across the forehead, and those high on the bridge of the nose and between the eyes.

  • Improves frown lines
  • Improves sagging skin
  • Raise the eyebrows making you look more youthful

Risks
In rare cases, the nerves that control the eyebrow movement may get injured on one or both sides. It results in a loss of ability to raise the eyebrows.

November Harvest Specials at the office of Dr Edwin Pound in Atlanta Georgia

Harvest Happenings

November

Surgical Special Held over
till 11/15/2013

$200.00 off any surgical procedure that is booked and deposit paid in the month of November.

Restylane
An injectable gel used to enhance lips and treat moderate to severe facial wrinkles and folds.
$500.00

Radiesse
Longer lasting facial filler
Available in 1.5 cc Syringe
Special Introductory Price $650.00
while supplies last

Perlane
Filler for severe facial wrinkles and folds
while supplies last
$600.00
(over)
Back by Popular Demand
Dysport
Improves the look of moderate
to severe frown lines
$4.00 a unit

In addition to Mentor implants, we now offer FDA approved Sientra gel breast implants.

MENTOR Refer a Friend Program
for patients who refer friends
for breast augmentation procedures
using MENTOR Breast Implants
More information at www.loveyourlook.com

Refer a friend and receive a complimentary Microdermabrasion Facial
(If patient schedules surgery (some restrictions apply)

Get Ready for the Holidays
with a package of two facials $100.00
November – Papaya Mask Facial
December – Refresh Mint Facial

Vitalize Chemical Peel
Special Introductory Price $225.00

Illuminize Chemical Peel
(Red Carpet Peel)
Special Introductory Price $125.00

Chemical Peel Packages are available for discounted amounts.

For discounts on skin care products, talk with Jennifer regarding details.

Latisse
A prescription treatment used to grow eyelashes making them longer, thicker and darker.
$100.00 (Regular price $120.00)
New 5 ml size (last 10 weeks)
$145.00 (Regular price $180.00)

ReFirme
Treat wrinkles under the eyes, brow lines, cheek areas and around the neck without downtime.
Package of 3 treatments $390.00

IPL Laser Treatments
Improves the appearance of skin imperfections caused by sun, rosacea, spider veins and age spots.
Package of 3 treatments $390.00

We are happy to announce our affiliation with Evie Delaney, CPT/Paramedical Artist, and founder of The Nouveau Clinic. The Nouveau Clinic has completed over 10,000 specialty cosmetic treatments since January of 2000, and were voted “Best Permanent Makeup Artist” in the U.S. in 2011. Nouveau specializes in Permanent Makeup and Permanent Cosmetics for all ethnicities. Their unique cosmetic artistry can restyle and restore missing brows and lash lines, and camouflage bald spots in the beard and scalp. Restoration services require no down time and mimic your own naturally growing hair. Other specialty procedures include permanent lip color enhancement, eye liner, scar camouflage, nipple and areola re-pigmentation, individual lash extensions, cellulite treatments, skin tightening and pigmentation therapies.
www.nouveaufaceandbody.com

Win Pound, M.D.
Edwin C. Pound III, M.D.
993-C Johnson Ferry Road #210
Atlanta, Georgia 30342

(404) 256-1400
www.winpound.com

Tummy Tuck Surgery Atlanta

Has your stomach started to creep over your pants? If yes, then you should look into undergoing Tummy Tuck or Abdominoplasty surgery. This is one of the most common cosmetic procedures performed today. From professional on the go moms to homemakers…. All of them are considering this option to get back into shape. Even men are opting for tummy tuck surgery, to look fit. This procedure involves the removal of excessive skin and fat deposits around the lower and middle parts of the abdomen.

The outcome of this surgical procedure is a flat stomach area with a smaller waistline, but the outcome is also affected by health, age, weight, and skin type.

Why opt for Abdominoplasty?

The skin is flexible. It can reshape with the help of exercise and diet regime, but in certain cases these remedies don’t help. This procedure can help you get back to your figure. Few people also opt for this procedure to strengthen weak muscles in the abdomen.

Good candidates for tummy tuck

The best candidates for the procedure are men and women who are in relatively good shape, but are bothered by a large fat deposit around the stomach area that did not respond to any amount of exercise and dieting. The surgery is opted by women having multiple pregnancies. Pregnancy stretches the abdominal muscles and skin beyond the point where they can return to normal. Elderly people are also ideal for the surgery as their skin loses its elasticity in old age.

Who is not a good candidate for the surgery?

  • Women planning pregnancy
  • People tend to lose a lot of weight after the surgery
  • If you have previous scarring
  • People with health issues

Complications

This may include

  • Infections: These can be treated using antibiotics.
  • Blood clot: This condition can be prevented by moving around as soon after the surgery.

Complications can be avoided if you listen to your doctor carefully and follow all the post and pre-surgery instructions.

How to find out you are a good candidate?

Consult a reputable and Board Certified plastic surgeon in your area. Make an appointment and meet him. The doctor will assess you and explain to you the benefits and risk involved with this technique. If you have a medical history, take all your reports and prescription to him.

In Atlanta, you can consult Dr. Edwin C Pound. He is an expert in performing an entire spectrum of cosmetic and reconstructive surgeries including  breast surgery, facelifts, eyelid, nose, and ear surgery, collagen injections, and tummy tuck among others.

Sept 2013 Specials at Edwin Pound MD in Atlanta Georgia

September Specials
Are you ready for some football?
Touchdown Surgical Special
$300.00 off any surgical procedure that is booked and deposit paid in the month of September

We are excited to now offer a new
FDA approved facial filler called
Expression
Available in 1.5 cc Syringe
Special Introductory Price $550
while supplies last

Restylane
An injectable gel used to enhance lips and
treat moderate to severe facial wrinkles and folds.
Special Price $475.00
while supplies last

Radiesse
Longer lasting facial filler
Available in 1.5 cc Syringe
Special Introductory Price $650.00
while supplies last
Perlane
Filler for severe facial wrinkles and folds
Buy one and get one FREE
while supplies last
$575.00

Dysport
Improves the look of moderate
to severe frown lines
$4.00 a unit
$50.00 instant rebate with mininum
purchase of $125.00

In addition to Mentor implants, we now offer FDA approved Sientra gel breast implants.

MENTOR Refer a Friend Program
for patients who refer friends
for breast augmentation procedures
using MENTOR Breast Implants
More information at www.loveyourlook.com

Refer a friend and receive a complimentary
Microdermabrasion Facial
(If patient schedules surgery (some restrictions apply)

Microdermabrasion Facial
Revitalizes the skin and removes superficial dead skin cells. Gently stimulates and tones skin
.$65.00
(Regularly $85.00)

Vitalize Chemical Peel
Special Introductory Price $150.00
Regular Price $85.00

For discounts on skin care products, talk with Jennifer
regarding details.

Latisse
A prescription treatment used to grow eyelashes making them longer, thicker and darker.
$100.00 (Regular price $120.00)
New 5 ml size (last 10 weeks)
$145.00 (Regular price $180.00)

ReFirme
Treat wrinkles under the eyes, brow lines, cheek areas and around the neck without downtime.
Package of 3 treatments $375.00

We are happy to announce our affiliation with Evie Delaney, CPT/Paramedical Artist, and founder of The Nouveau Clinic. The Nouveau Clinic has completed over 10,000 specialty cosmetic treatments since January of 2000, and were voted “Best Permanent Makeup Artist” in the U.S. in 2011. Nouveau specializes in Permanent Makeup and Permanent Cosmetics for all ethnicities. Their unique cosmetic artistry can restyle and restore missing brows and lash lines, and camouflage bald spots in the beard and scalp. Restoration services require no down time and mimic your own naturally growing hair. Other specialty procedures include permanent lip color enhancement, eye liner, scar camouflage, nipple and areola re-pigmentation, individual lash extensions, cellulite treatments, skin tightening and pigmentation therapies.
www.nouveaufaceandbody.com

Win Pound, M.D.
Edwin C. Pound III, M.D.
993-C Johnson Ferry Road #210
Atlanta, Georgia 30342

(404) 256-1400
www.winpound.com

We want to call a TIME OUT to say
THANK YOU
for your business.

Worried about inverted nipples or protruding nipples?

Inverted nipples and protruding nipples are embarrassing issues for many women. Many of my patients tell me that they cannot find much information about the treatment of these problems. This is a shame because they are actually fairly easy problems to correct. An inverted nipple is an “innie”. Most nipples will become erect with stimulation, however, a truly inverted nipple will not. These nipples are tethered down by bands which inhibit them from becoming erect. In the case of a truly inverted nipple, the solution is to make a small incision at the base of the nipple and use a knife or a small pair of scissors to cut through these tethering bands. This will release the nipple and allow it to evert. To maintain this eversion and keep the nipple from falling back down, a small dissolvable stitch is placed at the base of the nipple. The tissue at the base of the nipple heals together and prevents a recurrence of the nipple inversion. The procedure does not take very long to perform. The main drawback to this procedure is that the milk ducts are also cut along with the tethering bands. This will, in all likelihood, prevent the patient from being able to breast-feed from the involved breast. Nipples that are elongated or protruding may also be a problem to patients. The solution to this is to remover a strip of skin around the base of the nipple and then telescope the “cap” of the nipple downward to close the gap. The skin edges can be sewn together using an absorbable suture. The result is a shorter nipple and the scar is virtually invisible.

Here is a before picture from one of Dr. Pound’s patients:

Before Picture of a Protruding Nipple
Photo0-1024x768

And here is the after picture, two months post-op:
Photo01-1024x768

Breast Augmentation Choices

Incision Sites, Positioning, and Making the Right Decisions for Your Body

Breast augmentation, statistically, has been one of the most requested cosmetic surgeries in plastic surgery for many years. Women who seek breast augmentation generally fall into one of the following categories:

  • Women who have never had much breast tissue and want to fit clothing better or to feel more feminine.
  • Women who have lost volume during a pregnancy.
  • Women who have a developmental asymmetry of the breasts.
  • Women who have breast asymmetry from previous surgery.

A breast implant is simply intended to add volume to the existing breast tissue. It is NOT designed to change the basic shape of the breast or to lift the breast itself. If a breast lift is the goal then a different procedure would be necessary. In addition, a breast augmentation procedure will not give a patient more cleavage. Cleavage is determined by the width of the chest bone. Attempts to decrease this width and provide the patient with more cleavage may end badly. While a breast augmentation may add more volume to the breast itself, a push-up or push-in type bra is more advisable for creating cleavage. The breast is generally fully developed by the time the patient is eighteen years old. Patients under this age should be discouraged from seeking a breast augmentation. The breast may continue to change over the life span of the patient as a result of weight gain/loss, pregnancy, periods, etc. Breast implants are also not guaranteed to last a lifetime. Additional surgery may be required at some point to replace the implants or to improve the shape of the breast itself as it changes with time. Breast augmentation surgery can be performed through one of four possible incision sites: a single incision in the navel, incisions under the fold of the breast, incisions under the areolae, or incisions in the armpits. The advantages and disadvantages of each incision site are as follows:Trans-Umbilical Breast Augmentation (TUBA):

  • The incision site is hidden within the belly button.
  • Recovery is fastest with this approach.
  • There is less cutting involved and therefore less risk to the breast tissue or to the sensory nerve to the nipple.
  • Implants can be placed above or below the chest muscle via this approach.
  • Only saline implants can be used with this approach.
  • Precise development of the implant pocket is more difficult with this approach so that the risk of asymmetry may be higher.
  • Future surgeries may require a different incision site.

Inframammary:

  • The incisions are located in the natural folds under the breasts.
  • This is the easiest approach from the surgeon’s standpoint.
  • Implants can be placed above or below the chest muscle.
  • Saline or silicone gel implants may be used.
  • An underwire bra may rub and irritate the incision scar in this location.
  • If the patient wears a small bathing suit top and lifts her arms up, the incision scar may be exposed.

Infra-areolar:

  • The incisions are located under the areola on each breast.
  • Saline or silicone gel implants may be used.
  • Implants can be placed above or below the chest muscle.
  • The change between the color and texture of the skin and areola helps hide the scar.

Trans-axillary:

  • The incisions are located in the armpits.
  • Implants can be placed above or below the chest muscle.
  • Saline or silicone gel implants may be used.
  • There is less precision in development of the breast implant pocket and a greater risk of asymmetry.
  • If incisions do not heal well, they may be noticeable when the patient wears something sleeveless.
  • If the incisions do not heal well, they may interfere with shaving the armpit.

Additional potential complications associated with breast augmentation with any of the above incision sites may include:

  • Loss of sensation to the nipple or breast. The sensory nerves to the nipple/breast come from between the ribs. The risk of numbness or even super sensitivity is in the range of 2 – 10% of patients. Of these, statistically, 85% of patients will recover normal sensation within a year. Permanent losses are rare.
  • Capsular contracture. Patients are not born with implants. Since the body cannot reject the implants outright, it simply seals them off by forming a capsule made out of scar tissue around the implant. This is a normal occurrence. As long as the capsule remains thin, the patient should not notice it. If the capsule becomes thickened or tightens down, then the patient may require additional treatment to correct the situation.
  • Bleeding or infection. Fortunately, these are VERY rare occurrences, but may require additional treatment.
  • Breast feeding. While their breast tissue may change with a pregnancy, patients should be able to breast feed no matter which incision site is used.
  • Mammograms. Most mammographers have been dealing with breast implants for fifty years now. Mammograms are performed slightly differently for patients with breast implants than for patients who do not have them in order to visualize all of the breast tissue adequately. There is some suggestion in the literature that mammograms are easier to perform and interpret when the implants are placed under, rather than over, the chest muscle. In addition to the incision site, patients must also decide whether to place the implants above or below the chest muscle.

Advantages and disadvantages of each position include: Above the chest muscle:

  • This is where the breast tissue is located and therefore where the implant will behave most like breast tissue.
  • There is a higher risk of capsular contracture when the implant is located above the chest muscle. This may be due to increased bacteria in the breast tissue (and therefore increased risk of a subclinical infection) or the loss of the massaging action of the chest muscle gliding over the breast implant.
  • There is a greater incidence of rippling/wrinkling of the implant above the chest muscle.
  • Recovery is faster and less painful.

Below the chest muscle:

  • There is a decreased risk of capsular contracture since the muscle slides over the implant massaging it as the patient goes through her normal activities.
  • There is less chance of seeing/feeling ripples/wrinkles as the muscle adds another layer of coverage over the implants.
  • Flexing the chest muscle may cause the implants to move in an unnatural fashion. Over time, this may also cause the implants to migrate towards the armpits.
  • Muscle does not stretch as easily as breast tissue. It may take a longer time for the breast to drop and soften than it would if the implant were located above the chest muscle.
  • Recovery may be more uncomfortable due to the tension in the muscle.
  • If the breast tissue itself tends to sag over time, the implants may remain higher on the chest wall and not descend with the breast tissue.

Breast augmentation surgery is usually done under general anesthesia in an outpatient setting. Bandages are generally removed within a day or two. Some doctors use drains. These would also be removed in a few days at most. Patients recover at different rates but should expect discomfort for four to five days. Patients may resume non-strenuous activities when they feel like it. More strenuous activities should be avoided for at least three weeks following the surgery. Breast augmentation surgery can make a great difference in a patient’s self-image. In order to achieve the best possible outcome, the patient should seek out a plastic surgeon certified by the American Board of Plastic Surgery (ABPS), the only board recognized by the American Medical Association for the training and certification of plastic surgeons. The doctor should be willing to spend time with the patient answering any questions that she might have. She may also want to look at before/after pictures or talk with a previous patient about her experience. Breast augmentation surgery is a life changing event. It is important for a patient to do her research thoroughly with regard to the type of implant to be used, the incision site, and also the credentials and experience of the doctor performing the surgery. Dr. Win Pound is an expert in many areas of plastic surgery and is a world renowned expert in trans-umbilical breast augmentation (TUBA). Dr. Pound has performed the TUBA breast augmentation procedure more than any other plastic surgeon in the world. Contact his office for more information or to request a free consultation. http://www.winpound.com