Posted on June 10, 2009 in Uncategorized
While many non-surgeons jumped on the bandwagon with smart lipo when the marketing hype first hit, many more plastic surgeons were actually more conscious and would not bite on this initial effort. It now appears that the results from smart lipo are not stacking up to that hype. Due to this fact, the new marketing emphasis is now on “skin tightening”. While the jury is still out on the results in general as well as the skin-tightening claim, consumers should be wary of any new technology, which suddenly changes boats in the middle of the stream. In addition, I feel consumers should try to obtain their information directly from board certified plastic surgeons and not from manufacture’s web sites in general. While most manufacturers are very cognizant of patient safety and truly want to make their products helpful for patients, on the other hand, the consumer must remember there is always financial bias inherent in any information that comes from a manufacturer. There is still no substitute for choosing a qualified plastic surgeon and visiting them in person and hearing the scoop from them directly.
Posted on January 7, 2009 in Uncategorized
Facial implants help provide balance to your facial features and increase your self-esteem by changing the face you were born with to one you desire. There are various implants on the market today, crafted from a variety of materials. A facial plant can help reshape a chin, create the appearance of a chiseled jawbone, enhance cheekbones or fix a crooked nose. If you are considering a facial implant you should also think about the risks. These implants can shift out of place and require a second surgery to correct. An infection can also occur, that requires your surgeon to temporarily remove your implant in order to treat it. Be sure you fully understand your procedure and the risks associated with it, before you proceed. At Core & Associates in Birmingham, Alabama, you will receive the best possible care and attention. If you would like to schedule a private consultation, please send us an email or give us a call at (205) 282-4034.
Posted on December 8, 2008 in Uncategorized
One is for looks; one is to function. It’s the difference between cosmetic and reconstructive surgery.
Cosmetic surgery is elective and is performed on someone in order to enhance their appearance and elevate their self-esteem. This surgery is not typically covered by insurance companies.
Reconstructive surgery takes place in the aftermath of an accident or misfortune of some kind. It is performed to correct abnormalities caused by birth defects, disease, or trauma. Reconstructive is often covered by health insurance coverage, though the percentage of coverage varies from one company to the next.
At Core & Associates in Birmingham, Alabama, you will receive the best possible care and attention. If you would like to schedule a private consultation, please send us an email or give us a call at (205) 282-4034.
Posted on November 6, 2008 in Uncategorized
Dr. Core has recently begun use of the unique new injectable agent called Evolence. Evolence is a combination of a collagen based material which has been stabilized chemically to prevent rapid absorption by the body so it lasts much longer than prior collagen injectables. It is therefore a natural substance but has the advantage of longer durability. However, Dr. Core has found the most exciting aspect of Evolence is the immediate and dramatic results obtained in the nasolabial fold areas of patients who are good candidates. In addition, Evolence does not have a coagulant in the product so the risk of bruising and swelling go way down. Most patients can have the injection in the morning and go out to dinner that evening with no visible side effects. Evolence is now available at Core Plastic Surgery. The injection will be performed by Dr. Core himself and will be preceded by a consult to determine suitability.
Posted on October 3, 2008 in Uncategorized
First question is:
“I have a number of friends who have had eyelid surgery that looks very unnatural. How has eyelid surgery changed over the years?”
There have been two major changes in eyelid surgery over the past 10-15 years. The first one is preservation of fat in both upper and lower eyelid region. Both techniques previously involved a removal of fat pads, both in the upper lids and lower lids which often left patients with a hollowed out and rather bizarre appearance. Some well-know celebrities went through this procedure and, in fact, when performed on younger patients, it actually makes them appear older. If one will simply look at the eyes of some of the young women in popular magazines such as Vogue or Glamour, and take a close look at the eyelid area, you will see that there is still fullness and fatty tissue in both the upper and lower lids, especially in the upper lids. The difference between this fat and the fat in the aging lid is that this fat has good support and structure and this brings us to the second change in eyelid surgery over the last 10-15 years and that is the concept of support. Previous eyelid techniques involved excision and removal of “excess skinâ€. In actuality while excess skin can be present in some patients, most of the time the skin is not excess, it is just relaxed and unsupported and in addition has photo aged in such that it has fine lines and wrinkles. The modern technique for making eyelids look more youthful is to provide more support, both for the underlying fatty tissue as well as the overlying skin. The main component that provides this support is fascia and muscle. Unfortunately, fascia in the eyelid areas also is attenuated that operations to try to support this layer has not been very successful. On the other hand, muscle support techniques have been successful and actually were reported as early as 1972 by Dr. Ulrich Hinderer. While other people have advocated various forms of muscle support over the years, they have never became very popular with plastic surgeons probably because they were poorly understood and the techniques for providing muscle support were not very sophisticated. Dr. Core has over the past ten years developed his own technique for muscle support, which can be varied depending on the needs of the patients and is applicable mostly in lower eyelid surgery. In upper lid surgery the more natural appearance comes from the formation of a proper crease in the upper lid with fat preservation. In the lower lid, the best results come from fat preservation, possible fat redistributation, as well as a support of the muscular sling over the lower eyelid. The overlying skin is then treated either with simple tightening (if true redundancy is present) or with resurfacing if the problem is fine lines and wrinkles. Second question is:
“I underwent a rhinoplasty several years ago and when I breathe the sides of my nose collapse making it difficult for me to breathe in forcibly. What can be done to correct this?”
This unfortunately is an all too common condition with older style rhinoplasties wherein the lower lateral cartilages were over resected. This was a very popular style rhinoplasty in the 60’s and 70’s and in some cases even into the 80’s, depending on the age and level of experience of the surgeon. Rhinoplasty styles have changed over the last ten years where more cartilage is preserved and left intact for structural support. However, in your case the lower lateral cartilages have been over resected and therefore can no longer support the airways especially during forceful inspiration. However, the good news is that this can be corrected without major surgery. In many cases a small portion of cartilage can be taken from the septum and used as an internal graft putting incisions inside the nose which helps support the lower outer sides of the nose. Recovery from this procedure is very rapid and there are no splints or packing necessary.
Posted on September 18, 2008 in Uncategorized
The race is on for Americans to look younger, tighter, perkier and filled with vitality. There is a steep competition for companies to find safe, practical ways for average people to delay the natural aging process as minimally invasive as possible. For example, Restylane (or hyaluronic acid) is an injectable gel filler that the Food and Drug Administration (FDA) approved to treat laugh lines, frown lines, and forehead wrinkles. As scientists and researchers discover more and more about our skin’s structure and how it ages, they will be able to create more and more safe and effective products that seemingly reverse the aging process. This is just one example where science and beauty meet. Dr. Grady Core has the latest technology and is one of the most well-respected cosmetic surgeons in the country due to his pioneering work in endoscopic cosmetic surgery. He is recognized as one of the inventors of minimally invasive endoscopic surgery and was a co-developer of the technique in 1991. Since that time, he has taught the technique to cosmetic surgeons all over the world and has been invited to speak about endoscopic plastic surgery in Australia, South America, and Europe. At Core Plastic Surgery in Birmingham, Alabama, you will receive the best possible care and attention. If you would like to schedule a private consultation, please send us an email or give us a call at (205) 282-4034.
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