Dr. Dumanian

Plastic and Reconstructive Surgery

Tips for Maintaining Plastic Surgery ResultsDr. Gregory Dumanian regularly fields questions about how to maintain the results of facelift, liposuction, tummy tuck and other plastic surgery procedures. With the right personal care and lifestyle habits, the results should last for many years. Here are some tips from Dr. Dumanian to maintain the life of plastic surgery results.

Avoid Sun Damage

It’s wise for everyone to be careful in the sun by wearing sunscreen, sunglasses and a protective hat. This is particularly important for individuals who have undergone plastic surgery, as sun exposure can cause the incision scars to become more pronounced. If you’ve had surgery recently, protect your incision scars by staying out of the sun and covering the area with clothing or sunscreen with an SPF of 30 or more.

Quit Smoking

Smoking is a detrimental habit for many reasons. For plastic surgery patients, it can impede the healing process by flooding the body with toxic chemicals, restricting the blood of oxygen that it needs to support the body’s healing mechanisms and constricting the blood vessels so they have a hard time delivering blood to the healing tissues. Keep in mind that smoking also contributes to visible signs of aging — chiefly sallow skin and wrinkles. Try a smoking cessation aid like gum or the patch, or speak to a doctor about other options.

Stay Active

Staying active is crucial to looking and feeling youthful. Liposuction, tummy tuck and other body sculpting patients need to be especially careful to maintain their weight, lest the pockets of excess fat return. Dramatic weight fluctuation (including pregnancies) can have a negative effect on the results of plastic surgery.

Pamper the Skin

Certain products may extend the lifespan of the results of facial plastic surgery (e.g., facelift). Select medical-grade skin-care products with active ingredients that improve the appearance of the skin. Dr. Dumanian and our team would be happy to provide recommendations or a personalized skin care plan to protect and prolong facelift results.

Follow All of Dr. Dumanian’s Instructions

To ensure the best and longest-lasting results, patients need to closely follow all of Dr. Dumanian’s instructions about:

  • taking medications/supplements
  • wearing supportive garments
  • keeping the surgical wound clean
  • massaging the treated area (if necessary)

 

Dr. Dumanian will also advise when it is safe to return to exercise, sports and other physical activities. Pushing the body too soon may cause a complication that affects the long-term outcome of the procedure.

Explore Repeat or Touch-Up Treatments

Plastic surgery won’t stop the effects of gravity or the aging process altogether. It may be necessary to undergo a touch-up or repeat treatment to maintain the beautiful results of surgery. Dr. Dumanian can provide more information at the time of the consultation.

 

Dr. Dumanian offers a wide range of plastic surgery options for the face, body and breasts. To learn more about any of the available procedures, please contact Dr. Dumanian by calling our office at 312-695-1999 or sending us an email today.

avocado.shutterstock_126741251A great way to achieve and enjoy beautiful, vibrant skin is to nourish it from the inside out. Changing dietary patterns and incorporating the right foods into meals and snacks can help boost collagen, reduce inflammation, fight acne and even protect the skin from the sun.

Here are a few suggestions for foods that can improve the quality and appearance of the skin.

Foods to Improve Skin Elasticity

Omega-3 fatty acids, which are found in foods like walnuts and certain types of fish, are great for improving the skin’s firm and elastic quality. Selenium, a mineral found in whole-wheat pasta and bread, is also good for promoting elasticity and skin health, according to nutritionist Joy Bauer.

Foods to Achieve Clear, Blemish-Free Skin

People with acne should eat foods rich in the essential mineral zinc, as studies have shown a correlation between acne sufferers and low levels of zinc. Fitness magazine suggests beans (especially kidney beans) as a great source of zinc. The National Institutes of Health recommends consuming lean meats like poultry, eggs, nuts and fortified breakfast cereals to get more zinc.

In some cases, high stress levels can trigger an acne breakout. Glamour magazine suggests drinking peppermint tea to reduce stress and avoid aggravating acne. The magazine also points out that garlic contains allicin — a chemical good for killing harmful bacteria that can cause acne and other skin infections.

Foods to Reduce Inflammation

There are several foods that experts recommend to reduce skin inflammation and redness. Studies suggest that green tea is good for fighting inflammation, thanks to an antioxidant known as EGCG. Avocadoes contain lots of antioxidants and inflammation-reducing carotenoids, like beta-carotene, lutein and zeaxanthin.

Red grapes contain the antioxidant resveratrol, which has anti-inflammatory properties, and may activate the liver enzymes responsible for ridding the body of unwanted chemicals, according to the American Cancer Society.

Foods to Protect Against the Sun

The American Journal of Clinical Nutrition reports that carotenoids — found in foods like yellow and orange bell peppers — may have sun protection properties. Also good for protecting the skin against the sun are almonds and broccoli (rich in Vitamin E), and carrots, which contain beta carotene. Note: cooked carrots are better than raw!

Foods to Detoxify

Watercress can help the body flush out harmful toxins, thanks to its antioxidants and minerals (including manganese, carotene and potassium). Peas, beans and legumes are also full of vitamins and minerals that aid in detoxification for more luminous skin.

Foods to Boost Collagen Production

Collagen is vital to fighting signs of aging and maintaining strong, healthy-looking skin. Collagen production naturally slows down with time, and the skin gets thinner and develops wrinkles. Foods rich in Vitamin C — tropical fruits like pineapple, papaya and kiwi — are good for kick-starting the body’s natural collagen production process. Avocado oil may also stimulate the production of collagen for better skin tone and texture.

Hydration

Water isn’t technically considered a food, but it is great for the skin. It flushes out toxins, and keeps cells plump and full — making the skin look firmer and clearer. In addition to water itself, Joy Bauer points out that veggies and fruits are also great sources of water.

Contact Dr. Dumanian

If the skin on your face and neck looks wrinkled, saggy or otherwise prematurely aged, you may be a good candidate for facelift or necklift. Please contact Chicago plastic surgeon Gregory Dumanian to schedule a consultation to discuss these treatment options. Call our office at 312-695-1999 or send us an email today.

Gorgeous girl posingThe placement of breast implants is a highly personalized procedure with many variables to consider. What works for one woman won’t necessarily work for the next. Chicago breast implants surgeon Gregory Dumanian has compiled a short guide to the various breast implant options.

Filling Material

Dr. Dumanian offers saline and silicone gel implants. There are pros and cons to each type of implant. For example, saline implants are filled after placement. Dr. Dumanian will insert the saline implant shell into the breast pocket and then fill it to the desired capacity. Therefore, saline implants can be placed through a smaller incision. Also, due to the nature of the saline filling, it’s easier to notice if the implants deflate. However, the downside to saline implants is that some surgeons and patients believe they do not look or feel as natural as the alternative.

Silicone implants offer a more natural look and feel than saline implants. They are less likely to ripple. On the other hand, they are pre-filled and require a larger incision. Also, it’s more difficult to detect a rupture or a leak in a silicone implant.

Size

Selecting the right implant size is a primary concern for many breast augmentation patients. Breast implants are measured in cubic centimeters (cc’s). Every 150-200 cc’s is equivalent to about one-and-a-half cup sizes. In general, implant volumes range from 120ccs to 850 ccs.

Some women want their implants to make a dramatic difference in their breast size. Others are seeking a more discreet improvement.

It’s important for a woman to consider her body type when selecting the size of her implants. Not everyone’s body is built to accommodate large implants. Women with less natural breast tissue and a small frame can achieve great results with a small implant.

Shape

Breast implants come in two shapes: round and teardrop. Round implants are circular and project farther from the body. They offer more fullness in the upper portion of the breast. Also, if they rotate within the breast pocket, it is not very noticeable. Teardrop implants are more anatomically correct, with a gradual downward slope. If they rotate within the breast pocket, the breast may look distorted.

Texture

Breast implants may be smooth or textured. Smooth implants can move more freely within the implant pocket for a more natural movement. Textured implants are designed to stay in the proper position within the pocket.

Learn More about Breast Implant Options

For more information about choosing the right breast implants, please call Dr. Dumanian at 312-695-1999 or email him today.

 

 

There are three side muscles–the external oblique, the internal oblique, and the transversus abdominis.  The most common version of the components release hernia repair cuts the external oblique muscle as it inserts onto the vertical rectus abdominis muscles.  The side muscles become more compliant (stretchy) with the external oblique cut, allowing the rectus abdominis muscles to be brought to the midline for the hernia repair.
 
Immediately after surgery, the external oblique muscle is not attached to anything, and theoretically the abdomen could feel weaker.  However, with the repair of the hernia the abdomen once again can increase its internal pressure.  This new sense of a “core” for the patient is a bigger gain than the loss of the external oblique function.  Most patients feel improved immediately after a components separation hernia repair, despite the pain of surgery.
 
Over time, the external oblique sticks back down to the underlying internal oblique muscle, and regains some of its function.  The two intact muscles hypertrophy or bulk up over time, becoming stronger to compensate for the loss of the external oblique.
 

 

shutterstock_49217416Healing from a surgical procedure is different for everyone, and the experience varies depending on the specific procedure(s) performed and the individual. However, there are a few commonalities in the healing process. The first two to three days after surgery will be the most uncomfortable, and patients typically spend most of the time in bed or on the couch resting quietly. After that, discomfort significantly decreases and many patients are able to slowly return to their normal activities.

Here are several universal tips for healing from plastic surgery.

1.     Prepare Properly

One of the most important things patients can do to recover quickly from surgery is to go into it in good shape. Patients who do not smoke, have a healthy BMI and generally enjoy strong physical health are most likely to heal from surgery quickly and without complications. It is also a good idea to prepare by eating nutritious meals, getting plenty of sleep, staying hydrated and avoiding anti-inflammatory medications in the weeks leading up to surgery.

Also, consider logistics like taking a few weeks off from work and arranging childcare and help with household chores. Making these arrangements ahead of time cuts down on post-operative stress and makes for a smoother recovery.

2.     Hydrate Sufficiently

Surgery drains the body of fluids; it’s crucial to replenish with plenty of water during recovery. Chicken broth, Gatorade and Jell-O are also good hydration options.

3.     Eat Lightly and Healthfully

Eating the right amount and types of foods is good for promoting a quick recovery. For the first few days after surgery, choose foods that are easy to chew, swallow and digest. Light meals like salads and soups are great options; fruits and green smoothies make for healthy snacks.

4.     Be Realistic

Ultimately, the most satisfied patients are those who go into the experience understanding the realities. For example, the aftereffects of anesthesia can be disorienting at first, and mild pain, tenderness and/or numbness are common after surgery. Also, patients may look bruised and swollen during recovery.

However, these are all common side effects and will gradually subside. Oral medication will be prescribed to alleviate discomfort, and instructions will be provided to reduce swelling and bruising.

5.     Be Patient

Everyone recovers at a different pace. It’s important to be patient and not rush back to work, school or normal activities. For some people, it may take longer for the body to feel ready to re-engage in daily routines and responsibilities.

Most patients take between one to four weeks off to recover, although this is highly personal and depends on the procedure that was performed.

6.     Follow All of Dr. Dumanian’s Instructions

In order to enjoy a speedy and complication-free recovery, patients must follow all of Dr. Dumanian’s instructions, whether they involve taking/avoiding certain medications, caring for the incision site(s) or returning to the office for follow-up visits. Not following Dr. Dumanian’s instructions will increase the risk of post-operative complications such as bleeding, abnormal scarring and infection.

Contact Dr. Dumanian

For more tips on healing from plastic surgery, or to schedule a consultation to discuss your plastic or reconstructive surgery needs, please call Dr. Dumanian at 312-695-1999 or email him today.

Dr. Dumanian is given credit for the development of TMR used to treat this patient in southern Illinois.

http://www.sj-r.com/article/20140323/NEWS/140329739/

Here is a link to an article about our ongoing randomized clinical trial in controlling pain in the limbs of amputees with TMR nerve transfers.

 

http://www.feinberg.northwestern.edu/news/2014/03/Dumanian_nerve_research.html

Dr. Dumanian will give three lectures at the AWR meeting this coming June.  The first will be entitled “The tissue response to synthetic and biologic materials”.  The second is “Local and free flap reconstruction”.  The third is “Perforator Sparing:  Why not the standard”.  On June 13, he will be on a panel entitled “Stump the Experts”.  Looks to be a lively meeting!

Dr. Dumanian will present a talk on the use of mesh in abdominal wall reconstruction at the 2014 AAPS meeting in Florida.

http://www.thepsf.org/research/achievement-awards/innovation-challenge/current-recipients.htm