Question: I have burn scar and wanted to know what the best treatment is to reduce the hypertrophied scar? Is it best to use scar creams or silicone sheets or both? Also, what is the best creams and sheets available?
Answer: To achieve the best possible outcome treatments for reducing the scarring of a hypertrophied burn would include both topical and scar sheeting. Topical scar therapy like Mederma would be used 1-2 times a day, meanwhile scar sheeting such as Curad Scar therapy would be best used at night! This will help the dark color of the scar fade plus help […]
Question: After lipo do you need a tummy tuck? Is there alot of skin left hanging?
Answer: You may or may not need both. It depends on an individuals skin elasticity. When a patient has rapid weight gains or losses (pregnancy for example) sometimes the skin does not bounce back. The patient can pull it away and it sags. So these patients, regardless of their age, need skin resection when that body part is addressed. Evaluating a persons skin elasticity is a key element for all body contouring procedures. The best way to evaluate that is to come in for a […]
At Casas Aesthetic Plastic Surgery, our goal is to help you find your best solution!
There are so many options these days, with a wide range of prices, that it is easy to feel overwhelmed, or unsure about what steps to take, and when, to look your best!
We listen carefully to our patients and understand that many are busy and want to be budget-conscious in these times! In an effort to meet both of those concerns, Dr. Casas takes time to meet with her patients and develop a personalized plan. We will ask you what is ‘do-able’ to you in […]
Question: Can Time, Patience and a little Sculptra™ help fight the inevitable signs of aging?
Answer: We want to fight the aging process with steadfast perseverance but, at the same time, we must be patient in our expectations for results.
Sculptra™ Aesthetic is a skin stimulator that works with your own tissue, stimulating collagen growth over time. The results are natural and gradual. Unlike fillers, it is not immediately noticeable after the procedure but the payoff is longevity. Sculptra is a long lasting treatment that offers reliable facial volume to hollow cheeks for up to 2 years.
Generally, patients are treated in 1 […]
Question: If I want to look my best for my wedding, (I am in my mid 30’s) who should I consult?
Answer: First you should consult with someone like me, a Board certified Plastic Surgeon who will honestly review your options for helping to make your dreams become a reality. Brides want to look their best for many reasons. It is a very special day and most brides are photographed quite a bit. I always recommend a good skincare program but especially before the wedding, it is a good idea to ‘step it up’ with professional exfoliation like a Blue Peel […]
Question:
My skin seems to suffer more in the winter – what do you recommend for treating clogged pores and combination oily/very dry skin?
Answer: Skin is visibly affected by extremes in temperature and requires extra care, especially if you have combination or excessively dry skin. My recommendation is to start a good, guided skincare routine that is developed specifically for you. If you have dry skin, use a gentle cleanser, toner and daily moisturizer that will help you maintain a healthy radiant appearance. I advise my patients to use the Clarisonic Skincare system which is an excellent method of deep cleansing […]
Question: Do you ever perform Breast Reduction on men who have Gynecomastia? My son is 19 years old and very concerned that the breasts that show through his clothes. It affects his clothing choices and what he does in his free time. I am wondering if there is anything that can be done to help him feel more confident to go to workout and go swimming.
Answer: Male Breast Reduction for Gynecomastia is a surgical procedure that reduces excessive breast tissue in males after medical conditions are determined not to be the cause for abnormal breast development.
According to recent data from […]
Question: What do you think would be the best way to make me look less haggard, saggy , wrinkly, and ‘caved in’? When I compare and look at pictures of myself from 10 years ago, my cheeks were much higher and fuller – now they are sunken looking, with large folds and wrinkles and it makes me look older but I don’t think I’m ready for a Facelift!
Answer: It sounds as if injections with Sculptra Aesthetic may be a good option for you. Comprised of poly-L-lactic acid, it is a substance that stimulates your own collagen to grow, so results […]
Multisite Analysis of 177 Consecutive Primary Breast Augmentations: Predictors for Reoperation
McCafferty LR, Casas LA, Stinnett SS, Lin S, Rho J, Skiles M
Aesthetic Surgery Journal: May 2009;29;3.pp.213-222
Abstract
Background
Plastic surgeons and manufacturers of breast implants have been examining the complication and reoperation rates of primary breast augmentations for more than 18 years. The seemingly high rates reported by the manufacturers to the United States Food and Drug Administration (FDA) was the impetus for this multicenter study.
Objective
This paper reports on data pooled from three plastic surgery practices that were geographically distributed across the United States and examines the reoperation rate, time to reoperation, the […]
