Berman Cosmetic Surgery & Skin Care Center - Body Surgical Procedures

How much does Sculpsure cost?

As you may know, Sculpsure is the latest innovation in non-invasive fat reduction. This means that there are no incisions. The laser energy travels through the skin (it is safe for all skin types) and heats and kills the underlying subcutaneous fat. Cynosure’s studies have shown up to a 24% reduction of fat – though it is important to remember that some people will get more and some will get less.

Generally, Sculpsure will cost $1,500 for a session. However, we are only charging $1,000 because we want to make this is more easily affordable to more people (and yes, we do offer financing).

How Does it Work?
A treatment consists of 4 paddles, which are about the size of a small cell phone. The entire session only takes 25 minutes. You can treat multiple areas, one after another, in the same visit.  To explain, you can put 4 paddles along your lower abdomen and after this immediately, place the 4 paddles on the outside of your hips, or the inside of your hips or knees or bra line or love-handles, etc.

No Downtime:
One of the best things about this treatment is that there is no downtime associated with it. I have actually treated my own love handles with SculpSure and after each of my two sessions, I immediately went to the gym.

How Many Treatments Will You Need?
I tell my patients that they should plan on treating each area twice, with 4-6 weeks between each session, to get the best results. You can certainly do more than two sessions per area, but the minimum you should plan on is two sessions. There are no hidden costs with this treatment, as it does not require any medication or an operating room.

Why You Should Consult with a Plastic Surgeon if Considering SculpSure:
The most important reason to see a plastic surgeon when inquiring about SculpSure is because a plastic surgeon is in the best position to explain whether you will be best served with SculpSure or Smartlipo (laser liposuction) or some type of excisional surgery. It is important to know whether your expectations are realistic for the given procedure, especially given the financial investment you are making. A plastic surgeon can also give you a good sense of the pros and cons of each option to help you make the right choice for you. In my office, your treatment will be carried out by an esthetician specially trained in the art of SculpSure. We will do our very best to make sure that your treatment is as comfortable and specific to your needs and body goals.

Have questions about this procedure?
Please call my office at 703-406-2444 to schedule a private, complimentary consultation with me.

Berman Cosmetic Surgery & Skin Care Center - SculpSure

Sculpsure and Your New Year’s Goals for Your Body

When Christmas and New Years (and all the parties!) come to an end, many of us are mortified to find our clothes too tight and the scale much higher than we like! Now is the time when so many of us create New Year’s resolutions. What can we do to maximize our success?

As a trained Life Coach, the first thing that comes to mind for me is to be very realistic in our goals. We should be bold in our resolutions, yet realistic. Secondly – and this is key – we need to break our goals down into manageable steps we can do every day, or at least most days. Third, we need some accountability. And lastly, many of us benefit from having a reward or penalty for sticking or not sticking to our plan.

Realistically, if you have never been one to exercise, it may make more sense to aim to do a class at the gym 3-4 days per week, rather than plan on doing 3 hours a day at the gym. Sure, there are people who do go to the gym for 3 hours per day, but is that going to be you 3 weeks into the New Year, once that initial excitement has faded? Probably not. With focused effort, you can likely accomplish your goals in one hour of gym time.

It is great to have a set amount of weight you want to lose – whether that be 10 lbs or 100 lbs. However, remember that the closer you get to your ideal weight, the harder it is to lose those last few pounds. One of the things that I have repeatedly observed in women is that they go on strict diets and work out faithfully for 3-4 weeks. At the end of this time period, they weigh themselves and low and behold, not one pound has been lost. They get frustrated and quickly return to their previous eating patterns.

What can you do to minimize this effect? My strong suggestion is to NOT weigh yourself for at least 6 weeks. Or better yet, until you feel that your clothes are looser. I have many patients who will take advantage of something such as Sculpsure (a non-invasive way to reduce fat but not weight) at the beginning of their diet to increase their likelihood of seeing a noticeable difference in their body sooner even without a decrease in the umber on the scale. It can reduce the fat in a given area by up to 24%. However, as I always stress, this still means that 76% of your fat is left behind. There is no substitute for better dieting and exercising if you want to look your best. But Sculpsure is a great way to jumpstart your success and is also an incredible catalyst for success.

A slow, steady weight loss of 1-2 pounds per week is realistic and sustainable. I am also a great fan of our Paleo Meal Replacement to help you achieve this. However, I will be the first to admit that there are many good diet plans besides the one that I am suggesting, but my staff and I have had great success with it.

It is extremely helpful to have someone you are accountable to. It is best if you can find an exercise and diet partner. If not, you should keep a log and make sure that you share your progress daily. Knowing that someone (besides yourself) is going to be checking is a huge motivator.

Most people will do better if they plan on having certain rewards for sticking to their plan. It can be helpful if they will also include some “penalties.” These are not meant to be hard on your ego and make you feel bad about yourself but rather to motivate you.  They can be things like giving a certain amount of charity each time you break your plan or could be extra sit-ups or giving your partner a massage (assuming that feels at least a tad bit like punishment to you, that is!)

For those select patients who want to work more closely with me on the above, I do offer life coaching by phone. If this is an area you could use some help with, please do not hesitate to contact my office at 703-406-2444 to further discuss!

Featured Product: Ultra Hydrating Serum - Berman Cosmetic Surgery & Skincare Center

Featured Product: Ultra Hydrating Serum

Our Ultra Hydrating Serum is a must have for everyone! This Hyaluronic Acid serum is wonderful for all skin types and all ages. It doesn’t clog pores and is extremely hydrating. With the cold weather, everyone can benefit from a little extra hydration. You can also apply it to other dry skin areas and use it as often as you need. Use alone or add it to your favorite cream/serum for enhanced hydration. With each drop, skin appears brighter, firmer and rejuvenated – who doesn’t want that?!

How our Estheticians recommend adding this product into your daily regimen:

Morning Routine:

  • Cleanse skin
  • Apply your favorite daytime serum (let sit for 1-2 mins.)
  • Apply hylauroinc acid serum (this will help your other serums penetrate deeper into the skin and also hold in moisture)
  • Apply moisturizer with SPF 30+

Evening Routine:

  • Cleanse skin
  • Apply eye cream
  • Apply serum and/or retinol
  • Apply hyaluronic acid serum
  • Wake up with plump, hydrated, glowing skin!

Have questions for our team? Contact us at 703-406-2444 to schedule a complimentary skincare consultation with our Estheticians! 

 

 

 

 

 

Dr. David Berman -Board Certified Plastic Surgeon

What to Look for in a Plastic Surgeon

The absolute most important thing to look for in a plastic surgeon is whether he or she is actually a Board certified plastic surgeon. There is nothing that upsets a board certified plastic surgeon more than other doctors who seek to confuse the public into thinking they are board certified plastic surgeons.

To illustrate: there is no such thing as a Board-certified “cosmetic surgeon.” It is NOT a real certification given by the American Board of Surgeons! Any doctor can call themselves a “Cosmetic Surgeon” – they don’t even have to be a surgeons! This is a scary scenario that is becoming far too common.

Another confusing title is “Facial Plastic Surgeon.” This is someone who has done ENT training (Ear, Nose and Throat), who likely things it sounds more like a plastic surgeon to call himself a facial plastic surgeon. These doctors can be well trained in surgery at the neck and above, but often go far beyond their specialty training by performing liposuction and breast surgery, etc. This goes for obstetricians and gynecologists as well, who perform liposuction and Botox. This is not part of their training. Even more inappropriate are oral surgeons – and even dentists – who are performing Botox and fillers – and sometimes cosmetic surgery. I don’t understand why someone would choose a non-plastic surgeon to do fulfill their plastic surgery needs.

Next, I would recommend that you select someone with at least a few years of experience.

It is also incredibly important to choose a plastic surgeon that you have a good rapport with. This is not something concrete that you can objectify, but rather a feeling. I strive for a natural look and this will appeal to many. However, there will be some patients who like that overdone, way overfilled look that Hollywood is famous for. These select patients will have a better rapport with someone other than me. I am also quite down to earth and enjoy hearing about my patient’s lives. Some doctors are more paternalistic, which will appeal to a different set of patients.

I always give my cell phone to all of my post-operative patients. This will be ideal for most patients, but there will be some patients that may prefer to only go through an answering service.

Lastly, I do all of my own injections for Botox and fillers. If you prefer that the plastic surgeon do your injections, you should find out ahead of time who is actually doing your injections.

If you have any questions, or want to chat about potential procedures, please do not hesitate to call my office at 703-406-2444 to schedule a private, complimentary consultation with me.

Advantages of Sculpsure over Liposuction or a Tummy Tuck - Berman Cosmetic Surgery Blog

Common Non-Invasive Cosmetic Procedures: How They Work and How Long They Last

There are now some great non-invasive procedures available these days, providing long-lasting results with minimally discomfort or downtime. Below are a few of my favorites:

 

  1. FOR THE FACE: My favorite by far, is the Picosure laser. This laser is a true game changer. It is not super well known, because it is a very expensive laser for the doctor to purchase and therefore is not in a lot of physician offices. You are not likely to find this in a medispa either.What makes this Picosure Laser so special is that because it fires 1,000 faster than other lasers, it can do a facial resurfacing with NO DOWNTIME. This means that you can significantly improve the irregular coloration in your face, neck, chest and hands, with just 3 treatments, spaced a month apart. And again, with absolutely no downtime. .Also, because the Picosure fires so quickly, there is little inflammation – meaning it can be used in skin types 1-4 with little risk of hyper-pigmentation. It will also stimulate your own collagen and elastic production, which will help diminish fine lines and wrinkles.

    How long do results last? This will vary from person to person. The most important thing is to use a good sun block (which we offer in the office) and good skin care after your treatment (also offered in our office). Good skin care that is pharmaceutical grade and can only be found in a doctor’s office, will continue with minor exfoliation and collagen stimulation. It can last a year or several years, depending on your genetics and how well you care for your skin.

  2. FOR THE BODY: Sculpsure is the most popular (and its competitor Coolsculpt) for spot reductions of fat in a completely non-invasive way.  Both of these techniques will destroy fat cells (Sculpsure through heat and Coolsculpt from freezing, which I feel has more complications) and these fat cells are permanently destroyed. They will not come back. However, it is important to work on better dieting and exercising to decrease your overall body fat. If, on the other hand, you eat poorly and put on fat, those remaining fat cells will expand in size and you will look larger. Thus, the total number of fat cells is reduced forever, however, there is no “free lunch” and you still have to look after yourself.
  3. LASER TATTOO REMOVAL: The Picosure laser is the very best tattoo removal laser that exists. It fires 1,000 faster than other lasers to vibrate away the tattoo pigment. You will need half the number of treatments with the Picosure laser than you will need with other lasers. I have seen pure black tattoos disappear after only 3 treatments. This laser rarely causes ghosting. It is also the only laser that removes blue pigments.
  4. LASER HAIR REMOVAL: With our Cynosure Elite laser, hair removal is permanent, unlike the less expensive lasers frequently found in medispas. However, when your hormone environment changes such as with pregnancy or menopause, you can get stimulation of dormant hair follicles. Most people will need 5-9 treatments to eliminate most or all of their hair. It should be noted that no laser treatments will work on white or blond hair or very fair hair.

Why More Men are Getting Cosmetic Procedures – and What They’re Having Done

There are a lot of reasons more men are getting cosmetic procedures. Probably the largest reason is cultural. It is simply more culturally acceptable for men to do things to improve their appearance these days, other than just going to the gym to exercise. In addition, as techniques become less invasive, it makes it much more possible for them to do procedures that no one will know about. As a society, we are also blurring the boundaries more and more around what is strictly female and strictly male behavior. Cosmetic procedures are a natural extension from this blurring of the lines.

What are the top male cosmetic procedures?

  • Generally speaking, the most common procedure done on men parallels what is most common for women, namely Botox and fillers. The difference is that men frequently need to get more units of Botox into the glabellar area (between the eyebrows) and crow’s feet. I prefer to put a total of 25 units often in men’s glabellar areas. In women, I usually put in 20 units. Also in the crow’s feet, men usually need a total of 25 units total on both crow’s feet, rather than the usual 20  units that women usually receive. Men frequently don’t want brow elevation in the lateral third as women do since men natural have a more horizontal eyebrow appearance.
  • Men of course also see me for tattoo removal (we have the very best tattoo removal laser – the Picosure laser) and laser hair removal – especially on their backs and chest (I use the Cynosure Elite laser).
  • More men are getting laser facials and regular facials to keep their facial skin looking shiny and healthy.
  • Also laser treatment for the spider veins on their faces is also quite common.
  • Sculpsure (non-invasive way to reduce fat, which is better than Coolsculpt) is very popular for both men and women since both sexes want to reduce fat in a select area. The areas will be different typically for men versus women. Men tend to want fat reduced in their abdomen, love-handles (flanks) and sometimes chest area, whereas women will also do thighs, bra fat, knees and upper arms. The other option is using Smartlipo to treat these areas. Not surprisingly, I have a number of both men and women who are using my Paleo Meal Replacement to help them lose weight.
  • A nice option for men who do not want to have a facelift is a neck z-plasty. These scars tend to fade well and are less invasive and less expensive than a facelift, when the main problem is loose neck skin.

The most common surgical procedures in my practice are Smartlipo (laser liposuction) and male breast reduction (gynecomastia). Less common for men in my practice are tummy tucks for those with undesirable loose skin. For those concerned with excess skin or fat in the neck area, I feel that I can deliver the best results using Smartlipo over Kybella or Sculpsure.

Have questions about cosmetic procedures for men? Please call my office at 703-406-2444 to schedule a private, complimentary consultation with me.

 

What Can PicoSure Do For Your Skin?

The PicoSure laser helps remove wrinkles, dark spots, acne scarring, and tattoos. It is the first of a new generation of lasers, with its cutting-edge technology allowing for optimal results with very little downtime. Other laser resurfacing treatments like the Fractional CO2 laser and IPL can be  extremely uncomfortable and have significant downtime for the patient.

 

What’s especially nice about the PicoSure laser is that it doesn’t rely solely on heat to burn unwanted tattoo ink or pigmentation (dark spots in your skin). Instead, it delivers energy so rapidly that tiny particles that make up pigment and tattoo ink shatter without burning the surrounding tissue. Less heat means less damage and discomfort.  It also sends a signal to your body activating your skins cells to respond, which then produces new collagen and elastin for healthier, younger looking skin.  This breakthrough technology is perfect for anyone over the age of 35 looking to slow down the aging process, anyone with pigmentation issues or suffering from acne scarring.

 

 

When you come in for your treatment our esthetician will apply a topical numbing cream to help minimize any discomfort. After approximately 30 minutes of numbing, the treatment will begin – and it takes only 10-15 minutes! Another great thing about PicoSure is the minimal downtime,. Typically, patients have mild redness for only a few hours after the procedure and can return to work and their regular activities. With other lasers, the downtime can last up to a week!  We require that you get a minimum of 3 PicoSure treatments, though it should be noted that more may be needed depending on the condition being treated. Once you have reached the results you want, we highly recommend that you get another treatment every 6 months to help prevent accumulation of pigment and slow the appearance of wrinkles.

 

Want to discuss options for your skin concerns? Call our office at 703-406-2444 to schedule a private, complimentary consultation!

How Young Is Too Young for Plastic Surgery - Berman Cosmetic Surgery

How Young Is Too Young for Plastic Surgery?

It is important to point out that much of plastic surgery is not cosmetic surgery, but rather, reconstructive surgery. For example, children born with cleft lip and palates, and fingers that are joined together (syndactyly). No one would argue that these surgeries should be postponed until much later in life. So the question is really, when is cosmetic surgery appropriate? As is true with all good questions, there is often no simple answer. There is no magic age, but many considerations to take into account for various procedures.

Octoplasty:
One of the more common plastic surgery procedures done for children is otoplasty. This in simple terms means that the child’s ears stick out and the otoplasty corrects this problem. Everyone knows that children can be cruel and be mean. I have had young children brought to me by their parents, wanting to know when they should have the surgery. What I tell the parents is the following: “I would wait until the child begs for the surgery.” Many times when I ask the child, they are not concerned. It is the parents who worry about the possibility of their child being teased. It is my personal belief that if the surgery is done before any teasing begins, the child will be given the impression that there is something wrong with them, that the parents are forcing them to correct. Clearly, this is not an ideal situation. I explain to the parents that their child may never encounter any problems from their ears, in which case, there is no reason to undergo the surgery. It is best to wait until the child requests it to begin the consultation process.

Breast Reduction:
Most professionals would agree the young woman’s breasts should have stopped increasing in size for at least six months before considering options. The youngest woman I have completed a breast reduction for was 17 years old, but I had been in discussion with her and her parents for over a year. As a surgeon, I want to make sure that the patient fully understands and has the maturity to deal with the surgery and the potential scarring, etc.

Breast Augmentation:
I have completed breast augmentation on several young women who were graduating high school, who had their parents’ full support. Currently, the FDA has only approved silicone breast augmentation for women over 22 years of age. Thus, I use saline implants only for these young women. There clearly has to be a maturity level and emotional stability for these young women, but I personally think it is fine for them to have this procedure when they are graduating from high school.

Labiaplasty:
I don’t believe there is a magic age for this surgery. It would really depend on the level of anxiety one’s labial appearance is causing them, how realistic their expectations are for the surgery and a gut feeling about her reasons for the surgery. Years ago, I saw a young woman in her very early 20’s who wanted a labiaplasty. After talking with her, she told me that she had been sexually assaulted and her labia reminded her of the incident. I strongly encouraged her to get counseling and she agreed. She has never returned for surgery which tells me that the solution was likely therapy and not surgery. In general, I think most women should be at least in their 20’s.

SmartLipo & Lid Blepharoplasty:
I have seen a few women in their early 20’s who have had congenital fullness in the neck area, who did great after I did Smartlipo on her neck. I have also had a young woman in her early 20’s who congenial bags under her lower lids that did very well with the lower lid blepharoplasty that I did for her.

Botox & Fillers:
There is absolutely no role for putting in Botox and fillers in advance of needing them. It is extremely unlikely that a woman in her teens would need these, and I’d say the same for those  in their early 20’s. I have put lip fillers (Volbella is a one) in women in their 20’s. I believe this should be done gradually, and the goal should be a natural look. I always caution these young women, and older woman too, to go gradual and aim for a natural look – and not to emulate some of the Hollywood stars, who I feel have gone way overboard.

I think that in the society we live in, there will be a push for teenagers to have more and more cosmetic surgery, earlier and earlier, which I personally do not think will be a good thing. There should always be careful consideration given to cosmetic procedures.

If you have questions about any procedures you are considering, please call my office at 703-406-2444 to schedule a private, complimentary consultation with me.

Menopausal Makeover Series: Part 1 - Berman Cosmetic Surgery Blog

Menopausal Makeover Series: Part 2 – Botox

Botox is definitely your friend as you try to minimize the effects of aging. We all know men and women who have those permanent “11’s” – vertical lines running upwards between their eyebrows. These stem from years of contracting those “glabellar muscles” from such activities as staring at a computer screen or squinting in the bright sunlight. The good news is that those deep lines do not have to be permanent! If you get 20-25 units of Botox every 3.5-4 months for a year, those lines will soften tremendously. If you want to fast track this, you could also get a small amount of filler injected when you get your Botox.

There is another difference with getting Botox when you are post-menopausal. As you age, those transverse forehead lines that you may not be in love with are caused by the same muscles that hold up your eyebrows. This means that you will be much more prone to getting a descent of your eyebrows, particularly if Botox is injected into the lines extending directly above your eyebrows, all the way up to your forehead hairline. Sometimes it is better to accept the transverse forehead lines above your eyebrows, rather than to also get a descent in your eyebrows. It can be impossible to predict if this will occur for you. Therefore, if you elect to inject Botox into your forehead, it is always better to start with a low dose and see how you respond. If there are no concerns, you can always add more after two weeks.

The crow’s feet often become deeper as you age and frequently, I like to increase the amount of Botox I inject into the crow’s feet from 20 units total for both sides to 25 units total per side, along with 3 small injections per side.This will help with the dynamic lines of movement, as with smiling for example. If you want to decrease those lines when your face is static, you could also do a series of 3 Picosure Laser Facials.

Stay tuned for additional topics in my Menopausal Makeover Series, designed to address the special considerations of women in this time in their life.

If you have any questions, or would like to talk about your specific concerns, please call my office at 703-406-2444 to schedule a private, complimentary consultation with me!

Berman Cosmetic Surgery & Skin Care Center - Facial Surgical Procedures

Manual vs. Chemical Exfoliants

Exfoliating is a very important step in your skin care regimen if you want to improve the appearance of your complexion. Not only does exfoliating help your skin to look brighter, clearer, smoother, and overall healthier, it also allows for your other products to penetrate more deeply into the skin, making them more effective. When you exfoliate, you are sloughing off dead skin cells which helps to stimulate your cell turnover rate (which decreases the older we get). Exfoliants fall under two categories, manual and chemical.

Manual exfoliants tend to have a gritty texture with microbeads and typically come in the form of scrubs. Microdermabrasion is another type of manual exfoliant, and you can either use diamond tips or crystals to exfoliate the skin. When you are using manual exfoliants, you are literally scrubbing off dead skin cells. Because they are abrasive, it is very important not to over exfoliate because it can actually cause damage to your skin. A good rule of thumb when using scrubs to exfoliate is to use them only 1-3 times per week!

Chemical exfoliants use chemical solutions to exfoliate and stimulate collagen and elastin to the skin. The solutions are known as either AHAs or BHAs. AHAs are “water” loving meaning that they attract and hold moisture close to the skin’s surface and they work from the bottom of the epidermis to the top. The different AHAs are good for certain things, but in general they are preferred for those who struggle with dryness. The most common AHAs are Glycolic, Lactic, and Citric. BHAs on the other hand are “oil”-loving meaning they work to “de-gunk” pores and they work from the top of epidermis to the bottom. BHAs are great for people with oily, acne-prone skin. Salicylic Acid is the main BHA…which is also a main ingredient found in aspirin. If you are allergic to aspirin, you will want to avoid BHA products. Oftentimes a combination of AHA and BHA products can be very beneficial for combating skin issues and having a superior outcome!

If you’d like to speak to our estheticians about great exfoliating products to add to your skincare regimen, call our office at 703-406-2444 to schedule a complimentary private consultation!