Vermont Male Breast Reduction

The self esteem of men around adolescence is rather delicate. The over development of breast tissue in males around this time is incredibly common and can have a devastating effect on self esteem. Excess breast tissue in men is called gynecomastia. This condition not only effects adolescent men but also older men, men on medications, or men that have lost significant weight. No matter what stage of life gynecomastia occurs, self esteem is almost always damaged and will often keep a man from removing his shirt in public.

Vermont Plastic surgeon David Metzner will work with you to address gynecomastia using male breast reduction. Dr. Metzner has helped numerous patients from throughout Vermont regain their confidence by fixing this benign, but psychologically disturbing problem. Male breast reduction can be very rewarding as many patients see dramatic results.

Schedule your consultation with Vermont plastic surgeon Dr. Metzner today!

Vermont Face Lifts - Battling the Signs of Aging

As we grow older, the effects of time begin to show across our face. Skin begins to sag and lines begin to form in places that were once smooth in the days of our youth. Facial rejuvenation can be obtained with a face lift. A Vermont Face lift can reverse the signs of aging by removing excess fat, tightening underlying muscles and re-draping the skin of your face and neck.

A  face lift is rejuvenation surgery that now goes beyond just tightening skin. Gone are the expressionless, wind-tunneled looks of the past. Today, surgeons like Vermont plastic surgeon Dr. Metzner strive to give a natural, rejuvenated look with the least telltale signs of surgery as possible.  Face lift may be performed by itself or in conjunction with other procedures such as brow lift, eyelid surgery, ear reshaping or nose reshaping to achieve the desired result.

The best candidate for a Vermont face lift is a man or woman whose face and neck has began to sag, but whose skin still has good elasticity and whose bone structure is strong and well-defined. Face lift procedures can be tailored to the needs of individual patients. To determine if a face lift is right for you, schedule a consultation with Vermont Board Certified Plastic Surgeon Dr. Metzner. A face lift does not stop the clock. It simply “resets” it. Let Dr. Metzner help you reset your clock today!

Lip Augmentation Vermont

Vermont Board Certified Plastic Surgeon Dr. Metzner performs a number of feature enhancing procedures including lip augmentation or Vermont lip enlargement. This procedure is used to increase the fullness of the upper and lower lips or both. Dr. Metzner can perform lip augmentation in house and within a short period of time, you can be walking away with a fuller pout.

Lips can be made larger and fuller by using lip tissue itself or by inserting implants or grafts. Lip augmentation is a procedure performed here in our Manchester Vermont office under local anesthesia. Either the upper or lower or both lips can be temporarily or permanently enhanced. Lip Augmentation materials are available in liquid form for injection or solid form for surgical placement. If a solid material is chosen, small hidden incisions will be made at the corners of your mouth. The material will then be threaded through your lips to provide smooth, even augmentation.

A consultation with Dr. Metzner will be need to decide what method will provide the best results for you. Click here to contact Dr. Metzner and schedule your consultation today.

Vermont Breast Augmentation with Dr. Metzner

The decision to have breast augmentation is a personal one. There are various reasons women in Vermont decide to have breast implants. Some women may want to restore their breast to the shape and size they were prior to pregnancy. Others that have lost a substantial amount of weight may suffer from sagging breasts as a result. Whatever your reason may be for wanting breast implants, Vermont Board Certified Plastic Surgeon Dr Metzner, will work with you to help you achieve your body image goals.

Believing that plastic surgery is both science and art, Vermont plastic surgeon Dr. Metzner will work to provide you with the most natural breast implant results. The incision for your implants can be placed under the arm in a fold of the skin so that there is no scarring on the breast. Incisions can also be placed under the breast or at the margin of the areola. Implant placement will be discussed in your consultation so that your Vermont breast augmentation results are just what you had in mind.

Vermont plastic surgeon Dr. Metzner truely is a versitile surgeon. Combining both science and art, Dr. Metzner customizes each procedure so that his patients receive the best possible results.

Click here to schedule your consultation with Dr. Metzner

Dysport - New Treatment for Wrinkles

There is a new treatment option for forehead wrinkles and frown lines. The FDA has approved Dysport®, distributed in the United States by Medicis, as the first alternative to Botox®, which is made by Allergan. Used in patient care in the United Kingdom since 1991, Dysport®, has marketing authorizations in 76 countries for therapeutic use and in 27 countries for aesthetic use.

Botox® and Dysport® are both injectable cosmetic wrinkle smoothing agents and they both really work. Basically they temporarily relax or paralyze the muscles that create expressions, such as frown lines between the brows that over time result in visible facial lines and deeper creases. Undesirable lines become smoothed out giving a more relaxed and youthful appearance.

While both Dysport® and Botox® are versions of botulinum toxin type A, they are not exactly the same. They do work the same way, by inhibiting the release of a chemical (acetylcholine) from nerve endings. Since the chemical is not released, the muscles remain relaxed and the result is a reduction in the appearance of wrinkles, creases, and frown lines. Both are administered by injection, using a very fine needle. There are differences. The two products have different units of measurement, so a Dysport® unit does not equal a Botox® unit, and there isn’t really a conversion factor the way there is between Dollars and Euros. Dysport®, on average, works a little faster, with most people seeing an effect within two days as opposed to 3 to 5 days and more with Botox®. Some studies suggest that Dysport® may last longer than the usual four months for Botox® but it is too soon to be sure. Perhaps the most significant difference is that Medicis has priced Dysport® lower, with the savings passed on to patients.

Both of these products are effective for the treatment of so-called “dynamic” lines and wrinkles, the ones caused by muscle action, such as frown lines, and forehead and crow’s feet wrinkles. The ones that are there all the time, such as the lines that run from the nose past the lips, and deeper lines are treated with fillers that work by plumping up the area, raising the indentation to blend with the surrounding skin. The same two companies, Medicis and Allergan, make the most popular products, Restylane® and Juvederm® respectively. They, too, are temporary, lasting 6 to 12 months depending on the person and the area being treated. Often, the combination of these products gives the best possible result.

According to the American Society for Aesthetic Plastic Surgery, over 10 million cosmetic procedures were performed in the U.S. in 2008, 83% of which represented nonsurgical procedures. Injections of botulinum toxin type A have been the number one nonsurgical cosmetic procedure for the past five years, with over 2.4 million total procedures in 2008 alone.

While nonsurgical procedures are popular, and have the advantages of instant or near instant results with minimal downtime, they can only go so far. When the cumulative effects of time, gravity, heredity, and life style have advanced the signs of facial aging to the point of sagging skin, drooping eyelids and brows, under-eye circles, loss of jaw line definition and double chins only surgery the can really be effective.

The good news is that today’s cosmetic surgery is less invasive, more effective and produces more durable and natural results than ever. The most significant innovation in facial rejuvenation in the past several years has been the adaptation of endoscopic techniques. An endoscope is a surgical tool that incorporates a miniature video camera. It provides plastic surgeons access to deeper layers with visualization of essential anatomy through minimal incisions. Other procedures can be performed with limited incisions, resulting in well hidden inconspicuous scars and with no change in hair pattern or limitation of hair style. Because the procedures are less invasive, all procedures can be performed on an outpatient basis and recovery is quicker than with older methods.

Worldwide interest in cosmetic enhancements has stimulated research and innovation in countries in North and South America, Europe, the Middle East, and Asia. New products and devices are introduced every several months. Because of the vigorous testing requirements of the Federal Drug Administration (FDA) they often become available in the United States last. While on the one hand that can be disappointing, many of these innovations turn out to be ineffective and often with unacceptable side effects. The FDA approves a new product, such as Dysport®, only when it has been judged safe and effective.

Body Contouring Surgery

According to local board certified plastic surgeon, Dr. David M. Metzner, this time of year he sees an influx of women seeking recontouring of their figures.  They are planning ahead, getting their problem areas taken care of well in advance of spring and summer’s more revealing clothing styles.

Liposculpture, also known as liposuction, has become the most frequently performed cosmetic surgery procedure according to statistics kept by the prestigious American Society of Plastic Surgeons.  Dr. Metzner performs the tumescent technique of liposculpture on an outpatient basis.   First a combination of saline (saltwater) and local anesthetic is flooded into the areas to be contoured.  Then, working through tiny incisions just large enough to admit the thin liposculpture vacuum tube, the fat cells along with some of the fluid are then gently swept away by suctioning back and forth under the skin.  It is truly a matter of sculpting the human form, and is effective for removal of unwanted fat in the neck, upper arms, chest, flanks, abdomen, thighs, hips, knees, and ankles which are otherwise resistant to diet and exercise.

Cosmetic breast surgery offers several procedures that can improve the physical appearance and enhance self image as well.  Saline implants are used both to enlarge and to enhance shape.

Other procedures for figure improvement, also performed on an outpatient basis, are abdominoplasty (tummy tuck), breast lift, and breast reduction.

Facial Rejuvenation

We only get one chance at a first impression and the person who projects the best self-image makes the best impression. In today’s competitive society, people recognize the importance of self-improvement, whether it is for social or professional reasons.  Exercise, skin care and nutrition are important but can only do so much.  Real structural change requires more.  In a sense cosmetic surgery offers a second chance - the opportunity to defy both the calendar and genetics.

Facelift! The term has become a household expression,  the topic of much interest, discussion, and misinformation. Often lumped together under the general term “facelift” are a group of operations designed to rejuvenate a face which shows the signs of aging.

Americans stress eye contact, and believe they can judge others’ character by what they see in their eyes.  While people talk most about facelifts, the age reversing operations people are having most commonly are on the eyelids, according to local board certified plastic surgeon Dr. David M. Metzner.  Heavy, hooded upper eyelids and baggy lower eyelids make people look tired, old, and certainly past their prime.  Surgical correction, known as blepharoplasty, removes the fatty pouches that cause the bags beneath the eyes.  Stretched skin is also removed when present.  Upper eyelid hooding, sometimes partially obscuring vision is corrected by removal of excess skin, muscle and fat.  Incisions follow natural contour lines in the upper eyelids, and in the lower lid can be on the inside so there is no scar at all.  Even circles under the eyes can be filled in and the lids tightened when that will improve the result.

A pleasing eyebrow shape and arch is associated with youth and beauty.  On the other hand, an unfavorable eyebrow shape and angle can make a person look tired, worried or angry.  The brow and forehead lift, in addition to lifting the eyebrows back to where they belong, smoothes out a deeply furrowed and pinched forehead.  Dr. Metzner prefers the high-tech endoscopic method, which he considers a big improvement because he needs to make only small incisions within the hair, through which he passes the tiny video-connected scope.  Using this advanced procedure, the scars are completely hidden; there is no hair loss, and no shaving.

The cumulative effects of time, gravity and heredity show on any face.  The facelift operation itself, also known as rhytidectomy, is performed to correct double chins and sagging jowls.  Undesirable accumulations of fat are permanently removed, and sagging muscles and connective tissue are repositioned and resupported in the modern day long-lasting facelift operation.  Because excess fat is removed in the operation, the old advice to lose weight before facial surgery no longer applies.  In fact, one of the benefits of surgery is that a person who previously had chubby cheeks or a fat neck will look as though he or she has lost weight.  The overall effect is a younger, fresher and more vibrant, yet natural appearance.

Skin resurfacing with laser or any of a variety of chemicals can smooth the skin, reduce wrinkling and even out the complexion.

Some people prefer to correct one thing at a time, what one of Dr. Metzner’s patients called “weeding the garden.”  Others want a more dramatic improvement; they have as much done as necessary and feasible at once so as to achieve maximum benefits.  It is an individual choice, and one of the reasons a thorough consultation with a well-qualified experienced and sympathetic plastic surgeon is so important.  Dr. Metzner emphasizes individualized planning for facial surgery according to each person’s specific needs and desires.

Breakthroughs in anesthesia methods and monitoring devices has made it possible for all of these operations to be performed on an outpatient basis.  Patients are more comfortable, heal faster in the home environment, and overall expenses are reduced.

Non-Surgical Enhancements include Botox, which is very useful for minimizing frown and crow’s-feet lines, laser and chemical resurfacing that reduce fine line wrinkles, and injectable products that can help to fill in deeper creases and wrinkles.  Dr. Metzner will discuss the benefits and limitations of  each, and help you choose the combination best for your specific needs.