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Posted by : drbrianevans | On : February 23, 2017

There have been varying viewpoints throughout the years about the best kind of implant to use for Breast Augmentation, and health controversies about one kind of implant that dominated news reports in the 1990′s.

Many women who were interested in having fuller breasts were fearful to do so because of these reports. The following describes the different kinds of implants that are available, and addresses some of the concerns regarding differences between breast implant fill material, shape, surface texture, size, manufacture, and use of implants.

Breast Implant Fill Material:

Although all breast implants do have a solid silicone shell (bag), they are filled with different substances such as: saline and silicone.

Saline Breast Implant

While there are a number of implants available for Breast Augmentation, currently the most commonly used is the saline breast implant.

The saline implant has an exterior sack made of solid silicone, which is filled with a sterile saline solution like the salt-water solution that is administered for intravenous fluids. One of the advantages of this solution is its safety. Should the implant for some reason leak, the saline just gets absorbed by your body, as would the intravenous fluids used during, and after surgery. Yet another advantage of the saline implants is a very low infection rate, which is usually less than one to two percent.

Another advantage of the saline implant is that it is filled with fluid after being inserted in the breast, therefore requiring only a small incision. This is in contrast to silicone implants which are pre-filled. Also, because saline implants are filled after insertion, their final volume can be adjusted making it easier to correct for existing breast asymmetry.

Unlike other types of implants such as silicone implants, there are no restrictions on the use of saline breast implants; and women do not need to enter any specific national breast study to be eligible for their implantation.

Widespread media reports that saline-filled implants can contract fungal contamination were discredited when it was learned that the Canadian laboratory that released this finding relied heavily on implants that had been mailed. As such, there was no guarantee of sterility in the transport of these implants.

There are two main disadvantages of saline breast implants, when compared to those filled with silicone. Because of the liquid nature of saline, saline filled implants tend to have a higher incidence of rippling.

Although rippling occurs in all saline implants, filling them according to the manufacturers’ recommendations, submuscular placement of implants, and the existence of thicker breast skin and tissue minimizes a person’s ability to see or feel rippling of saline implants. Because silicone gel has a thicker consistency, it tends to ripple much less, but sometimes happens nonetheless.

The second potential disadvantage of saline implants compared to silicone breast implants is the difference in how they feel to the touch. Outside of the body, silicone implants have a more natural consistency. In reality, this difference becomes less noticeable when implants are felt underneath the breast and muscle tissue.

Silicone Breast Implants

These are implants that are filled with a silicone gel. More than 1.5 million American women currently have silicone breast implants. Some people feel that the silicone implant results in a more natural appearing breast.

The main disadvantage of silicone breast implants is that their rupture is less easily detected than with the rupture of saline implants. When a saline implant ruptures, the saline gets absorbed by the body, making the breast go flat, which can be easily recognized by a woman. On the other hand, because silicone gel mostly stays within the breast tissue and does not get absorbed, there is usually no noted reduction in breast size after rupture of silicone implants.

Tools to detect rupture of silicone implants include Mammograms and Magnetic Resonance Imaging (MRI). Also, the clean up and complete removal of the leaked silicone gel is difficult. Finally, although there are several studies that attest to the safety of silicone, the controversy about the safety of silicone implants remains.

Cohesive Gel Implants

Cohesive gel implants are silicone implants that are filled with a thicker silicone gel that holds its shape and form like a “gummy bear.” If you cut into a standard gel implant, the liquid silicone gel escapes from the implant shell. In contrast, when you cut into a cohesive gel implant, the implant itself maintains its shape and integrity.

These shaped implants are designed with a focus upon a natural look, rather than for enlargement. Furthermore, gummy bear implants maintain their shape in an upright position that decreases the incidence of folding of the implant shell or rippling. If a cohesive gel implant ruptures, it maintains both its shape and integrity.

One disadvantage of cohesive gel implants is that they require a slightly larger incision for insertion. Because of this, insertion is usually performed through an incision in the fold under the breast, or occasionally through an incision around the areola. Cohesive gel implants are very difficult to insert through an incision in the armpit. Finally, gummy bear implants were approved in late 2006 by the FDA for use in the United States, but their use is limited to certain age, and patient require strict follow-up with MRI to look for silent rupture.

Dr. Brian Evans is an experienced, board-certified plastic surgeon who specializes in breast augmentation can be invaluable in helping you decide how large you want to go. Brian Evans MD can evaluate your anatomy and take accurate measurements of your chest and breasts to determine the proper proportions for your frame. He will also take into account how lax, or loose, your skin is — an important consideration because, for an aesthetically pleasing augmentation, you must have enough tissue to cover the breast implants.

Call (818) 676-4001him today!

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Posted by : drbrianevans | On : February 20, 2017

In plastic surgery, cheek implants may be used concurrently with other facial rejuvenation or enhancement techniques such as facelift or rhinoplasty, or as a standalone procedure to produce a desirable aesthetic change which is augmentation or enhancement of the cheek region. High cheek bones (malar bones) can be a desirable trait that not all of us are born with. Furthermore, as part of the aging process, we tend to lose the youthful fullness underneath the cheeks, which can impart a “hollowed” look to the face (this area beneath the cheeks is called the submalar space).

For men, cheek implants placed over the malar bones can create a more masculine, assertive appearance, whereas in women cheek implants can change a long, oval shaped face to a more attractive heart shape. Similarly, submalar implants are used in men and women to fill the concavity or hollowness below the cheeks (called the submalar space), creating a more youthful and energetic appearance.

Cheek implants are inserted through small incisions on the inside of the upper lip, which heal in approximately one week. A relatively minor procedure, cheek implants may be placed using only local anesthesia or with deeper sedation for patient comfort. Most implants are constructed from solid silicone, which adheres to the underlying bone and is very difficult to feel.

While rare, complications may include infection or displacement of the implant requiring removal or repositioning. Over the years the art and science of facial contouring with cheek implants has evolved significantly, and there are many different styles and shapes to choose from. A successful outcome requires choosing the right size and shape of implant, and then placing that implant in the right location.

A small or weak chin, like a disproportionate nose, can affect the overall harmony of a face. Whether done at the time of nasal surgery or facelift surgery, or as a separate procedure, a chin implant can produce a dramatic improvement in facial profile and balance. The implant is inserted generally through a small incision beneath the chin. Plastic surgeons commonly use silastic anatomic shaped chin implants, which produce a very natural look and feel. Occasionally, mersilene mesh style chin implants, which allow in-growth of our own tissue, are custom made for specific patients.

The implant is placed over the bone of the lower mandible, along the border of the chin in a precise pocket. It is then secured in a central position with temporary suture. The procedure can usually be done with local or intravenous anesthesia, and patients are able to return home immediately following chin implant surgery. The chin may be taped for several days to decrease swelling. Pain is generally minimal, and most patients return to work within several days to one week.

Side effects include mild swelling and numbness around the chin which is temporary. The rate of long term complications with a chin implant, such as infection or malposition, is extremely low and patients report very high long- term satisfaction with this relatively minor procedure.

Brian Evans Plastic Surgery Clinic aims to increase the confidence of patients and to improve their appearance by performing Chin Augmentation procedures of a high standard. A thorough first consultation is scheduled to understand the requirements of patients before procedures are performed. Other services provided include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.
Call (818) 676-4001 for consultation today!
To more about Dr. Brian, please visit here:



Posted by : drbrianevans | On : February 16, 2017

Today, a growing number of obese people are opting for weight-loss surgery procedures, as a sure shot way to lose fat quickly and say hello to life.
But, is everyone a candidate for weight-loss surgery? The answer is No. Not everyone who is overweight is an acceptable candidate for weight-loss surgery, also known as bariatric surgery or obesity surgery.

Tummy Tuck

Surgical procedures for weight reduction are intended for people who are severely obese. The surgical interventions to lose unwanted bulges work by reducing intake of food and absorption of calories.

As defined by the World Health Organization (WHO), a person is considered overweight and obese if he or she has accumulated abnormal or excessive fat in the body, to an extent that may negatively affect overall health.

Body mass index is a measurement of body fat based on an individual’s weight and height. It is commonly used to classify overweight and obesity in adults. While a person with a BMI greater than or equal to 30 is generally considered obese, a BMI equal to or more than 25 is considered overweight. A person is considered morbidly obese if he or she has a BMI greater than 40.

Being overweight or obese may not only lower your self-esteem but can increase your risk of cardiovascular diseases (mainly heart disease and stroke), diabetes and cancers.
Bariatric surgery is currently the only effective therapy for morbid obesity, meaning a person must have a BMI of 40 or higher to qualify for obesity surgery.

While only a professional, qualified bariatric physician or surgeon can suggest you if you are a good candidate for weight-loss surgery, there are general guidelines that most surgeons and insurance companies adhere to when recommending surgical obesity treatment to obese patients.

Getting weight-loss surgery is a major, life-changing decision and it could be an option for you if your efforts to shed those extra pounds with conventional, non-surgical measures like strict diet and regular physical exercise have been unsuccessful.

A surgical intervention is considered appropriate for you if you have failed to remove the weight naturally using traditional methods of losing fat or maintain adequate clinically beneficial body weight for at least 6 months.

You should be considered for surgical interventions for your weight issues if your body mass index is 40 or higher (severe obesity). You can be an appropriate candidate for surgery if your BMI is 35 to 39.9 (obesity), and you have any serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea.

In some cases, specific type of weight-loss surgery may also be worthwhile for those whose BMI exceeds 30 and are at risk of developing life-threatening diseases because of their weight.

Also, you can be considered for surgical obesity treatment if you are suffering from obesity caused by genetic factors.

When it comes to weight-loss surgery, age matters a lot. People between 18 and 65 years are good candidates for weight reduction surgery. In some cases, adolescents under the age of 18 can be considered potential bariatric surgery candidates – depending on their weight, height and risks associated to their overall health such as diabetes, sleep apnea, heart problems, and psychological problems.

Although the above mentioned guidelines are sufficient to identify the potential candidates for bariatric surgery, your situation still needs to be carefully evaluated by your doctor before determining if you are a candidate for weight-loss surgery.

If you are morbidly obese and considering undergoing the knife to get rid of that ugly unwanted body fat, consulting Dr. Brian Evans a qualified doctor or surgeon before zeroing down on any weight-loss treatment is always a wise idea. Dr. Brian can better assess your situation and tell you if any surgical treatment for morbid obesity is an option for you.

Consult Brian Evans MD a Board-certified Plastic Surgeon for more details. A thorough first consultation by Dr. Brian Evans MD is scheduled to understand the requirement of patients before procedures are performed. Services provided include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.
Or go online at:



Posted by : drbrianevans | On : February 13, 2017

Wrinkles can be compared to an illness that no one would want to contract for the same reason that no one wants to grow old fast or age prematurely. Forehead wrinkles make the aging process seem obvious because they make the face look older and unattractive. Some people would practically do anything just to retain their youthful appearance.


What causes wrinkles? Aging is the primary cause of wrinkles. As we age, collagen production becomes scarce and even shreds off our skin making it less elastic and less flexible. Aside from the natural process of aging, unhealthy lifestyle like poor diet, vices as well as stress also contribute to wrinkles formation. Free radicals, pollutants and other harmful toxins cause terrible damage to the skin. Smoking, drinking and eating fatty foods wreak havoc to the skin damaging its natural tone and quality. Stress, on the other hand, causes the hormone cortisol to be secreted in higher levels causing skin’s collagen to collapse. Thus, wrinkles formation is equated to high levels of stress experienced by a person.


While the causes of wrinkles are natural and to some extent unavoidable, there are preventive measures and effective treatments or medical procedures that can erase the signs of aging and bring back the clock.
First on the long list is the traditional surgical face lift. Notwithstanding the fading popularity of this type of treatment because of the huge amount of investment involved, it still remains an option for some people. Aside from being the most expensive, this type is also the most risky. This surgical procedure is designed to erase the most obvious evidences of aging by draining excess fats, tightening the muscles beneath the affected skin and removing sagging skin. A perfect facelift can take five to ten years off your actual age and make you more attractive.


Botulinum toxin type A, a type of toxin and a prescriptive medicine popularly known as Botox can flatten out wrinkles that appear in the face when we smile or frown. Once injected into the muscle of the skin, it improves the look of moderate to severe frown lines. It is perfectly suitable for forehead wrinkles and lines around the eyes.

Laser resurfacing is a relatively new treatment for reducing facial wrinkles and other skin irregularities, such as acne scars and blemishes. The lasers used could be carbon dioxide or erbium, and which remove thin layers of the skin with minimal heat damage to the surrounding structures. Recovery time from this procedure is up to two weeks.


Creams, gels and beauty treatments may help tighten the skin. However, there is no scientific proof that these work. These can be used as moisturizer to lock in the moisture in our skin and prevent dryness.
Eating healthy foods like fresh fruits and vegetables are also vital to a proactive approach in wrinkle prevention. Fibers from these foods will help eliminate toxins from the body, resulting to a glowing skin.


With a combination of any of these available treatments and preventive measures, we can say goodbye to forehead wrinkles and crow’s feet. It is best to start young and be proactive, though. The saying which goes “”an ounce of prevention is better than a pound of cure”” applies to wrinkle management.


Dr. Brian Evans Plastic Surgery Clinic has been divided between cosmetic and reconstructive surgery and the care of the burn-injured patient.
He aims to increase the confidence of patients and to improve their appearance by performing procedures of a high standard. A thorough first consultation is scheduled to understand the requirements of patients before procedures are performed. Services provided by Brian Evans MD include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.
For more details, please visit:




Posted by : drbrianevans | On : February 9, 2017

If you have skin problems or aging issues, aesthetics may be the answer that you are looking for. You deserve to feel good about your appearance, and the way that you look has a big impact on your self-esteem. If you are finding yourself unhappy with the image that you present to the world, now is the time to explore your options for correcting the problem and loving the way you look again.


Your Appearance Affects Your Self-Esteem

You never get a second chance to make a first impression and, right or wrong; the way that you look can make an impact. When you look old and tired, you may not be happy about the image that this presents to the world.

Whether you are looking for a new job, meeting with customers or clients, or simply participating in social events, you can become discouraged and feel badly about yourself when you don’t like your own appearance. Your attitude towards your appearance and the way that it affects your confidence can make the biggest difference in the impression you make to others.

Fortunately, you do not have to live with an appearance that makes you unhappy. When you take care of yourself and get treatments done to improve the look of your skin, you can feel satisfied that you have done everything you can to look your best. Knowing that you are doing what it takes to fight aging or correct skin problems can help to improve your confidence and your self-esteem.


Aesthetics Treatments Can Help Your Appearance

There are a variety of different treatments that you can look into if you are interested in aesthetics. The treatments that you may receive can smooth your skin, help fight acne, help reduce wrinkles, and help to stimulate collagen production. Start today to explore the different options available to smooth and beautify your face and body. Dr. Brian Evans believes that your features can be best improved using a combination of surgical and non-surgical measures.

Most treatments in the field of aesthetics are relatively painless and can be done on an outpatient basis by trained professionals. There is little to no recovery time or downtime so your skin can look new and fresh very quickly. You will be able to see a difference in your appearance with just a few treatments or even, in some cases, with just one treatment.


Don’t Hesitate To Get Started

There is no reason to continue to be unhappy with the way that you look. Talk to Dr. Brian Evans MD a professional today about how the different types of aesthetics services could help you to improve your appearance and be happier with the look that you present to the world. Now is a great day to pamper and care for yourself and start a customized treatment program that works for you.

Brian Evans MD heads up the team of plastic surgeons at our West Hills Hosptial & Medical center. Dr. Evans is a graduate of Cornell University in New York, and a highly respected member of the medical community. He has assembled a team of plastic surgeons and skin care specialists to perform procedures such as breast augmentation in Thousand Oaks to provide patients with comprehensive aesthetic care.
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Posted by : drbrianevans | On : February 6, 2017

A well-toned body with smooth contours often is a sign of fitness achieved by healthy diet and exercise. But exercise cannot always achieve desired results for people who have loose, sagging skin and uneven contours. Aging, sun damage, pregnancy and significant fluctuations in weight as well as genetic factors may contribute to poor tissue elasticity and can result in sagging of the abdomen, buttocks, thighs and upper arms.

Breast Reduction

If you desire a firmer, more youthful-looking body contour, then a surgical body lift by Dr. Brian Evans may help achieve your goals. It improves the shape and tone of the underlying tissue that supports fat and skin.

Excess sagging fat and skin are removed to treat conditions caused in part by poor tissue elasticity. In addition, the procedure(s) can improve a dimpled, irregular skin surface, commonly known as cellulite. A body lift may include these areas:

Abdominal area, locally or extending around the sides and into the lower back area. Buttocks, that may be low, flat or shaped unevenly. Groin that may sag into the inner thigh. Thigh, including the inner, outer, or posterior thigh, or circumferentially
A complete lower body lift treats the buttocks, abdomen, waist, hips and thighs in one procedure. A circumferential incision around the body removes an apron of excess skin and fat and repositions and tightens tissues.

A combination of liposuction and surgical body lifts may be necessary to achieve an improved contour. Deep support sutures within underlying tissues help to form the newly shaped contours.
After your body lift procedure is completed, dressings or bandages will be applied to the incisions. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

The results of a body lift are visible almost immediately. However, it may take as much as one to two years, or more, for the final results of the body lift procedures to fully develop. Scars will remain, but the overall results are long-lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness. However, most of your initial improvement should be relatively permanent.

After the procedure, dressings and bandages may be applied to the incisions, and you may be wrapped in an elastic bandage or a compression garment to minimize swelling and to support your new contours as you heal. A return to normal, light activities will be possible as soon as you feel ready. In about 4-6 weeks, you can return to work aside from heavy lifting and rigorous exercise.
Post-operative complications vary from patient to patient depending on age, life-style and medical history. You can reduce your risks by closely following your surgeon’s instructions before and after the surgery.

At Brian Evans Plastic Surgery West Hills Hosptial & Medical Center, body lift procedure is customized for the needs of our patients. Dr. Brian Evans is a graduate of Cornell University in New York, and a highly respected member of the medical community. He is board-certified by the American Board of Plastic Surgery, and holds hospital affiliation with West Hills Hospital and Medical Center.
Call at (818) 676-4001 for free consultation and appointment today!
Or go online at:



Posted by : drbrianevans | On : January 20, 2017

West Hills, CA based Brian Evans Plastic Surgery Clinic is much sought-after, given the huge numbers of patients choosing breast reduction surgery every year.

Dr. Brian Evans a Board-certified plastic surgeon has improved the shapes and profiles of his clients. They have also supported them in dealing with the emotional stresses associated with a breast reduction surgery.


Breast reduction surgery becomes essential for some women who suffer from back and neck pains due to extremely oversized breasts. These women usually have irritations developing in this part of their bodies.

Finding the correct kind of apparel to hide their heavy breasts can often be quite a challenge for them, making them highly self-conscious at all times.


In many breast reduction clinics, very often this is deemed not as a cosmetic procedure, but rather a medical condition that is also entitled to insurance coverage. You need to verify first with your insurance provider and find out about the benefits you can enjoy under your coverage. Breast reduction surgery is known to help relive the physical pain symptoms that women with large breasts suffer from. This surgery alters the size and positions of their breasts so that they become less heavy and look more proportionate with the rest of their body


You Need To Follow These Tips To Make Sure You Choose The Right Plastic Surgeon:


1) The surgeon you choose must necessarily have a board certification because this is the proof of his training and qualifications.

2) Ensure that the Los Angeles breast reduction surgeon you select has many years of experience specifically in this field. This is because a surgeon who has successfully performed a tummy-tuck operation or a facelift may not qualify him as an excellent breast reduction surgeon.

3) Verify the surgeon’s credentials and check for patients’ feedbacks and testimonials online.

4) A good way of finding out whether the Los Angeles breast reduction surgeon is adequately qualified is by looking through the images of his patients before and after their breast reduction surgery.

5) A competent plastic surgeon typically examines the chest, taking down measurements, and even clicking photographs to begin his work. He should ideally analyze the quality of the patient’ skin, her medical history, shape and size of breasts, the patient’s drug allergies, and general health conditions.

6) Find out from your insurance giver if your surgery can get insurance coverage.


Year after year thousands of women undergo breast reduction surgery and more often than not, they have been completely satisfied. Usually, there are no complications, but there is no doubt that risks of bleeding, asymmetry, infections, slow recovery, breastfeeding issues, and others exist.

You should follow whatever your breast reduction surgeon has prescribed to lessen the incidence of such risks. Some surgeons prefer doing mammogram prior to this surgery, although breast cancer does not evolve as a result of breast reduction procedures. Therefore, breast reduction surgery is by and large an extremely technically challenging surgery which means that nobody but the most qualified and competent in the field should be entrusted with the job.


Consult Dr. Brian Evans Plastic Surgery to know more about breast reduction surgery that can help you feel better about yourself and spare you of the physical discomforts and pain of living with oversized breasts. Brian Evans Plastic Surgery center helps you deal with the surgery more confidently by giving you access to all necessary information and suggestions for recovery.

To read more, please click here!



Posted by : drbrianevans | On : January 4, 2017


Rhinoplasty - the surgery of the nose – is a complex operation which requires the services of a highly skilled plastic surgeon. There are two methods for the nose job procedure – open rhinoplasty and closed rhinoplasty. Both techniques have their pros and cons.


Closed rhinoplasty is performed by making the incisions inside the nose, which has the advantage that it does not leave any visible scarring. This technique, however, is best limited to very straightforward rhinoplasty procedures as it is impossible to properly expose the inner nose with this technique, making it difficult to carry out meticulous work for anyone but the most highly skilled surgeons.


The best candidate for closed rhinoplasty is someone who requires minor work – the removal of a dorsal hump, for instance – but whose nose tip and overall structure of the nose is good. For a rhinoplasty patient who meets these requirements there are several advantages of opting for the closed technique. Healing time is generally much quicker and they are likely to experience much less swelling as there is less trauma involved to the nose in the operation.


In open rhinoplasty a careful incision is made across the columella (the fleshy column which separates the nostrils). The nasal skin is then gently lifted back to expose the cartilage and tissue underneath. The procedure leaves a slight scar, although in most patients this will fade until it is barely visible. Extra work may be required on the supporting cartilage structure of the nose, due to the trauma caused to the nose in open rhinoplasty, and generally more swelling occurs than in the closed technique.


Open rhinoplasty is sometimes favoured by plastic surgeons because it enables them to see the cartilage in its natural position, making it much easier to see exactly what work needs to be done and carry out the procedure more accurately. This is especially important in more complex operations, for instance open rhinoplasty is used almost exclusively in ethnic rhinoplasty where procedures are often more problematical.


It is more straightforward to find a surgeon who will be able to carry out open rhinoplasty well. As open rhinoplasty offers the best training opportunities to medical students, newly qualified surgeons are more likely to be proficient in the open technique than they are in the closed. There are plastic surgeons that have had many years of experience and are skilful enough to carry out more complex procedures using the closed method, but they may be harder to come by.

To increase your likelihood of getting a successful nose job, it is necessary to spend a great deal of time locating a suitable surgeon. Both techniques have their merits, but you can find out the best method for you by booking a consultation.


Dr. Brian Evans is a board-certified plastic surgeon that holds affiliations with two hospitals in the Los Angeles area. He co-founded the Skin Deformities and Research Foundation and has lectured on Burn Reconstruction, Skin Cancer reconstruction and Aesthetic Surgery. Dr. Evans has become Clinical Instructor of Medicine of the David Geffen School of Medicine at UCLA.

Brian Evans MD aims to increase the confidence of patients and to improve their appearance by performing procedures of a high standard. Call (818) 676-4001 him today for the best consultation!

To read more, please click here!



Posted by : drbrianevans | On : December 29, 2016

Would you like to lose weight? If you are, you likely already know that you have a a few different options. As an example, it is possible to start losing weight naturally, by using exercise and healthy eating. You can even lose weight with the aid of weight loss products, like weightloss pills. An alternative choice that you have is weight loss surgery. Although each of the previous weight loss methods are popular, weight loss surgery is rapidly getting more popular.

 Weight Loss Surgery

For anyone who is thinking about undergoing weight loss surgery, you are not alone. As mentioned before, weight loss surgery is getting more popular. If you haven’t considered weight loss surgery before, you may be wondering what all of your options are. While there are several of various fat loss surgical procedures that you can undergo, you will find that there are two main procedures. These procedures, which include gastric bypass surgery and lap-band surgery, are outlined below.


Gastric bypass surgical procedures are an appetite suppressant surgery that involves the stapling within the stomach. That’s the reason this action is also typically called stomach stapling. When undergoing gastric bypass surgery, your surgeon will portion off some of your stomach, making a smaller pouch. Your intestine will likely then be rerouted, rendering it so that your food consumption only impacts a percentage of your respective stomach. This is the reason why it easy for you slim down with gastric bypass surgery.


Although gastric bypass surgery is a great bariatric surgery to endure, it isn’t suitable for everyone. Most physicians require their sufferers to get along with eighty pounds or even more overweight. In a few rare instances, those who are lower than eighty pounds overweight have the ability to undergo gastric bypass surgery if their health is at risk or if they’ve got other medical problems, such as diabetes. You are aware that surgery has always its risks. Have you thought about an all natural weight loss supplement? You ought to at least look into Phen375, buy soon and get a $40 rebate.


As previously stated, lap-band surgical procedures are another bariatric surgery which is increasing in popularity. Lap-band surgical treatment is much like gastric bypass surgery. When undergoing lap-band surgery, your stomach pouch is manufactured smaller. One of the few differences that the stomach just isn’t stapled, but an adjustable band is used. Which is a primary reason why lap-band surgery is so popular, since the band used can be completely removed or easily adjusted


Lap-band surgery and gastric bypass surgery aren’t the sole weight reduction surgeries accessible to you, but they’re a couple of the most used. Thousands of Americans already went through both of these weight reduction surgeries. For many individuals, weight loss surgery is really a last resort. Many who undergo weight loss surgery have not had success with losing weight any other way. If you are searching for having a weight reduction medical procedure, you should speak with your personal doctor.


One of the many reasons why it is important to speak with your physician or any other healthcare professional is really because weight loss surgery is not suitable for everyone. In accessory for staying at the right weight, you also need to have the willpower to cut back your meal consumption. If you consume an excessive amount of food, namely a lot of food for your stomach to keep, you can’t only harm your weight loss progress, however, you may also put your well being at risk. That is why your unwanted weight loss surgery decision just isn’t one that you can make alone; it is one that has to be produced in conjunction with a health care professional.


Consult Dr. Brian Evans MD a Board-certified Plastic Surgeon for more details. A thorough first consultation by Dr. Brian Evans MD is scheduled to understand the requirement of patients before procedures are performed. Services provided include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.
Call (818) 676-4001 for more details today or go online at




Posted by : drbrianevans | On : December 24, 2016


You may be able to hide your ears but that doesn’t make growing up with large or protruding ears any easier. Childhood name-calling aside, prominent ears take attention away from the face. The slightest alteration, however, can dramatically change a person’s appearance. The otoplasty procedure or ear surgery can decrease the size of your ears and reposition them closer to your head. This procedure is appropriate for adults and children as early as 6 years old.

The procedure is performed in our offices-usually on an outpatient basis. Otoplasty can be performed under local or general anesthetic. With local anesthesia you’ll be awake during the procedure but anesthetized and relaxed. Young children usually receive general anesthesia and may spend a night in the hospital for observation. The surgery takes from one to two hours depending on the extent of the procedure.



  • Eat a balanced nutrient-rich diet before surgery. A healthy diet will help speed recovery. Also plan ahead and prepare nutritious meals that are easy to warm up so that you won’t need to spend too much time in the kitchen during your recovery.
  • If you smoke, abstain from smoking for at least six weeks before and after surgery. This reduces the risk of infection and encourages faster healing.
  • Do not take any medicines containing aspirin or ibuprofen during the two weeks preceding surgery.
  • Do not eat or drink after midnight the night before surgery.
  • Be certain you do not have a cold or sunburn the day of surgery.
  • Do not wear make-up or contact lenses to surgery.
  • Arrange to have someone take you home after surgery and, if possible, help you around the house for a few days while you recover.


Procedure Information

After you are anesthetized, a small incision is made behind the ear. This prevents visible scarring because the incision line is easily hidden in the natural crease of the ear.
The surgeon removes excess cartilage, reducing the size, and repositions the ear closer to the head. The surgeon places permanent sutures in the cartilage to secure its position and create natural-looking ear folds.
Finally, the head is bandaged to protect the ears.


What to expect

Plan on staying in bed with your head elevated for the first day. Do not sleep on your side. After the procedure is over, patients may experience some numbness and mild swelling and/or discomfort at the incision site. This is normal and will pass with time. Incision site pain is usually minimal and can be controlled with medication, if necessary. Swelling can be treated with cold compresses.

The bandage is usually removed in our office the next day, but patients should continue to wear a stretchy headband or stocking cap for a week.

Patients usually go back to school or work within a week but should continue to take it easy. Avoid any rigorous activity for at least two weeks.



As with any surgery there is the risk of complication. Most complications associated with otoplasty are minor and will pass with time. Possible complications include bruising, infection, and reactions to the anesthesia. You can reduce your risk of complications by closely following instructions both before and after surgery.


Dr. Brian Evans MD a qualified and experienced Board certified plastic surgeon offers surgical and non surgical cosmetic procedures at Beverly Hills in California.
Dr. Brian Evans Plastic Surgery aims to increase the confidence of patients and to improve their appearance by performing procedures of a high standard. A thorough first consultation is scheduled to understand the requirements of patients before procedures are performed. Services provided include the surgical reshaping or augmentation of facial features and breasts, surgical body sculpting procedures, stem cell therapy, surgery for skin cancer and wound care surgery.

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