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Posted by : drbrianevans | On : March 24, 2017

Eyelid Surgery and Blepharoplasty are common terms for minor operation which removes excess skin that gets accumulated on the upper as well as lower eyelids. Eyelid rejuvenation improves the appearance of the eyelids, for any person who wants to look younger and fresher without making drastic changes to his or her face. If you feel your eyes always look tired and puffy, eyelid surgery may be your best option.

Now, let us examine what not to do after eyelid surgery.

1. Can I wear my contact lenses after eyelid surgery?

  1. Wearing contact lenses makes eyes dry, so it is a good practice to avoid contact lenses for at least a week.

2. Can I shower or wash my hair after eyelid surgery?

  1. Going water directly into the eyes should be avoided. Getting eyelid area wet is fine.

3. Can I drive home after eyelid surgery?

A. Ointment will be present on the eyelids, so it is a good practice to avoid driving home.

4. Can I use the Computer?

  1. Watching Computer screen dry up the eyes, so avoid using computer.

5. Can I do Exercise?

  1. Normal exercise can be done, but rigorous exercises should be avoided such as bending, lifting and rigorous sports.

6. Can I watch Television?

  1. Watching Television should be avoided.

7. Can I read Books?

  1. Reading books should be avoided to avoid further complications.

People who go through eyelid surgery may have a difficult time during the recovery period. The bruises and swelling may remain for a long time. One should remember that these bruises will subside with time, leading to healthy, young and good looking eyes.

At our surgical center in West Hills Hosptial & Medical center, we perform eyelid surgery on both the upper and lower eyelids. Eyelid surgery targeting the upper lids can remove excess skin that may be impeding vision, and eliminate the “droopy” appearance caused by overhanging skin. Eyelid surgery on the lower lids can reduce bags around the eyes and tighten loose skin that contributes to a tired, worn out look. After a thorough exam at Brian Evans Plastic Surgery Clinic, we can help you decide whether eyelid surgery is appropriate for your lower lids, upper lids, or both.

Contact Dr. Brian Evans today (818) 676-4001to schedule an eyelid surgery consultation in West Hills

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Posted by : drbrianevans | On : March 18, 2017

Anti aging and skin laser treatments are used by people all over the world in many different Countries. Due to the result of pollution to our environment people are ageing much faster. Therefore people are looking for ways that will help them look younger. Laser treatment is one way of achieving a younger looking appearance.


When cosmetic surgery is given it can tighten the epidermis and make wrinkles disappear. Tightening skin will give you a much more firm look that appears younger. Because as you age you start to look much older due to wrinkles and under blemishes that affect the face.


This solution works by evening out pigmentation in the epidermis that can cause age spots and other blemishes. Once pigmentation is evened out the skin starts to look younger. It appears more shiny and smoother.


During times of stress and worry, many people get acne that can cause scarring of the facial area. Scars can be unpleasant and one way of treating this is through laser. The therapy is not only used to help the skin look younger, it is also used in some early stages of skin cancer.


Problem areas can be targeted with this therapy working on the major problematic areas. Wrinkles around your eyes can appear less exaggerated with this solution that can focus on reducing the bagginess around the eyes. After treatment you should notice a difference to the surface of your face.


The procedure takes place over a day where you will be operated on. If you are a smoker or drinker then you will be asked to stop in preparation for the procedure. Laser treatments can take place in a clinic or operating room of a hospital depending on whether this is private or funded treatment. Most funded treatment will take place in hospital although this is not always the case.


Dr. Brian Evans is a plastic surgeon in West Hills, California and is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital. Brian Evans Plastic Surgery is the most experienced person if you are looking for the cosmetic surgery in West Hills; CA.

Call (818) 676-4001for free consultation today!

Or visit here:



Posted by : drbrianevans | On : March 12, 2017

Saline implants are the safest implant available in the United States but they certainly aren’t the only implant available. There is a new implant on the scene. It is called the Cohesive Gel Implant. Not only is this new implant gaining in popularity, but it is also threatening to claim the title of the safest implant available.

The American woman has two choices for her breast augmentation: saline implants or silicone gel implants. There is actually a third choice available that many women don’t yet know about. It’s called the Cohesive Gel Implant. The only problem is the FDA has not yet approved them for unrestricted use which means that it could be many more years before women can freely choose them for their breast augmentation surgery. However, it is still possible to have them for your surgery – you’ll have to apply to become a part of the FDA’s clinical trial.

Not everyone that applies for the cohesive gel clinical trial gets approved but that doesn’t mean you shouldn’t try! If you do get accepted, you’ll most likely get your surgery fees reimbursed. In exchange, you’ll need to agree to follow-up visits with your breast augmentation surgeon over the next ten years.

What makes a cohesive gel implant different than a saline implant? For starters, the cohesive gel implant is not filled with a liquid. It uses a solid mass of silicone gel. During its production, the manufacturer adds a cross-linker to the gel which makes the gel solidify into a solid mass. Depending on the cross-linker used, the consistency of the gel can range from soft to hard. There are currently four grades of cohesive gel being tested for the clinical trial.

The cohesive gel’s solid filler has garnered it the nickname Gummy Bear Breast Implant. The filler used in saline implants is a liquid: it is a saltwater solution that is relatively harmless to the human body. The reason why saline implants are considered the safest implant available is because its saline solution, if leaked from the implant, will simply be absorbed into the body and eventually passed via urination.

Saline implants are prone to rupture. In all fairness, all implants that use liquid filler are prone to rupture. A leaking saline implant will usually deflate within a 48 hour period, allowing the woman to quickly identify that one of her implants has ruptured. In regards to safety, saline implants are quickly detected should they rupture, and their filler is practically harmless to the body. Both of those traits have made the saline implant the safest implant available for breast augmentation surgery.

The new cohesive gel implant appears to be impervious to rupture. Early evidence suggests that the solid gel design makes them extremely resistant to rupturing. The solid gel also makes them leak-proof. Because of those two safety-related aspects, the cohesive gel implant may indeed become the safest of available implants once the FDA finishes their clinical trial.

Cohesive gel implants are a solid mass of gel; therefore they require large incisions in order for them to be positioned within the breast. Unlike saline implants which can be squeezed through a small incision, cohesive gel implants require the surgeon to make a larger than normal incision for the procedure. Larger incisions equate to a higher potential for scarring. In respect to minimal scarring, choosing saline implants for your procedure is the wiser choice.

If you are interested in saline breast implants, it’s recommended you speak with a certified plastic surgeon like Dr. Brian Evans that specializes in breast augmentation surgery. If you are interested in cohesive gel implants, you will need to speak with a breast augmentation surgeon who is participating in the FDA’s clinical trial.

For more details you can consult Dr. Brian Evans a Board Certified Plastic Surgeon. 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!

Or go online here at:



Posted by : drbrianevans | On : March 6, 2017

It is extremely hazardous to drive after general anesthesia or intravenous sedation. Please arrange for a responsible adult to drive you home and stay with you for at least 24 hours. The effects of anesthesia can remain in your body as long as 24 hours. After surgery, plan to rest for 24 hours. Avoid straining and stooping. Sleeping with the head elevated on two pillows decreases the amount of bruising and swelling. After surgery you may take liquids such as soup, tea, soft drinks, or Jell-O. Gradually progress to a soft diet and then to a regular diet over the next 24 hours as tolerated

Fill your prescriptions and take your post-operative medications as directed. If you should become nauseated or develop a rash, call your plastic surgery office. You may resume your regular medications unless your doctor directs otherwise. However, avoid aspirin and aspirin-containing products for two weeks before and after surgery. Remember, many herbal supplements adversely affect the clotting process and actively cause bruising and bleeding. These should be stopped two weeks before surgery and may be resumed two weeks afterwards. Avoid alcohol until post-operative medications are finished. Many surgeons do not recommend taking mega doses of vitamins in excess of the normal daily requirement (which is more than adequately met by a normal balanced diet). Please discontinue this form of medication for two weeks before and after surgery unless you are being treated for a specific deficiency. One multivitamin tablet per day is permissible, however.

A chinstrap or tape must be worn for one week. You may shower and shampoo. Avoid strenuous activity for two weeks after surgery. However, walking is encouraged. Do not drive for one week and never while taking pain medication. You may wear makeup after checking with your doctor. It is vital that you do not smoke after surgery to avoid respiratory and wound healing complications. Avoid sun exposure and wear sunscreen over the suture lines when it cannot be avoided. You may notice a change in sensation over the chin and lower lip. This is common and will return to normal within 2 to 4 months. The scar will be red for approximately six months and then begin to fade and soften.

A moderate amount of swelling and bruising is common. It will take several weeks before you can see the final result. If you have unusual or severe pain or swelling (especially on one side of your face or neck), bleeding from the dressing or any other concerns, do not hesitate to contact your surgeon’s office. Someone in the office will likely call you the day after surgery to check on your condition and answer any questions you might have. You can probably reach your surgeon or a staff member around the clock by calling. These instructions are not intended to cover every possible problem that could arise. Good judgment on your part is essential for a good result.

Brian Evans Plastic Surgery Clinic in West Hills, California is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital.

Call today to schedule your consultation with Brian Evans MD. 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.
Don’t wait; call our office at (818) 676-4001 or visit here:



Posted by : drbrianevans | On : March 3, 2017

Breast reduction pills are a form of pill that promises to reduce a woman’s chest size. Many women believe their chest size is too large for their frame and thus want to reduce the size of their breasts, and taking pills is an easier option than having breast reduction surgery. But do they work?

Breast Augmentation 1

Large breasts can cause a woman a lot of problems, including chronic neck and back pain, difficulty participating in sporting activities or activities that require a lot of athleticism, and can even cause emotional trauma. Shopping for clothes is also another difficulty for women with large breasts because most clothes simply don’t fit them. While there are many women who want larger, firmer breasts, there is also a great many who wish for just the opposite.

Large breasts have more problems than those listed above, especially later in life or after a pregnancy that included breast feeding. Gravity and age take their toll on a woman’s breasts, and eventually they sag and droop, which can decrease a woman’s overall self confidence and negatively impact her life.

If you’re going to give breast reduction pills a try, do your homework. Does the pill have a lot of testimonials? Maybe some before and after pictures? Does it have any doctors endorsing the product? And, if so, what are the credentials of the doctor? Does he or she specialize in breast reduction? Also, you should thoroughly read their disclaimer – you might find a few things that don’t sound very promising about the effectiveness and or safety of the pill.

Breast reduction surgery is another alternative to reducing breast size. It is the only permanent option you have, and it can alleviate your breast size issues overnight. Of course, you’ll need to recover from the surgery first, but the rewards are well worth the costs.

If you opt for breast reduction surgery, you’ll need at least a few weeks to recover. You’ll also have to take off time from work. Some of the risks include: loss of sensitivity on portions of the breast and an inability to breast feed (they say you should not be considering children if you are considering breast reduction surgery).

How much does breast reduction surgery cost compared to breast reduction pills? In this category, breast reduction pills win by a landslide because a breast reduction surgery can cost upwards of five thousand dollars or more. But then again, do breast reduction pills even work? Why spend money on something if it will not have positive results? Only you can decide which option is best for your situation.

If you decide to give breast reduction pills a try, it is highly recommended that you get the approval of your family doctor. He or she can advise you of the risks involved, if there are any. And if you try them for a while and don’t experience any positive results, then you might want to consider a breast reduction surgery.

The internet is a great resource for finding information on any topic, isn’t it? By searching for your subject, you can find answers to almost any question you have, on any topic. But when it comes to your health and your health-related questions, it is highly recommended that you put your trust in a licensed, board certified surgeon. This is particularly true when you are considering a surgical procedure like breast reduction.

Only a qualified physician can give you the answers you need in order for you to make an informed decision about your plastic surgery needs. In short: get off the internet and speak to a surgeon today!

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.

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.



Posted by : drbrianevans | On : February 28, 2017

Abdominoplasty, also known as a “tummy tuck”, is a surgical procedure that tightens the mid and lower abdominal muscles and removes excess fat and skin. A tummy tuck makes the abdomen noticeably more firm. It is highly effective in producing an exceptional looking figure for people with belly fat and loose skin that has refused to diminish with dieting and exercise.

Tummy Tuck

A tummy tuck is beneficial for mothers who have had multiple pregnancies and are left with sagging abdominal muscles and excess skin. It is also beneficial for persons who suffered from obesity and after losing weight were left with sagging and excess skin in the abdominal area. This is why abdominoplasty is one of the most asked about cosmetic surgery procedures available today.

Do not confuse a tummy tuck with liposuction. Abdominoplasty is a major surgery. Your surgeon will evaluate your medical history as well as your body condition in order to properly select the best tummy tuck treatment for you. They should present you with all options so that you can select the procedure that is “best fit” for your needs.

A tummy tucks is done under full anesthesia. Your surgeon will start by making incision(s) in the abdominal area, removing fat from under the skin, removing some skin, and suturing muscles, reposition the naval, and stitching the skin back together.

There are two surgical options: a complete abdominoplasty and a mini- or partial-abdominoplasty. A complete abdominoplasty requires an incision that runs from hip bone to hip bone while the mini-abdominoplasty requires shorter incisions. You should discuss both options with a highly qualified, ASPS certified plastic surgeon to decide which option is the best fit for you.

A partial abdominoplasty (mini-tuck) is completed in 1 to 2 hours, whereas a complete abdominoplasty requires 1 to 5 hours.

Outline of steps followed for a full tummy tuck:

1) A hip to hip incision is made just above the pubic area.

2) A round incision is made to separate the belly button from the surrounding skin.

3) Skin is pulled back to reveal muscles to be tightened with sutures.

4) Excess fat and skin is cut away..

5 a) The old belly button stalk is brought out through a round hole made in the skin that has been pulled down and sutured in place.

5 b) Liposuction may be used to smooth out the tummy tuck area.

6) The flap is stitched back into place.

7) Dressing is applied. A compression garment may also be applied.

8) Excess fluid is drained from the area.

Similar steps are followed for a partial tummy tuck. A smaller incision is made along the lower abdomen and less skin and fat are cut away.

Recovery from a partial or full tummy tuck takes one to four weeks. The patient should take a least the first week off work. There should be no strenuous exercise during recovery. Bruising and discomfort can be minimized with a compression garment. These garments are widely available, ask your doctor for more information and recommendations.

Both men and women get abdominoplasty, but this procedure is not for women who plan to have more children.

A tummy tuck is a permanent solution for both women and men struggling with a disproportioned figure.

If you are considering a tummy tuck, you can discuss all your issues with Dr. Brian Evans MD. Mr. Evans is a plastic surgeon in West Hills, California and is affiliated with multiple hospitals in the area, including Cincinnati Veterans Affairs Medical Center and San Joaquin Community Hospital. He received his medical degree from Case Western Reserve University School of Medicine and has been in practice for more than 20 years. Brian Evans Plastic Surgery private medical practice has been divided between cosmetic and reconstructive surgery and the care of the burn-injured patient.

Call (818) 676-4001



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!

Or go online at:



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:


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