lookingyourbest July 22nd, 2008
Silicone implants are now available! In Nov. 2006, the FDA approved the use of silicone implants for routine augmentation in women 22 years or older. The main advantages of silicone implants is a more natural feel and lower chance of visible and palpable wrinkling. Disadvantages of silicone implants are greater expense, inability to adjust size, and a longer scar to avoid damaging the implant during placement.
You still have the option of having saline implants. Should the implant rupture or leak, the saline is safely absorbed by the body and poses no health hazard. Implants may be pre-filled prior to placement, or slowly filled at the time of surgery through a self-sealing valve. Implant placement, type and size will be determined based on your breast anatomy, body type and desired increase in size, as well as your plastic surgeon’s judgment. Implant manufacturers occasionally introduce new styles and types of implants; there may be additional options available to you.
Breast implants have not been shown to impair breast health. Careful review of scientific research by independent grounds such as the National Academy of Sciences Institute of Medicine (IOM) has found no proven link between breast implants and auto-immune or other systemic diseases in women. Implants can, however, create subtle or more noticeable changes in the look and feel of your breasts. Capsular contracture, a condition that causes the naturally-forming scar tissue around a breast implant to contract, occurs in a variable percentage of patients and can make the breast feel firmer than normal. While this condition can be addressed surgically, correction is not always permanent.
You should be aware that breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Pregnancy, weight loss and menopause may influence the appearance of augmented breasts over the course of a woman’s lifetime. Breast augmentation requires maintenance over time, including regular examinations for breast health and to evaluate the condition of your implants.
A mammogram may be recommended prior to your procedure to ensure breast health and serve as a baseline for future comparison. Following the procedure, mammography is technically more difficult. Obtaining the best possible results requires specialized techniques and additional views. You must be candid about your implants when undergoing any diagnostic breast exam.
For breast augmentation in Vancouver Washington contact these board certified plastic surgeons today.
lookingyourbest July 7th, 2008
The Cutera Titan gives you an all-natural option to enhance skin tone. Titan uses light energy to heat the dermis deep beneath your skin’s surface. Without surgery, recovery time, or injections, Titan is an ideal solution for your face, abdomen, arms and more.
How does the Cutera Titan work?
Titan uses a safe infrared light to heat the dermis well below the skin’s surface. During the procedure, the skin’s surface (epidermis) is protected through continuous cooling with the Titan handpiece.
The Titan difference
Titan’s light-based platform provides a more uniform distribution of energy for heating the deep dermis than other energy sources, such as RF (radio-frequency).
Who can be treated?
Since the Titan procedure heats tissue under the skin’s surface, patients of any skin type or age can be treated.
lookingyourbest June 12th, 2008
Your tummy tuck will be individualized to your specific conditions that may include:
* Excess localized fat in the abdominal area
* Loose and sagging skin in the abdominal area
* Weakened or separated abdominal muscles due to pregnancy, weight loss or aging
One or all of these conditions may be present and can be surgically improved by a tummy tuck. A tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are primarily located on the areas of excess skin that will be excised, generally those treated areas are below the belly button.
Surgical removal of excess fat and skin may be combined with liposuction during a tummy tuck. There are variations to tummy tuck surgery; the technique selected is dependant on the degree of correction necessary to achieve a flatter profile and firmer abdomen. Incision length and pattern depend on the amount and location of excess skin to be removed, as well as personal preference and surgical judgment.
Liposuction may be used in conjunction with a tummy tuck or to recontour other areas of the body by removing localized excess fat deposits. Other body contouring procedures may be performed separately or in the same surgical session as a tummy tuck. However, not all patients are good candidates for combined procedures. Your case will be evaluated on an individual basis.
For a tummy tuck in Vancouver Washington contact these board certified plastic surgeons today.
lookingyourbest June 12th, 2008
Breast lift is a highly individualized procedure achieved through a variety of incision patterns and techniques. The appropriate technique for your case will be determined based on:
* Breast size and shape
* The size and position of the areola
* The degree of breast sagging
* Skin quality and skin elasticity as well as the amount of extra skin
There are many variations to the procedure, however one of the most common is a pattern with three incisions:
* Around the areola
* Vertically down from the areola to the breast crease
* Horizontally along the breast crease
Through these incisions, the underlying breast tissue is lifted and reshaped to improve breast contour and firmness. The nipple and areola are repositioned to a natural, more youthful height. If necessary, enlarged areolas are reduced by excising skin at the perimeter. Excess breast skin is removed to compensate for a loss of elasticity.
Alternative techniques eliminate either the horizontal incision at the breast crease, the vertical incision from the areola to the breast crease or sometimes both. In any case, incisions are usually placed so that they can be hidden under clothing and swimsuits. Dissolving sutures are layered deep within the breast tissue to create and support the newly shaped breasts. Sutures, skin adhesives and/or surgical tape may be used to close the skin.
For a breast lift in Vancouver Washington contact these board certified plastic surgeons today.
lookingyourbest June 12th, 2008
At Salmon Creek Plastic Surgery located in Vancouver Washington, we commit to excellence, compassion, and caring in the practice of plastic surgery. It is our goal to ensure respect for and exemplary service to our plastic surgery patients and to be identified with the highest ethical standards and practice excellence in all of our associations.
Most procedures at Salmon Creek Plastic Surgery are performed on an outpatient basis in the comfort of our Medicare certified Ambulatory Surgical Suite which is adjacent to our office. You’ll find our beautiful facility private, comforting and relaxing, and you’ll see why many of our patients return for additional procedures and refer their family and friends to us. In the event that a procedure should require a different facility, Vancouver Plastic Surgeon Dr. Green and Vancouver Plastic Surgeon Dr. Huang are affiliated with the Legacy Salmon Creek Hospital which is conveniently located near our office.
All aspects of plastic surgery offered including BOTOX® Injections, Breast Enlargement, Breast Lift Surgery, Breast Reduction, Breast Reconstruction, Brow Lift, Eyelid Surgery, Short Scar Facelift, Liposuction, Juvederm and Restylane® Injections, Rhinoplasty, Tummy Tuck, Hand Surgery and Skin Cancer Treatment
lookingyourbest July 18th, 2007
Seattle plastic surgeon Dr. William A. Portuese is board certified by the American Board of Facial Plastic and Reconstructive Surgery and by the American Board of Otolaryngology, Head & Neck Surgery. He is the current president of the Washington State Chapter of Facial Plastic Surgeons.
Doctor Portuese is also a Clinical Instructor in the Dept. of Otolaryngology, Head & Neck Surgery at the University of Washington, and the author of numerous publications in his field. He regularly gives presentations about facial plastic surgery on local, national and international levels.

Dr. Portuese specializes in plastic, cosmetic and reconstructive surgery of the face and neck; this includes ALL aspects of Facial Plastic Surgery including Facelifts, Blepharoplasty (eyelids), Coronal Forehead (brow lifts), Facial implants, Dermabrasion, Botox®, Rhinoplasty (nose), Neck lift/liposuction, Otoplasty (ears), and Lip augmentations.
Click here to learn more about Seattle Plastic Surgeon Dr. Portuese, or find other Plastic surgeons in Seattle and Washington.