Breast Augmentation

What is breast augmentation? 

Augmentation of the breast consists of insertion of a silicone bag (prosthesis) under the breast (submammary) or under the breast and chest muscle (subpectoral) and then filling the bag with saline (salt water). This prosthesis expands the breast area to give a fuller breast (increased cup size), give a better contour, and give more cleavage.

How is the incision made?

The incision (cut) may be placed at various locations such as: under the breast at the breast fold; in the armpit (axillary); or in the umbilical area.The umbilical incision approach is used with an endoscope (tube with a light for visualization and placement of the breast implant).

What Choices do I have on implants?

Saline implants

Before it’s placed in a breast, a saline implant essentially feels like a plastic sandwich bag filled with water. It’s constructed of an outer shell of several layers of silicone rubber that includes a valve. Saline implants are usually filled to their final size by a disposable tube that runs from a bag of saline to the implant within the breast cavity. When the tube is withdrawn, the valve seals automatically, and a small additional sealing tip attached to the implant is inserted into the top of the valve.

Implants come in various sizes ranging from 150cc (cubic centimeters) to approximately 700cc. The smaller sizes, from 150cc to 400cc are available in 25 to 30cc size increments. Above 400cc, the increments are 50cc.

Here are some facts about saline implants:

  • Cost: Saline implants are about half as expensive as silicone gel implants.
  • Feel: Saline implants can be somewhat less soft and feel less natural than silicone gel implants. The best results with saline implants, however, are comparable to the best results with silicone gel implants.
  • Volume: Saline implants enable surgeons to microadjust the volume in each implant. When the initial breast size isn’t the same on each side, the surgeon can microadjust volume to balance the two sides.
  • Wrinkling: In many augmented breasts, saline implants can be felt at the bottom or along the lower sides as an edge or as slight wrinkles. This effect is normal

Silicone gel implants

Silicone gel implants have a shell made of several layers of silicone rubber. In prior generations of silicone implants, the wall or covering of the implants was weaker and more porous. The silicone within the implants was runnier, and small amounts of the silicone would bleed through the implant walls. The silicone now used in gel implants is semi-solid (non-runny and less likely to migrate). Reduced silicone bleed has probably resulted in reduced capsule formation.

Here are some other important facts about silicone gel implants:

  • Cost: Silicone gel implants cost about twice as much as saline implants, a problem if the cost of surgery is an issue to you.
  • Feel: Silicone gel implants feel softer and more natural than saline implants.
  • Wrinkling: If capsule formation does occur, silicone gel implants can develop wrinkling. In general, however, silicone implants don’t develop the edge wrinkling that is common with saline implants.
  • Volume: No microadjustment in volume of the implants can be made. The implants are completely sealed. From the smallest size available up to 400cc, the implants come in 25 to 30cc size differences. Above 400cc, the different sizes vary by 50cc. This has one small disadvantage in that most breasts normally vary in size, from one side to the other. If size variations can’t be corrected in 25 to 50cc increments, some slight asymmetry in breast size will remain.

BOTOX Cosmetic

What is BOTOX Cosmetic and How does it work?

BOTOX Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows in adults for a short period of time (Temporary). It works by blocking nerve impulses to the injected muscle. This reduces muscle activity that causes those lines to form between the brows.

Why should I consider BOTOX Cosmetic?

Years of squinting, concentrating, or frowning can cause your skin to furrow and crease. As time passes, your skin becomes less elastic and those moderate to severe frown lines between your brows remains…even when your muscles aren’t contracting. The moderate to severe frown lines between your brows that form are often referred to as your I’s and may make you look angry and unapproachable.

How quick will I see the difference?

Within 24 to 48 hours you may notice a softening in the appearance of you moderate to severe frown lines between your brows. The area may continue to improve for up to a month.

How long can I expect the results to last?

Results have been shown to last up to 4 months. Your own results may vary, be sure to talk to your healthcare provider about what you can exspect and when to schedule you next appointment.

Is treatment with BOTOX Cosmetic painful?

Discomfort is usually minimal and brief. Prior to injection, you physician may numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Many people are in and out of the physicians office without downtime following BOTOX Cosmetic treatment.

The Madonna Lift

The Madonna Lift, is the non-surgical alternative to improve drooping skin, wrinkles, and those telltale signs of aging around the eyes. Using the latest in fractional CO2 laser technology, the skin around the eyes will be rejuvenated for the younger look you’re desiring.

“The Madonna Eyelift tightens eyelid skin, reduces dark circles, and eye wrinkles it also elevates the eyebrow without surgical risk and with minimal down time.”

How it works?

DOT Therapy employs the latest fractional technology, which treats only a fraction of the skin at a time. The laser uses specially modulated beams of light about the width of a human hair, to penetrate into the skin. These beams of light destroy and contract the old collagen within the wrinkles and incite the body’s natural wound healing process to create new, younger collagen in the skin. this causes the wrinkles around the eyes to plump up, tighten and soften.

What does it feel like?

You may feel tingling or heat in your skin as the laser is applied. However, any potential discomfort can be easily managed by your physician. Please consult with your physician as to the numbing cream or other anesthetic they may use to make your treatment more comfortable.

How long will the results last?

Results very from patient to patient but as you body continues to heal and create new strong, healthy, and elastic collagen in your lids and eyes, you will continue to see improvement for up to six months after your last treatment. Results should last for several years but, as your skin continues to age, it is recommended you prolong the results with a good skin regiment and daily protection from the sun.

Will it work for anyone?

The Madonna Lift can be used on most patients with drooping eyelids, brows, and wrinkles around the eyes. however, only your physician can tell you if it is right for you.

How long does it take?

The procedure only takes a few minutes in the physician’s office. You may need soe additional time to apply topical anesthetic prior to the procedure.

 

 

Contact our office today at (817) 336-9450 to schedule your consultation

SMARTXIDE DOT

The perfect treatment for removing the undesirable signs of age.

You can now reduce the furrows of deep wrinkles and eliminate the shallower ones. With the correct stumulation, the derma can produce new cells and new collagen, giving your skin a smoother, younger appearance.

Your specialist can now permanently resolve even the most complex situations, such as scars, superficial pigmentation and deep wrinkles. After identifying the correct treatment for your skin, the physician can remove any type of imperfection, at the same time protecting the skin, avoiding scalpel-related side effects and reducing recovery time.

Beneficial Effects of the Treatment:

  • The laser induces a re-epithelisation process in the treatment area and stimulates the dermis to produce new collagen. After treatment, your skin will be more elastic and smoother, without any scars or alterations to your natural facial expression.

Fractional Skin Resurfacing:

  • Repeated, shallower laser action makes it possible to achieve excellent results in only a few sessions. Since the healthy surrounding tissue are protected, post-op recovery is shorter, simpler and with less risk of complications.

Contact our office today at (817) 336-9450 to schedule your consultation

NIA 24 Niacin-Powered Skin Therapy

Skin Conditions Treated by NIA 24 Niacin-Powered Skin Therapy

  • Moderate to Severe Sun Damage
  • Hyperpigmentation
  • Actinic Keratosis
  • Atopic Skin Prone to Skin Problems
  • Pre-, During and Post-Treatment to Skin Rejuvenation Therapies

NIA 24 Niacin-Powered Skin Therapy consists of 4 products:

  • Gentle Cleansing Cream
  • Physical Cleansing Scrub
  • Skin Strengthening Complex
  • Sun Damage Prevention 100% Mineral Sunscreen SPF 30

NIA 24 Niacin-Powered Skin Therapy results in:

  • Improvement in the appearance of sun damage and hyperpigmentation
  • Global improvement in skin texture, tone and firmness
  • Reduction in the appearance of fine lines and wrinkles
  • Stronger skin with enhanced sun protection and moisture retention

Call our office today at (817) 336-9450 to schedule your appointment.

 

Bodytite

Dr. Gracia is participating in the Bodytite IRB study for body contouring. The Bodytite device is made by Invasix, a company bringing new technology to us designed to compete with Laser Lipolysis devices such as Smart Lipo and Slim Lipo. A key difference is the temperature regulation in the device to protect the skin. The device uses radio frequency energy to heat the skin to help shrink it (contract, tighten) and also melt fat as the fat is aspirated. This is to cause less trauma to the tissues, less bleeding and less bruising to help decrease the recovery time.

 

Contact our office today at (817) 336-9450 to see if you would be a candidate for this procedure.

HOW IT WORKS:
RF energy travels from an internal electrode, which is simultaneously aspirating the coagulated tissue, to an external electrode, resulting in coagulation of adipose, vascular and fibrous tissue as well as heating the entire soft-tissue matrix. The coagulated and liquefied tissue is aspirated while heating of the soft issue matrix and subdermal tissue results in significant body tightening and recontouring. BodyTite provides gentle, outpatient treatment with improved safety and efficacy compared to other liposuction methods. Information courtesy of Invasix

The Areas most commenly done are the abdomen, neck, lower and upper back, thighs, and arms.

Schedule an appointment if you would like to see if you are a good candidate for this study. We look forward to assisting you with all of your cosmetic needs.

New Finance Option

We are pleased to announce a new finance company for all your aesthetic needs: FUNDMYDR.COM

Accepting New Patient’s

The Office of Walter D. Gracia, M.D., P.A. is Now Accepting New Patient’s.

Self-Pay, Insurance & Work-Comp.

Contact our office at (817) 336-9450 to schedule your appointment.

Liquid Smile

HOW IT WORKS

Just paint a thin layer of a viscous gel on your teeth. Apply right after brushing and floosing. It takes only about a minute.

Liquid Smile fits into your evening brushing routine. No strips or trays to wear. It makes whitening simple and hassle free.

NO SENSITIVITY

Apply a fast acting (15 minute burst) of a powerful professional strength gel at bedtime. While sleeping, your teeth rest from extreme hot and cold temperature changes. This ensures no sensitivity.

WHEN WILL I SEE RESULTS

Typically results are noticed after the 2nd or 3rd application. Apply once at bedtime for two weeks for maximum results.

Liquid Smile is 3X STRONGER & 4X FASTER than store bought whiteners.

HOW MANY SHADES

The color “chroma” of your teeth will determine how well they respond to whitening and how white your teeth will get. (Up to 5 Shades)

FLAVORS

Our mild, refreshing flavors, enhance the whitening experience and limit salivation.

Cola
Lemon Lime
Root Beer
Mint

TOP DENTAL PRODUCT

Liquid Smile has been named one of the Top Dental Product

Liquid Smile is Recommended by Leading Plastic Surgeons Throughout the United States.

Endoscopic Carpal Tunnel Release

Endoscopic carpal tunnel release uses a small tube and a camera attached to an arthroscope to visualize the transverse carpal ligament then using a hook knife the ligament is cut, all incisions are in the wrist or palm and are about one centimeter in length. We preform the Brown endoscopic carpal tunnel release. The camera allows Dr. Gracia to see the ligaments and other structures without having to make a large incision. All tools used in this procedure are small in size in order to pass through the incision.

Once the endoscope has been inserted and the doctor has located the ligament, he then cuts the transverse carpal ligament. Cutting the transverse carpal ligament release pressure put on the median nerve, which relieves the Carpal Tunnel Syndrome.

This procedure is generally performed in a surgery center on an out-patient basis. This means you should be able to return home once the surgery concludes and you have been discharged.

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