Chatham Plastic Surgery

The breasts are a defining feminine feature of a woman’s body. They signify beauty, sexuality, and confidence. When breasts are smaller or shaped differently than desired, they can have a profound effect on how a woman sees herself and believes in herself. Thankfully, silicone breast augmentation with implants can enhance the size and shape of a woman’s breasts. From Dr. Pearl: “Breast augmentation is one of the most common aesthetic procedures I perform and achieves dramatic and beautiful results. It is amazing that less than one hour in the operating room can so dramatically change a woman’s appearance and how she feels about herself.” Breast augmentation is a surgical procedure that adds fullness and volume to the breasts by placing a gummy cohesive gel silicone implant under the muscle of the chest. Dr. Pearl utilizes the “no touch technique” to create the breast pockets, minimizing post operative pain and ensuring a proper pocket for the implants. The incisions are placed along the inframammary fold of the breasts. Dr. Pearl uses Keller funnels to minimize the length of the scars and to protect the implants from ever touching the skin. Breast augmentation is performed on an outpatient basis. There are several different reasons our patients choose to undergo breast augmentation. Some of these include small breast size; balancing breast size or correcting asymmetry; compensating for reduced breast volume after breastfeeding; and correction of congenital breast deformities such as tubular breasts. Regardless of why you might be considering this procedure, the following factors will help determine if you are a good candidate for breast augmentation surgery: Good physical health (underlying medical conditions will be evaluated by Dr. Pearl prior to surgery). Understanding that too much skin laxity or breast ptosis may require you to consider a breast lift with or without an implant. Realistic expectations (Dr. Pearl will explain the surgery and your expected results to you in detail at your initial consultation). Healthy reasons for desiring breast augmentation. The procedure should be for you and not to please anyone else in your life. Willingness to take time off for recovery. Adequate recovery time will help reduce your risk of capsular contracture and infection. Some of the benefits of breast augmentation with implants include the following: Breasts brought into proportion with the rest of your body profile. Creation of beautiful cleavage and fullness in the breasts. Restoration of breasts that have become deflated after pregnancy and breastfeeding. Symmetry of breasts that differ in size, shape or a combination of the two. Correction of mild to moderate breast ptosis without the need for mastopexies or a breast lift. Better fit to clothing, which in turn increases self-confidence in your appearance.

A facelift is the gold standard against which all other facial rejuvenation is compared. Many patients say, “I do not want a facelift. I just want this,” as they take there hands and pull the skin at their jawline and neck back toward there ear. That is exactly what a facelift correct. While there are brow lifts, upper and lower eyelid surgeries, procedures for the midface and fillers and fat grafting, a facelift corrects the jawline and the neck. The ideal candidates for a facelift are men and women who are in general good health, whose faces and necks have begun to sag or droop. Jowls along a once youthful jawline and sagging skin on the neck are the two areas that a facelift improves most. Traditional Facelift This is the “full” traditional facelift with which most people are familiar. Outdated, traditional face lifting techniques merely tightened the skin. This left the underlying fat and muscles alone even though some of these structures had changed over time. Sady, this created an artificial “windswept” look that offered only moderate improvements without looking natural. Dr. Pearl and Dr. Zarem worked together when Dr. Zarem came to Savannah to create a new facelift that addressed the changes to underlying muscle and soft tissue, while minimizing downtime and creating a natural result. These changes resuspendthe deeper structures of the face without the increased risk of a deep plane facelift. In addition, soft tissue glue was used to minimize swelling and bruising and eliminate the need for drains. There are several different options based on the severity of aging and changes on the face and neck. These different facelift options can be combinged with upper and lower eyelid surgeries, brow lifts, and even surgeries on the body at times. In addition, Dr. Pearl works closely with aestheticians Megan & Michelle at Chatham plastic surgery. The combination of rejuvenating the deeper soft tissues, redraping excess skin and state of the art laser and peel treatments with a team who communicates and works together creates an opportunity for the most significant, natural appearing changes possible. The incision behind the ear can be minimized if a patient wears her hair up frequently and the amount of excess neck skin is not severe. Most patients feel quite good after a facelift. There is some expected swelling and bruising of the cheeks and neck for a week or two after surgery. Dr. Pearl uses a tissue glue to eliminate the need for drains and to minimize swelling, bruising and downtime. Patients wear a compression garment as much as possible the first week after surgery and at least at night during the second week. Facial sensations typically return to normal within a few months.Most patients are considered “socially acceptable” after about 7- 10 days and many return to work by the second or third week. Why Choose Dr. Pearl for your facelift? Dr. Pearl’s primary goal is to make you feel as comfortable and satisfied as possible. Facelifts are one of the biggest parts of Dr. Pearl’s practice and it shows in his results. He’ll work clossely to develop a personalized treatment plan that brings you in line with your personal goals, helping you pick the procedures that will allow you to best realize your dreams. His work is designed to highlight and emphasize your existing facial harmony, and we bring an exceptional level of care to each procedure, focusing on artistically-motivated, subtle results. If you’ve been looking for a way to refresh and rejuvenate your facial appearance, our Spokane facelift procedure might be perfect for you. Reach out and set up a consultation today! Mini Facelift Dr. Pearl’s Mini Facelift enjoys many of the benefits of the more traditional facelift while avoiding any incisions at the chin or neck. In addition, scars around the ear can also be minimized. The technique still offers a dramatic improvement in the jawline and provides some improvement to the neck. Dr. Pearl will evaluate how your face and neck look and listen to your specific goals to determine what is right for you. Neck Lift While a facelift corrects both the jawline and neck, a more traditional neck lift does even more on the neck. Aging of the neck involves both excess skin, fat, and muscle. Early aging tends to involve skin laxity, crepiness, and wrinkles, while in more advanced aging there can be changes in the actual shape of the neck with double chins and banding in the front of the neck. This is usually combined with a facelift and corrects the musculature of the neck and remove additional skin. This helps improve the bands that people develop as they age. It also makes increases the definition of the jawline.

Consultation Options **Most popular – limited availability due to time needed to schedule in office comprehensive skin evaluation, cleaning and protocol recommendation A 90 minute appointment with our medical skin and laser specialist includes: clinical photos Skinwave medifacial face, neck (add dermaplane +$50) Analysis and treatment protocol recommendation $200 fee Complimentary in office or virtual consultation Speak with one of our licensed medical skin and laser specialists at no charge. Qualifications: 30 minutes Photos sent in of area to be treated prior to consultation date Completed online patient questionnaire Virtual – facetime or zoom capabilities One complimentary appointment per patient subject to 24 hour cancellation policy Skinwave An aqua-delivery system, skin revitalizing solutions, and hydrogen therapy for multi-dimensional skincare treatment. Solutions rich in alpha hydroxy acid (aha), beta-hydroxy acid (bha), hyaluronic acid, and hydrogen (h2) are infused deep into the skin, while gentle extraction removes impurities. Includes led, microcurrent and lymphatic drainage. $150 face and neck (schedule 60 mins) $200 face, neck and chest (schedule 75 mins) Add dermaplane to skinwave tx $50 Medifacial Treatment A customized cleansing, exfoliation and treatment session with our skin specialists. Includes all treatment except tint and waxing services Aesthetic Enhancements: Dermaplane Brow and lip wax Brow and lash tint Chemical Peel Options Light, moderate and aggressive customized chemical peels Laser treatment options: Motus ay laser Painless hair removal Pigment Vascular Laser facial Tetra CO2 laser Coolpeel laser treatment Texture Pores Mild aging Melasma Pigment Ablative laser treatment Poor texture Pores Aging Sun damage BBL (broadband light) Acne Vascularity Pigment Sun damage Hair reduction Skin tightening Anti aging

Weight fluctuations, aging, and pregnancy can alter your body profile significantly, and it can be difficult to restore it to its original state, regardless of how hard you try with diet and exercise. The abdomen can be particularly challenging, as an expanding midsection may stretch the underlying muscles and make it nearly impossible to eliminate the bulge and achieve a flat, smooth contour once again. Abdominoplasty is a way to tighten the abdomen inside and out to produce the more active body profile you want. From Dr. Pearl “The tummy tuck or abdominoplasty is one of the most common operations I perform. It is a powerful, life-changing operation. When patients look at themselves in the mirror for the first time after surgery, the joy and surprise on their faces are palpable. Many say that they never thought they could look like this again.” Dr. Pearl designs each tummy tuck to get a patient’s body back, not to change who he or she is. His focus for every tummy tuck operation is to customize it based on each individual patient and provide results that don’t look like they have had surgery. Dr. Pearl has performed thousands of abdominoplasty procedures and works with each of his patients to tailor the surgery to the unique needs of the individual. Whether you are looking for a small amount of correction or more dramatic results, Dr. Pearl has the knowledge and techniques to ensure your tummy tuck produces natural, long-lasting results. What is a Tummy Tuck? Abdominoplasty or tummy tuck surgery is designed for individuals who desire tight, contoured midsections. It removes excess skin and fat from the abdomen. Depending on the needs of his patient, Dr. Pearl may tighten underlying muscles while removing tissue, fat and loose skin. Abdominoplasty offers some of the most dramatic body contouring enhancement, with results that will last forever if you maintain a healthy lifestyle. Dr. Pearl closes the tummy tuck with progressive tension sutures under the skin so that no drains are needed. A tummy tuck is frequently performed as a stand-alone procedure to improve the body contour when diet, exercise and healthy lifestyle choices do not get you the results you desire. However, the surgery can also be combined with other treatments to enhance the outcome further. Common procedures done with a tummy tuck include breast enhancement and liposuction. Dr. Pearl will advise you on the right procedures for you based on your specific concerns, your age and health, and the goals you hope to achieve. Is a Tummy Tuck Right for You? A tummy tuck is appropriate for both men and women that would like to tighten and flatten the midsection. The best candidates might include: Older, overweight individuals with folds of loose skin Younger individuals with excess skin Those who have a significant amount of loose skin due to weight fluctuations or pregnancy People who still retain excess fat despite their diet and exercise efforts Women that have Choosing a Tummy Tuck Surgeon A tummy tuck is an extensive operation, so selecting the right plastic surgeon is critical to ensuring a safe procedure and an optimal outcome. Board-certification is just the start of your selection process. You also want a surgeon that has advanced techniques in scar management since the incision used for a tummy tuck is often significant, and you want to ensure it heals well. Benefits of a Tummy Tuck A tummy tuck offers numerous benefits, including: Smoother, flatter midsection Tighter abdominal muscles Reduction in loose skin around the middle Elimination of some stretch marks Repositioning of the belly button for a natural look Although a tummy tuck features many advantages, it isn’t the top choice for every patient in search of body contouring options. Dr. Pearl makes it a priority to listen to your concerns and understand your aesthetic goals to determine whether a tummy tuck will be necessary to give you your desired outcome. Choices in Tummy Tucks Just as no two patients are quite the same, no two tummy tucks will be performed in precisely the same way. The technique Dr. Pearl uses for your procedure will depend on the amount of correction needed and the changes you are hoping to gain.

BOTOX® Cosmetic involves a few quick injections to improve or eliminate fine lines and wrinkles on the face, and around the eyes, and around the mouth. Repeated muscle contractions from frowning, squinting, or raising eyebrows cause skin to furrow and fold, gradually resulting in the formation of facial lines. BOTOX® Cosmetic works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults – to help them look visibly smoother. When you frown or show stress on your face, the muscles between your eyebrows contract, causing your skin to furrow and fold. Dr. Pearl will inject these muscles to help make frown lines look better. Not being able to furrow softens or eliminates the lines between the eyebrows and prevents them from worsening. The treatment lasts about three or four months. When you squint or smile, the muscles around your eyes contract, causing crow’s feet. Injecting these muscles around the eyes with BOTOX® Cosmetic helps make crow’s feet look better. When you raise your eyebrows, the muscles on your forehead contract, causing skin to furrow and fold. Dr. Pearl will inject these muscles to help make forehead lines much softer or disappear. BOTOX® Cosmetic can be used on the following areas: Vertical lines between the eyebrows, also known as “the eleven.” Horizontal lines on the forehead Crow’s feet Vertical band on the neck Lines on the nose, also known as “bunny lines.” Marionette lines around the mouth Sagging of the corners of the mouth Ideal candidates for BOTOX® Cosmetic are people in overall good health who desire temporary improvement in their wrinkles and a more youthful appearance. The procedure involves very little pain. Dr. Pearl uses a very thin needle to inject He often BOTOX® Cosmetic. He uses topical cooling to minimize discomfort and bruising. While many offices and spas use nurse injectors, Dr. Pearl prefers to do his own injections. He enjoys the interaction with these patients and can take time to listen to other concerns these patients may have. BOTOX® Cosmetic typically involves almost zero downtime. Patients can resume their normal activities the same day as their treatment. There is rarely some bruising but that usually disappears in a few hours or days. Patients will see results from injection of BOTOX® Cosmetic is a few days, but final results can take a week. BOTOX® Cosmetic lasts three to four months. BOTOX® Cosmetic should not be used on women who are pregnant or breast feeding. Dysport Dysport is a neurotoxin like BOTOX® Cosmetic. The molecular composition of the two is slightly different, but the overall procedure and results are very similar. Dysport does, however, have a quicker onset of action. Results can be seen in a few days. Dysport is a safe treatment with few complications and risks. Dysport should not be used on women who are pregnant or breast feeding. Multiple head-to-head studies have shown that Botox and Dysport are effective and have similar durations of effect. Both products have similar patient satisfaction rates.

Juvaderm Collection, Restylane Collection, RHA Collection Dermal fillers are used to provide volume and fullness to the skin. Dermal Filler Treatments Before treatment begins, the areas for the injection sites will be marked and thoroughly cleaned. The injections may cause some discomfort, although the size of the needle is very small. Lidocaine (a numbing solution) is contained within the fillers to help diminish pain after the treatment. Our team will work hard to ensure your comfort, and may choose to apply a topical anesthetic to numb the area. Treatments take approximately 15-30 minutes. Downtime and Results Mild swelling and redness at the injection site are usual. Other side effects include tenderness, firmness, bumps, bruising, itching, or discoloration at the injection sites. These will subside a few hours after the treatment. You will be able to resume your normal activities immediately, but exercise should be avoided for 24 hours. The majority of patients who receive filler will notice remarkable improvements after their very first treatment, with results lasting up to one year. Patients are generally thrilled with the fast-acting, visible results that the injections provide. Some filler results last even longer, and have been known to remain for up to two years. The duration of the results depends on the area being treated and the rate your unique tissue breaks down the filler. How often should I treat myself Mild swelling and redness at the injection site are usual. Other side effects include tenderness, firmness, bumps, bruising, itching, or discoloration at the injection sites. These will subside a few hours after the treatment. You will be able to resume your normal activities immediately, but exercise should be avoided for 24 hours. The majority of patients who receive filler will notice remarkable improvements after their very first treatment, with results lasting up to one year. Patients are generally thrilled with the fast-acting, visible results that the injections provide. Some filler results last even longer, and have been known to remain for up to two years. The duration of the results depends on the area being treated and the rate your unique tissue breaks down the filler. We offer fillers from the Juvaderm Collection, Restylane Collection and the RHA Collection

Emsculpt is the first device to build muscle and sculpt your body. Through the high intensity electromagnetic therapy procedure one can enlarge current muscles, as well as grow new muscle fibers. The emsculpt procedure is currently fda cleared to treat your abdominals, buttocks, arms, calves and thighs. A great non-surgical alternative to the brazilian butt lift. How Does Emsculpt Work? Emsculpt is based on high-intensity focused electromagnetic energy. A single emsculpt session causes thousands of powerful muscle contractions which are extremely important in improving the tone and strength of your muscles. These powerful induced muscle contractions not achievable through voluntary contractions. The muscle tissue is forced to adapt to such extreme condition. It responds with a deep remodeling of its inner structure that results in muscle building and sculpting your body.

A woman’s body experiences many changes as a result of pregnancy and breastfeeding. The more children one carries, the greater the toll on one’s body in many cases. A mommy makeover is a coordinated set of surgical treatments designed to restore a woman’s body after having children. It can also help women that have seen changes due to weight fluctuations or the aging process. The mommy makeover is one of Dr. Pearl’s most popular procedures. Women choose this surgery for themselves. They have made sacrifices for their children and for their families. Their spouses or husbands still love them the way they are, but they want to look and feel the way they did before pregnancies. A mommy makeover means different things to different patients. No two women are alike and each has different needs. For Dr. Pearl, a mommy makeover addresses the precise correction each individual patient wants; no more and no less. Some patients have breasts that deflate and lose their youthful volume after breastfeeding, while others have breasts that stay larger than desired and sag considerably. A woman’s abdominal muscles separate during pregnancy and never return to their original position. The changes in a woman’s abdomen and hips after pregnancy often result in a permanent bulge. There is also often excess skin on the abdomen as well as isolated fat pockets at the breasts, hips and abdomen. A mommy makeover can address all these above-mentioned issues, with a customized set of procedures that can usually be performed in one session. The single surgery approach means you enjoy an optimal outcome with just one time under anesthesia and one recovery process. Dr. Pearl will spend time with his patients and their families helping them plan for the procedure to ensure all concerns have been addressed. Is a Mommy Makeover Right for You? Women who choose to undergo a mommy makeover do so for a variety of reasons. Some are unhappy with the changes to their appearance after pregnancy. Others want to capitalize upon the surgery to produce an outcome that enhances their original look. Some find the extra skin and fat deposits left behind after pregnancy, as well as the ptosis (sagging) of the breasts, leaves them feeling physically uncomfortable as well as self-conscious about their appearance. A mommy makeover is an opportunity to rejuvenate the body, reverse unattractive changes associated with pregnancy, help clothing fit better, and renew your self-confidence when you look in the mirror. There are different factors Dr. Pearl will carefully weigh when determining whether a mommy makeover will be a safe and successful procedure for you. Some of those factors include: Good general health without underlying medical conditions that could complicate your surgery or recovery process. Tobacco use (this is particularly critical for this procedure, as nicotine can significantly compromise the ability of the incisions to heal properly on the breasts and the abdomen). Understanding that there will need to be sufficient time for recovery to prevent possible complications after surgery. Openness to discussing all post-pregnancy concerns so that desired corrections can be made according to your specifications. Healthy reasons for wanting the operation performed and realistic expectations about the outcome. Your safety and comfort are Dr. Pearl’s top priorities. He will carefully assess your medical history and listen to your concerns and aesthetic goals before determining if a mommy makeover is the right procedure for you. There are times when patients desire more changes than Dr. Pearl feels are safe at one operation. If this is the case, staged surgical procedures may be required. Mommy Makeover Options There are many different choices when planning your mommy makeover. Some of the most common procedures that might be included are: Breast Augmentation This form of breast enhancement uses implants to create additional fullness to breasts that have lost their shape or volume over time. This procedure provides a bevy of options, allowing Dr. Pearl to work with each patient to match unique body proportions and desired results. Breast Lift Some women find that the size of the breasts isn’t the only thing that changes after pregnancy. Sagging, drooping breasts can be addressed with a lift procedure that restores the breasts to a more youthful projection on the chest wall. The nipples may also be reduced or repositioned to create a natural, proportionate appearance. Dr. Pearl may recommend the lift alone as part of your mommy makeover, or in conjunction with breast augmentation or reduction to produce an optimal outcome.