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Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering facial surgery in Oklahoma City, let Dr. Brou and his knowledgeable staff assist you today. Most Popular Face Surgery Procedures: Fat Grafting Face Heard about fat grafting in Oklahoma City? Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering a fat grafting procedure in Oklahoma City, let Dr. Brou and his knowledgeable staff assist you today. Why should I consider a fat grafting procedure? The natural aging process of the face is due in great part to the loss of volume. This loss of volume is manifested as thinner lips, wrinkles and creases of the lips and cheeks, and bony or hollow appearance of the cheeks and eyebrows. Even though these issues can be improved with injectable fillers, a more durable result can be achieved with fat grafting. Fat grafting restores the volume loss of the aging face when carefully injected into specific areas. Fat grafting may be the right procedure for you if you’ve tried other cosmetic correction procedures without satisfaction for the following conditions: Less than desirable lip fullness. Stubborn wrinkles and facial lines. Sagging around the middle of your face. Deep lines and creases around your mouth or below your eyes. Hollow cheeks or a loss of muscle tone. Indentions or scars by trauma or previous surgery. While fat grafting does not replace a face lift, it is a great alternative procedure that will help your skin to appear younger and smoother through a rejuvenating process at the cellular level. Fat grafting is different from a facelift in that it removes years of aging from the face without any risk of scarring or the need for sutures. Dr. Brou commonly uses fat grafting during a facelift when there are volume deficiencies that need correction. It is important to note that fat grafting does not stop the body’s natural aging process. What happens during a fat grafting procedure? Fat grafting can be performed as an office procedure with the use of local anesthesia or for larger cases in the operating room under general anesthesia. The procedure involves harvesting the fat from a selected donor site, typically the tummy, thighs or other areas according to what is accessible. The process of extracting the fat is no different from liposuction. The fat obtained is prepared by allowing it to separate through centrifugation then injected in to the treatment area with the use of special needles making sure the fat is distributed evenly, symmetrically and artistically. Fat grafting is a unique option for filling facial imperfections because the material used comes naturally from your own body and is therefore easier to adapt to the injection site and less likely to be rejected. How much down time should I expect with a fat grafting procedure? Although some swelling and bruising is likely after the procedure this typically resolves after two to three weeks. The treated area will undergo changes for approximately three months after which the results will become stable or permanent. It is important to understand the grafted fat is alive and will respond to weight changes, so dramatic weight change will produce undesirable changes on the grafted fat. Are there any risks associated with a fat grafting procedure? Fat grafting in the hands of an experienced injector with detailed knowledge of the facial anatomy should be safe. As with any injectables, there is a risk of intravascular injection that can produce tissue damage. In some cases, one procedure will not reach your goal and will require additional sessions of fat grafting. Swelling and bruising are to be expected. Call (405) 945-0001 today for a free consultation with Dr. Juan A. Brou, for fat grafting in Oklahoma City. You may also click here to contact our staff online. Eyelid Lift Why should I consider eyelid surgery? For most of us, the the first signs of aging are noticeable in the eyelids. Excess of fat or so called bags under the eyes makes the patient appear tired or as if they have dark circles under the eyes. That is why rejuvenating eyelid surgery is so popular. Eyelid surgery is designed to improve the appearance of the upper eyelids, lower eyelids or both. In some cases, removal of excess fat deposits is necessary to reduce the puffy appearance under the eyes. When properly performed, it restores a more youthful appearance to the eye area, making the patient look rested, alert and rejuvenated. This procedure is often combined with a facelift, brow lift, fat grafting to the cheeks, or Botox and fillers. Eyelid surgery corrects excessive skin of the upper and lower eyelids that may appear as wrinkled and crepey sometimes hooding over the eyelashes and obstructing vision.

Do you have areas of fat you would like to remove? Dr. Brou specializes in liposuction in Oklahoma City. Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering liposuction in Oklahoma City, let Dr. Brou and his knowledgeable staff assist you today. Why should I consider liposuction? Liposuction, also known as lipoplasty, can slim and even reshape certain areas of the body. Liposuction removes excess fat deposits in stubborn areas that diet and exercise don’t always reach. Some of the most common areas treated by liposuction include: The abdomen, love handles and waist Thighs, hips and buttocks Arms, neck and back Calves and ankles Ideal candidates for liposuction include adults within 30% of their ideal weight, with firm skin and good muscle tone. Patients considering liposuction should be healthy and free of life-threatening medical conditions or diseases which could impair healing. It’s important to note that liposuction is not a weight loss treatment or an effective treatment for cellulite. Patients with stubborn areas of fat but who exercise regularly are the best candidates for liposuction. What happens during a liposuction procedure? Liposuction uses many small, inconspicuous incisions near the treatment area. First, a sterile liquid solution is injected into the treatment site. This solution reduces bleeding and trauma to healthy tissues. Then, a thin hollow tube also known as a cannula, is inserted into the small incisions, below the skin’s surface. Dr. Brou will slide the cannula in a back and forth motion to loosen stubborn fat cells. Those fat cells are then suctioned out of the body using a surgical vacuum. Additionally, Dr. Brou offers tumescent and ultrasonic liposuction methods, which are not only safer than previously-used methods but also offer a faster recovery time and can produce results that are smoother and unsurpassed by other methods of liposuction. If you have concerns regarding the appearance and location of your surgical scars, discuss these with Dr. Brou during your pre-operative consultation. How much down time should I expect with liposuction surgery? Most patients can expect about a week of downtime after liposuction. You will be able to get up and move around freely, but you will have swelling and some soreness. We will give you a compression garment to wear for the first month to help with the swelling. Often times, patients will wear their garment on and off up to 4 months following surgery. The swelling will take several months to completely taper off and it can feel good to have the extra support. What can I expect as a result of liposuction surgery? Just as every person’s body contour is unique, results of your liposuction procedure will also vary. It is important to discuss all of your concerns and goals with Dr. Brou. During your consultation, Dr. Brou will advise you of likely outcomes for your appearance. It may take weeks or months for post-liposuction swelling to completely subside. As swelling dissipates, your new body contours will begin to appear and develop. It is important to maintain a healthy diet and to exercise after fully healed from a liposuction procedure. Are there any risks associated with liposuction surgery? Liposuction is a surgical procedure, and therefore risks are always involved as a result of receiving anesthesia as well as the procedure itself. Dr. Brou can help assess your unique health needs and advise you of any concerns to be aware of prior to undergoing surgery. Potential risks associated with liposuction include pain, swelling, irregular contours and loose skin, skin or nerve damage, infection, blood clots, fluid accumulation, scarring, bleeding or asymmetry, although rare.

Body contouring is the name given to a range of procedures and techniques that work to sculpt and shape your body into a more aesthetically appealing form. Dr. Juan A. Brou is a board certified plastic surgeon in Oklahoma City offering a full range of body contouring procedures to sculpt a new you. Frequently, patients opt to have more than one contouring procedure to achieve their desired look. This may include tummy tuck, liposuction, arm lift, thigh lift and fat grafting to mention a few. Be sure to check out our before and after gallery at the bottom of this page. Most Popular Body Contouring Procedures: Tummy Tuck Dr. Brou has the expertise and experience to help make sure you look and feel your best. Why should I consider tummy tuck surgery? Dr. Brou specializes in body contouring and is known for the quality of his tummy tucks, also known as abdominoplasty. This surgical procedure is done to tighten abdominal muscles, reduce the fat layer and remove any excess skin around your midsection. Even patients with normal body weight can develop a protruding or sagging abdomen. There are many reasons for men and women alike to consider a tummy tuck surgery, including: Pregnancy Weight gain and/or weight loss Skin laxity from aging Previous surgical scars Tummy tucks work best in patients close to their ideal body weight so it’s not a replacement for weight loss. Tummy tucks can eliminate some stretch marks and damaged skin if located in the lower abdomen and around the belly button. The remaining skin will look better after tightening. How does tummy tuck surgery work? During surgery, Dr. Brou will carefully make a horizontal incision between the pubic hairline and naval. The shape and length of the incision will be determined by the degree of correction necessary. Through this incision, weakened abdominal muscles are repaired and sutured while excess fat, tissue and skin are removed. What should I expect during recovery from a tummy tuck? After surgery, dressing will be applied to your incisions and you will be wrapped compression garment to minimize swelling and support your abdomen as it heals. Dr. Brou does not use post surgical drain tubes with tummy tucks unless absolutely necessary. Normally he will use internal sutures that make the use of drains unnecessary and therefore easier to recover. You may be unable to stand fully upright until internal healing is complete, which can take a week or two. You’ll be given instructions on how to care for the surgical site and drains (if necessary), what medication to take and what concerns to look for at the site or in your general health. Plan to have someone drive you home following your procedure as it will be uncomfortable and unadvisable to drive. You will also need to plan for someone to stay with you for a few days following your procedure. Some patients are required to stay overnight in the surgical facility. What results can I expect from a tummy tuck surgery? The final results may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete. This may take a week or two, however once the swelling has subsided you should enjoy a smoother, firmer appearance and profile. Tummy tucks are permanent procedures; however proper diet and exercise to prevent weight gain are recommended to maintain optimal results. Are there any risks associated with tummy tuck surgery? A tummy tuck is a surgical procedure, and therefore risks are always involved as a result of receiving anesthesia as well as the procedure itself. Dr. Brou can help assess your unique health needs and advise you of any concerns to be aware of prior to undergoing surgery. Potential risks associated with a tummy tuck include, pain, swelling, irregular contours and loose skin, skin or nerve damage, infection, blood clots, fluid accumulation, scarring, bleeding or asymmetry. Liposuction Do you have areas of fat you would like to remove? Dr. Brou specializes in liposuction in Oklahoma City. Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering liposuction in Oklahoma City, let Dr. Brou and his knowledgeable staff assist you today. Be sure to check out our before and after gallery at the bottom of this page. Why should I consider liposuction? Liposuction, also known as lipoplasty, can slim and even reshape certain areas of the body. Liposuction removes excess fat deposits in stubborn areas that diet and exercise don’t always reach. Some of the most common areas treated by liposuction include: Abdomen, love handles and waist Thighs and hips Arms, neck and back Chin Ideal candidates for liposuction include adults within 30% of their ideal weight, with firm skin and good muscle tone. Patients considering liposuction should be healthy and free of life-threatening medical conditions or diseases which could impair healing.

Have you dreamed of having fuller rounder buttocks? Dr. Brou specializes in fat grafting or Brazilian Butt Lift (BBL) in Oklahoma City. Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering liposuction in Oklahoma City, let Dr. Brou and his knowledgeable staff assist you today. Be sure to check out our before and after gallery at the bottom of this page. Why should I consider Fat Grafting to Buttocks or “Brazilian Butt Lift”? Though celebrities such as Kim Kardashian, Beyoncé, and Jennifer Lopez may have started the trend of emphasizing the buttocks, it has quickly spread across age and ethnic lines. Our Brazilian butt lift patients range significantly in age. Similarly, patient weight ranges vary widely. However, excellent results can be achieved regardless of age or body type. During this procedure, Dr. Brou removes fat from an area where it’s not wanted—such as the abdomen or thighs—and places it into the buttocks. Essentially, this is a combination of liposuction AND buttock augmentation. While these numbers are not as high as those performed for breast augmentation, it does help to explain why it is one of the fastest growing cosmetic procedures today. In properly skilled hands, it is not just about increasing the size of the butt, but also about obtaining a shapelier butt, and recontouring the entire torso, including the waist, abdomen, and thighs. How does fat grafting to buttocks work? During your Brazilian butt lift procedure, Dr. Brou will harvest fat from areas where you have excess such as the abdomen, thighs, upper back (aka “bra rolls”) or arms. The right spots are going to depend on each patient’s individual needs. By removing fat from certain areas such as the abdomen and placing it into the buttocks, Dr. Brou can restore harmony to your body, accentuate your waist, and re-contour your torso. The end result is typically a narrower waist, a shapelier buttock and hip, and a sexier figure. When you come in for a Brazilian butt lift consultation, Dr. Brou will examine you from a 360-degree perspective, determining the best places for adding and subtracting fat in order to get you closer to your desired body. It is not a one-size-fits-all approach. How much down time should I expect with fat grafting surgery? Most patients can expect about a week of downtime after fat grafting. You will be able to get up and move around freely, but you will have swelling and some soreness. You will need to shift your weight from hip to hip while sitting on your buttocks for the first two weeks following surgery for optimal results. We will give you a compression garment to wear for the first month to help with the swelling. The swelling will take several weeks to completely go away. What can I expect as a result of fat grafting surgery? Just as every person’s body contour is unique, results of your fat grafting procedure will also vary. It is important to discuss all of your concerns and goals with Dr. Brou. During your consultation, Dr. Brou will advise you of likely outcomes for your appearance. It may take weeks or months for post-fat grafting swelling to completely subside. As swelling dissipates, your new buttock contour will begin to appear and develop. It is important to maintain a healthy consistent weight after your surgery in order to retain your results. Are there any risks associated with fat grafting surgery? Fat grafting is a surgical procedure, and therefore risks are always involved as a result of receiving anesthesia as well as the procedure itself. Dr. Brou can help assess your unique health needs and advise you of any concerns to be aware of prior to undergoing surgery. Potential risks associated with fat grafting include pain, swelling, irregular contours and loose skin, skin or nerve damage, infection, blood clots, fluid accumulation, scarring, bleeding or asymmetry, although rare.

Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering a breast augmentation surgery in Oklahoma City, let Dr. Brou and his knowledgeable staff assist you today. Be sure to check out our before and after gallery at the bottom of this page. Most Popular Breast Augmentation Procedures Breast Augmentation What is breast augmentation? Breast augmentation utilizes breast implants to create fuller, more flattering breasts. Dr. Brou has extensive experience in breast augmentation surgery, and his artistic ability has won praise from patients and medical professionals alike. Why should I consider breast augmentation surgery? Breast implants can increase the fullness, firmness, and projection of your breasts, and they can restore the desired proportion to your body. However, a breast augmentation alone can’t lift your breasts. If childbirth or extreme weight fluctuation has caused your breasts to droop or sag, Dr. Brou may recommend a breast lift in conjunction with your augmentation. What should I expect during my consultation for breast augmentation surgery? During your consultation for breast augmentation in Oklahoma City, Dr. Brou will talk to you about your cosmetic goals, so he can tailor his technique and choose the implant best suited to your cosmetic needs as well as your breast anatomy, skin elasticity, and body size and shape. During your consultation, Dr. Brou will discuss what to expect during the processs of surgery and recovery. He will help you to choose the implant size after a trial of digital simulation along with the opportunity to try on breast implant sizers to give you an idea of what you will look like after the surgery. Many patients come back after their breast augmentation consultation to try the breast implant sizers on again, especially if their spouse or loved one was not able to attend the first meeting with Dr. Brou. You will also have an opportunity to meet with our patient coordinator to get exact pricing and financing options if you choose to schedule surgery. Are breast implants safe? Breast implants have been proven very safe in years of clinical research, and they continue to improve in design and aesthetics. For more information we encourage you to visit the American Society of Plastic Surgery website for the latest information on breast implants. What type of breast implant is right for me? Dr. Brou will explain the relative benefits of different kinds of breast implants that are available on the market. Saline breast implants were very popular in the 90’s and early 2000’s because of concerns with silicone breast implants. After extensive research and a 14 year moratorium, silicone breast implants came back in 2006 upon approval by the FDA. The safety and efficacy of these devices was deemed satisfactory. Today there are many different kinds and styles of silicone breast implants so choosing can be rather confusing. Dr. Brou will explain the best choice for you based on his 26 year experience as a board certified plastic surgeon. Common types of breast implant surgery incisions: The most common incision is made below the breast in the mammary fold. This area tends to have the least complications and heal nicely. Areola incisions may be made especially when reducing the size of your areola. Incisions under the arm are normally made when using endoscopic equipment to place the implant. What should I expect during recovery following breast augmentation surgery? Breast augmentation is performed under general anesthesia in the outpatient surgery center Oklahoma Surgicare in Oklahoma City (across the turnpike from Mercy hospital). This surgery is outpatient and no overnight stay is required. For the first week following your breast augmentation procedure, you may experience some discomfort and tightness in the chest. Dr. Brou will prescribe oral medication to help with the pain, which should dissipate in about a week. You can expect to return to work after a week, with some limitations. To stabilize your new breasts, you will wear a support bra and sometimes a chest strap for around 4 weeks.

Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering a breast lift surgery in Oklahoma City let Dr. Brou and his knowledgeable staff assist you today and check out our before and after gallery at the bottom of this page. Why should I consider a breast lift procedure? There are a number of reasons that a woman may desire a breast lift procedure. Breast lift surgery can help reshape and support breasts that may have changed due to aging or other factors. The most common concerns that lead to choosing a breast lift procedure include: Natural sagging of breast tissue due to aging and gravity. Change in the shape of the breasts due to changes that occur during pregnancy or as a result of breast feeding. Significant weight gain or weight loss. Hormonal changes, including those during pregnancy or menopause. It is important to note that while a breast lift procedure will make your breasts appear firmer and more upright; this procedure will not significantly change the size of your breasts or cleavage. If you desire a fuller breast or larger size breast, consider combining a breast lift procedure with a breast augmentation. Dr. Brou can help assess your personal appearance and cosmetic goals to determine which procedure or combination of procedures is most appropriate. It is important to only consider a breast lift after child bearing activities are complete. Pregnancy and breast feeding after a breast lift procedure may negatively affect the results of the procedure. What happens during a breast lift procedure? Breast lift surgery, also known as mastopexy, involves reshaping and supporting new contours within the breast by removing excess skin and tightening the surrounding breast tissue. There are a number of incision types or patterns that Dr. Brou may use to achieve the best results based on your medical needs. Patients should expect that their areola and nipple will be repositioned in order to create the optimal shape and new contour. After tightening is complete, Dr. Brou with carefully close your incisions in a way that compliments your anatomy and the new shape of your breasts. Visible scars are likely but should diminish in appearance over time. If you have concerns regarding the appearance and location of your surgical scars, discuss these with Dr. Brou during your pre-operative consultation. How much down time should I expect with breast lift surgery? Just like any other operation, patients can expect several hours in a recovery area and monitoring following your procedure. You should expect to be able to move and walk soon after surgery. After recovery time, patients can also expect to wear a support bra or other wrapping until advised by Dr. Brou that they may be removed. Swelling or bruising is common following breast lift surgery, but this should resolve during the recovery and healing time. Swelling should resolve within one month. Severe complications are uncommon, but if presented, will be managed by Dr. Brou and his care team. Although individual patient results may vary, many patients are able to return to work within a week, depending on the nature of their work. What can I expect as a result of breast lift surgery? Just as every original procedure or appearance is unique, results of your breast lift will also vary. It is most important to discuss all of your concerns and goals with Dr. Brou. During your consultation, Dr. Brou will advise you of likely outcomes for your appearance. With any breast lift surgery, results of the procedure are immediately noticeable. Over time swelling will subside and the appearance of incision lines will soften. Breast lifts are long-lasting procedures, however aging and gravity will continue to affect your appearance and it is important to maintain a healthy diet and exercise in order to maintain optimal results. Dr. Brou has the medical expertise and experience to help make sure you look and feel your best. If you are considering a breast lift surgery in Oklahoma City let Dr. Brou and his knowledgeable staff assist you today. Dr. Brou can help assess your personal appearance and cosmetic goals to determine which procedure or combination of procedures is most appropriate. It is important to only consider a breast lift after child bearing activities are complete. Pregnancy and breast feeding after a breast lift procedure may negatively affect the results of the procedure. What happens during a breast lift procedure? Breast lift surgery, also known as mastopexy, involves reshaping and supporting new contours within the breast by removing excess skin and tightening the surrounding breast tissue.

Bigger is not always better, as many large-breasted women have learned. Dr. Brou can help ease the physical and emotional burden caused by large or heavy breasts with a breast reduction in Oklahoma City. What is Breast Reduction? Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with your body and to alleviate the discomfort associated with excessively large breasts (macromastia). Disproportionately large breasts can cause both physical and emotional distress for patients. Patients with macromastia may experience physical discomfort resulting from the weight of their breasts. The resulting pain can make it challenging for some patients to perform common physical activities. Along with the physical ailments of macromastia, some patients may suffer from emotional distress or more significant mental health problems as a result of their large breasts. Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia but are unhappy with the size of their breasts can still pursue breast reduction as an aesthetic procedure. Patients choosing to undergo breast reduction surgery for cosmetic reasons may cite any number of factors, including social stigmas and wardrobe concerns. Why should I consider breast reduction surgery? Overly large breasts can cause health and emotional problems. In addition to self-image issues, you may also experience physical pain and discomfort. The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large pendulous breasts can be as important an issue as the physical discomfort and pain. You may be a candidate for breast reduction surgery if: You are physically healthy You have realistic expectations You don’t smoke You are bothered by feeling that your breasts are too large You have breasts that limit your physical activity You experience back, neck and shoulder pain caused by the weight of your breasts You have shoulder indentations from bra straps You have skin irritation beneath the breast crease What should I expect during my consultation? The success and safety of your breast reduction procedure highly depends on your complete candidness during your consultation. Dr. Brou will ask you a number of questions about your health, desires and lifestyle. During your breast reduction consultation be prepared to discuss: Why you want the surgery, your expectations and desired outcome Medical conditions, drug allergies and medical treatments Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs Previous surgeries Family history of breast cancer and results of any mammograms or previous biopsies Dr. Brou will evaluate your general health status and any pre-existing health conditions or risk factors. He will also examine your breasts, and may take detailed measurements of their size and shape, skin quality, placement of your nipples and areolas as well as take photographs for your medical record. Afterwards Dr. Brou will discuss your options and recommend a course of treatment as well as discuss likely outcomes of your breast reduction procedure and any risks or potential complications. You will also have an opportunity to meet with our patient coordinator to get exact pricing and financing options if you choose to schedule surgery. What happens during breast reduction surgery? Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin. Dr. Brou uses surgical incisions much like that of a breast lift and in some cases he may remove excess fat with liposuction as well. After the incision is made, the nipple (which remains tethered to its original blood and nerve supply) is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary. Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft). The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time. The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and Dr. Brou’s advice.

What is fat transfer breast augmentation? Fat transfer breast augmentation essentially uses liposuction to take fat from other parts of your body and inject it into your breasts. This is a breast augmentation option for women who are looking for a relatively small increase in breast size and would prefer natural results. How does fat grafting to breasts work? During your fat grafting procedure, Dr. Brou will harvest fat from areas where you have excess such as the abdomen, thighs, upper back (aka “bra rolls”) or arms. The right spots are going to depend on each patient’s individual needs. By removing fat from certain areas such as the abdomen and placing it into the breasts, Dr. Brou can restore harmony to your body, accentuate your waist, and re-contour your torso. The end result is typically a narrower waist, shapelier breasts, and a sexier figure. When you come in for a fat grafting consultation, Dr. Brou will examine you from a 360-degree perspective, determining the best places for harvesting fat. It is not a one-size-fits-all approach. How much down time should I expect with fat grafting surgery? Most patients can expect about a week of downtime after fat grafting. You will be able to get up and move around freely, but you will have swelling and some soreness. We will give you a compression garment to wear for the first month to help with the swelling. The swelling will take several weeks to completely go away. This surgery is outpatient and does not require an overnight stay. What can I expect as a result of fat grafting surgery? Just as every person’s body contour is unique, results of your fat grafting procedure will also vary. It is important to discuss all of your concerns and goals with Dr. Brou. During your consultation, Dr. Brou will advise you of likely outcomes for your appearance. It may take weeks or months for post-fat grafting swelling to completely subside. As swelling dissipates, your new breast contour will begin to appear and develop. It is important to maintain a healthy consistent weight after your surgery in order to retain your results. It is important to note that most breast fat grafting procedures will require additional procedures to achieve your desired breast size. Are there any risks associated with fat grafting surgery? Fat grafting is a surgical procedure, and therefore risks are always involved as a result of receiving anesthesia as well as the procedure itself. Dr. Brou can help assess your unique health needs and advise you of any concerns to be aware of prior to undergoing surgery. Potential risks associated with fat grafting include pain, swelling, irregular contours and loose skin, skin or nerve damage, infection, blood clots, fluid accumulation, scarring, bleeding or asymmetry, although rare.

What is a Neuromodulator? Neuromodulators such as Botox, Dysport, Jeuveau and Daxxify are used to treat facial wrinkles in areas like the forehead, between the eyes, and around the eyes known as ‘crows feet’. These substances weaken the muscles responsible for facial expressions. This results in the relaxation of the muscles’ pull and flattening of the overlying skin, which in turn reduces wrinkles in a natural way. This method differs from dermal fillers that fill in wrinkles or depressions. How Long Does it Last? Injection of this material into the small muscles between the brows, in the forehead, and at the corners of the eyes causes those specific muscles to halt their function (be paralyzed), thereby improving the appearance of the wrinkles. This paralysis is temporary, and lasts about three to four months. How is it Used? The expert performing the treatment injects small amounts of the substance into the targeted muscles using a very tiny needle. They may require 5-15 (or more) needle pricks, depending on the areas being treated. However, discomfort is minimal. Side Effects The injection may puncture a small blood vessel and cause bruising, which can last for 5-10 days and may require makeup to cover. To decrease the risk of bruising, you should discontinue aspirin, ibuprofen or other blood thinning substances three weeks prior to the treatment. If the botulinum toxin reaches a facial muscle that is not intended for treatment, it may cause partial weakness in that muscle for several days to weeks. To prevent this, you should avoid massaging the injected area for 12 hours following the injection. If an untreated area experiences muscle weakness, the only solution is to wait for the effect of the toxin to wear off. There are no recognized permanent side effects of neuromodulators. Though rare, complications may include paralysis of a nearby muscle resulting in its temporary loss of function, such as a drooping eyelid. Botulinum toxin has been safely used in the treatment of muscular facial spasms for many years. Neuromodulators in Combination with Facial Surgery Neuromodulators injected in conjunction with nearby facial surgery has caused unwanted facial weakness in at least one patient. For this reason, we will inject neuromodulators only as an isolated facial procedure or treatment. Note The determination of specific risks and the appropriateness of this procedure for a particular individual can only be made during the consultation. All procedures carry some level of risk, with occasional occurrence of minor complications that do not impact the final result. Major complications are rare.

What are dermal fillers? Dermal fillers are gel-like substances that are injected beneath the skin to restore volume loss, smooth lines and wrinkles, plump and hydrate lips, and soften creases. Dermal fillers can also enhance facial contours like the chin and jawline. This can be a cost-effective way to look younger without surgery or downtime. What fillers do you offer at Premier? Most commonly, we use Hyaluronic Acid (HA) fillers. Hyaluronic Acid is a naturally occurring substance that is already found in our bodies. HA helps keep the skin hydrated and plump. This type of filler is soft and gel-like and most HA-fillers are combined with Lidocaine to help minimize pain during and after the treatment. Hyaluronic Acid filler results typically last 6-18 months. All HA fillers can easily be dissolved and are considered the safest of fillers for this reason. We offer the following HA Dermal Fillers: Juvéderm products: Ultra XC, Ultra Plus XC, VOLUMA XC, VOLBELLA XC, VOLLURE XC, VOLUX Restylane products: Restylane L, Lyft, Refyne, Defyne, Kysse, and Contour Revanesse products: Versa, Revanesse Lips+ What should I know before my filler appointment? Avoid blood thinners and supplements (i.e. Aspirin, Fish Oil, and Ibuprofen). Avoid alcohol for 48-72 prior to injections. If prone to fever blisters, contact our office prior to your appointment. Your provider may suggest you take a medication a few days prior to prevent a breakout. What do I need to do after my injections? No exercise for at leasts 24 hours after treatment. Avoid alcohol and foods high in sodium for approximately 48 hours after treatment. Do not pick, massage or rub the area treated. Avoid applying makeup over injection sites for 8-12 hours post treatment. Arnica cream may be applied to minimize inflammation and bruising. Ice periodically (20 minutes on, 20 minutes off) throughout the day following your injections. This will help minimize bruising, discomfort and swelling.

CoolSculpting FAQs Who is a good candidate for this treatment? CoolSculpting was designed for patients who have a little exercise/diet resistant fat in various areas of the body. Since the machine uses a vacuum to suck your fat into the hand piece, this is perfect for areas that you can literally “pinch an inch”, as Zeltiq says. This procedure is not designed for someone who needs global fat reduction or anyone with a lot of excess skin. Liposuction or a tummy tuck by Dr. Brou would be more effective in those instances. What areas can you treat with Coolsculpting? Does the procedure hurt? How do the fat cells die? Where do they go? What does it feel like during the treatment? How much fat will I lose? When will I see results? If I eat poorly or stop exercising could my fat come back? If I have excess skin, will CoolSculpting tighten it? Are there any medical conditions that will prevent treatment or decrease efficacy? How much does CoolSculpting Elite treatment cost? What are you waiting for? CoolSculpting-Elite-Provider-Badge Say goodbye to stubborn fat. And say hello to the body you once had with our clinically proven, FDA-cleared, totally non-surgical treatment without the downtime at Premier Plastic Surgery and Aesthetics in Oklahoma City! Say Goodbye to Stubborn Fat. It’s called stubborn fat for a reason: no matter how much you eat healthy and exercise, it’s virtually impossible to lose those annoying muffin tops, love handles, and belly pooch. You’re left with two options: live with them or think surgery. Neither is cool by us. Only CoolSculpting targets fat cells alone, eliminating them in an easy, non-intrusive fashion that exercise and diet can’t achieve as quickly or as effectively. The Cool Solution is the More Natural Solution. Procedures that use laser, sonic waves and even surgery to remove fat can actually destroy other tissue in the process by burning, shattering or extracting non-fat cells. This requires downtime for your body to heal. Totally uncool. Fortunately, CoolSculpting doesn’t burn, shatter or extract any cells. Developed by Harvard scientists, our unique, FDA-cleared, patented procedure uses a targeted cooling process that kills the fat cells underneath the skin, literally freezing them to the point of elimination. Only fat cells are frozen. Your healthy skin cells remain, well, healthy. No knives. No suction hoses. No needles. No scars. Once crystallized, the fat cells die and are naturally eliminated from your body. In a few months, boom: say hello to a new you. Minimal Downtime and Lasting Results Most patients have little to no downtime with Coolsculpting. There are very few side effects reported after treatment and most go away within a week or two. After one visit, you’ll typically see a noticeable reduction of fat. It takes, on average, 60-90 days for your body to dispose of those fat cells. You can lose even more with additional appointments if you and Dr. Brou deem it necessary. After a few months, your clothes will fit better and you will look better. There are no pills or supplements. And as long as you maintain your normal diet and exercise, your results will be long-term. Hello, you again. How cool is that?

HORMONE REPLACEMENT THERAPY FAQs What is Bioidentical Hormone Replacement Therapy? As we age, our bodies naturally start to reduce the amount of hormones like testosterone and estrogen they produce. Hormones such as these are incredibly important to how many areas of your body function – such as your brain, heart, bones, reproductive organs, and more. When these hormones are out of balance, people can experience a number of different symptoms. Bioidentical Hormone Replacement Therapy (BHRT) is a method of restoring the balance of your hormones and aiming to relieve these symptoms, using compounded hormones that are identical in structure to those your body naturally produces. That way, your body recognizes and uses these replacement hormones in exactly the same way it would hormones it produces naturally. What do I need to do to get started? What are pellets? What does it do / how can hormones help? What are you waiting for? Age healthier & live happier it can start with a simple test Find out how optimized hormones may improve your energy, sleep, weight, and libido. Premier is a Biote Certified Provider in Oklahoma City. Biote is the nation’s largest hormone optimization training company, the Biote Method of bioidentical hormone replacement therapy has been trusted by hundreds of thousands of patients over more than a decade. Biote has translated more than 80 years of scientific insight into the foundation of the Biote Method, which identifies and aims to help with the earliest signs of aging. The Biote Method is backed by deep experience and scientific research. We work around the idea of personalized, precision care. The way your body works, the symptoms you experience, and how your body responds to Hormone Replacement Therapy (HRT) are all unique. The Hormone Replacement Therapy The HRT Method of hormone optimization is the result of condensing over 80 years of scientific research into a program that may help with the earliest signs of aging. The Biote Method uses pellets, which are about the size of a grain of rice, for hormone optimization. Your Premier provider inserts these tiny pellets under the skin during a simple, in-office procedure. The pellets will then dissolve slowly over time, and they only need to be re-administered approximately every 3-5 months, depending on the patient. As the pellets dissolve, they release a steady stream of hormones into your bloodstream, which your body will then use as it needs. Over time, the pellets will be completely absorbed, leaving nothing behind. The Importance of Hormone Balance Most women see a significant drop in estrogen and testosterone during menopause, while many men may experience a similar phenomenon relating to testosterone, known as andropause or more commonly as Low T (low testosterone). Hormonal imbalances occur when there is too much or too little of a hormone in the bloodstream. Hormones are important for regulating most major bodily processes. Because of their essential role in the body, even the smallest hormonal imbalance can cause side effects throughout the body. Hormone Imbalance Symptoms for Women: Fatigue, Night sweats, Hot flashes or flushes, Decreased sex drive, Weight gain, Trouble sleeping, Irritability, Anxiousness, Mood swings, Brain fog, Low mood, Decreased bone mass, Discomfort during intercourse. Hormone Imbalance Symptoms for Men: Low sex drive, Fatigue, Loss of muscle mass, Increased body fat (especially in the waist area), Mood changes, Irritability, Elevated blood sugar, Feelings of stress or anxiety, High cholesterol. Get Started Getting started with hormone optimization is easy! Contact us today to discuss if you may be a good candidate for hormone optimization. You will fill out a simple health assessment and schedule bloodwork to evaluate your current hormone levels. Your Premier Biote Certified Provider will review your lab results with you and develop a personalized care plan based on your results and health goals. Most people see results after their first round of pellets, however it many take up to two pellet insertions before experiencing their desired results.

MEDICAL WEIGHT LOSS TREATMENT FAQs What Is the Medical Weight Loss Program at Premier Med Spa? Our medical weight loss program combines, FDA-approved medications, and expert guidance from healthcare providers to help you achieve sustainable weight loss. Tailored to meet your individual needs, our program supports long-term results and optimal health. How Does Medical Weight Loss Work? What Are the Benefits of a Medically Supervised Weight Loss Program? Who Is a Good Candidate for the Medical Weight Loss Program? How Quickly Can I Expect to See Results? Advantages of Our Medical Weight Loss Program GLP-1 medications offer a range of benefits beyond simple weight reduction. Here’s what you can expect: Appetite Regulation: These medications target areas in the brain responsible for hunger, helping you manage cravings and portion sizes, making it easier to stick to a healthier diet. Long-Lasting Weight Loss: Studies show that these medications support significant and long-lasting weight reduction when paired with a nutritious diet and consistent exercise. Better Metabolic Function: By improving blood sugar control and increasing insulin sensitivity, medications like semaglutide help improve overall metabolic health, lowering the risk of type 2 diabetes and heart disease. Boosted Energy: As you lose weight and adopt healthier habits, you’ll likely experience increased energy, making staying active and enjoying daily life easier. Customized Treatment: Our program is built around your unique health needs. Our board-certified medical team provides personalized consultations and treatment plans to fit your goals. Sustained Results: We combine medication with lifestyle changes to offer long-term weight management solutions, empowering you to achieve and maintain lasting wellness.

Micro Needling FAQs What is microneedling? Microneedling is the process of creating micro-injuries into the epidermis stimulating collagen production. At Premier, we use SkinPen which is the first microneedling device FDA approved in the U.S. to safely treat patients. Treatment areas include face, neck and décolletage as well as various areas of the body for stretch marks and scarring. How long does treatment take? Am I a candidate for microneedling? How can I maximize my results? How many treatments do I need? This procedure can be used on the face, neck, and chest as well as other parts of the body. We use medical grade skin care products during your procedure to enhance repair of damaged cells and improve collagen thickening. This treatment takes an hour or less in most cases and has no significant downtime. To setup your free consultation with Premier Plastic Surgery and Aesthetics to see if micro needling is right for you, click here or call our Oklahoma City office at (405) 945-0001.

What is PRP? Platelet Rich Plasma, or also known as “PRP” is an injection or topical treatment whereby a person’s own blood is used. A small amount of blood (15cc-50cc) is drawn up from the individual patient into a syringe. The blood is spun down in a special centrifuge to separate its components (Red Blood Cells, Platelet Rich Plasma, and Plasma. The platelet rich plasma is first separated then activated with a small amount of calcium to allow the release of growth factors from the platelets which in turn amplifies the healing process. PRP is then injected into the area to be treated. Platelets are very small cells in your blood that are involved in the clotting process. When PRP is injected into the damaged area it causes mild inflammation that triggers the healing cascade. As the platelets organize in the clot, they release several enzymes to promote healing and tissue responses including attracting stem cells to repair the damaged area. As a result, new collagen begins to develop. As the collagen matures it begins to shrink causing the tightening and strengthening of the damaged area. When treating injured or sun and time damaged tissue they can induce a remodeling of the tissue to a healthier and younger state. What are the benefits of PRP? Along with the benefit of using your own tissue therefore eliminating allergies there is the added intrigue of mobilizing your own stem cells for your benefit. PRP has been shown to have overall rejuvenating effects on the skin as in improving skin texture, fine lines and wrinkles, increasing volume via the increased production of collagen and elastin, and by diminishing and improving the appearance of scars. Other benefits: minimal down time, safe with minimal risk, short recovery time, natural looking results, no general anesthesia is required. How long does the treatment take? The full procedure takes approximately 45 minutes – 1 hr. Topical numbing cream is applied approximately 20 minutes before the procedure to minimize discomfort. How many treatments do I need? Generally, 2-3 treatments are advised, however, more may be indicated for some individuals. Touch up treatment may be done once a year after the initial group of treatments to boost and maintain the results. When will I see results? Results are generally visible at 3 weeks and continue to improve gradually over the next 3-6 months with improvement in texture and tone. Advanced wrinkling cannot be reversed and only a minimal improvement is predictable in persons with drug, alcohol, and tobacco usage. Severe scarring may not respond. Current data shows results may last 18-24 months. Of course, all individuals are different so there will be variations from one person to the next.

Chemical peels reveal a brighter and smoother complexion What are the benefits of chemical peels? Diminish and/or improve fine lines and wrinkles. Reduce pore size. Improve overall texture of the skin. Reduce sun damage, hyperpigmentation and other skin discoloration. Brighten your complexion. How do Chemical Peels Work? Chemical peels use a range of different ingredients to dissolve the connection between the dead skin cells and the healthy skin cells on your skin Depending on your skin concerns, one of our experience providers will determine what peel might work best for your skintype and your lifestyle We offer 5 types of chemical peels: The Blue Radiance Peel This is a lunchtime peel that takes about 15 minutes to complete. It provides a minimal amount of peeling. Perfect right before an event. You can do this peel every 4-6 weeks. The Blue Radiance Plus Peel This peel starts with the same base as above, but you get a h4 Retin-A topper as well. You go home in this mixture and wash it off after 4 hours. This peel provides more peeling than the lesser version (and more correction), but doesn’t have as much downtime associated with the Obagi Blue Peel. This peel is very popular at our medical spa. The Obagi Blue Peel This peel is a heavy-duty trichloroacetic acid (TCA) peel that will produce more peeling that the Radiance Peels over 5-7 days. This chemical peel is perfect for someone who has a lot of texture issues of their skin. We recommend patients only do this peel once per year. ZO 3 Step Peel This is a medium strength chemical peel that utilizes a blend of exfoliants to help improve skin health, treat many signs of aging and discoloration. It consists of 10% TCA, salicylic acid lactic acid, and a high dose of retinol (6%). This innovative chemical peel begins with an in-office treatment and is followed by an at-home treatment. The ZO Stimulator Peel It is the perfect “lunchtime” peel with no downtime (This is our mildest peel). This peel contains 3 different acids to exfoliate your skin and promote cell turnover; with 10% Salicylic Acid, 10% Lactic Acid and 10% Citric Acid. A highly effective treatment for the many signs of skin aging, this peel is ideal for treating Melasma, sun damage, fine lines, uneven texture, large pores, dull skin, and even acne! Suitable for any skin type or color.

What is Diamond Glow? A Diamond Glow Facial is a 3 in 1 treatment! It combines precision diamond tip dermal-abrasion to removal dull, damaged skin, a high-powered closed loop suction to extract debris build up from your pores, and a unique infusion system to push professional grade serums deep into the layers of our skin. What does a Diamond Glow Treat? This treatment targets fine lines, roughness, dryness, dark spots, dull and congested skin. After your Diamond Glow, you will experience brighter, fresher, healthier, hydrated, glowing skin! How Often can I Receive a Diamond Glow? These treatments can be performed as often as every two weeks, but generally a monthly treatment is ideal. The best part is there is no down time. Who can be Treated? All skin types and ages can be treated with a Diamond Glow! We see teenage patients with breakouts, men, and women for antiaging and brightening benefits, and even mature clients seeking skin rejuvenation. Premier Glow (DG only) $225 Diamond Glow Facial: Cleanse, Diamond Glow treatment, hot towel, SPF. Experience the difference with the Premier Diamond Glow treatment. We begin with dermaplaning the skin to remove the peach fuzz and top few layers of dead skin cells, This leaves your skin super smooth and promotes product penetration. Then your skin is then gently cleansed with light massaging and medical-grade skincare, your Diamond Glow experience truly begins! As the wand passes over your skin, it exfoliates dead skin, removes debris and build up from your pores, and pushes a luscious, customized serum into your skin. The Diamond Glow will come to an end with a relaxing hot towel enhanced with essential oils, followed by a SPF to specifically target your skin’s needs. Premier Glow Plus (DG + Dermaplane) $325 The Premier Glow facial PLUS customized medical-grade skincare products & skin mask. Your medical-grade Diamond Glow will exfoliate dead skin, cleanse your pores of dirt & debris, and hydrate with a tailored serum. A customized mask, hot towel, and neck massage complement this special facial treatment. Premier Glow Peel (DG + Stimulator Peel) $375 Imagine the amazing Premier Glow treatment plus a Stimulator Peel! In combination with the specialized exfoliation and product penetration of the Diamond Glow, a light, “no-peel” chemical peel is applied. This enzymatic peel breaks the bonds between the old skin cells and the new skin cells for immediate glowing, smooth skin.