Procedures

The other decision is whether to have Silicone or Saline implants. Both are safe and the choice would be determined by patient preference. Discussion with the physician on what would be the best implant is also determined by evaluation of the appearance of the breast. In order to determine the best option for you please call the office to schedule your complimentary consultation with Dr. Perlman at (202) 362-7300.

Dr. Perlman offers the Theya Healthcare bra, a sustainable bamboo post-operative garment that is comfortable, breathable and clinically proven to accelerate recovery. Discover more at www.TheyaHealthcare.com

It is a single procedure with tumescent liposuction though multiple areas may be done all at the same time. Prior to surgery Dr. Perlman marks the areas to be contoured. Following the procedure patient are placed In a compression garment which they wear for 4-6 weeks. The garment helps minimize the swelling and allows the skin to settle. In addition, we highly recommend Lymphatic massages to further reduce the swelling and increase the patients comfort level. With a healthy diet and moderate exercise, patients can maintain their best liposuction results.

Dermal fillers were first introduced in the 1970’s.  The first fillers were collagen and though they provided volume their duration was short, approximately 3 months. Today the majority of fillers are derived from hyaluronic acid which is naturally occurring in the body. The duration of these fillers vary from product to product, but the normal range is 9 months to 2 years.  There are several other dermal fillers not hyaluronic in base that are effective and have about the same duration. There is an advantage to using hyaluronic fillers in that they can be dissolved by an enzyme which provides more flexibility for both the injector and the patient. Dermal fillers are used to add volume (primarily volume loss in the face) creating a more youthful appearance, particularly if an individual is not ready for a surgical approach. Injections can cause temporary bruising, swelling and soreness.  Avoiding OTC pain relievers (except Tylenol), Vitamin E, Omega III, Melatonin/Valerian and alcohol for 5 days to 1 week along with taking Arnica Montana is very helpful to minimize these side effects.

Neurotoxins are another injectable, but they work differently than fillers.   Neurotoxins are designed to temporarily sedate muscle to prevent them from moving.  This results is a very smooth appearance of the skin. The rule of thumb, is from the crow’s feet up a Neurotoxin is used and from the cheeks down a dermal filler is used.  Botox is the best known Neurotoxin, but there are several others on the market. The average duration is 3 months, though some individuals may experience longer or shorter duration.  Metabolism affects the longevity of both dermal fillers and Neurotoxins. We notice with individuals who work out aggressively have a shorter duration for both products. The side effects for Neurotoxin injection are the same as dermal fillers.    

It is important to have injections performed by a skilled injector.  Dr. Perlman uses a conservative approach. He will map out the areas for dermal fillers then apply the product to settle.  If more product is required then more can be administered so as not to appear “over filled”. The same applies to neurotoxins.  He will treat the active muscle sites then ask a patient to come back in 2 weeks for a complementary “touch up”. Unlike hyaluronic acid, neurotoxins cannot be reversed.  If too much is delivered the usual course is to allow the product to wear off.