It’s that time of year—the season we celebrate sun and fun!  It’s also a time when our wardrobe covers less and shows more and we want to hit the beach, attend pool parties, or go boating in a great-looking swim suit. Along with this, it’s no surprise that more people than ever before are toning up their beach body with a little liposuction, lifting things that have “headed South” for longer than the winter, and enhancing their figure with breast augmentation to help fill out summer tops or a bathing suit. If you’ve been longing to rock a hotter beach body, or simply want to feel and look better in your clothes, Charles A. Wallace, MD, FACS, is here to help you.

From breast enhancement to liposuction, tummy tucks, arm lifts, and more, Dr. Wallace offers state-of-the-art body contouring that can help you look great and feel confident in any season. We recently had the opportunity to talk with Dr. Wallace about body contouring, as well as the newly FDA-approved breast implants from Sientra. Dr. Wallace is an experienced, board-certified plastic surgeon who offers a complete array of services for the face and body, as well as medical skin care services. His patients love his personable demeanor, honesty, and focus on safety, and of course, their results.

Nu Image: Swim suit season must be a busy time of year for you. What would you say to our readers who are interested in plastic surgery to help enhance their body?
Dr. Wallace: I would ask anyone who wants to have plastic surgery,has the means, and is a good candidate, what are you waiting for? It has become socially acceptable to change or update your appearance and hold back the years, and the sooner you do it, the sooner you can enjoy the benefits. Many of my patients tell me the only regret they have about plastic surgery is not having done it sooner. We literally hear this all the time in my office, because until you personally experience it, you really can’t understand the profound affect it can have on how you feel and your overall sense of well-being.

Nu Image: Do you see both men and women who want to improve their body?
Dr. Wallace: Yes. Men usually want to improve the contours of their abdomen, minimize love handles, and eliminate too much breast tissue (male gynecomastia). Liposuction is usually a great procedure for these issues, and I’m seeing more and more male patients each year. This time of year, women are especially interested in breast augmentation. Obviously, it enhances the appearance of the breasts, plus recovery typically only takes a few weeks. We allow patients to resume their ordinary activities as they feel like it, however they should wait three weeks before resuming vigorous weight lifting and running.

Nu Image: How long does it take for most women to return to an office job after breast augmentation?
Dr. Wallace: Most of our patients who get breast augmentation done on a Wednesday or Thursday return to the office on the following Monday.

Nu Image: I recently overheard people at lunch talking about going to Mexico or Costa Rica to get breast augmentation for less than it costs in the U.S. Would you care to comment on this?
Dr. Wallace: I believe it’s a very risky undertaking—a huge gamble that isn’t worth it. We have seen a number of people come back from these clinics with infections, dissatisfaction with the size, terrible scars, or a whole litany of other problems.

Nu Image: What’s your position on what has been called natural breast augmentation, using only fat harvested via liposuction to augment the breasts instead of implants?
Dr. Wallace: Part of my job is to do things that offer the most predictable, reliable results for my patients. Fat grafting breast augmentation isn’t one of them. It sounds good and plays up the whole “natural” trend for everything these days, but the truth is that it’s just not yet ready for prime time. Fat grafting itself is a good idea—it’s good to use in places where you can use small quantities for touch up, but a complete breast augmentation with grafted fat is likely to be doomed to irregular results. The problem is that your body reabsorbs fat and no one can predict how. You can end up with one breast that’s bigger than the other, or more filled out on the top than the bottom, and so on. A woman recently came to me after having such a procedure done, and she was devastated. It left her breasts lumpy, rock hard, and asymmetric. Bottom line, if fat grafting for breast augmentation was ready for prime time and a great thing, everyone would be doing it. They’re not, and there’s a reason.

Nu Image: What about adult stem cell therapy along with fat grafting, to help address the fat reabsorption issue?
Dr. Wallace: There’s continued research in adult stem cell treatments which is very promising. I believe that in time, adult stem cell therapy will yield an amazing contribution to plastic surgery, but I wouldn’t take a huge leap of faith right now and say that it makes breast augmentation via fat grafting be predictable and reliable.

Nu Image: There’s always something new, such as natural breast augmentation. Maybe it’s true that some people know something most others don’t?
Dr. Wallace: There are no secrets in medicine today. Some people solve problems better than others. This is the 21st century. What’s discovered today is known around the world tomorrow, and if it’s sound, it’s quickly adopted—it’s not a secret.

Nu Image: Do you see many people who start dieting around the holidays or New Year, who have essentially deflated by spring or summer, who need a little help to get the body they had hoped for when they started their diet?
Dr. Wallace: We see people throughout the year for body contouring after weight-loss. I don’t think there’s any magic season, but the warm weather months do tend to incentivize people because you can’t hide under bulky winter clothes in the summer.

On the topic of diets, I’d like to remind everyone that there’s no substitute for a sensible diet that’s sustainable over time. You can’t stay on a specific diet forever, whether it’s Nutrisystem or something else. Definitely a diet that helps you lose weight very rapidly such as an HCG diet with highly restricted caloric intake isn’t sustainable. The key is to change your eating habits and the way you relate to food, and incorporate it into your lifestyle. Exercise is another key to successful weight maintenance. And, we have to remember that as we age, our exercise habits will change. Things that we do in our 20s and 30s, such as running, can be hard on the body and joints in our 50s. Instead of running, try cycling or an elliptical trainer that offers lower impact, so you can maintain a reasonable, sustainable exercise routine.

Nu Image: Is loose skin and sagging inevitable with weight-loss?
Dr. Wallace: There are many factors involved, including age, skin elasticity, and the amount of weight lost. Crash diets where people rapidly loose large amounts of weight, sacrificing supporting muscle or lean body mass, can also contribute to loose skin. Once you have a good deal of loose skin, the only way to get rid of it is through surgical removal, whether it’s on the abdomen, flanks, arms, knees, or thighs. I offer a variety of body contouring procedures that effectively eliminate loose skin.

Nu Image: One of the downsides of weight-loss for many women is either loss of breast volume and/or sagging. What do you do to help correct this?
Dr. Wallace: Breast augmentation replaces volume and can provide a lift in some cases. If the breasts sag significantly, a breast lift is required.

Nu Image: Is there anything you can do about vertical scars after a breast lift?
Dr. Wallace: Yes. The button breast lift is an operation that accomplishes the lift, with or without an implant, using a scar around the areola and a transverse scar. There is no vertical scar. We have been using this operation since 1993 and much more commonly for the last ten years. In my experience, it’s very good for many patients as the absence of a vertical scar really improves the post op appearance. Also the option of a small breast implant is attractive for many patients. Patients generally qualify for this operation by having enough sag such that the top of the areola is at or below the inframammary fold. We have been extremely happy with the post-op results with this operation and recommend it for most breast lift patients. It has also proven to be very long lasting.

Nu Image: Do people usually lose all of their extra weight before doing something like liposuction?
Dr. Wallace: A little liposuction can jump start the process and encourage you to take better care of yourself by eating right and following a good exercise routine. It can also be the final touch, or a combination of both. We see patients all the time who have lost weight then decide to finish things with liposuction, a tummy tuck or breast lift, or all three. They come in a few months later and they’ve hit the gym harder, been more focused on good nutrition, and they’ve lost a little more than they had even hoped for because they were so psyched about how their body looks after plastic surgery.

Nu Image: Thanks, Dr. Wallace, for sharing your insights. Changing the topic as we wrap up, where do you perform the majority of your surgeries? You have the privilege to perform surgery at several of the hospitals in the North Dallas area. Your own private surgery center has two fully equipped surgical suites and is accredited by the Accreditation Association for Ambulatory Health Care.
Dr. Wallace: Most are performed at our accredited surgery center where we provide discreet, personalized service. Patients are welcome to tour the center before surgery. Our pre-op rooms resemble nicely appointed hotel suites. If extended observation is necessary or desired for recovery, patients can stay in our recovery suite with a specifically trained, private registered nurse and medical assistant. The surgical center also offers private entrances for patient privacy, particularly after surgery.

Nu Image: Is there anything else you would like to mention to our readers?

Dr. Wallace: I have to commend my staff. The unsurpassed training, professionalism, and experience of my staff are instrumental in helping my patients achieve their desired goals. Our O.R. staff is outstanding, with the skill and expertise you expect to find in a world-class surgery center. Like me, most are Dallas area natives, and have been with me several years. If you’re looking for friendly people who enjoy their work, capable and ready to answer any questions you may have, and who try to get to know our patients, you will feel right at home with us.

5 IMPORTANT CONSIDERATIONS WHEN CHOOSING A PLASTIC SURGEON

Dr. Wallace reminds us that a careful, informed decision about which plastic surgeon you are going to choose is essential.

1. Selecting an experienced, board-certified plastic surgeon with a good reputation is the most important decision you will make as you start on your path to a better you. Medical specialties and subspecialties exist for a reason. Just as you wouldn’t choose a plastic surgeon to deliver a baby or repair a broken ankle, you probably wouldn’t select an Ob/Gyn or an orthopedic surgeon to perform your breast augmentation, facelift, or tummy tuck.

2. Don’t be confused by other official-sounding boards and certifications. Make certain that the surgeon is not just “board-certified,” but that he or she is certified by the American Board of Plastic Surgery. It is the only board recognized by the American Board of Medical Specialties (ABMS) to certify surgeons in plastic surgery including cosmetic and reconstructive surgery.

To determine if a surgeon is a board-certified by the American Board of Plastic Surgery, visit www.abplsurg.org. Click on the side link entitled Is your surgeon certified? and follow the instructions.

3. Talk openly with the plastic surgeon and staff during your consultation. Find a place that fits you—a place where you feel comfortable and that highlights patient safety. Make sure you are comfortable with the personal rapport between you and your surgeon. You should always feel that your concerns are being addressed thoroughly, and that you’re satisfied with the answers you’ve been given before moving forward.

4. Talk to actual patients of your plastic surgeon who will give insight and opinions that you know are honest and real instead of relying solely on anonymous web site blogs and internet rating sites.

5. Your surgeon will need to have a full consultation with you to give an exact price. If someone is offering it quicker and cheaper, or just saying yes to everything you think you might need, there is usually a questionable reason for this.

LOOK WHAT’S NEW IN BREAST AUGMENTATION!

In March of 2012 the FDA approved a new silicone gel-filled breast implant manufactured by Sientra™. Sientra breast implants are available in multiple shapes and sizes, in addition to round implants provided by Allergan and Mentor.

“There’s no better time than now to have breast augmentation,” Dr. Wallace said. “Women have more implant choices and options than ever before, with the introduction of this new implant into the marketplace. Until now, and in contrast to the rest of the world, the only approved breast implants in the U.S. have been round implants. Sientra has addressed this gap by offering a portfolio of breast implants that include shaped implants, with a broad selection of sizes, profiles, projections, and implant surfaces.”

MINIMALLY INVASIVE AUGMENTATION WITHOUT SCARS ON THE BREAST

Natural-looking results highlight Dr. Wallace’s surgical skill, artistic vision, planning and precision. Passionate about staying up-to-date on the latest non-surgical and minimally invasive techniques, he offers those that he knows will truly benefit his patients.

Endoscopic breast augmentation is one of Dr. Wallace’s specialties, and patients are delighted because there is no incision and therefore scar on the breast with this technique. “One of women’s biggest concerns with breast augmentation is, understandably, being left with scars on their breast. I prefer to perform breast augmentations endoscopically, placing implants through the armpit any time it is feasible,” Dr. Wallace said. “The scar heals almost imperceptibly in the fine lines that already exist in the skin in the armpit.”

A PATIENT SHARES HER STORY

“I would never go to another plastic surgeon. Dr. Wallace is a wonderful man and a great surgeon in my opinion. You couldn’t ask for more,” said Angie. She found Dr. Wallace while doing research on plastic surgeons.

“I liked what I read, went to see him for a consultation, and felt very comfortable with him. He understood what I wanted and I felt I could trust him. I also liked his demeanor. He’s very attentive, personable, caring and easy to talk with.”

Angie started with upper and lower eyelid surgery then had an endoscopic brow lift. “People used to comment that I looked tired, or they would ask if I was angry or upset, or if I felt OK. I was fine. It was the extra skin around my eyes and a sagging brow that made me look sad and worn out.”

“I’m very pleased with the results after eyelid surgery and a brow lift. I look naturally refreshed—you wouldn’t know I had something done unless I told you. It has really opened up my face and brightened it. Everyone thinks I look great and I do too.”

Having built a great relationship with Dr. Wallace based on honesty and trust, Angie decided to undergo a breast augmentation and lift. “After having two children my breasts weren’t what or where they used to be. I had the greatest confidence in Dr. Wallace and decided to do this for myself, not my husband or anyone else. Now, after the implants and lift, I love my breasts. Clothing fits better and I look good.”

Most recently, Angie had a TCA deep facial peel to address sun damage and more. “I used to lay out and use baby oil! Remember those days? We didn’t know about the harm we were doing to our skin. After the peel my sun damage is nearly gone, and my skin texture has improved a lot. It’s smooth and soft now.”

MEET CHARLES A. WALLACE, MD, FACS

Known for his sincerity, easy-going straightforward personality, and commitment to patient safety, Dr. Wallace is a Dallas native who has been in practice for over 20 years. He is certified by the American Board of Plastic Surgery, has impressive credentials, is an active member of the American Society of Plastic Surgeons, and has been elected to Fellowship in the American College of Surgeons. Dr. Wallace is also a member of several professional organizations, is active in teaching as well as the publication of articles related to plastic surgery, and is a recognized speaker on a variety of plastic surgery issues and topics.

Visit www.drwallace.com to read his complete bio and for more information.

A NEW REFLECTION COSMETIC SURGERY CENTER

Charles A. Wallace, MD, FACS
Medical Offi ces North
17110 Dallas North Parkway, Suite 100
Dallas, Texas 75248
972-380-7090
www.DrWallace.com

Financing through CareCredit and Chase Healthcare Financing is available to qualified patients.

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