Tummy Tuck or Liposuction

Which Procedure is the Best Fit for You?

When patients are unhappy about the appearance of their stomachs, a common question that they have is “What is the best treatment for me; a tummy tuck or liposuction?”

The board certified plastic surgeons at Edina Plastic Surgery have described the key variables that determine which of the two procedures is best in certain circumstances and/or whether a combination of the two procedures is recommended for the best results.

QuestionHow does laxity of the skin and/or muscle factor into the decision?


AnswerHere is what we suggest for patients with a noticeable amount of laxity:

When a patient comes to see us for a free consultation and the surgeon sees a noticeable amount of sagging skin, a tummy tuck is often the recommended procedure.


AnswerHere is what we suggest for patients with a minimal amount of laxity

If the skin laxity on the stomach is very minimal, patients may get an excellent improvement with liposuction alone.

The individual patient goals are also something that must be considered. Some patients are willing to accept some residual skin laxity, and prefer the lesser surgery of liposuction rather than a tummy tuck. Liposuction results in very small scars, as opposed to tummy tucks which require longer abdominal scars. If the abdominal skin is too loose, however, a tummy tuck is needed to obtain good results.


AnswerHere is what we suggest for patients with muscle laxity:

When a once-tight abdominal wall becomes loose, the stomach can develop a bulging appearance. This condition often occurs after a pregnancy or major weight loss. In these cases a plastic surgeon will perform a physical evaluation to determine whether the cause of the problem is muscle laxity or fat.

If the problem is determined to be caused by muscle laxity, a standard tummy tuck is the procedure necessary to perform a complete muscle repair.

AnswerMany times using a combination of liposuction and tummy tuck is the best option.

Many patients actually benefit the most from simultaneous tummy tuck and liposuction. The surgeons at Edina Plastic Surgery routinely do these combination procedures. The tummy tuck will allow for the removal of excess skin and tightening of the abdominal wall muscles.

Liposuction can remove deposits of fat from other problem areas, such as the hips, back, and thighs. In fact, most of the tummy tucks that we perform will involve at least some additional shaping with liposuction, allowing the surgeons to create outstanding results.

CLICK HERE to request a free consultation

5 S’s of Breast Augmentation

Patients are often surprised to learn that breast implants have been in use for over 50 years. Breast augmentation is still the most popular cosmetic surgical procedure. More than a quarter of a million breast augmentations were performed in 2015.

The number of breast augmentation surgeries continues to grow and so do the advancements in technique and the technology of the implants themselves. Patients can become confused with the all of the options available to them.

CLICK HERE to look at photos of our breast augmentations

QuestionWhat are some of the pros and cons of Silicone or Saline breast implants?


AnswerRecently there have been some exciting advancements in the development of breast implants. These developments relate to size, profile, texture and the overall composition of the actual implant.


The days where patients had only one choice of silicone implant are over. There are numerous implant options available today that have all been tested for safety and efficacy.

For a majority of patients, silicone implants are the desired choice over saline. Silicone implants, including the newest cohesive gel or “gummy bear” implants, have the benefits of a lighter, softer, and more natural feel. There is less rippling and a lower deflation rate. However, patients can expect to pay slightly more for a silicone breast augmentation.


Some patients prefer saline implants. For women who desire a slightly smaller incision or less costly option, saline implants are often a great alternative to silicone.

There are two types of saline implants:

1. A simple silicone elastomer shell filled with sterile salt water.

2. A structured breast implant called the Ideal Implant® which is made of an elastomer shell and filled with the same sterile salt water. This structured design combines the benefit of silicone gel implants with the safety of saline.

CLICK HERE to request a free consultation

QuestionWhat are the types of surgical incisions for breast augmentations?


AnswerMany patients are concerned about keeping the fact that they’ve had a breast augmentation private. Therefore they are very concerned about the size and location of their incisions.

Advancements in breast surgery techniques and new surgical instruments have allowed plastic surgeons to be able to significantly reduce the appearance of breast augmentation scars. There are different standard incision approaches in breast augmentation surgery, however most plastic surgeons prefer inframammary (under the breast fold), peri-areolar (around the areolar) or transaxillary (under the armpit).

The board certified surgeons at Edina Plastic Surgery will discuss which incision approach is best-suited for your body type, implant selection and lifestyle.

QuestionWhat are the considerations when choosing the best size of implant?


AnswerPatients are very concerned about the process of determining the correct breast implant size for their specific body type.

Women often state the concern of “I don’t want to be too big but I want to look like I’ve had something done.” Another common train of thought is “My friend has 350cc implants and hers look great so I want the same.”

The surgeons at Edina Plastic Surgery not only spend a great deal of time discussing the size and shape of the appropriate implant with each patient, our practice is the only practice in the Twin Cities to have a Vectra XT Camera. This technology allows patients to see the virtual results of breast augmentations on their own bodies.

CLICK HERE to learn more about the Vectra XT camera and to see an interactive demonstration

QuestionWhat are the considerations to select the best surgeon?


AnswerThe S in selection is the most important one when considering breast augmentation. It involves selecting the best plastic surgeon to perform the procedure.

Just like all the surgeons at Edina Plastic Surgery, any surgeon selected for a breast augmentation should be certified by the American Board of Plastic Surgery. Dr. Nathan Leigh, Dr. Robert Wilke and Dr. Michael Philbin are also active members of the American Society of Plastic Surgeons and they stay current on medical advancements in their field.

Another good way for patients to feel comfortable about the surgeon they select is to look at their before and after photos. At Edina Plastic Surgery we have hundreds of breast augmentation photos posted on our website to help make patients comfortable with our high level of expertise.

FAQs: Breast Implant Revision Surgery

Breast implant revision surgery, (also known as breast implant replacement) commonly involves removal and/or replacement of saline or silicone breast implants. This surgery is performed to change the size or type of a patient’s implants and to correct any complications from a primary breast augmentation. Restoring a youthful breast contour and appearance is one of the benefits of this procedure.

QuestionWhen should you consider a breast revision?


AnswerThe following are suggested guidelines:


* If your saline breast implants have deflated or an X-ray or MRI suggests that your silicone implant has a shell leak.

* If you want to change your implant/breast size

* If you have tightening of the scar tissue around the implant (capsular contracture) or your breast implants have shifted in position.

* If your breast tissue has changed as a result of skin stretching or weight loss/gain.

QuestionWhat are the benefits of having a breast implant revision surgery?


AnswerThese are some of the benefits that patients have experienced:


* Your breasts will regain a youthful shape.

* You have the ability to increase or decrease your breast size.

* Your breast symmetry will be improved.


QuestionHow do you tell if you are you a good candidate for breast revision?


AnswerEven if your breast implant surgery was perfectly planned and beautifully executed, changes can occur over time. If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.


QuestionWhat are the most common reasons why you may want to consider breast revision?

AnswerPatients fitting the following criteria are good candidates for the surgery:


* You are in good health.

* You are not a smoker.

* You wish to increase or decrease the size of your breasts.

* You wish to correct breast asymmetry.

* You want to address problems that have developed with your implants and/or surrounding breast tissue.

* Pregnancy has changed the appearance of your implants.

* Weight loss or weight gain has negatively affected the appearance of your breast implants.

* You are unhappy with the results of previous surgery due to poor implant placement or other aesthetic problems.

* You wish to remove your breast implants permanently.


QuestionHow is a breast revision procedure performed?


AnswerThe exact procedure your surgeon will use for breast implant removal and replacement varies depending on the reason for your breast revision.

Change in implant size: If you decide to change your implant size, your surgeon will frequently use your original incision for implant removal and replacement. If you want a larger implant, your doctor will surgically enlarge the “pocket,” or space in the breast, surrounding your implant to accommodate a larger implant. If you want smaller implants, your doctor may surgically reduce the size of the pocket with sutures to properly fit smaller sized implants. A breast lift may be done at the same time.

Capsular contracture (hardening of the capsule and implant): Your doctor will probably use the same incision used to insert the original implants to remove the hardened capsule and implant. He or she will then insert a new implant.

Implant rippling: When the edges of saline breast implants are visible and palpable (able to be felt), your surgeon may use the same incision to remove or reposition the implants as was used to originally insert them. Other options include using a different type of implant or placing the new implant into a different breast pocket that either has thicker muscle coverage or uses other tissues to cover the implant edge.

Implant malposition: Sometimes implant pockets are created too far apart or too close together, resulting in poorly positioned breasts. To correct this, using the prior incision, your surgeon will manipulate the scar tissue from the capsule surrounding the implant and reconstruct the pocket in the appropriate position using suturing techniques. Your surgeon may need to utilize other tissues to reinforce this new implant pocket and may recommend using a cellular dermal matrix product to add additional support.

Implant removal: If your implants are large and your skin has stretched, your surgeon may recommend a breast lift in addition to implant removal, but implant removal alone may suffice. The original incision created to insert the implant will almost always be the same one used to remove it. The lining around the implant, or “capsule,” is often surgically removed at the same time to facilitate rapid healing.

Elevation of nipple and areola position: If it is necessary to elevate the position of your nipples and areolas (pigmented skin surrounding the nipples), you will need additional incisions. Incisions around the upper portion of the areola will be adequate in cases where not much elevation is needed. When more lifting and tightening is necessary, an incision all the way around the areola, including a vertical scar extending down from the areola to the crease under the breast, may be necessary. For cases where significant excess skin needs to be removed (such as in women who have had massive weight loss), a third incision may be necessary that will extend horizontally beneath the breast, following the natural curve of the breast crease. If your nipples need lifting, the nipples and areolas remain attached to underlying mounds of tissue and this usually allows for the preservation of sensation and the ability to breastfeed.

The goal of the board-certified plastic surgeons at Edina Plastic Surgery and our entire staff is to help you achieve the most beautiful and natural-looking results, as well as making your surgical experience as easy and comfortable as possible.


QuestionWhat are the available options for types of implants?


AnswerThe plastic surgeons at Edina Plastic Surgery are excellent communicators. Good communication is the key to achieving the results that you want. During your consultation at Edina Plastic Surgery, you and your surgeon will discuss the type of implant that will best meet your expectations.

1. Saline-filled breast implants are filled with sterile salt water. They may be prefilled at a predetermined size or filled at the time of surgery to allow for minor modifications in implant size. A new type of saline implant is a structured breast implant made of an elastomer shell and filled with the same sterile salt water. However, this structured design combines the benefits of silicone gel implants with the safety of saline. This new type of implant is called the Ideal Implant®.

2. Silicone-filled breast implants are filled with soft, elastic gel and are available in a variety of shapes. All silicone breast implants are prefilled and may require a longer incision for implant placement.

3. Cohesive gel silicone implants, also known as “gummy bear” or “form stable” implants, are filled with a cohesive gel, made of cross-linked molecules of silicone, which makes them a bit thicker and firmer than traditional silicone implants. This enables them to hold their shape better.

Plastic vs. Cosmetic Surgeon

QuestionWhat are the differences between a plastic surgeon and a cosmetic surgeon?

AnswerWhen researching a cosmetic surgical procedure, a potential patient will often encounter some providers that are plastic surgeons, and others that are described as cosmetic surgeons. Many people are not clear on what this actually means. Is there a real difference? The answer is most definitely yes, and those differences can be very important factors that determine whether the patient’s procedure is done in the best, and safest manner. Below are important facts regarding the differences between plastic and cosmetic surgeons.

Training for plastic surgery

After completing medical school, all board-certified plastic surgeons must first serve as a surgical resident for a minimum of three years. During this time they undergo rigorous training in all aspects of surgery, followed by an additional three years where they focus on training specifically for plastic surgery. This process can take 6 – 8 years or more. Many also further their training by participating in fellowships in areas such as: microvascular, craniofacial, hand, pediatric and aesthetic. This is a key differentiator between a plastic surgeon and a cosmetic surgeon.

Training for cosmetic surgery

A practitioner referring to themselves as a cosmetic surgeon might belong to any medical specialty. He/she could be a general surgeon, gynecologist, dermatologist, family physician, internist, etc. In short, any medical specialist who has decided that they want to perform cosmetic procedures can call themselves a “cosmetic surgeon”.

The level of training for cosmetic surgeons can be anywhere from a one year cosmetic surgery fellowship to a handful of short weekend courses on topics ranging from how to perform liposuction, utilize injectables, or place breast implants. The training necessary is nowhere near as intensive/demanding as the training for a true plastic surgeon.

Board certification for plastic surgeons

It is always important to confirm that a plastic surgeon has been certified by the American Board of Plastic Surgery (ABPS), which is the only board recognized by the American Board of Medical Specialties (ABMS) to certify doctors in the specialty of plastic surgery. Only ABPS diplomates can call themselves a plastic surgeon.

CLICK HERE to meet the board-certified plastic surgeons at Edina Plastic Surgery

Board certification for cosmetic surgeons

Cosmetic surgeons who claim to be board-certified may have received their certificate from the American Board of Cosmetic Surgery. This board is not recognized by the American Board of Medical Specialties. Alternatively, they may be certified by their specialty board which may not even be a surgical specialty, such as internal medicine. It can be very misleading to go to a cosmetic surgeon who claims to be board-certified because it is not always clear just what that board certification entails.

Reconstructive surgery

It is important to note that while all plastic surgeons have extensive training and can perform both reconstructive surgery and aesthetic/cosmetic surgery, not all cosmetic surgeons can perform reconstructive surgery. The reason is that not all cosmetic surgeons have received the type of aesthetic training as plastic surgeons.

Check the credentials before you consider having any type of cosmetic procedure

In conclusion, if you are considering any type of aesthetic/cosmetic procedure it is prudent to be aware of the education and training of the surgeon you’re considering for your procedure. The three surgeons at Edina Plastic Surgery; Dr. Nathan Leigh, Dr. Robert Wilke and Dr. Michael Philbin are all board-certified plastic surgeons and have the highest levels of training and certification.

CLICK HERE to request a free consultation

Interesting facts about rhinoplasty

1. The demand for rhinoplasty remains very high.

According to the American Society for Aesthetic Plastic Surgery (ASAPS), in 2015 more than 145,000 people had plastic surgeons perform nose surgeries.

2. Rhinoplasty isn’t always done simply for the cosmetic aspects.

Often nose surgery is performed to correct medical issues. Many patients have breathing issues resulting from a deviated septum or large turbinates (the portion of the nose which heats and filters air when you breathe). Nasal surgery isn’t necessarily about how the nose looks; many times it is about the way the nose functions. This surgery has the potential to truly improve the lives of patients by stopping or reducing the suffering caused by trauma, injury or by breathing difficulties.

3. Some patients may desire a specific style of nose and often bring in a photo of a celebrity.

A nose that looks great on one person may look awkward on someone else. When it comes to rhinoplasty, one size definitely does not fit all. It’s also generally not possible to create a nose that looks just like another person’s nose.

4. All good rhinoplasty outcomes have at least one thing in common — a natural appearance.

The most attractive nose is one that is in harmony with your facial features. A harmonious nose should blend in, not stand out.

CLICK HERE to see before and after photos of rhinoplasties

5. For most people, nose surgery is not prohibitively expensive.

The cost can be very manageable/affordable especially when using a healthcare financing plan like Care Credit®.

6. Rhinoplasty does not have the lengthy recovery that some patients may think it has.

The actual surgery takes approximately 1-2 hours, and the recovery level for a rhinoplasty is between mild and moderate. The splint and bandaging around the nose will be removed in approximately one week.

7. Winter months see the most demand for rhinoplasty.

The recovery from nose surgery is generally easier and quicker in cold weather, and many patients find it more convenient to stay home/take vacation time in the winter months.

CLICK HERE to request a free consultation

8. One way to speed recovery is to steer clear of some medications pre-surgery.

Aspirin, Advil, and other drugs should be avoided for a period of time pre-surgery; approximately 7-10 days. Medications that could lead to bleeding include: Aspirin Advil, Motrin, Aleve, and Vitamin E. There are homeopathic herbs such as Bromelain and Arnica Montana, which can be taken to help speed recovery, decrease swelling and make bruising disappear more quickly.

9. Digital imaging can be a powerful preoperative tool.

This technology allows the surgeon and the surgical candidate to communicate in a very clear and effective way. It can be very helpful to make sure that the patient’s expectations are realistic. At Edina Plastic Surgery we have a state-of-the-art camera called the Vectra XT that can be used to show patients a reasonable goal for the outcome of the procedure.

10. Even with the best digital imaging technology, nothing can replace the value of a consultation and evaluation by a talented, experienced board-certified plastic surgeon.

At Edina Plastic Surgery each surgeon takes the time to discuss the patient’s desires and goals. The potential rhinoplasty patient is given a careful physical examination to determine both the possible aesthetic changes and the potential functional deficits. The surgeons also carefully evaluate the surrounding facial area. In some cases additional or alternative procedures that may complement the rhinoplasty result might be suggested.

11. After surgery, elevating your head with multiple pillows is a good idea to help reduce nighttime swelling. It is an easy and effective way to help speed the recovery post-rhinoplasty.

Taking the fear out of plastic surgery

QuestionI really want to have a breast augmentation, but I’m still fearful about the procedure.

AnswerHere are four factors that can help take the fear out of having plastic surgery:

1. Information is power.

The popular quote “The only thing we have to fear is fear itself” is very applicable for patients considering plastic surgery today. In the past many people have opted to avoid plastic surgery procedures even when they really wanted them. Now with the vast amount of information available on the internet, patients can find reassuring statistics about the safety of these procedures, especially when done by a board-certified plastic surgeon.

And while, like any subject, there is misinformation about plastic surgery online, there are many very reputable websites that offer extremely credible, legitimate information. Two sites that are highly recommended are: the American Society of Plastic Surgery and the American Society for Aesthetic Plastic Surgery. Both of these sites are tremendous resources for patients thinking of having plastic surgery.

2. Decisions, decisions.

Every day people make decisions that they are not afraid to make; what to order from the menu, what to wear to work, what movie to watch. Most of these are not complicated. Choosing a plastic surgeon is obviously more complicated and important than many of these day-to-day decisions. A great way to start is making sure the surgeon is an experienced board-certified plastic surgeon, like the surgeons at Edina Plastic Surgery.

During the initial consultation, the plastic surgeon will answer any questions and explain the procedure, the recovery time and talk to the patient about the results. The surgeon’s knowledge and expertise can be of tremendous help to patients in the decision-making process.

CLICK HERE to see our before and after photos

3. Natural results are the best results.

A good board-certified plastic surgeon has an excellent sense of aesthetics and the ability to provide results that look beautiful and natural. Patients often express their fears that they will look “done”. But a talented surgeon will carefully listen to each patient’s goals. They will discuss the patient’s expectations and make sure that they are realistic. The surgeon’s goal is to enhance natural beauty, not to change a patient into someone who is unrecognizable.

“At Edina Plastic Surgery, we strive to get the best results possible for our patients, while maintaining a very natural appearance,” says Dr. Robert Wilke, a board-certified plastic surgeon at Edina Plastic Surgery. “An important part of that is to determine the patient’s goals during the consultation, making sure they are realistic and achievable.”

4. The time commitment is not as extensive as most patients may think.

Everyone in today’s world is pressed for time. Pressures from work and family take their toll on the daily schedule. Some patients say that even though they really want to have a procedure, they are afraid they can’t “make the time” necessary to have the procedure and for recovery.

After an initial consult with a plastic surgeon, many of these same patients are surprised that the recovery time is much shorter than they expected. The vast majority of the top procedures do not require an overnight stay and many patients can be back to work (with certain limitations) in a matter of days. And when they consider that the improvement that they are seeking is something that can improve the quality of their life, they realize that the minimal amount of time necessary to devote to recovery is well worth it in the long run.

“I have had many patients tell me that they were worried about the time commitment that surgery and recovery represent,” says Dr. Robert Wilke. “I discuss the recovery time with each patient in regards to the procedure they are interested in. After their procedure at their post-op visits, the vast majority of patients tell me that they feel the results of the procedure were well worth the time needed for recovery.”

CLICK HERE to request a free consultation

The Ideal Female Silhouette

QuestionI’m considering having liposuction on my hips and buttocks. How do the surgeons decide how much fat to remove during the procedure?

AnswerDespite what most people may believe, the main goal of liposuction is not really about removing as much fat as possible. The most important thing that plastic surgeons consider is whether the fat that is left behind will artfully preserve the natural contours of the body.

“There is a true art in performing liposuction,” says Dr. Robert Wilke, a board certified plastic surgeon at Edina Plastic Surgery. “Removing too much fat can not only destroy the natural contours of the body, but it can also lead to skin irregularities that may be hard or impossible to completely correct in the future. A good surgeon will take many different factors into account to achieve the best result in the overall silhouette. That is why it is so important to consult with a board certified plastic surgeon who is very experienced in this area.”


When surgeons perform liposuction of the hips, it typically also involves the flanks in order to create a smoother, more natural transition. When the fat rolls, also referred to as love handles or muffin tops, are removed or reduced the buttocks area will appear more voluptuous.

Liposuction is not a procedure that is commonly performed on the butt cheek due to the increased risk of skin asymmetries and the possibility of a sagging appearance. This is particularly true when performing liposuction on the lower half of the buttocks.

Rather than doing liposuction on the actual buttock cheek, the vast majority of patients benefit from liposuction of the upper/outer butt, outer thigh and hip-flank area.

Excess fat in the upper-outer buttock makes it appear flatter and wider. For this reason, contouring the area with liposuction can provide a dramatic improvement for the butt appearance even without the use of silicone implants or Brazilian butt lift (fat transfer).

It is important to note that the amount of fat removed via liposuction must not only be determined by the patient’s desired post-op size but balanced with the consideration of the patient’s skin elasticity and ability to re-drape to the new contour.


If a surgeon removes more fat volume than the skin can handle, a wide variety of problems can result including visible and palpable rippling or a sagging appearance. While skin asymmetries can be improved by fat transfer, which in essence is a liposuction procedure in “reverse,” patients can only expect some level of improvement, as opposed to a complete remedy.

“To put it simply,” says Dr. Robert Wilke, “the goal of liposuction in the hips and buttocks is to remove just the right amount of fat while leaving behind enough fatty tissue to preserve the natural contours of the body and maintain a smooth skin surface and a feminine silhouette.”

Breast Implant Considerations

QuestionI am considering getting breast implants. What are the steps involved in deciding what size implant will look most appropriate?

AnswerBreast implant preferences vary substantially from woman to woman and the size choice can be influenced by factors such as lifestyle, goal appearance, and modern trends.

Past trends/future trends.

In the past, the larger, more obvious breast implants were a popular look. While a full, high, and round silhouette will always have some popularity, many women today are leaning towards a more modest, natural-looking breast enhancement.

Bigger Isn’t Always Better.

Dr. Robert Wilke, a board-certified plastic surgeon from Edina Plastic Surgery shares his thoughts on this topic. “When patients come in for a breast augmentation, we listen carefully to their goals. What is the type of look that they are hoping to achieve?” Dr. Wilke emphasizes the importance of the consultation. “We devote a lot of time during the consultation to implant sizing. We have the patient try implant sizes in a bra to see how this looks, then proceed to using computer imaging on our Vectra XT 3D Camera to determine the optimal size for each patient.”

CLICK HERE to see before and after photos of our breast augmentations.

Trends in breast augmentations: “The Brazilian B”.

While the United States consistently performs a high number of cosmetic surgeries compared to most other countries, Brazil is a solid competitor for the most annual cosmetic surgeries. Breast augmentation is one of the most commonly performed surgeries in both countries, but it’s the Brazilians who have popularized the modern trend toward smaller implants, dubbed the Brazilian B. The trend has since gained traction in the United States as iconic Brazilian models such as Gisele Bündchen showcase how sexy a perkier breast size can be.

One Size Does Not Fit All In Breast Implants.

When deciding which implant will provide a patient with her desired appearance, the surgeon must account for many factors besides size. For example, different implant profiles involve varying levels of height from the chest with corresponding base widths. The implant profile you choose can influence your breast shape as well as how natural your chosen size appears on your body frame. Additionally, chest proportions, breast shape, and the amount of pre-existing breast tissue can all impact the end results of the augmentation; which means that the same implant volume can deliver a variety of different looks on different patients.


The Vectra XT 3D Camera At Edina Plastic Surgery Is A High Tech Tool To Help Determine The Appropriate Implant Size For Each Patient.

Patients love it that they can see the virtual results of breast augmentations on their very own bodies. Here is just one of many testimonials we’ve received about this incredible technology.

“I am 57 years old and giddy with joy at the results of my breast augmentation. I credit the Vectra 3D camera with giving me the courage to “go for” the size implants that I chose. I have always been a small-breasted woman and am quite petite so it was difficult for me to imagine myself with larger breasts. When I tried on the implants with a “demo bra” I thought I looked ridiculous but when I saw myself on the Vectra 3D camera it made all the difference. I looked great! Thank you Edina Plastic Surgery for my new beautiful breast and for having this technology.”

Pre-pregnancy body procedure

QuestionI waited until I was 36 to have my first child. Can a Mommy Makeover help me regain my pre-pregnancy body?

AnswerMommy makeovers have become increasingly popular over the past 10 years. This is at least partly due to so many women having children later in life; many are over 35. As such, their bodies may be less resilient than those of their younger counterparts, and the after-effects of pregnancy can be loose abdominal skin, separated abdominal muscles, fat deposits in areas that are resistant to diet and exercise, and droopy breasts. And while diet and exercise can be helpful, in many cases for these patients, plastic surgery is needed to get the kind of improvement that they’re looking for.

“Many of the patients that come to us for mommy makeovers are over 35,” says Dr. Robert Wilke, a board certified plastic surgeon at Edina Plastic Surgery. “Healthy women who are done having children can be excellent candidates for abdominoplasty, liposuction and a breast lift, reduction or augmentation. The overall satisfaction rate for mommy makeovers is very high. Many women have told us that they are delighted with the transformation and their only regret is that they wish they had come in to see us sooner.”

CLICK HERE to see before and after photos of our mommy makeovers

For a typical “mommy makeover”, the board certified surgeons at Edina Plastic Surgery often perform abdominoplasty combined with liposuction, and very frequently the patient also has a breast lift, reduction, or augmentation. Mommy makeover procedures remove extra skin, minimize stretch marks and lift the breasts and body to regain a comparable figure to pre-pregnancy form. Our surgeons listen carefully to each patient and advise them on the most appropriate procedures.

CLICK HERE to schedule a free consultation

Women are having babies later when their bodies aren’t as resilient.

According to the National Center for Health Statistics, in 2000 the average age of a first time mother was 24.9 years. In 2014 that age had risen to 26.3. And where that may not seem to be a big change, it is representative of a trend that women are waiting longer to have children due to a combination of factors including improved birth control, improved fertility treatments and other socioeconomic reasons.

For many mothers; especially those over 35, one of the most challenging aspects of giving birth is regaining their pre-pregnancy bodies. Many plastic surgery procedures are aimed at providing assistance for those looking to regain their svelte physique. Due in part to the popularity of television shows that focus on plastic surgery procedures, requests for multiple procedures done at one time are rising each year.

Multiple procedures; just one recovery period.

Patients appreciate the fact that when having a mommy makeover, they can have multiple procedures performed at once, thereby having a single recovery vs. three separate ones. With the advent of much-improved anesthesia techniques that allow a safer anesthetic with fewer after-effects, combined with the popularity of such shows as “Extreme Makeover”, requests for multiple procedures at one setting are increasing rapidly.

Recovery time for mothers with children must be considered carefully, and the doctors at Edina Plastic Surgery suggest that patients have a support plan in place to make sure that supplemental help is available for household chores and childcare post-surgery for one to two weeks.

Trends in Plastic Surgery

QuestionWhat do the trends look like as far as popularity of plastic surgery procedures?

AnswerThe American Society of Plastic Surgeons recently published the statistics from 2015 for plastic surgery and minimally invasive cosmetic procedures.

Patients are always interested in trends and statistics concerning plastic surgery as well as minimally invasive cosmetic procedures. In 2015 $13.3 billion was spent on cosmetic procedures in the U.S., which is an increase of 4% from the previous year. The area of the U.S. that reported the most cosmetic procedures was in the Mountain/Pacific region; 4.7 million procedures. 92% of all cosmetic procedures are performed on women, and women ages 40-54 make up the majority of cosmetic procedures; 49% of the total.

Below are charts that include some of the most pertinent statistics from the American Society of Plastic Surgeons.

2015 Quick Facts

Breast lift surgery becoming popular

QuestionAfter having two children I am very unhappy with how my breasts look. Is a breast lift a good option for someone like me?

AnswerStatistics released by the American Society of Plastic Surgeons (ASPS) show that breast lift procedures are growing at twice the rate of breast implant surgeries. Since 2000, breast lifts have grown by 75 percent. Breast implants are still by far the most-performed cosmetic surgery in women, but lifts are steadily gaining. In 2014, more than 90,000 breast lift procedures were performed by ASPS member surgeons.

Dr. Robert Wilke, a board certified plastic surgeon at Edina Plastic Surgery says, “Many women develop droop in their breasts over time, often due to the effects of pregnancies and breastfeeding. Some really like the idea of achieving a more optimal breast shape by using the tissue they already have, while some choose to restore breast volume with an implant in addition to a lift. Breast lifts can help them look and feel younger, which is why this procedure has such a high satisfaction rate.”


According to the statistics, women between the ages of 30-54 made up nearly 70 percent of the breast lift procedures performed. More women who have had children and whose breast volume has decreased are consulting plastic surgeons.

Over the years, pregnancy, nursing and the force of gravity take their toll on a woman’s breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Patients want a solution for the excess skin and want to see their breasts “back up where they are supposed to be”.


Women often ask if they are good candidates for a breast lift. The ideal candidates for a breast lift are healthy women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.

A simple home test can help determine whether a breast lift may be appropriate. To perform the pencil test, a woman simply places a pencil under her breast. If the breast tissue holds the pencil in place against the chest, this can imply that there’s a hanging nature to the breast that can be fixed with a lift.

Patients who had had breast lifts often say that they feel more confident after having the procedure. Many say that they are delighted to be able to wear clothing that would either have not fit correctly, or not looked appropriate before their surgery.

Breast augmentation remains the most popular plastic surgery procedure for women. In 2014, there were 286,254 breast augmentation surgeries performed by ASPS member surgeons. That represents a growth of 35% since 2000, less than half the rate of the statistical growth of breast lifts (75%).

Body contouring post-bariatric surgery

QuestionI had bariatric surgery and have lost a great deal of weight. I am considering having body contouring surgery. Are there any studies that show that this surgery helps patients like me keep the weight off?

AnswerAccording to a new study by Henry Ford Hospital researchers, patients who have plastic surgery to reshape their bodies after bariatric procedures are able to maintain “significantly greater” weight loss than those who do not have surgery.

Many previously obese patients opt for plastic surgery. The types and extent of the surgeries can vary widely; but tummy tucks, arm lifts, breast and body lifts are very common. These procedures can be very effective in removing inelastic excess skin and tissue after substantial weight loss and to reshape or recontour bodies.


The results of the study are encouraging to the plastic surgery community. When improved body image translates into better long-term maintenance of a healthier weight it also translates into a better quality of life for these patients. This improved aesthetic combined with better health is the kind of end result that is very satisfying to both plastic surgeons and their patients.

The study followed patients who underwent bariatric surgery at Henry Ford Hospital. Study results were presented at the annual conference of the American Society of Plastic Surgeons. Of the patients studied 47 subsequently underwent body recontouring procedures.

The Henry Ford researchers recorded each patient’s Body Mass Index, or BMI – a weight-to-height ratio used to determine degrees of obesity – both before their bariatric surgery and 2.5 years after the procedure. Of the patients who underwent contouring surgery, the average decrease in BMI was 18.24 at 2.5 years, compared to 12.45 at 2.5 years for those who did not have further surgery.

These findings suggest that aesthetic procedures following bariatric surgeries may well contribute to improving the long-term results.


Bariatric surgery is used to help obese patients lose weight and includes several types of procedures that limit the amount of food the stomach can hold, including removal of a portion of the stomach or constricting it with a gastric band. Such weight loss can be significant, and result in a lower risk of diabetes and heart disease. This type of surgery can have a significant positive impact on obese patients, but long-term success still depends on patients changing their eating habits post-surgery. There is currently a high incidence of patients who regain weight after the surgery, so procedures that help incent patients to keep the weight off are a positive step in long-term maintenance.

Facial Aesthetic Surgery

QuestionI had a friend who had fat grafting in her face. Is this a popular procedure and if so why?

AnswerAccording to a recent survey of Plastic Surgeons, facial fat grafting is increasing in popularity.

The practice of transplanting fat by injecting abdominal or other fat to fill out cheeks, creases and areas that are sagging has become more widely embraced by plastic surgeons in the past few years. According to results of a survey by NYU Langone Medical Center researchers, the process of fat grafting is gaining in popularity.

The American Society of Plastic Surgeons is the largest plastic surgery specialty group worldwide, and 309 randomly-selected members were asked to complete the survey.

Surgeons were asked about their methods of harvesting, processing, and injecting fat, the most commonly selected injection sites, and their opinions on the overall efficacy of grafting as a facelift procedure. They were also surveyed as to how often they used fat grafting in facelifts.

CLICK HERE to see before and after photos of facelifts.

85 percent of the 309 facial aesthetic surgeons surveyed use fat grafting as a technique to enhance the results of facelift procedures designed to smooth wrinkles and creases, and eliminate sagging. Of this group, over 70 percent reported adopting the method within the past 10 years.

The survey results show that a majority of plastic surgeons across the country are adopting fat grafting as a standard technique to optimize the results of facelift procedures.

Researchers say the survey is believed to be the first of its kind to determine the frequency and extent of plastic surgeons’ use of the injectable fat-grafting method for facelifts. The survey results are summarized in the journal Plastic and Reconstructive Surgery.

As part of the survey, the ways in which plastic surgeons practice fat grafting were analyzed. The most popular sources of fat were from the patient’s abdomen (over 80 percent of the respondents’ cases) and from the hips (10 percent of cases). The amount of fat injected into the face to replace volume loss from aging ranged from 11 cubic centimeters to 25 cubic centimeters (about 3 to 5 teaspoons).

CLICK HERE to request an FREE consultation.

Surgeons typically add extra fat to compensate for the amount of fat likely to be reabsorbed by the body, about 40 percent of the initial injection. The rest remains indefinitely. By contrast, synthetic/commercial dermal fillers, an alternative to injected fat, last only nine months to a year and require repeated injections.

According to the survey group, the most commonly injected areas of the face are the cheek, the region below the lower eyelid, and the nasolabial folds, or creases between the nose and corners of the mouth.

Fat grafting is currently the only widely used method able to counter so-called volume deflation in the face, or loss of fat over time. The results of fat grafting procedures have improved dramatically in the past 10 years. Initial results were sometimes unpredictable and inconsistent. A deeper understanding of the facial anatomy in regards to fat compartments has led to refinements in fat grafting, along with more consistent and longer-lasting results. Reports of complications are rare.

Breast Augmentation Satisfaction Rate

QuestionI’ve heard that the satisfaction rate for breast augmentation surgery is very high, but how high is it?

AnswerAccording to a study published in Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons, ninety-eight percent of women undergoing breast augmentation surgery say the results met or exceeded their expectations.

The women surveyed in the study also reported improvements in self-esteem and quality of life after breast augmentation.

“So many patients tell me that their breast augmentations have changed their lives for the better,” says Dr. Robert Wilke, a board certified plastic surgeon at Edina Plastic Surgery. “For many women it improves their confidence and makes them feel much more comfortable to wear all types of clothing. Breast augmentation is the most common procedure that we perform. We do see an increased demand in the springtime, however, as people are thinking about shedding the winter clothes and getting ready for swimsuit season.”

CLICK HERE to see before and after photos of our breast augmentations.

The survey study evaluated 225 women.

225 consecutive women who returned for interviews at least one month after breast augmentation over a five-year period were interviewed for this study. Interviews included questions about the recovery, results, complications and psychological effects.

The average patient age was 34 years old, and the majority of women received saline-filled breast implants placed under the muscle. The average implant volume was 390 cc.

Eighty-five percent of women rated their new breast size “just right.” Thirteen percent would have preferred a larger size and less than two percent a smaller size. Only one percent expressed dissatisfaction with their scars, which were usually located in the crease under the breast. Seventy-five percent of women rated their breast firmness “just right.” When asked to rate the result, over half of the patients gave it a perfect 10 on a scale of 1 to 10. Almost all patients (98 percent) reported that the results met or exceeded their expectations.

Increased Self-Esteem and Other Psychological Benefits.

When asked about psychological effects, 92 percent of women reported improved self-esteem after breast augmentation and 64 percent reported an improved quality of life. Before surgery, the majority of women (86 percent) were self-conscious about their breasts. After surgery, only 13 percent were self-conscious about them.

CLICK HERE for a free consultation.

Breast augmentation is the most popular cosmetic surgery procedure in the United States-approximately 286,000 operations were performed in 2014, according to ASPS statistics. The study results provide new information for women considering breast augmentation, particularly in terms of their expectations of the recovery and results.

Candidate for eyelid surgery?

QuestionWho is a good candidate for eyelid surgery?


AnswerIn general good candidates for eyelid surgery are:


* Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing

* Non-smokers

* Individuals with a positive outlook and specific goals in mind for eyelid surgery

* Individuals without serious eye conditions

* Excess skin and fine wrinkles of the lower eyelid


Remember that the eyelids are part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrow. Sometimes a drooping eyelid is caused by stretching of one of the upper eyelid muscles, the levator.

The board-certified plastic surgeons at Edina Plastic Surgery specialize in cosmetic procedures including blepharoplasty. We welcome you to come in for a free consultation.

They will evaluate your anatomy thoroughly to determine the causes of your eyelid appearance, and what procedures might best remedy them.

CLICK HERE to request a free consultation

Eyelids are getting droopier?

QuestionI feel like my eyelids are getting droopier every day. What is a good solution?


AnswerEyelid surgery is one of the most popular types of plastic surgery procedures, and patients say they look more youthful and refreshed.


Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. This is a very popular procedure. In 2014 more than 200,000 blepharoplasties were performed in the United States.

A blepharoplasty can be performed on your upper eyelids, lower eyelids, or both. Based on a preoperative evaluation of factors such as your underlying facial muscle structure, bone structure, and the symmetry of your eyebrows, the surgeon will decide how much skin, muscle, and/or fat to remove.

“I was 51 years old when I had a blepharoplasty (eyelid surgery) at Edina Plastic Surgery. I was delighted with the very natural-looking results. I look more ‘awake and rested’ and it is more fun to apply eye makeup now that my eyes look so much more youthful. There was very little discomfort following the procedure. I have recommended this procedure and Edina Plastic Surgery to many friends of mine.”

Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.


* Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision

* Excess fatty deposits that appear as puffiness in the eyelids

* Bags under the eyes

* Drooping lower eyelids that reveal white below the iris

* Excess skin and fine wrinkles of the lower eyelid

CLICK HERE to see our before and after photos of eyelid surgeries

Where else can Botox be used?

QuestionI know that Botox is very versatile; but besides the forehead where else can it be used?


AnswerBotox can be effective on many areas of the face, neck and even the upper chest.



The jelly roll area which is under some people’s eyelid area is another area where Botox can be effective. This area is most evident when patients smile really big. When Botox is injected into the middle of the lower eyelid it makes the eye look more open and youthful.


Botox can be injected to reduce eyelid hooding to produce some of the benefits of a lateral brow lift.


As some people age the corners of their mouths become downturned, giving them a “crabby look”. We can inject Botox to relax the muscles and help make the corners more upturned. Patients can achieve a look that is friendlier and more approachable.


To reduce dimpling or “orange peel skin” on the chin, Botox can be effective. It relaxes the muscle in the chin to help diminish the dimply look.


Botox is also used in the neck to treat the vertical platysmal bands. These bands may become prominent as we age because the skin progressively loses elasticity and soft tissue support weakens. Botox injections help to make these bands and lines less pronounced.


We use Botox in the décollete area to diminish the fine wrinkling.



Facelifts for Men

QuestionAre facelifts for men a rising trend?


AnswerOne of the latest trends in plastic surgery is that a record number of men are getting on board and telling plastic surgeons that they want a facelift, seeking the benefits that the procedure can offer.

In today’s culture youth and appearance are equated with success for both women and for men. Facelift procedures are very common in the world of cosmetic surgery. They have historically been popular with women who want to look and feel younger and more refreshed.
According to The American Society for Aesthetic Plastic Surgery, in the past five years there has been a dramatic 43% increase in the number of nonsurgical and surgical cosmetic procedures for men. Starting in 1997 when the organization began collecting statistical data, the increase in the number of procedures performed on men has risen by a whopping 273%.

Many men look at cosmetic procedures as a way to gain confidence and enhance their careers. In a marketplace where looking fit, younger, and more masculine is imperative, the better you look, the better your chances of climbing the corporate ladder.

“The best facelifts for men are the ones that look very natural and distinguished,” says board certified plastic surgeon Dr. Robert Wilke.

“Many men consider that the investment they make on a facelift is good for business. They are successful and feel young and confident but may be worried that they don’t look that way. We can help them look more refreshed and extremely natural.”

A facelift can also include a neck lift, eyelift, jawline recontouring, and possibly liposuction. It is not just older men who are opting for cosmetic surgery. Many younger men who want to refresh their appearance are opting to get rid of unwanted wrinkles, bags under the eyes, drooping eyelids and double chins. Rhinoplasty is still the top cosmetic surgical procedure for men.

CLICK HERE to see two sets of before and after photos for male facelifts

CLICK HERE to request a free consultation

HydraFacial™ for winter weather

QuestionThe skin on my face gets so dry in the winter months. What is a good professional moisturizing treatment?

AnswerWinter is on its way. Along with the cold temperatures and wind, it also brings seasonal problems such as skin dryness and irritation. Cold temperatures can create poor blood circulation with widened capillaries and as a result, the skin suffers. However the drop in temperature isn’t solely responsible for these issues. The drop in humidity and the use of indoor heating systems are also culprits in making the sky feel dry.

Our $180 HydraFacial treatment is a non-invasive, liquid skin resurfacing system with no downtime. It instantaneously hydrates the skin, helping you achieve smooth, well-cleansed, hydrated, moisturized skin in a matter of minutes.

The HydraFacial resurfacing procedure addresses all aspects of your skin’s health. It is the trifecta of effective facial treatments that combines the following:

* The exfoliation and resurfacing of microdermabrasion;

* The skin renewal of a chemical peel; and

* The hydration and extractions of a deep-cleansing facial.

This is the ideal treatment before a big event because it improves clarity, color, and skin texture while tightening the skin, creating an overall youthful, fresh look. The HydraFacial procedure is soothing, moisturizing, non-irritating and is immediately effective.


* Exfoliates dead skin cells and extracts impurities

* Helps to visually retextures the skin

* Restores skin’s hydration leaving skin more supple and vibrant

* Hydrates, plumps and firms the skin

* Exfoliation of the skin’s upper layers allows improved absorption of active ingredients

* Improves clarity and helps restore radiance to the complexion

Click here to request a FREE skin care consultation.

The HydraFacial uses a unique five-step approach.

1. Vortex-Cleaning—The patented HydroPeel tip hydrates the skin with a nutrient-rich solution that deeply cleanses the pores and softens and lifts away impurities.

2. HydroPeel Exfoliation—The HydroPeel tip uses its multiple abrasive edges to exfoliate the skin several times with each pass to achieve better, more even skin resurfacing without irritation.

3. Painless Vortex-Extraction—The vortex (powerful circulation of liquid) effect easily dislodges and removes blackheads, whiteheads, and sebum for quick and painless extractions.

4. Vortex-Fusion of Antioxidants—The unique spiral tip employs a patented method for infusing hydrating skin solutions and potent antioxidants into the skin, improving the appearance of fine lines, wrinkles, oily skin, and hyper pigmentation.

5. LED Light Therapy—Light therapy provides additional benefits after the HydraFacial treatment. LED light therapy uses specific types of light, which give off energy that stimulates your cells, thereby increasing your skin’s production of collagen and elastin. In turn, your skin becomes firmer, less wrinkled and younger looking. The treatment’s red LED light helps improve the appearance of skin firmness and resilience, while reducing the appearance of fine lines and wrinkles, hyperpigmentation and other signs of aging. The blue LED light is extremely beneficial for people who suffer from oily skin or breakouts. And the combination of red and blue LED lights is helpful in reducing the appearance of rosacea.

Plastic surgery for people over 50?

QuestionIs plastic surgery becoming more of an accepted practice for people over 50 years of age?

AnswerSeniors are turning to plastic surgery in record numbers. It may be a current trend for the “more mature” to let their hair color go to a natural silver, but those same seniors are clamoring to have plastic surgeons erase other marks of aging like sagging breasts, wrinkles and droopy eyelids.

No matter how hard they look, these men and women know that there are no creams, potions or drugstore remedies that can completely erase the effects of aging. There is no such thing as an over-the-counter miracle cure. The former head of Revlon, Charles Revson was quoted as saying “I am selling hope in a jar.” Today older Americans are often finding that hope is in the hands of board-certified plastic surgeons.

A record number of senior citizens are electing to undergo plastic surgery.

In 2014, women and men from the ages of 51 – 64 accounted for 25% of the surgical and 32.9 percent of the non-surgical cosmetic procedures. The total of those procedures for the year was more than 10 million. Add to that the number of people 65 and over who made up 8% of the total of yearly surgeries and 11% of the non-surgical procedures and you have got some very significant numbers of people over the age of 50 opting for cosmetic procedures. And the numbers are increasing every year, so the trend is clearly growing.

It’s not that hard to answer the question “Why are cosmetic procedures becoming more popular for people 50 and older?” Medical technologies are ever-advancing. This means that people are living longer and living more healthy lifestyles. They feel good and they want to look just as good as they feel.

If they are still in the work environment these patients often feel the pressures of the work environment and want to “continue to fit in”. Many have returned to the dating world and want to look their best to meet new people.

When asked about this trend, Dr. Robert Wilke, a plastic surgeon board certified by The American Board of Plastic Surgery said, “Every year we see more patients that are over 50, and the over-65 patient base is growing as well. My partners and I perform procedures that make people look and feel more youthful, but in a very natural way. Most people want a natural looking result. They still want to look like themselves, just a more refreshed and rejuvenated version of themselves.” The surgeons at Edina Plastic Surgery are experts in performing these procedures, as evidenced by all three of them being named as Top Doctors.

Seniors are asking for all types of surgeries and cosmetic procedures, but the most commonly requested surgeries are: facelifts, eyelid lifts, breast lift, tummy tucks and liposuction. These are followed in popularity by breast augmentation, breast reduction, lower body lifts and forehead lifts.

Do the risks increase as the age does?

“Many people are under the impression that advanced age automatically increases the surgical risk for patients,” says Dr. Wilke, “but that is not necessarily the case. Age does not have to be a limitation, but any co-morbidities and extenuating medical conditions that the patients are experiencing can play a part as to whether they are a good candidate for plastic surgery. Every patient needs a full medical evaluation preoperatively, and we, along with their primary physician, need to assess their surgical risk to determine if elective surgery is appropriate for them.”

Dr. Wilke goes on to say, “Because of advances in medical technology and techniques, plastic surgery is not only safer than ever, the results are better than ever as well. With our refinements in surgical techniques, as well as better and safer anesthesia, it all adds up to make it easier for these more mature patients to enjoy the benefits of plastic surgery.”

And with social mores and opinions on plastic surgery becoming more accepting, the social stigma of having “something done” has been all but erased. Surgeries are no longer considered a mark of vanity and they are no longer limited to Hollywood divas and jet-setting executives. The vast majority of people electing to have procedures are middle class wage earners who have saved up to get plastic surgery because it is important to them.


Looking more youthful with non-surgical alternatives.

For the older set who want to avoid or postpone a surgical option, the non-surgical alternatives are also very popular. Seniors are flocking to the offices of plastic surgeons and to skin clinics for all kinds of treatments including Botox to erase wrinkles and facial fillers to plump up hands and face.
They are also trying skin rejuvenations in record numbers. These include chemical peels, dermabrasion, skin-tightening lasers and laser skin resurfacing.

“At Edina Plastic Surgery we have a great Skin Clinic,” says Dr. Wilke. “So our patients have the option of any type of surgical or non-surgical procedure in their pursuit of looking more youthful. As people go through life transitions they want to look good; and no matter what avenue they choose we are there to help them reach their goals.”


What is KYBELLA?

Question I have a double chin that I’d like to get taken care of. I’ve heard that there is a new injectable called Kybella® that melts away that type of fat. How does it work?

AnswerThe single biggest breakthrough in treating double chins has been approved by the FDA and is now available at the Skin Clinic at Edina Plastic Surgery.

Kybella is a non-surgical injectable for reducing moderate to severe fat on the upper neck, otherwise known as a “double chin.” The injection contains a naturally occurring molecule which eats away at fat. In short, Kybella is billed as a double-chin eraser that comes in a syringe.


Kybella is identical to the deoxycholic acid that is produced in the body. Deoxycholic acid produced in the body helps the body absorb fats. Kybella is a cytolytic drug, which when injected into tissue physically destroys the cell membrane. When properly injected into submental fat, the drug destroys fat cells occurring below the chin.

And unlike most of the injectable procedures offered, because it is so unique, this new fat-dissolving injection treatment is as popular with men as it is with women. Some plastic surgeons across the country are reporting that 40% of their Kybella patients are men.

How does it work?

Basically what Kybella does is that it disrupts the fat cell membrane. As soon as it hits, it causes lysis—or destroys the cell membrane. After that, the fat cell releases its fatty contents and the body metabolizes the fatty contents as normal.

How many rounds of treatment do you need, and what results should you expect?

In general patients will need a series of 12-20 injections per visit. Patients may need two to three total visits, spaced a month apart. Each treatment takes about 15 minutes.

Some people may get up to 50 injections in a single treatment, with up to six single treatments no less than a month apart. Many people saw results in two to four treatments, according to Kybella’s manufacturer, Kythera®.

Before approving the drug, the FDA looked at the results of two U.S. trials that included more than 1,000 people. Those who got the drug more often saw less fat under the chin. More than 80% of those getting the drug said they noticed some improvement in their chin fat.

How long do the results last?

Depending on the patient, the results may last several years.

Could the drug help destroy fat cells in other areas of the body?

Currently the drug is only approved for injection below the chin. Kybella works best on small areas so it is not appropriate for areas like love handles.

What will it cost? And will insurance cover it?

The cost of Kybella varies from patient to patient but the costs will be similar to other dermal fillers such as Juvederm or Restylane. Kybella requires more than one treatment. Because it is a cosmetic procedure insurers will not cover the costs.


Is everyone a candidate for Kybella?

Almost everyone is a candidate for Kybella, except for patients under the age of 18. It is recommended that doctors screen patients carefully to make sure that their submental fullness is indeed fat and not the result of something else, such as thyromegaly (enlargement of the thyroid) or cervical lymphadenopathy (enlargement of cervical lymph nodes in the neck).

What are the potential side effects?

The most common side effects are bruising, swelling, pain, numbness, and small, firm areas around the injection sites. There can also be a bit of numbness at the site which resolves over time.

A possible serious side effect is an injury to the marginal mandibular nerve, which helps control facial expressions, causing an off-balance smile. This likely happens when shots are given too close to this nerve.

In trials including more than 5,000 people, this side effect happened in 4% of patients, according to a report from the FDA advisory panel. It eventually went away in all of them.

Loose and Sagging Skin?

QuestionAfter having gastric bypass surgery I have lost a great deal of weight and have a large amount of loose and sagging skin. Can you tell me what options plastic surgery can give me?

AnswerDramatic weight loss has many benefits. But after weight reduction surgery, or any substantial amount of weight loss achieved naturally, the skin and tissues often lack the elasticity to conform to the reduced body size.

Surgical body contouring following major weight loss removes excess sagging fat and skin while improving the shape of the underlying support tissue. The result is a more normal appearance with smoother contours. These procedures below are also very effective in improving appearance in patients experiencing normal aging or a small amount of weight loss.

Body contouring procedures may include:

* Facelift: sagging of the mid-face, jowls, and neck

* Breast lift: sagging, flattened breasts

* Tummy tuck: apron of excess skin hanging over the abdomen

* Lower body lifts: sagging of the abdomen, buttocks, groin and outer thighs

* Medial thigh lift: sagging of the inner, outer and mid-thigh

* Arm lift: sagging of the upper arms


If you are considering body-contouring surgery, here is what the surgeons at Edina Plastic Surgery suggest you should do first:

* Choose a surgeon who is board-certified in plastic surgery — not just a board-certified doctor. All three surgeons at Edina Plastic Surgery are board-certified by The American Board of Plastic Surgery.

* Stabilize your weight — at your goal — for at least three months, and be sure to correct all nutritional deficiencies (which are common after weight loss surgery).

* Establish a reliable support network of family and friends to help you during recovery.

* Make sure you can get enough time off from work to recover.

* Prior to surgery, stop smoking. This is a must to speed healing and reduce complications.

To make an appointment for a FREE CONSULTATION call us at 952-925-1765 or CLICK HERE

My Hands Look So Old

QuestionMy hands are full of veins and look so old. What procedures are available to help make them look younger?

AnswerRadiesse® recently received FDA approval as an injectable to rejuvenate aging hands.

The hands don’t lie. Even with a more youthful appearance of the face, your age can easily be given away by the appearance of your hands. In early June, Merz North America, the maker of Radiesse®, announced that they have received regulatory approval to sell the nation’s first injectable “filler” to improve the appearance of bony, aging hands and to correct volume loss in the dorsum of the hands. The nurse injectors at The Skin Clinic at Edina Plastic surgery are experts in these injections and have helped many patients achieve smoother, younger-looking hands.

Radiesse® is the first and only FDA-approved product for hand augmentation to correct volume loss in the hands and reduce the prominence of tendons and veins in the hands. This filler restores volume to the hands while providing smooth, natural-looking results that can be seen immediately and can last up to 1 year.

But it’s not just older women who want in: Young women are getting hand rejuvenation so they can take engagement ring selfies without shame, the Daily News reported in August. Women who’ve recently added “rocks” to their left ring fingers are getting Radiesse injections to beef up the appearance of their hands for the engagement ring photos.

In clinical trials, 75 percent of evaluators said Radiesse® improved hand appearance three months after injection, Merz said. The evaluators didn’t know which patients had received Radiesse and which ones were injected with a placebo.

Here is a quote from a patient who had her hands rejuvenated using Radiesse®:

“I wasn’t happy with the way my hands were looking — the veins were showing and the skin didn’t have its youthful vibrancy,” says Margareta C., 66, who had the procedure. “It filled in all those pockets and the veins are not noticeable now.”

The Ideal Implant

QuestionI’ve heard about a new saline breast implant called the "Ideal Implant". What makes it different?

AnswerEdina Plastic Surgery has the exclusive rights in Minnesota to use the new Ideal Implants, recently approved by the FDA. We know that when it comes to breast augmentation, women appreciate having options, and the more options the better. At EPS we offer patients the very latest in breast augmentation advancements.

The Ideal Implant is a revolutionary new design in saline-filled implant. It has a baffle structure, two lumens and a series of shells of increasing size nested together to control saline movement; making it behave much like a silicone implant


Many women don’t like the look and feel of the typical saline-filled breast implant which can wrinkle or "scallop" over time. However these same women may not be comfortable with the silicone gel options.

This new saline breast has recently been approved by the FDA and offers women a great new option. It has two valves that fill the device with saline. This revolutionary new design controls the saline movement to prevent bouncing and provides a more natural result than current single-lumen saline implants. The structured design also provides internal support to the implant edge, while minimizing scalloping and wrinkling. Study results have found this new implant to have a high rate of patient and surgeon satisfaction along with a low rate of capsular contracture compared to current, single-lumen, saline-filled implants.

CLICK HERE to see a segment about the Ideal Implant before it was FDA approved on The Doctors TV show.

"The saline-filled implants that we have used to this point were essentially balloons filled with freely-moving fluid," says Dr. Nathan Leigh of Edina Plastic Surgery. "They can result in an unnatural feel and sometimes the aesthetic results are not as pleasing as we’d like them to be. I believe that the Ideal Implant has the promise to be an excellent alternative to current saline options and some silicone gel-filled implants options, especially in view of the low rate of capsular contracture shown in the studies."

CLICK HERE for FAQs about the Ideal Implant

The IDEAL IMPLANT meets a clear need for saline-filled implants that offer a more natural result for patients who don’t want silicone gel-filled devices.

CLICK HERE to see our before and after photos of breast augmentation.

CLICK HERE to make an appointment for a FREE CONSULTATION or call us at 952-925-1765.

Tips Pre-Facelift

QuestionAre there tips for patients to do pre-procedure when having a facelift?


The surgeons at Edina Plastic Surgery know that the best results from any facial plastic surgery procedure look extremely natural. The facelifts we perform do not look “fake”, but are done so well that others really don’t notice. The most common responses that our patients receive are; “Did you get a new hairstyle?” or simply “You look so good!”

CLICK HERE to see our facelift before and after photos

Facelift trick of the trade:

A good recommendation for patients that don’t want to call attention to the results of their facelift is to change their hairstyle or hair color before their procedure. This way people commenting on how great they look often refer to the hairstyle change.

Plastic Surgery in the Cold Months

QuestionFriends have said that the cold weather months are great for having plastic surgery procedures; why is that?


Just like there are good seasons for sporting activities there are seasons that can greatly benefit patients considering plastic surgery procedures. The cold months of winter/early spring can have their benefits

The months from February through April can be the ideal time to undergo just about any type of cosmetic surgery from facelifts to breast augmentations to tummy tucks and liposuction.

* There is less direct sunlight during these months which is advantageous when having any facial cosmetic surgery or laser treatments.

* Turtlenecks, scarves and hats can help hide the temporary bruising/discoloration from a facelift, laser resurfacing or brow/eyelid lift.

* The cooler weather allows patients to conceal any temporary swelling/bruising or bandages with seasonally appropriate bulky clothing such as heavy sweaters and winter weight slacks.

* Many patients find it easier to “take it easy” after a surgery during the colder months when most everyone tends to be less active.

* Usually the months immediately after the holidays are simply “less social” so there are fewer events to be missed with post-surgery downtime.

Liquid Facelift

QuestionWhat is a “liquid facelift” and how effective is it in making people look more youthful?


Our nurse injectors soften lines with Botox and add back youthful volume with fillers like Voluma XC. By using a combination of injectable fillers and/or muscle immobilizing products, lines can be minimized or erased, and sagging skin lifted and filled out.

Patients can see noticeable improvements from these liquid facelifts without the downtime of surgery. Middle-aged people who have mild jowls, volume loss, vertical lip lines, crow’s feet, lines along the side of the nose and chin — sometimes called marionette lines — can benefit greatly. Also, injectable products can correct asymmetries and even those bands in the neck below the chin that become prominent with age.

It is important to note that a “liquid facelift” is not permanent and must be repeated every few months with shorter-acting products, or every couple of years with more long-lasting products. The goal is to make patients look “better” and not “different” and our nurse injectors are experts in achieving these results.

Which procedure is the most popular?

QuestionAre plastic surgery procedures still on the rise and which procedure is the most popular?


Dr. Nathan Leigh, Dr. Robert Wilke and Dr. Michael Philbin are all members of The American Society of Plastic Surgeons. This group which is the largest organization of board-certified plastic surgeons in the world, published their annual results on plastic surgery procedures in the U.S. The report shows that 15.1 million cosmetic procedures were performed in 2013, a 3% increase from the previous year.

Some of the findings were not surprising. Breast implants, for instance, remain the top cosmetic surgical procedure. The top minimally invasive procedure was once again Botox. Facelifts and eye surgeries were both up 6% from the year before.

Interestingly, two procedures that are gaining a great deal of popularity among American patients are buttock augmentation and neck lifts.

Best way to get rid of smile lines

QuestionWhat is the best way to get rid of smile lines?


Dermal fillers are FDA approved prescription products that are typically injected into the dermis and used to fill skin that has lost volume. The fillers we inject are made of natural ingredients such as calcium and hyaluronic acid. Fillers normally last 6-18 months depending on the individual and require no downtime. Our two “master nurse injectors” have over 30 years combined experience in using dermal fillers and will assess your needs and consult with you to decide which filler best suits you.

Click here to see before and after photos

Fillers can be used on many areas of the body to treat trouble spots. The most common areas are:

* Facial wrinkles

* Cheeks

* Corners of mouth

* Nasolabial Folds

* Cellulite

* Hands

* Knees

* Lips

* Marionette lines

* Tear Troughs

* Temples

Our skin care experts can give you more information when you schedule a free consultation.


NanoLaser Peel

QuestionAre there any lasers that do a good job resurfacing the skin but require little to no downtime?

Patients often ask about solutions that require no downtime, especially when they want to schedule treatments before parties and special events.

The NanoLaser Peel is a fast, comfortable laser resurfacing treatment with the shortest downtime. If your skin looks old and tired you may be a great candidate for the NanoLaser peel. This procedure uses laser energy to instantly remove the top layer of the skin at a depth that stimulates the skin’s own renewal process while activating special messenger cells. Only the NanoLaser from Sciton has the precision to work at just the right depth to treat fine lines, scars, sun damage and more to create beautifully smooth, luminous skin. All these benefits with little to no downtime.

Price for a full face resurfacing is $200.

Click here to view short video on NanoLaser Peel

Click here to see before and after photos

Ask our skin care experts about the benefits of laser resurfacing or come in for a free consultation.


Different types of silicone implants?

QuestionHow are modern silicone gel implants different from silicone implants of the past?


The modern silicone gel implants are much different than the earlier generation implants used prior to 1992, and vastly improved. The silicone gel used today has a greater viscosity compared to saline, so the implant feels a bit more like natural breast tissue. The outer shell is stronger and the gel itself is much more cohesive. At Edina Plastic Surgery, all the gel implants that we use in our practice contain a cohesive gel that will not freely leak out of the shell if it is ruptured.

QuestionWhat is a “Highly Cohesive/Form Stable Implant?”


In the past year, a new form-stable, teardrop-shaped silicone gel implant has been approved for use by the FDA. This implant is made with a more highly cohesive gel that allows it to maintain its shape and have a firmer feel. The form-stable implant may be the best choice for certain patients due to their natural shape and anatomy. The surgeons at Edina Plastic Surgery still agree that the round, standard silicone implants produce the best result for many types of anatomies.

QuestionWhere did the name “Gummy Bear Implant” come from?


Many patients ask about the “Gummy Bear” implants because they’ve heard about them through the media or on the internet.

This is a colloquial term that doesn’t apply directly to any specific implant, but was originally coined to describe the more highly cohesive, form-stable shaped implants.

There is an interesting story about how the name “Gummy Bear” was coined. The name was started by the president of a breast implant company to describe the characteristics of the highly cohesive silicone. He was in a meeting and was biting the heads off of gummy bears and came up with what he thought would be a good and catchy term.


What is Photorejuvenation?

QuestionWhat type of laser can help with sun damaged skin?

AnswerPhotorejuvenation is a procedure that is very effective in restoring clear, even skin tone.

The results of a Stanford study that evaluated patients treated with our Forever Young Broad Band Light System (FYBBL) over nine years reveals:

* Patients appear not to have aged over the study period (9 years)

* Patients look 10 years younger than their actual age

Our Sciton FYBBL is an innovative technology that sets new standards for sun conditions associated with aging, active life-styles, and sun damage. The light energy heats the upper layer of the skin. This stimulates your skin cells to regenerate new collagen. Photothermal energy will eliminate fine vessels that cause redness and reduce unwanted melanin that produce brown spots. This process restores your skin to its natural beauty, making it smoother, vibrant, and younger looking.

With regular FYBBL treatments, patients’ skin looks clear, smooth and much younger.

Patients see immediate results for multiple conditions:

* Brown spots

* Rosacea, redness, red vessels

* Smoother skin

* Skin tightening

* Acne

Forever Young BBL Benefits:

* Zero downtime; patients resume normal activities immediately

* Long lasting results; studies include patients treated 10+ years ago

* Fast treatment; average treatment time of 15-30 minutes for a full face

* Effective on all body areas: face, neck, chest, arms, and hands

We offer free consultations so you can learn more about Forever Young BBL. Our laser technician will discuss a treatment plan for you. (Full face treatments start at $300)

Name-Branded Procedures

QuestionWhat is the real story about those TV-advertised facelifts?

AnswerIn recent years, we have all seen increasing numbers of advertisements for cosmetic procedures with catchy names, especially pertaining to facial rejuvenation procedures and many patients ask us "what they are".

These advertisements typically give promise of excellent results while implying that these can be achieved with minor procedures and minimal downtime. As Board-Certified Plastic Surgeons, we are often asked about these procedures, and how they compare to what we have to offer.

The common thread with many of the “name-branded” procedures, whether for facial rejuvenation or body contouring, is that they began with a business and marketing approach, rather than evolving as a medical/surgical procedure. I have yet to see anything in regards to these procedures that is truly unique, other than a catchy (and trademarked) name, and aggressive marketing and sales techniques. The actual procedures behind the name are not in essence unique, but based on procedures that we as plastic surgeons have been performing routinely for years.

I have looked into some of the “name-brand clinics” that focus on facial rejuvenation procedures. Their promotional materials state just what patients want to hear – a simple procedure, minimal recovery, and outstanding results. There are very few specifics, however, in regards to what the procedure actually entails. Often, it seems, the marketers behind these clinics are trying to convince the potential patient that they have discovered some new, amazing technique, that only their clinic can perform, that achieves great results with almost no potential downside. When you look beyond the hype, you realize that these procedures are in fact facelifts, not inherently different than the types of modified or standard facelifts that we perform regularly. This is actually the one aspect of the “branded” procedures that I can support – facelifts are effective. That’s why facelifts have been performed for decades. Over the years our techniques have been refined, but the basic procedure is similar to what has been performed and taught in Plastic Surgery programs for many years.

QuestionWhat are some concerns about these “name-branded clinics”?

Answer: I do, however, have some significant concerns regarding these “name-branded” clinics. The issues I have with them are:

1. Lack of clear information given to patients inquiring about the procedure.
It troubles me greatly that patients are not fully informed regarding what type of procedure they are having, and thorough discussions regarding risks, complications and alternatives may not be occurring.

2. Consultations are often performed by an “assistant”, who is often a salesperson with minimal to no formal medical training. In my opinion, the consultation must be conducted, at least in large part, by the operating surgeon. An experienced surgeon will have the knowledge to determine what can be accomplished for each individual patient, and what needs to be done to achieve the best results possible. There are too many nuances in planning and performing these procedures to entrust this crucial step to anyone but the operating surgeon.

3. The surgeons at these clinics may not be appropriately trained or have adequate experience to perform these procedures in a safe and consistent manner. This type of clinic is often started with only a business plan, but no one on staff to actually perform the surgery. The management will then attempt to find a surgeon who is willing, and at least minimally capable, of performing the procedures. Successful and established surgeons in any given area are often not interested in being a “hired-hand” for this type of clinic. This can force some clinics to accept practitioners that may be under-trained, inexperienced, and/or unsuccessful in their own practice.

4. Often, these clinics emphasize short operating times as a major selling point. The implication is that a quick surgery, for some reason, is better. Obviously, any endeavor that requires technical skill and artistry will take great care and attention to detail to obtain excellent results. A patient’s face is priceless, and deserving of as much time as necessary to complete a surgery with precision and finesse. It is simply absurd to think that trying to complete a procedure in the shortest time possible is best for the patient.

5. The surgeries are often performed in non-accredited procedure rooms. These clinics often tout that they only use local anesthesia, again implying that this is inherently better/safer for the patient. The fact is, many of these clinics are simply not qualified or licensed to administer anesthetic agents. They then attempt to turn this shortcoming into a positive by trying to convince patients that having sedation or general anesthesia is highly dangerous. The reality is, if patients have proper medical screening, and an accredited facility uses professional anesthesia staff, anesthesia can be provided very safely, allowing the surgeon to complete all aspects of the surgery with a patient that is not in pain.

QuestionWhat homework should patients do?

AnswerThe bottom line is that patients need to do a bit of homework when considering a cosmetic procedure

It’s important to be certain that the surgeon is board-certified in Plastic Surgery and is experienced in the procedure that you are considering. Insist on seeing before-and–after photos that show results of procedures done by that surgeon. Make sure the surgical center is accredited, and professional anesthesia personnel are available. Get more than one opinion, and don’t be sold on slick marketing campaigns.

Melanoma Awareness

QuestionWhat is Melanoma?

AnswerMelanoma is the most severe type of skin cancer that caught early can be successfully treated. Melanoma is mainly caused by UV exposure either from sun exposure or tanning beds that attacks damaged cells. This isn’t the most common form of skin cancer, but it is the most fatal if left untreated.

The ABCDE’s of Skin Cancer

A: Asymmetry, if you draw a line through the mole, the two halves will not match.

B: Border, the border of the mole is uneven and ridged.

C: Color, variety of different colors throughout the mole including blues, reds, browns, blacks, and tans.

D: Diameter, melanomas are usually larger than the end of an eraser. If caught early, the size may appear smaller.

E: Evolving, any mole that may change size, shape, color, may start itching, bleeding, or crusting should be looked at by a dermatologist.

QuestionHow Can You Prevent Skin Cancer?

AnswerThe easiest way to prevent melanoma and other skin cancers, is protect yourself with shade during high sun times (10am to 4pm). Use sunscreen, a broad spectrum SPF with both UVA/UVB protection. Avoid tanning beds, UV tanning booths, and getting sunburns. Cover up your skin, wear loose light colored clothing when outside and examine your own skin and moles.


Laser hair removal has really improved!

QuestionIs laser hair removal still painful?

AnswerLaser hair removal is now better than ever. With lasers like our Soprano Ice, the treatments are virtually pain free!

Question I’ve heard that you can’t do laser hair removal when you have a tan. Is that still true?

AnswerAt Edina Plastic Surgery we have the latest in hair removal technology. The Soprano Ice laser allows us to treat all skin types, even tanned skin!

QuestionWhat areas of the body can be treated for hair removal?

AnswerThis new laser technology is perfect for any area of body, even sensitive areas of face, neck and bikini line, and there is no downtime!

Patients find that doing multiple procedures at once minimizes their down time ad saves costs

QuestionWhy do patients prefer doing multiple plastic surgery procedures at one time?

AnswerWith the advent of much-improved anesthesia techniques that allow a safer anesthetic with fewer after-effects, combined with the popularity of such shows as “Extreme Makeover”, requests for multiple procedures at one setting are increasing rapidly. Many patients are delighted with the result of these combined procedures and are glad to have everything done at once. Click here for before and after photos of multiple procedures

Edina Plastic Surgery’s Dr. Michael Philbin was recently featured in Minneapolis/St. Paul Magazine in an article where he shared his expertise about multiple procedures:

“If you do opt for surgical solutions, you may be able to improve multiple areas in one fell swoop, thanks to advances in medicine,” says Dr. Michael Philbin, a plastic surgeon at Edina Plastic Surgery. “A popular combination is a ‘Mommy Makeover’; which pairs a tummy tuck with a breast lift or augmentation.”

“Improvements in anesthesia and pain medication have made it possible for patients to recover more easily from a dual surgery. One medication improvement comes from a local slow-release anesthetic that lasts for about three days to help with pain control after the two-at-once procedures.”

“This way, there are not as many duplications of cost. You don’t have to take off time from work twice or have time away from the kids twice while you’re recovering,” Philbin says. “If you can get everything done in one shot, safely, it’s really the way to go.”

QuestionWhat do patients need to do to prepare for multiple procedures?

AnswerThe patient considering multiple procedures must be healthy and have good home support, as the recovery will be somewhat more difficult than if procedures were done separately. Our surgeons recommend preplanning for these patients, and suggest that they complete a week’s worth of chores such as grocery shopping and laundry before undergoing these combined procedures. It is difficult to take care of infant children without reliable help for 7 to 14 days after this type of combined surgery depending on what is done.


“Dr. Philbin was fantastic during my tummy tuck surgery and body contouring! The results were amazing and there was great follow up. I have recommended him to anyone that ever brings up cosmetic surgery, and a few have gone and seen similar, fantastic results with him. Thanks again!”

“My daughter had breast implants with Dr. Leigh. We were both incredibly pleased with the attention she received and what an incredible job Dr. Leigh did. I was so impressed, that I had a tummy tuck, lipo and breast augmentation/lift done. I am very excited about my results and would recommend him highly!”

“I received my before and after photos from you today and I had to send you this note and say THANK YOU!! Wow, what a difference, what a beautiful difference. I am more than pleased with my results. I want to thank you for taking this journey with me. Since the surgery, every time I look in the mirror I smile, as I am truly overjoyed with what I see. You are a fabulous doctor! I could not have picked anyone better. I have been telling everyone I know to go and see Dr. Wilke.”

Edina Plastic Surgery featured on The Doctor’s TV show

On November 21, 2013, Dr. Nathan Leigh from Edina Plastic Surgery was featured on the nationally aired The Doctor’s TV show.


QuestionHow did the producers from the Doctors TV Show choose Edina Plastic Surgery for this segment?

AnswerIn April our practice got a call from one of the producers from The Doctors’ TV Show in Hollywood.  He said that the Dr. Phil show had previously featured a local Minneapolis woman, Amanda Johnson, a mother of five who had recently lost more than 100 lbs. The show’s storyline was that she wanted to have plastic surgery (a mommy makeover) but her boyfriend was opposed to the idea.

Because the two shows share production facilities/staff, The Doctors’ producers wanted to film a follow-up segment featuring Amanda. So they went on the hunt for a Twin Cities plastic surgeon to fulfill her wishes for a mommy makeover. After doing a thorough search online for a surgeon and a practice that was very highly regarded, the producers called Dr. Nathan Leigh at Edina Plastic Surgery.

QuestionWhat procedures were performed on the mommy makeover patient?

AnswerIn April of 2013, Dr. Leigh performed the first of two surgeries on the patient, Amanda Jones. They consisted of a tummy tuck, liposuction and a breast lift/augmentation. In June he did the second of two surgeries which was an auto-butt augmentation and some additional liposuction. The results of these surgeries were nothing less than incredible. Dr. Leigh did an excellent job explaining what he did during the surgeries. Amanda is delighted with her results, and the other doctors that star in the show were very impressed as well.

QuestionWhere can I see the segment?

AnswerClick on the link below to view four, three minute segments from The Doctors TV Show


Do your homework first. Make sure your plastic surgeon is board-certified by the American Board of Plastic Surgery

QuestionWhy do some doctors refer to themselves as “Cosmetic Surgeons” and others say that they are “Plastic Surgeons”? What is the difference?

AnswerMany health care providers are now performing plastic surgery procedures, many under the title of “Cosmetic Surgeon”. But the term “Cosmetic Surgeon” doesn’t guarantee that the physician is qualified to perform plastic surgery.

Member Surgeons of the American Society of Plastic Surgeons are trained in cosmetic and reconstructive procedures of all types and are certified by the American Board of Plastic Surgery. This board certifies physicians in plastic surgery of the face and all areas of the body.

When you choose an ASPS Member Surgeon such as Dr. Nathan Leigh, Dr. Robert Wilke or Dr. Michael Philbin you can be assured that your doctor meets the following criteria:

* Has at least six years of training and experience in surgery, with three years specifically in plastic surgery. The surgeons at Edina Plastic Surgery have over 55 years of combined plastic surgery experience.

* Is trained and experienced in all plastic surgery procedures, including breast, body, and face. Our surgeons have performed thousands of plastic surgeries of all types.

* Is certified by the American Board of Plastic Surgery. All of the surgeons at EPS are board-certified.

* Operates only in accredited medical facilities. Edina Plastic Surgery has an accredited in-house surgery center for the convenience and safety of our patients.

To make sure your surgeon has these outstanding qualifications, look for the ASPS Member Surgeon symbol.

QuestionWhat questions should I ask during my consultation with a plastic surgeon?

AnswerYou’ll achieve the best results from plastic surgery if you and your surgeon communicate openly and work together to achieve realistic goals.

Use this checklist as a guide during your consultation:

* Are you certified by the American Board of Plastic Surgery?

* Are you a member of the American Society of Plastic Surgeons?

* Were you trained specifically in the field of plastic surgery?

* How many years of plastic surgery training have you had?

* How many procedures of this type have you performed?

* Am I a good candidate for this procedure?

* Where and how will you perform my procedure?

* How long of a recovery period can I expect, and what kind of help will I need during my recovery?

* What are the risks and complications associated with my procedure?

* How are complications handled?

* Do you have before-and-after photos I can look at for each procedure and what results are reasonable for me?

A Patient’s Story: Eyelid Lift/Blepharoplasty

QuestionWhat prompted you to have eyelid surgery?

AnswerWhen I came to Edina Plastic Surgery for a facelift, I originally did not think that I needed to have anything done to my eyelids. But my surgeon and I discussed it at length and he patiently answered all of my questions. In the end I decided that since the rest of my face was going to get “refreshed” I might as well go for an eyelid lift as well.


QuestionWhy did you choose Edina Plastic Surgery for your blepharoplasty?

AnswerI had consultations at four plastic surgeons and EPS was so far above all the others that I talked to, there just wasn’t any question in my mind that they were the practice that I was most comfortable with. Everything from the spacious lobby, to the in-house surgery center (versus having to drive to West Health to have the surgery done), they were just so superior to the other choices I just knew that they were the right practice for my procedures.

QuestionHow did your surgery go?

AnswerThe entire surgery went really well. My surgeon was not only a true artist he was incredibly kind and patient. I had a facelift, a brow lift and an eyelid lift. There was swelling from the blepharoplasty but very little pain. So if people are considering doing eyelid surgery by itself, there is not a great deal of downtime and very little discomfort from it.

QuestionWhat was your recovery period like?

AnswerI had normal swelling and bruising after the surgery but my surgeon had discussed that with beforehand so I expected it. There was very little pain associated with the blepharoplasty and virtually no pain associated with the removal of the stitches.

QuestionHow do you feel about the results?

AnswerHonestly I could not be happier about how the entire facelift surgery turned and my eyelid lift is no exception. I just look much more “awake and refreshed”. My eyes show off eye shadow much better now and they are so incredibly symmetrical. And there are NO scars. Not even a trace of the incision is visible! Actually my eyes are more symmetrical now than they were to start with! Even my eyelashes look bigger and more pronounced. My husband is thinking of having the procedure done as well because his eyes are looking very “hooded”. And he would definitely choose Edina Plastic Surgery as well since he knows I was so happy with my results.

QuestionWould you recommend your experience at EPS to others?

AnswerYes I definitely would. If you are not happy with your face and/or your eyelids I would suggest going to EPS for a free consultation. The sooner you make the change the more years you will get to enjoy it—that’s my opinion anyway.

A Patient’s Story: Breast Augmentation

QuestionWhat prompted you to have a breast augmentation?

Answer I had three children in the space of five years and nursed each of them for at least 1 year. My breasts expanded and deflated with the pregnancies and nursing and when my youngest was weaned I realized that they were never going to be what they once were. Eating well and exercise helped me loose the baby weight but there was nothing I could do to improve my saggy breasts. I had the body, mind and spirit of a young person but my breasts looked like they belonged to an old person.


QuestionWhy did you choose Edina Plastic Surgery for your breast augmentation surgery?

AnswerI had heard many good things about EPS, and the online reviews I read about them were outstanding, but I wanted to be completely sure about my decision, so I met with four other surgeons in the area before making a final decision. When I met with my surgeon at EPS he listened to me very carefully and took the time to discuss my goals and expectations. He shared important information with me concerning the procedure and explained things that I didn’t even think to ask. The Vector 3D imaging camera was not available at any of the other practices I interviewed. It really helped to show me what my final results would look like. I scheduled surgery following my consult and started counting down the days!

QuestionHow did your surgery go?

Answer I was a nervous but extremely excited. The staff at EPS is wonderful. They are knowledgeable, caring and friendly. I had some last minute nervousness prior to the surgery but the anesthesiologist, surgeon and nurses all helped me feel at ease. My surgeon took some time to meet with me again on the morning of surgery to review the procedure and answer any final questions I had. When it was time to go to the operating room and lay on the operating table I felt sick with nerves and my surgeon must have sensed this. He held my hand as I was put under anesthesia and the next thing I remember was waking up on the recovery room with my surgeon and the nurses at my side, all making sure that I was comfortable and not in any pain.

QuestionWhat was your recovery period like?

AnswerMy surgery was scheduled in the morning and I was home by early afternoon. My pain was well managed and swelling was minimal. I was able to shower at home following surgery, which felt great. It was hard to lift my arms or do anything strenuous for the first few days but within 3 -5 days I felt back to my normal self. I used a pain pump that self-drained and felt very little actual pain in my breasts. It felt more like heavy pressure than “pain” during the first couple of days. I was anxious to see the final results and was concerned that my scars would be noticeable but my surgeon recommended taping the scar wounds as they healed and that has really helped my scars fade.

QuestionHow do you feel about the results?

AnswerMy EPS surgeon is a true artist. His expertise brought better results that I ever dreamed. My breast augmentation looks natural and fits my body perfectly. I wanted to be sure that the correct amount of cc’s would be used in my saline implants because I didn’t want to look unnatural or fake. He understood this and was able to deliver the look that I wanted. I am delighted with my results and am a walking advertisement for EPS. I am very willing to show my results to other women who are considering surgery!

QuestionWould you recommend your experience at EPS to others?

AnswerAbsolutely! In the past year I have encouraged a number of friends and family to schedule a consult with the surgeons at EPS. They clearly see how happy I am with the outcome. I’ve been able to wear summer dresses and tank tops without a bra most of this summer and it feels great! My peace of mind and spirit are a direct outcome of the professionalism and artistic talent of my surgeon and the positive attitude each staff member at Edina Plastic Surgery exhibited.

A patient’s story: Rhinoplasty/nose surgery

QuestionWhat prompted you to have a rhinoplasty?

AnswerI was 36 when I had my rhinoplasty. Ever since I was a child I always wanted to have nose surgery. My nose has always bothered me. I had a hump in my nose, the bridge was too wide, my nostrils were not even and the tip slanted down at the end. I was always self-conscious about my side profile. My front photos didn’t bother me as much but my side profile really bothered me—even when I was driving I was really self-conscious of people seeing my profile.
I can clearly remember back to second grade when a boy asked me “if I was ROMAN”. In high school someone else told me that I had “a nose like a witch”. Kids can be cruel, but those types of comments are things that you never forget.
I always looked at other women’s noses and liked the way that they looked “feminine”. There was nothing feminine about my nose.

Question Why did you choose Edina Plastic Surgery for your nose surgery?

AnswerTheir reputation is outstanding. I would never go to any plastic surgeon that wasn’t board-certified and I knew that all their surgeons had those high credentials. Also, they have been in business for over 35 years so that says a lot about the practice.
I talked to another plastic surgeon before having my surgery done at Edina Plastic Surgery and he told me that he performed rhinoplasties under local anesthesia, which scared me to death. I could never get the courage up to have this type of surgery performed while I was awake!
When I had my consultation at Edina Plastic Surgery, the first question I asked was whether I could have my rhinoplasty under general anesthesia; I was assured that they would do that. That helped me make the decision to go ahead with the surgery.

QuestionWould you recommend your surgeon to friends?

AnswerMy surgeon was amazing and meticulous. He was the sweetest man and his bedside manner was so comforting and reassuring. He made me feel so comfortable, was very realistic, an excellent listener and picked up on exactly what I wanted changed. I tell everyone that he is a true artist and I highly recommend him!

QuestionWhat changes did the surgeon make to your nose?

AnswerMy surgeon took down the hump, made the nostrils symmetrical, made the bridge narrower, and fixed the tip. The surgery was an “open rhinoplasty” and took 3 ½ hours. He had to make an incision under my nose above the center of my lip, but the scar is so fine there is no way you can see it. He also made incisions on each nostril to make them more symmetrical but those scars are virtually invisible as well.

QuestionHow were you treated by the staff?

AnswerThe nurses and staff at EPS were just awesome. And this was the best experience with anesthesia that I ever had. When I woke up I was totally awake and felt great. I felt fantastic when I got home—not groggy or nauseous at all.

QuestionWhat are your thoughts about the results?

AnswerI am so pleased and happy that I did it. I am not self-conscious anymore about my profile. It took me a while to get used to having a beautiful nose. When I see a camera I still get the initial feeling “I don’t want a photo in profile”, but then I remember “I have a new nose—I look good in profile now”. I still can’t believe this is my nose!
When I saw my before and after photos it was such a great surprise! I literally thought “did I really walk around all those years with that nose?” When I look at the before pictures and compare it with the after pictures I can’t believe how huge my original nose was. I don’t mind telling people that the results of the rhinoplasty were awesome.
My daughter just kept staring at me after my nose surgery and she told me over and over again how much better I looked. My coworkers and my fiancé have really noticed the positive change. My face is so much softer looking and more feminine because of my new nose.

QuestionWhat have people said about your new nose?

AnswerThe people that haven’t seen me every day don’t notice the difference because it looks so natural. The people that see me every day did notice the difference. I talk to people all the time about getting my nose done and they all say that they would never have known that I had any plastic surgery.

QuestionDid you do anything special to prepare for the surgery?

Answer I took Arnica before my surgery, which is a homeopathic pill that goes under your tongue; five of them three times a day; and as a result I had almost no bruising. In fact, my lack of bruising was completely amazing. I didn’t get black eyes which was great. I would recommend Arnica to anyone considering a rhinoplasty. You can get Arnica at any health food/vitamin store. I also used the Arnica cream after the surgery to help the minimal bruising go away faster.

QuestionWhat was the recovery period like?

AnswerI was back to work in a five days which included two weekend days so I didn’t have to take much time off of work. There was some pain after the surgery for the first few days but the pain was well-managed. I had my surgery a little over a year ago, and the swelling kept going down little by little for months. And as it continued to go down, my nose kept looking better and better. People say that it’s a “long recovery process” but it’s really more of a “long improvement process”—my nose just kept getting prettier.

QuestionWould you tell other potential patients that are considering having a rhinoplasty?

AnswerIf this is something that you’ve always wanted to do, go ahead and do it. Don’t wait as long as I did. I wish I had done this much earlier. I would do it again in a minute.

To see the before and afters for our combined procedures, CLICK HERE

Patient’s Story: Mommy Makeover

QuestionWhat made you decide to have a Mommy Makeover?

AnswerI had lost a total of 135 pounds and had a lot of skin that needed to be taken off. Some of the skin was from the weight loss from gastric bypass surgery and some of it was from having my daughter. My breasts were droopy and deflated for both reasons as well. My Mommy Makeover included a tummy tuck, a breast lift, and liposuction on my flanks, inner thighs, arms and back.

QuestionWere you surprised by anything in regards to the tummy tuck procedure? Was it harder to go through that you thought?

AnswerThe tummy tuck is a big procedure but it’s really worth it. The surgery takes 4+ hours, then you’re in post-op for a while before you go home. You have drains and a compression garment and you need people at home to help take care of you. The hardest part is to try to maneuver your body with the drains. When you wake up, your stomach feels tight—I remember after two weeks it felt really tight—all that skin was gone. I had some muscle work done too. It had been so long since I had a taut stomach.

It wasn’t harder than I thought—there is just a lot of recovery time—most people go to work in two or three weeks but you are still doing some gradual recovery after that time. You need to make sure that you are healing correctly and that you don’t have excess fluid build-up.

QuestionWhat were your thoughts about the breast lift?

AnswerAfter the procedure I felt like I was breast feeding; the pain and tenderness was similar to when I was breast feeding and the breasts were engorged. And as for the results, there’s a huge change in the way my new breasts look—how they look in a bra—the shape of a bra that fits. I don’t even have to wear a bra with every dress if I don’t want to. I can wear a shirt with a built-in bra. My breasts look like real breasts now. Before I just had two long “socks” hanging there. Now my nipples are back up where they should be instead of pointing to the floor.

QuestionPatients often ask about the results of liposuction. What was your experience?

AnswerIt took 2 -3 months to see the full results of the lipo because of the fluid they add when they are doing the procedure. It is a bruising pain; like you’ve been in a fight. My flanks are so much better; I don’t have the love handles I did before. I had a total of 5 pounds of fat removed from my arms, flanks and thighs. My inner thighs look much different; they don’t touch like they used to and they don’t rub. It just changes everything. All of a sudden when the swelling went down, I noticed that things were “smoothing out”. When I put the paper panties on for the “after” photos they didn’t fit at all like they used to.

QuestionWhat are your thoughts about the overall results of your Mommy Makeover?

AnswerWhen I sit I don’t have those two rolls of skin hanging over my pants. I’m single, and after I had the procedure I went on a date and I had a tight-fitting black shirt on. Usually I would be so self-conscious of someone seeing me from the side with my stomach hanging out, or I would worry that they would see my wrinkled breasts. Now I can go out with a smooth tummy and my breasts are where they should be. It’s just so nice to put my shirt down and have it lay flat on my smooth tummy. Nothing is sticking out or folding when I sit.

When I first put on a bra after the breast lift it was so weird. It’s incredible to look at yourself in a mirror and see that your nipples are where they should be. The nipples are not folded up or off to the side. The breasts are perky and the nipples are pointing forward.

QuestionWhat has the reaction been from your family and friends to your new figure?

AnswerPeople have said “Oh you look fantastic”, “phenomenal”. My dad saw me before the surgery and saw me once after the surgery while I was still swollen, but when I saw him three months after the procedure he said “Oh my gosh… you look amazing!!” I’ve never heard my dad react with such excitement; not even when I graduated from college. His reaction made me feel so good.
And… I got my first two-piece swimsuit ever this year and that has been a huge milestone!

QuestionDid you prepare for the surgery by getting smaller clothes etc.?

AnswerI did all that afterwards. It was so nice to put clothes on and have a flat tummy to zip up or button around. Clothes just look and lay better and feel better. They are so much more comfortable because I don’t have a “tube of skin” there anymore

QuestionWhat would you tell other women that are considering a Mommy Makeover?

AnswerI have already recommended it to my stepmother and she is going to go to Edina Plastic Surgery and get one done. I tell people if they are thinking of doing both breasts and tummy, do it all at the same time. Not only is it easier to have to go through the recovery only once, you want them to “match”. You want nice breasts AND a nice tummy not just one or the other.
I was 28 when I had this done. And it was a great decision that I would do again.

QuestionWhat was your overall opinion about the doctors and staff at Edina Plastic Surgery?

AnswerThe staff was wonderful. They are awesome. I wasn’t nervous at all. I was so excited to get the procedure done that I literally jumped on the operating table and said “Let’s get this done. Fix me”. All of the doctors at EPS are masters at tummy tucks and breast lifts. Even though it is a big step, I would do the procedure over again in a minute. It’s definitely worth it.

To see the before and afters for our combined procedures, CLICK HERE

Patient’s Story: Facelift, Brow Lift, Blepharoplasty

QuestionWhat made you decide to have a facelift, brow lift and blepharoplasty?

AnswerI am a fair-skinned woman who recently turned 50. When I was in my teens and early twenties I never wore sunscreen. My friends and I would spend hours sunbathing and even used baby oil and sprayed ourselves with a water mist while we were out in the sun to achieve a better tan, or in my case a darker “sunburn”. Because I had years of damaging sun exposure and such fair, “Nordic” skin, I had many wrinkles and my face was starting to sag and lose definition at the jawline. My neck was starting to sag as well. To add to the problem my eyes were becoming more “hooded” which made me look even more aged and tired.

QuestionWhat made you choose Edina Plastic Surgery?

AnswerI knew that having all these procedures was a big step—not one to be taken lightly. And not just because of the cost. The most important thing for me was to find a surgeon who I trusted and who listened carefully to understand my goals, which I felt were very realistic. I needed a surgeon who had the talent and expertise to do the procedures correctly so I would look “refreshed” and not “pulled or windblown”.

QuestionWhat was the free consult like?

AnswerMy free consult with EPS was great. I liked everything about the practice. The waiting room was spacious and beautiful, the staff was very friendly. My surgeon was extremely nice, very thorough in his explanations and very patient in answering all my questions. EPS was the FOURTH plastic surgery practice I visited and it was so completely head and shoulders above the other three. None of them gave me anywhere near the comfort level I got with Edina Plastic Surgery, and all of them performed their surgeries at an independent surgery in Plymouth which didn’t appeal to me. Edina Plastic Surgery has their own in-house surgery center right next to their office so they control their own schedule and always work with their own staff. That fact was much more reassuring to me.
After my initial consult, I went home and thought about the procedures. I called the practice a few days later to see if I could come in for another consultation and ask some additional questions. They were very gracious and welcomed me back for another consult. Immediately after my second consult I scheduled the surgery.

QuestionWhat would you say about the post-surgery results?

AnswerI am very happy with my decision and do not regret it one bit. My results were incredibly natural looking. Because I chose an extremely talented, meticulous surgeon I do not look “pulled and artificial” but look refreshed and more youthful. The blepharoplasty and the eye brow lift were so successful—my eyes look beautiful—more awake and perfectly symmetrical. It’s so much more fun to wear eye shadow and liner now because my eyes stand out so much more without all that extra skin and sag.
There was very little pain after the surgery. The worst thing post-surgery was the bruising. Because I naturally bruise very easily and my bruises take a long time to go away, that was my biggest obstacle. It was two weeks before I could go out in public just because the bruises were hard to conceal. But that is a small price to pay for such a great result.
I didn’t tell anyone besides my husband that I was having cosmetic surgery. One of the nurses at EPS suggested that I have my hair cut in a slightly new way before having the procedure, so people would think that I looked different because of the new hair style—which I did. When I did go out to a party with a group of my closest friends, I was a little worried about what their reactions might be. But no one “looked at me funny”; they just said that I looked incredible with my new hairstyle!
As for the scars post-surgery they are completely undetectable. They healed beautifully and invisibly and I am not usually the best “healer”. Initially I was worried about scarring and I am delighted that none of the scars show even under my magnifying mirror.

QuestionWhat would you tell others about the procedure?

AnswerI would tell anyone that is thinking of “refreshing their face” to do their homework. Look online and do some research about the procedures. There are doctors out there that do cosmetic surgery without the proper credentials. In my opinion, no one should consider using a surgeon that isn’t board-certified by the American Board of Plastic Surgery which is the highest level of certification. Make sure to go to Edina Plastic Surgery for a free consult; their doctors are all board-certified. If you compare EPS to some of the other practices in town, I know you’ll agree with me that it is the best place to come for such an important and life-improving procedure.


Patient’s Story: Breast Reduction Surgery

QuestionWhat made you decide to have breast reduction surgery?

Answer“I am a very active person. I enjoyed playing sports but my very large breasts made me uncomfortable. It was hard to swing a bat, difficult to run—my breasts were limiting my activities and that was very frustrating.
The type of implant that is best for you can depend on a number of factors, including your physical anatomy and your goals. The doctor will discuss this with you at your consultation so that you and your doctor can determine which option would be best.
The pivotal incident which was my personal “breaking point” happened one day when I went shopping for a bathing suit with my mom. When I came out of the dressing room I was in tears. I was so frustrated that I could not find a suit that fit me/looked flattering on me. When the top fit the bottom was huge. My mom convinced me that it was time to go see a plastic surgeon about a breast reduction.”


QuestionWhat made you choose Edina Plastic Surgery?

Answer“Big breasts run in my family. My mom and my aunt had both had inordinately large breasts and they had both gone to Edina Plastic Surgery and were delighted with their results. Because they both highly recommended EPS that is where I went for my consult.”


QuestionWhat was the free consult like?

Answer“I was very comfortable at EPS the minute I walked into the practice. The doctor answered all my questions, and he took the time to discuss what size my new breasts would be. When he told me that during the reduction you also get a breast “lift”, that was very exciting. I decided to go ahead with the surgery right there at the consult.”


QuestionWhat would you say about the post-surgery results?

Answer“This is probably the best decision I have ever made in my life. I went from a large double D down to a C which is such a perfect fit for my lifestyle and my frame. I thought the recovery period was quite easy. Yes I was sore for a few weeks and it was harder to lift my arms up all the way during that timeframe, but the recovery was actually easier than I thought it was going to be. I had two follow-up visits to EPS for check-ups and for the removal of stitches and everyone was very nice and very caring.
I was back at “full strength” playing sports—and enjoying them much more—in a few months. The scars have totally faded and I am very happy with them. The whole process was so completely worth it and I am incredibly happy with the way I look and feel now. And shopping for a bathing suit no longer leaves me in tears!”

QuestionWhat would you tell others about the procedure?

Answer“Because I was so happy with the results of my breast reduction, I have referred two other patients to Edina Plastic Surgery; my doctor and my best friend. They were also extremely happy that they had breast reduction surgery and delighted with the results. I now know so many women that have gone to EPS we joke that we have our own little “support group”. I would encourage any woman who wants to improve her life by reducing the size of her oversized breasts to go for it!”


Types of Breast Implants

QuestionWhat types of breast implants are there and how do I know which type to choose?

AnswerThere are two main types of breast implants that are currently FDA-approved, and the surgeons at EPS have vast experience with both types of implants.
The type of implant that is best for you can depend on a number of factors, including your physical anatomy and your goals. The doctor will discuss this with you at your consultation so that you and your doctor can determine which option would be best.


Liposuction Areas

QuestionWhat areas are treatable with liposuction?

AnswerLiposuction can involve the abdomen, thighs, hips, arms, back, knees, neck, calves or ankles, and sometimes involves many of these areas. It is a very common procedure that is done as an outpatient in generally 1-3 hours.

The surgeons at EPS are very experienced with liposuction procedures and will review your options to come up with a safe, effective and realistic plan to help you achieve your goals.


Tummy Tuck Results

QuestionWhat is the best way to get rid of loose belly skin and fat?

AnswerLoose belly skin and fat can usually be addressed with an abdominoplasty (Tummy Tuck). The results can be dramatic and immediate even though there will be additional improvement over time. Many patients have had incredible results with this procedure.

Tummy Tuck surgery is done under a general anesthetic. It is normally done on an outpatient basis, but frequent follow-ups with your plastic surgeon are needed over the first 2-3 weeks. This surgery can provide fantastic results, but there is a significant recovery period. You would be moving very slow for the first 2 weeks, and will need some help around home for at least the first week.


What is the latest technology in visualization for plastic surgery?

QuestionWhat can the Vectra XT 3D Camera show patients?

AnswerThe Vectra XT 3D Camera is the only camera in the state of Minnesota that creates three dimensional images of patients’ bodies and faces. Patients of Edina Plastic Surgery get to see these images at their FREE consultation. The camera technology is so advanced that the surgeons can simulate every possible size of breast implant and even every brand name of implant. It is a remarkable visualization tool and only available at Edina Plastic Surgery.

QuestionWhat are the benefits of the Vectra XT 3D Camera?

AnswerPatients love it that they can see a very accurate representation of what their “after” results will look like before their surgeries. Rhinoplasty patients can see images of their post-surgery noses and breast augmentation patients will see how different sizes and shapes of implants will look on their bodies in order to make well informed decisions pre-surgery.



QuestionWhat have patients said about the Vectra XT 3D Camera?

AnswerHere are two testimonials from patients who have used the Vectra before their procedures:

“I am 57 years old and giddy with joy at the results of my breast augmentation. I credit the Vectra 3D camera with giving me the courage to “go for” the larger size implants. I have always been a small breasted woman and am quite petite so it was difficult for me to imagine myself with larger breasts. I was concerned if I went for a D cup it would be too much for my frame. I work as a health professional and didn’t want to look like Dolly Parton. When I tried on the larger implants with the Demo Bra in the clinic I thought I looked ridiculous, but when I saw myself on the Vectra 3D camera, Wow-it made all the difference-I looked great! Thank you Edina Plastic Surgery for having the Vectra 3D technology!”

“I had wanted to get a breast augmentation for a long time and when I left my first appointment at Edina Plastic Surgery I literally cried from happiness and excitement. The ability to see my own body on the computer was very important to me.  Not only was I able to see what the implants would look like when placed under the muscle, I was able to see what it would look like on me vs. what it looks like on others. For patients looking for unsurpassed expertise and the highest level of technology, Edina Plastic Surgery is the only place to go. I am extremely happy with my results and would recommend them highly.”



How are breast lift changes made?

QuestionWho is a good candidate for a breast lift and how are the changes made?

AnswerThe best candidates for mastopexy are healthy women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts. Besides reshaping and raising the breasts, mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple.

Over the years, pregnancy, nursing, and the force of gravity take their toll on a woman’s breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts–at least for a time. (No surgery can permanently delay the effects of gravity.) If your breasts are small or have lost volume–for example, after pregnancy–breast implants inserted in conjunction with mastopexy can increase both their firmness and their size.

Click here to see before and after photos of breast lifts:

How do I get rid of loose belly skin and fat?

QuestionWho is a good candidate for a tummy tuck and does it get rid of loose belly skin and fat?

AnswerLoose belly skin and fat can usually be addressed with an abdominoplasty (Tummy Tuck). The results can be dramatic and immediate although there will be improvement over time. Many patients have had incredible results with this procedure.

Tummy Tuck surgery is done under a general anesthetic. It is normally done on an outpatient basis, but frequent follow-ups with your plastic surgeon are needed over the first 2-3 weeks. This surgery can provide fantastic results, but there is a significant recovery period. You would be moving very slow for the first 2 weeks, and will need some help around home for at least the first week.

Click here to see before and after photos of tummy tucks:

Are you a candidate for lipo?

QuestionWho is a good candidate for liposuction and where can it be used?

AnswerThe ideal liposuction candidate is a person who is in good overall shape and is close to their weight goal, yet has areas resistant to diet and exercise. Thus, liposuction is a shaping procedure, not a weight loss procedure but can produce incredible results.

At Edina Plastic Surgery we have treated many areas of the body with liposuction including: the neck, arms, back, abdomen, thighs, knees and even ankles. However not every area is appropriate for liposuction. For example, in some large abdomens the fat may be inside the abdominal wall, and those abdomens cannot be helped with liposuction. When patients come in for a free consultation with our surgeons they discuss all the possible options.

Click here to see before and after photos of liposuction procedures:

Q & A: Brachioplasty/Arm Lift

QuestionWhat is a brachioplasty?

AnswerAn arm lift, also known as a brachioplasty, reduces excess skin and fat between the underarm and the elbow, reshapes the arm for smoother skin and contours, and results in a more toned and proportionate appearance.

To see our arm lift before and after photos CLICK HERE

QuestionWhat are some of the causes of excess skin on the underarm area?

AnswerFluctuations in weight, growing older and even heredity can cause your upper arms to have a drooping, sagging appearance. Exercise may strengthen and improve the underlying muscle tone of the upper arm, but it cannot address excess skin that has lost elasticity or underlying weakened tissues and localized fat deposits. Brachioplasty can address those issues.

QuestionHow do I know if I am a good candidate for an arm lift?

AnswerIf the underside of your upper arms are sagging or appear loose and full due to excess skin and fat, an arm lift may be right for you. When you come in to Edina Plastic Surgery for a free consult with one of our three board-certified plastic surgeons they will discuss your options with you.

QuestionWhat are the benefits of brachioplasty?

AnswerAn arm lift will accomplish the following:

Reduces excess skin and fat between the underarm and the elbow.

Reshapes your arm to result in smoother skin and contours.

Results in a more toned and proportionate appearance. The smoother, tighter contours that result from brachioplasty are apparent almost immediately following your procedure, although initial results will be somewhat obscured by swelling and bruising. Your new, shapely and toned upper arm can be dramatically improved both in appearance and feel. The results of arm lift surgery will be long-lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness, but most of your improvement should be relatively permanent.

QuestionDoes a brachioplasty result in a visible scar?

AnswerIn order to achieve your improved image, there will be a scar on the inside of your upper arm. Your surgeon can discuss this with you in detail and show you before and after photos of other patients.

Incisions are generally placed on the inside of the arm or on the back of the arm, depending on the surgeon’s preference, and may extend from the underarm (axilla) to just above the elbow. If fat is to be reduced during your arm lift, it will be excised or treated with liposuction. Depending on your specific conditions, incisions may be more limited. Then, underlying supportive tissue is tightened and reshaped with internal sutures. Finally, the skin is smoothed over the new contour of your arm.

To see our arm lift before and after photos CLICK HERE


Q & A Body Lifts

QuestionWhat is the goal of a body lift?

AnswerPatients will achieve a firmer, more youthful looking body contour as the result of a body lift.

A surgical body lift improves the shape and tone of the underlying tissue that supports fat and skin. More than any other procedure, a body lift can truly be a life-changing event, and Edina Plastic Surgery is the place to come for expertise in body lifts from our board certified plastic surgeons.

To see our body lift before and after photos CLICK HERE

QuestionWhat is involved in body lift surgery?

AnswerDuring a body lift, excess sagging fat and skin are removed to treat conditions caused in part by poor tissue elasticity.

The body lift procedure is an extension of the classic abdominoplasty. In some cases it can be done in conjunction with minor shaping liposuction. It is usually done as on an outpatient basis, but for some patients hospital stays may be indicated.

QuestionWho is a good candidate for body lift surgery?

AnswerThe person that is the best candidate for this procedure has skin laxity which extends around the body.

This condition may be the result of massive weight loss, such as gastric plication/gastric bypass surgery, large pregnancies, or even genetically lax skin. Typically the goals of a body lift are to tighten the abdominal skin and muscle, and to lift the thigh and buttock areas. Smokers and extremely overweight patients may not be good candidates for this procedure.

QuestionWhat kind of scarring can patients expect as a result of body lift surgery?

AnswerThe body lift procedure leaves a significant scar, but that scar is necessary to obtain even more significant results.

The body lift scars are customized to match the patient’s needs and can be designed to lift different areas of the body, depending on the patient’s own shape and goals.

QuestionWhat is the recovery time after the surgery?

AnswerIt is usually 2 – 3 weeks before the patient can return to work, and it can be 2 – 3 months before all normal activities can be fully resumed.

To reduce postsurgical risk and speed recovery, at Edina Plastic Surgery we use a pain management pump that allows early walking. As with all body contouring procedures, the patient has to be dedicated to the result and must use a common sense approach to diet and exercise to maintain his or her results.

To see our body lift before and after photos CLICK HERE

Q & A: Mastopexy/Breast Lift Surgery

QuestionWhat causes breasts to sag?

AnswerOver the years, pregnancy, nursing, and the force of gravity take their toll on a woman’s breasts.

As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. If your breasts are small or have lost volume–for example, after pregnancy–breast implants inserted in conjunction with a mastopexy can increase both their firmness and their size.

To see our breast lift before and after photos CLICK HERE

QuestionWhat changes are made during breast surgery and who are the best candidate?

AnswerBesides reshaping and raising the breasts, mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple.

The best candidates for mastopexy are healthy women who are realistic about what the surgery can accomplish. The best results are usually achieved in women with small, sagging breasts. Breasts of any size can be lifted, but the results may not last as long in heavy breasts.

QuestionCan you do a breast lift before you are done having children?

AnswerMany women seek mastopexy because pregnancy and nursing have left them with stretched skin and less volume in their breasts.

However, if you’re planning to have more children, it may be a good idea to postpone your breast lift. While there are no special risks that affect future pregnancies (for example, mastopexy usually doesn’t interfere with breast-feeding), pregnancy is likely to stretch your breasts again and offset the results of the procedure.

Click here to schedule a free rhinoplasty consult

QuestionWhat does breast lift surgery involve?

AnswerMastopexy usually takes one and a half to three and a half hours.

Techniques vary, but the most common procedure involves an anchor-shaped incision following the natural contour of the breast. The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. When the excess skin has been removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.

Breast lifts are usually performed under general anesthesia, which means you’ll sleep through the operation. In selected patients–particularly when a smaller incision is being made–the surgeon may use local anesthesia, combined with a sedative to make you drowsy.

QuestionIf you have small breasts is there an alternative type of surgery?

AnswerSome patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions.

One such procedure is the “doughnut (or concentric) mastopexy”, in which circular incisions are made around the areola, and a doughnut-shaped area of skin is removed. If you’re having an implant inserted along with your breast lift, it will be placed in a pocket directly under the breast tissue, or deeper, under the muscle of the chest wall.

To see our breast lift before and after photos CLICK HERE

What is Involved With Liposuction Surgery?

QuestionWhat type of anesthesia is used for liposuction procedures?

AnswerThe liposuction procedure is typically done under adequate anesthesia to allow your surgeon to do the very best job possible. For larger areas, this will be a general anesthetic. While local anesthesia can be used for smaller areas, there are limits to the area that can safely be done with this technique. Our surgery is done in our on-site, fully accredited and licensed specialty facility.

QuestionWhat does a typical liposuction procedure involve?

AnswerThe typical procedure may involve, the neck, arms, back, abdomen, thighs, knees, or even ankles and sometimes all these areas. It is common that surgery will take from 1 – 3 hours and patients wear a compression garment for 3 to 6 weeks post-operatively.

There are many techniques for fat suction, some involving dissolution of the fat before aspiration. The board certified surgeons of Edina Plastic Surgery are well versed in all these methods and will be able to review your options and come up with a safe, effective and realistic plan to help you achieve your goals.

QuestionHow long does the recovery process take?

AnswerAfter a liposuction procedure patients can usually return to completely normal activity within 4 to 6 weeks, but a certain amount of swelling may be present for up to 6 – 9 months. It is common to not lose weight (because of swelling) for 2 weeks or a little longer. It is important to follow instructions during this time to get back to a normal life style and speed swelling resolution.

To see our liposuction before and after photos CLICK HERE

Call us at 952-925-1765 or fill out a free consult form online to talk to one of our surgeons about whether you are a good candidate for liposuction.


Liposuction…Good Body Shaping?

QuestionWho is a good candidate for liposuction?

AnswerThe ideal liposuction candidate is a person who is in good overall shape and is close to their weight goal, yet has areas resistant to diet and exercise. Thus, liposuction is a shaping procedure, not a weight loss procedure.

QuestionWhere are the areas I can have liposuction?

AnswerAt Edina Plastic Surgery we have treated many areas of the body with liposuction including: the neck, arms, back, abdomen, thighs, knees and even ankles. However not every area is appropriate for liposuction. For example, in some large abdomens the fat may be inside the abdominal wall, and those abdomens cannot be helped with liposuction. When patients come in for a free consultation with our surgeons they discuss all the possible options.

To see our liposuction before and after photos CLICK HERE

Breast Aug Incisions

QuestionWhat options are there for incision types/placement for breast augmentations?

AnswerThere are three incision options that the surgeons at Edina Plastic Surgery use:

There are three incision options for placement of a breast implant in breast augmentation surgery:

1. Transaxillary from the under arm area, in which an endoscope is used to assist in creation of the pocket.

2. Inframammary which is located in the breast crease.

3. Periareolar which is where the incision is placed from the nipple area.

You may be a good candidate for only one of these approaches, or all three. When you come in to Edina Plastic Surgery for a FREE consultation your surgeon will carefully explain all of these options.


At EPS we have the only Vectra XT 3D camera in the state of Minnesota that shows breast augmentation patients incredibly accurate 3D photos of their own bodies with different size and style implants. When patients can see a simulation of their choice of implant on their bodies, it increases their satisfaction level with the procedure and improves their confidence.



Types of Breast Implants

QuestionWhat types of breast implants are available at Edina Plastic Surgery?

AnswerWe currently use one of two types of breast implants, both FDA-approved in the U.S.

1. The first type of breast implant is saline filled breast implants with a silicone elastomer shell.

2. The second type of breast implant is a cohesive silicone gel filled breast implant that also has a silicone elastomer shell.

The type of implant that is right for you will depend on your individual goals and circumstances, and your exam and discussion with our plastic surgeons.

It may be that both are equally good options for you, in which case with the help of our plastic surgeons, the style that best matches your goals will be selected. Some of the differences of saline and silicone implants are listed below:

-Saline is less expensive, firmer, and has more ripple potential. It also can be put into a smaller incision no matter the size of the implant and is adjustable in volume.

-Silicone gel is more expensive, tends to be softer and show ripples less, however, it needs a bigger incision the bigger the implant gets. It is also the most natural feeling implant for breast augmentation because the silicone gel is thicker and more the consistency of body tissues.

Breast augmentation is one of the most frequently performed cosmetic procedures in the United States today. The Board Certified surgeons at Edina Plastic Surgery specialize in breast augmentation and will carefully discuss your options for the type of implant, incision and pocket options during your FREE consultation.

At EPS we have the only Vectra XT 3D camera in the state of Minnesota that shows breast augmentation patients incredibly accurate 3D photos of their own bodies with different size and style implants. When patients can see a simulation of their choice of implant on their bodies, it increases their satisfaction level with the procedure and improves their confidence.




New Vectra XT 3D Camera

QuestionI’d like to have a rhinoplasty but I’m worried about how my new nose will look on my face.

AnswerOur New Vectra XT 3D Camera can show your face with a visualization of your new nose.

Edina Plastic Surgery is the only plastic surgery practice in the state of Minnesota to have a Vectra XT 3D Camera that can show patients a realistic image of what the results of their nose surgeries or breast augmentations will look like on their own bodies.

Cameras positioned around the machine’s arms snap pictures that create a 3D image of the patient’s face or body. Our board-certified surgeons use this image to show patients what they look like now and then give them a view of what they might look like after their procedure.

Vetra 3D Camera Photo

“This new camera and technology opens up the lines of communication between the patient and the surgeon so that we know we’re all on the same page and shooting for the same goal,” explains Dr. Robert Wilke, one of the board-certified plastic surgeons at Edina Plastic Surgery. “Now our patients can have an excellent visual image of what their results will be.”

The Vectra XT 3D also shows virtual images for women interested in breast augmentation and allows them to choose different implant sizes and shapes. At most plastic surgery clinics patients interested in testing out the size of their new implants have to do so by slipping clumsy silicone inserts into stretchy bras. This method can be very inaccurate and confusing especially for women with asymmetrical breasts. The new technology allows female patients to see a virtual image of different sizes and types of implants on their own bodies.

Getting nose surgery or rhinoplasty

QuestionI’m thinking of getting nose surgery/rhinoplasty but don’t know who to choose as my surgeon?

AnswerNose surgery should be performed by an experienced board certified plastic surgeon.

Because noses are such a prominent feature on the face, when a patient has a nose that they feel deviates from the normal range they can be very self conscious. Rhinoplasty is one of the most common cosmetic procedures done in the nation and at Edina Plastic Surgery.

The procedure itself involves several tissue types (bone, cartilage, and skin). These tissues are the elements of a complex structure that is responsible for the very important function of breathing. For these reasons, rhinoplasty is best approached conservatively and by a surgeon with extensive experience. All of the surgeons at Edina Plastic Surgery are board certified by the American Board of Plastic Surgery and have done thousands of nose surgeries.

Click here to see photo gallery of rhinoplasties

Nose surgery can address the nasal tip, the hump of the nose, a crooked appearance, breathing problems, or all of these issues. Rhinoplasty can be done “closed” (with only incisions inside the nose), or “open” with the same incisions as closed, along with a small incision in the skin between the nostrils. The incision choice depends a great deal on the complexity of the procedure planned.

The best way to determine what your options are and to address your areas of concern is to come in for a free consultation with one of our board-certified surgeons. During this visit, we will perform an exam and discuss treatment options to best help you achieve your goals.

Click here to schedule a free rhinoplasty consult.

Tummy Tuck Types

QuestionHow is the decision made between a mini tummy tuck and a full tummy tuck? Mini abdominoplasty vs. full abdominoplasty?

AnswerPatients need to be clear on the differences between these two procedures. With a full abdominoplasty, there will be a scar that extends across the lower abdomen, typically extending from hip to hip. There is also a scar around the belly button.

With the mini abdominoplasty, the lower abdominal scar is shorter, and there is no scar at the belly button. Liposuction is often used with either of the procedures.

Less scarring always sounds like a good idea, but lesser procedures produce lesser results, and you may not get the outcome that you are looking for. The mini tuck does not tighten the upper abdomen at all.

Again, an examination of the abdomen by our experienced, board certified plastic surgeons followed by a thorough discussion about the patient’s options will ensure that the right procedure will be chosen.


Facelift Truths

QuestionWhat is the difference between the facelifts marketed on TV and the facelifts performed at Edina Plastic Surgery?

AnswerThe truth about facelifts.

Various terms have been used for mini-facelifts, and recently some marketing companies have taken variations of the procedure and have given them proprietary names. This has created a great deal of confusion surrounding these procedures. Some of these procedures seen on TV are not even surgical, and produce subtle changes that may only last for a few months. Some practices/clinics are even advertising a “30 minute facelift”.

In reality, a safe and effective facelift procedure, even the “mini” variety, cannot possibly be performed in less than an hour.

When the board certified surgeons at Edina Plastic Surgery perform a mini-facelift, the surgeons spend at least 30 minutes simply placing the closing sutures, ensuring that we are obtaining the best possible result. After all, the patient will live with the result we achieve for many years, and they deserve the time and effort needed to have this done properly to get a fantastic result. A typical mini-facelift procedure that we perform will take about two hours to complete, and if other procedures are included, such as a brow lift or eyelid lift, more time will be added. It’s important to be aware that not all procedures, or practitioners, are equal and you do not want to be comparing apples to oranges.

In contrast to the mini-facelift, the classic facelift takes longer to perform and is usually done under a general anesthesia. The procedure requires a longer scar that extends from the temporal hairline and along the front of the ear as in the mini-lift, and then continues behind the ear and into the posterior hair-bearing scalp. A more aggressive elevation of the tissues in the face and neck is performed. Often, brow lifts or eyelid lifts are performed at the same time, which also adds to the operative time, cost and recovery.


Does a breast lift = smaller breasts?

QuestionDoes a breast lift always result in dramatically smaller breasts? I am interested in having a breast lift done but am concerned about what size my breasts will be after the procedure.

AnswerAt Edina Plastic Surgery when we perform a mastopexy (breast lift) on someone with very large breasts, it is usually necessary to perform some reduction of the breast volume as well in order to optimally shape the breasts. In patients with relatively small breasts, we usually do not need to remove any glandular breast tissue, and often the breasts appear a bit larger than they did before surgery, simply because we are lifting the tissue and, in essence, bringing it together which makes the breast appear more full. When patients come in to our office for a free consultation their surgeon will take the time to carefully explain all of the options.


Thinking about a nose job?

QuestionI have been thinking about getting a rhinoplasty/nose job but I am concerned that I will not be able to accurately describe the results that I am looking for to a surgeon since I don’t know all the technical terms and I don’t know what can and can’t be achieved. Is there a way that the surgeon and I can look at images of what my nose will look like before and after?

AnswerAt Edina Plastic Surgery rhinoplasty patients can see an incredibly realistic 3D simulation of the results of their procedure on their own face using our new VECTRA XT 3D Camera.


What to expect: The simulation experience begins with a picture session in the Edina Plastic Surgery office. This creates the starting point for your aesthetic consultation. The VECTRA XT 3D Camera captures a three dimensional photograph of your face and nose using multiple cameras positioned for different views, all shooting at once.

Using special simulation software on your 3D picture, our surgeons will show you the possible results of the rhinoplasty/nose job and talk with you at length about your goals and expectations.

The photographs of your nose can be rotated on the screen and shown from hundreds of different angles. We can also superimpose your after image over the before image so you can see the difference in one screen. You and your Edina Plastic Surgeon will be able to experiment with different looks until you find the one that most closely meets your expectations.

Once you and your surgeons have decided on the changes, this VECTRA XT 3D simulation will provide a basis for your surgical plan. Because you have already seen the results, you can be much more confident in the outcome of the procedure.


Visualizing breast implants

QuestionWhat is the best way for me to choose what size breast implants I would like? I tried putting padding in my bra and it just felt so unnatural; it was very hard to visualize if a breast implant that size would look natural on me.

AnswerYou can now see an incredibly realistic simulation of your new breast implants with the VECTRA XT 3D Camera at Edina Plastic Surgery.

Now breast augmentation patients can see 3D images showing how different size implants look on their bodies for incredibly accurate before and after simulations. This new high tech system also works great for rhinoplasty patients! Edina Plastic Surgery is the only plastic surgery practice in the state to have the VECTRA XT 3D Camera.


At Edina Plastic Surgery we are very excited to offer our patients this new state-of-the–art tool that will help patients feel very comfortable with their choice of implants.

The process is simple. When a patient comes in for a free consultation they stand in front of the VECTRA camera for one photo. Then their surgeon shows them a simulation of their own body “trying on” different sizes and shapes of implants until they are happy with the virtual results.


The enhanced visual reinforcement and improved communication between patient and surgeon allows the patient to go into surgery confident in her implant choice. These new 3D pictures are worth more than a thousand words.


QuestionHow does the VECTRA XT 3D Camera work? Is it a simple process for a patient to go through? What types of procedures does it work for besides Breast Augmentations?

AnswerIt only takes one photo using the VECTRA XT 3D Camera to create an incredibly realistic simulation for both Breast Augmentations and Rhinoplasties.


What to expect: The simulation experience begins with a picture session in the Edina Plastic Surgery office. This creates the starting point for your aesthetic consultation. The VECTRA XT 3D Camera captures a three dimensional photograph using multiple cameras positioned for different views, all shooting at once.

Using special simulation software on your 3D picture, our surgeons will show you the possible results of the aesthetic procedures you may choose to have. The photographs can be rotated on the screen and shown from many angles. We can also superimpose your after image over the before image so you can see the difference in one screen. You will be able to experiment with different looks until you find the one you want.

Once you have decided on the appearance you want, this simulation will provide a basis for your surgical plan. Because you have already seen the result, you can be confident in the outcome of the procedure.



What about breastfeeding

QuestionI would like to have breast augmentation, but am wondering about the effect on breastfeeding. I am planning to have another child in the next two years and am wondering if it would be better to wait or if I would be fine to go ahead with the procedure now.

AnswerTo achieve the best result we recommend that women be finished having children prior to undergoing breast augmentation. A personal free consultation with one of our surgeons will provide you with more information.


Types of Neck Lifts

QuestionAre there different types of neck lifts available?

AnswerAt Edina Plastic Surgery we do two types of neck lifts:
The first type is a standard neck lift, otherwise known as the open neck lift. These usually are done in conjunction with a facelift and can achieve excellent results. The basic goal of neck surgery is to improve the appearance of the neck by re-creating an angle between the jaw line and the front of the neck. This angle is called the cervicomental angle and helps to make the neck look more youthful. As a part of aging, excess lax neck skin can hang down and create a straight line from the bottom of the chin to the lower neck. The underlying neck muscles can also contribute to the problem.

The open neck lift involves an incision that runs behind the ear, then extends back into the posterior scalp hairline. Often, a submental incision (incision under the chin) is made in conjunction to allow the removal of fat and/or deal with the anterior neck muscles if necessary. With the open neck lift, we typically lift and tighten the platysma muscle in the neck, in addition to lifting the posterior neck skin and removing the excess. People that have substantial skin excess and laxity in the neck will usually require this type of lift.

The second type of neck lift uses the ImplicitGuide® Surgical Suture System (iGuide®). The system can produce excellent results when used for the appropriate candidate, with fewer potential side effects and less downtime and is often done in conjunction with liposuction of the neck. Your surgeon can evaluate you to determine if this procedure would be an appropriate option.


Treating a Loose Belly

QuestionHow can a loose belly after pregnancy be treated?

AnswerLoose belly skin and fat can usually be addressed with an abdominoplasty (Tummy Tuck).
This surgery is done under a general anesthetic. It is normally done on an outpatient basis, but frequent follow-ups with your plastic surgeon are needed over the first 2-3 weeks. This surgery can provide fantastic results, but there is a significant recovery period. You would be moving very slow for the first 2 weeks, and will need some help around home for at least the first week.

This is a very common situation after a pregnancy, but you do want to be done having children before doing a tummy tuck. You also want to be at a stable weight, and a regular exercise program is strongly encouraged. All of the surgeons at Edina Plastic Surgery are board-certified plastic surgeons, and we offer free consultations so you can meet with us to discuss your options.


Breast Augmentation Scars

QuestionWhere are the scars located after breast augmentations and how visible are they?

AnswerSome type of incision is always needed to place a breast implant.
Each incision made in a breast augmentation will result in a small scar. These scars can be placed in one of three places – at the breast crease (inframammary), the lower areola (periareolar), or in the armpit (transaxillary). Which one is best will depend on the anatomy of each patient, as well as the experience and comfort level of the surgeon. Regardless of which approach is used, the scars typically become nearly imperceptible. None of them should be visible in a swimsuit. It is very rare to have poor scars from breast augmentation, but if hypertrophic scarring occurs, treatments can be done later to minimize the scar. If you are considering a breast augmentation come in to Edina Plastic Surgery for a free consultation to discuss your options.


Age for breast reduction surgery

QuestionWhat is the minimum age for breast reduction surgery?
I am considering having breast reduction surgery. Is there an age you recommend because I am only 18. What are the general requirements for insurance to cover this procedure, and how much pain would be experienced post-surgery?

AnswerMinimum age for breast reduction surgery
Breast reduction can be considered after breast development has stabilized. Insurance coverage is dependent on the symptoms you have and how much weight will be removed from the breast. Surprisingly there is usually very little pain during recovery. We offer free consultations to make you more comfortable with your decision regarding breast reduction surgery.


Muscle repair: body lift/tummy tuck

QuestionCan you explain the muscle repair that is done with a lower body lift/tummy tuck?
I read something recently about the lower body lift addressing “muscle repair” that had “fallen.” Could you enlighten me on what that means?

AnswerMuscle repair in body lifts/tummy tucks
When performing a body lift, an abdominoplasty (tummy tuck) is a crucial part of the procedure. The abdominal muscles are sewn together at the midline when performing most tummy tucks, and this is the muscle repair that is being described also in the body lift. When doing other procedures that may be part of the body lift, such as an inner thigh lift, we will suspend the skin/soft tissue to a deeper fascial layer (a layer of strong tissue just superficial to the muscle) , although this is not truly a “muscle repair”. Come in to our office for a free consultation and we can answer all your questions about body lifts and tummy tucks.



Recovery timeline: breast implants

QuestionWhat is the recovery timeline after breast implant surgery?
I am considering having breast implant surgery and need to plan time off from work and also need to coordinate any help I may need at home for recovery. Can you give me an approximate recovery timeline?

AnswerRecovery after breast implant surgery
All of us have busy lives and cannot or do not wish to take time out to recover. In most cases most women can care for their children, drive and lead fairly normal (but less active) lives within one week. Part of the reason for quick recoveries in our practice is due to the pain pumps we use after surgery. The pain pumps help patients get back to normal much faster.


What is a Mommy Makeover?

QuestionWhat is the “Mommy Makeover”?
I recently overheard a woman say she was thinking about a “Mommy Makeover”. What is this? Recently I have been considering the possibility of having a tummy tuck but am thinking that I should look into this instead, so I’d like an explanation of the term. Thank you.

AnswerThe “Mommy Makeover”
The “Mommy Makeover” is a term that was created to describe a combination of procedures that are done to correct many of the changes that occur to a woman’s body after having children. It is used to describe a combination of various procedures.

The most significant physical changes that occur after pregnancies are to the abdomen and breasts. The abdominal skin is often stretched and loose, and may bear stretch marks. The breasts, especially if a woman breast feeds, may have drooped and lost volume. The classic surgeries that correct these problems are the abdominoplasty (tummy tuck) and the breast lift (mastopexy) with or without breast implants to add volume. In some cases liposuction is also performed at the same time, most often to the hips, back, thighs and/or arms. When multiple procedures are performed together, they are often called a “Mommy Makeover”.

It is important to consult with a board-certified plastic surgeon if you are considering these types of procedures. You should be done having children and at a stable weight. Potential patients should be in good general health, and preferably be practicing a regular exercise routine. A general medical clearance is needed before proceeding with this type of surgery. It is done under general anesthesia, and should only be performed in an accredited surgery center or hospital. You will need some recovery time – typically several weeks – and if you have young children, you should plan on having help at home for at least the first week.


How to Decide Breast Implant Size

QuestionBreast Implant Sizes
I’m worried that if I get breast implants they will give me a top- heavy look, so I’m trying to figure out what size breast implants should I get.  Is there a rule of thumb or tips for choosing breast augmentation sizes? What are my options in breast implant size?

QuestionThe Best Implant Size
The best size for your breast implant is the size that will achieve your personal goals. Sizing is very subjective. There is simply not one size that is “right” for any body type, but rather a range of sizes that can work based on a patient’s anatomical dimensions. Measurements are important, especially in regards to implant diameters (there are various “profiles” of implants at any given size, which means a specific volume implant will be available in different widths). Our surgeons measure your dimensions to help determine which implants will fit properly in your breasts.