All Frequently Asked Questions

Combination of breast lift with implants


What do I need to know about getting a combination of breast lift with implants?


After losing a lot of weight or having children, many women feel the desire to look and feel younger. Some choose to have a breast lift combined with an implant to enhance their appearance and restore their self-confidence. If a woman’s breasts are small or have lost volume – for example, after pregnancy – breast implants inserted in conjunction with a breast lift can increase both their firmness and their size. The board certified plastic surgeons at Edina Plastic Surgery are experts in the breast lift with breast implant procedure.

Adding a breast lift to an augmentation can maximize results

Breast lifts typically involve lifting the breast and eliminating excess skin while moving the nipple and areola into a new, more natural position. The end result is a perkier more youthful look and is very much appreciated among those women with sagging breasts.

Combining a breast lift with implants is a good way to get the maximum results from breast lift surgery. When breast lifts are combined with an augmentation, the patient’s breasts will increase in cup size and the results will generally be more pleasing than the results from a breast lift alone.

CLICK HERE to see before and after photos of our breast lift surgeries

Deciding on the correct breast implant type

The type of implant that patients choose will affect how they look and feel after the surgery, so it’s important to select the correct option. Two types of implants are currently available and FDA-approved in the United States: saline-filled implants with a silicone elastomer shell and cohesive silicone gel filled implants with a silicone elastomer shell. The type of implant that is right for you will depend on your individual goals and circumstances.

  1. A saline implant is less expensive, firmer and has more ripple potential. It can be placed with a smaller incision no matter the size of the implant and is adjustable in volume.
  2. A silicone gel implant is more expensive, tends to be softer and shows ripples less. This implant requires a bigger incision for larger implants. It is the most natural feeling implant because the silicone gel is thicker and more similar to the consistency of body tissues.

Factors to consider when choosing the right implant size and shape

When considering the appropriate breast implant for a breast lift patient, our surgeons take many factors into account including shape (round or teardrop-shaped), texture (smooth or textured shell) profile and overall size. The appropriate size should be based on body proportions, posture and skin elasticity. Our surgeons discuss these options with each patient.

A breast lift with implants is a complex procedure

This procedure is more complicated than either a breast augmentation or a breast lift surgery alone because there are many changes being made to the breasts at one time. There is also a higher incidence of revisions when a breast lift is combined with implants.

It is very important for patients to consult board-certified plastic surgeons such as Dr. Nathan Leigh, Dr. Robert Wilke and Dr. Michael Philbin of Edina Plastic Surgery. They all have a great deal of experience with this procedure and will take the time to discuss the risks and benefits with each patient. We encourage patients who are considering a breast lift with implants to contact us for a free consultation.

CLICK HERE to request a free consultation.

The top eight misconceptions about liposuction


What circumstances are best for using liposuction, and can it be used to treat cellulite or droopy skin?


Liposuction is one of the most frequently performed cosmetic surgical procedures in the United States and around the world. According to the American Society of Plastic Surgeons, 246,354 liposuction procedures were performed in the U.S. in 2017. The three board-certified surgeons at Edina Plastic Surgery are all experts in the art of liposuction. However, many patients still have questions about what conditions liposuction can and cannot treat.

Because liposuction is a shaping procedure and not a weight loss procedure, not every area can be treated with liposuction, but the typical procedure locations may include the neck, arms, back, abdomen, thighs and knees. It can be done as a stand-alone procedure or in conjunction with other procedures such as an abdominoplasty (tummy tuck).

Despite its popularity, many people still have misunderstandings about liposuction; the most common misconceptions are listed below.


1. Liposuction can help you lose weight

Even though some of the results for liposuction can be very dramatic, the reality is that most patients only lose about two to five pounds in total. In fact, the best candidates for the procedure are generally within 10 percent of a healthy weight range and have localized fat pockets they would like to reduce.

2. Liposuction can be performed to treat cellulite

Cellulite occurs when subcutaneous fat pushes connective tissue bands beneath the skin, causing those characteristic dimples and bumps. Cellulite is not simply an irregular pocket of fat. Liposuction is only able to remove soft, fatty tissue and does not directly affect the skin or other tissues, so the fibrous connecting bands that cause cellulite are not altered.

3. Liposuction is only for “younger people” and not for “older people”

Liposuction can be safely performed on any patient who is in good health and has had a positive medical examination. If the patient has a lack of firmness and elasticity (both of which commonly decrease with age) it may compromise the skin’s ability to re-drape over newly slimmed, reshaped contours. One of the main contraindications for liposuction is poor skin quality.

4. Liposuction will “fix” lax or droopy skin

Because the appearance of a double chin or a heavy tummy may involve a degree of sagging skin with reduced elasticity as well as excess fat, your surgeon may recommend a skin tightening procedure instead of (or in conjunction with) liposuction. Liposuction alone cannot fix sagging or drooping skin.

5. After liposuction the fat deposits removed will return

Liposuction is “permanent,” in that once the fat cells are suctioned out, they will not return. However, if a person’s calorie intake is excessive, there will still be some remaining fat cells that can grow in size and expand the area. The best way to maintain the results of a liposuction procedure is to maintain a healthy diet and exercise regimen.

6. You can get back to your normal routine immediately after liposuction

Liposuction is a relatively safe procedure, however every surgical procedure entails a recovery period, and liposuction is no exception. The most common after-effects include swelling, bruising, and soreness at and around the treatment areas. While the healing process varies from patient to patient, most people should plan to take some time off from work to rest and recover. It may be four to six weeks before a patient can resume strenuous activity or exercise, and swelling to a certain extent may be present up to nine months.

7. Liposuction is only for women

According to the American Society of Plastic Surgery, 28,180 men had liposuction procedures in 2017. fact, it was one of the most popular cosmetic surgeries for American men this past year. Common areas for treatment in men include the abdomen, love handles and chest.

8. Liposuction is always the answer to belly fat

Liposuction can only targets subcutaneous fat which is the kind that is located below the skin and above the muscle. An abdomen that protrudes due to fat under the muscle and around the internal organs (known as visceral or intra-abdominal fat) will not be improved with liposuction. The only effective methods to combat visceral fat are diet and exercise.

Good information about an eyelid lift


What is an eyelid lift and what can eyelid surgery treat?


Blepharoplasty, or an eyelid lift, is a cosmetic procedure that has continued to grow in popularity. It is one of the most popular cosmetic procedures performed in the United States, coming in fourth in the list of top cosmetic surgeries published by the American Society of Plastic Surgeons. In 2017, more than 200,000 eyelid lift procedures were performed in this country.

Over time, upper eyelids often develop an excessively full or droopy appearance, and lower lids may develop puffy fat pads and loose skin. Surgery for these conditions can provide a more rejuvenated appearance – and can improve vision when skin is heavy enough to block the eyes.

Eyelid lifts can have a dramatic effect on the face and patients have said that their self-confidence has been greatly improved because their eyes look so much more youthful and they no longer look “tired all the time”.


1. What is an eyelid lift?

There are three distinctly different types of eyelid lift surgeries. The board-certified surgeons at Edina Plastic Surgery meet with each patient to discuss which of these options is best for their situation.

  • Upper Eyelid Surgery: This type of blepharoplasty is most often performed to improve the appearance of the eye due to aging genetics. For some patients it is performed to improve vision loss from drooping lids. Focused only on the upper eyelid, this surgery can restore the function of the eye and also provide a more open and youthful appearance.
  • Lower Eyelid Surgery: This procedure is based around the lower lid and eyes, focusing on the removal of wrinkles in the skin and the correction of baggy eyes.
  • Double Eyelid Surgery: This is when both procedures, upper and lower are combined. Doing both types of eyelid surgery at the same time can make a very dramatic change to the look of the eyes, and as a result the patient can look much more youthful.

2. What can eyelid surgery can treat?

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

3. Who is a good candidate for eyelid surgery?

Good candidates for eyelid surgery include:

  • Healthy individuals with no medical conditions that can impair healing
  • Nonsmokers
  • Individuals with a positive outlook and realistic goals
  • Individuals without serious eye conditions

The approach that our surgeons will recommend for eyelid surgery is based on your needs and goals. During the initial free consultation, our board-certified surgeons will assess whether a blepharoplasty may be beneficial for each patient and, if so, what type of surgery will provide the desired results. Eyelid surgery is performed on an outpatient basis in our fully accredited onsite surgery center and does not require an overnight stay.

The top seven facts to know about breast augmentations


What are the things that patient ask about most when it comes to have a breast augmentation?


Some answers to the most commonly asked questions are below:

1. The choice of breast implant type is not as simple as saline versus silicone. When considering the appropriate breast implant for a patient, our surgeons take many factors into account including shape (round or teardrop-shaped), texture (smooth or textured shell) profile and overall size. The appropriate size should be based on body proportions, posture and skin elasticity. Our surgeons discuss these options with each patient. In addition, we use the Vectra XT 3D camera so patients can see the different virtual implants shown on photos of their own bodies.


2. There are three incision options available for placement of a breast implant:

  • Inframammary uses an incision in the breast crease.
  • Periareolar uses an incision in the nipple area.
  • Transaxillary uses an incision in the under arm area. An endoscope is used to assist in creating the pocket for the implant.

Some patients may be a good candidate for only one or two of these breast surgery approaches – or all three. Our surgeons have extensive experience in all of the breast augmentation incisions.

3. When it comes to implant placement, there are two pocket options for the implant itself; under the pectoralis major muscle (submuscular, partial submuscular or biplanar) and under the breast gland itself (subglandular). There are advantages and disadvantages to both positions, and all three of our surgeons have a great deal of experience in both pocket placement options.

4. Sagging breasts cannot be fixed simply through a breast augmentation. Some patients believe that an augmentation will fix sagging breasts, but actually when you increase volume in the breasts it can exacerbate the appearance of sagging. A breast lift or mastopexy is the appropriate procedure to correct sagging breasts. A breast lift involves tightening tissues and removing any excess, as well as potentially repositioning the areolas and nipples to more suitable positions. When a patient wants to both lift and augment their breasts, a lift combined with a breast augmentation can be performed.

5. It is true that all breast implants will need to be replaced at some point. While today’s breast implants are long-lasting, they are still devices that are not designed to last for a lifetime. Almost all implants will last more than a decade before they require replacement. Most breast augmentation patients will outlive their implants and/or may choose to receive a breast lift in the future when their implants are replaced.

CLICK HERE to schedule a free consultation

6. Your final results are not what you see immediately after surgery. Many patients become distressed with the level of swelling they see in the days immediately following the surgery. This swelling can take weeks to resolve, along with the adjustment of breast implants to an appropriate position. Eventually the swelling does subside and the implants settle in.

7. All patients who smoke cigarettes must stop smoking for a minimum of two weeks prior to their augmentation procedure. Nicotine can constrict blood vessels and therefore poses a problem with blood circulation. The carbon monoxide created by cigarettes can affect the oxygen supply to the healing tissue. So as a result, even one single cigarette before surgery can create a risk to healing.

“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.”

The many elements involved in a successful tummy tuck


What is involved in a tummy tuck procedure?


Abdominoplasty, or tummy tuck, is one of the most common body contouring procedures performed at Edina Plastic Surgery. Because every patient has a unique body shape and size and their own set of personal goals, each tummy tuck is customized and no two will be exactly alike.

When it comes to a tummy tuck, the procedure is much more than one single surgical step, but rather it is a series of elements that are customized to create the best results for each patient.

By addressing a number of conditions that keep the abdomen from looking toned, the surgeons at Edina Plastic Surgery can achieve tummy tucks with excellent results.

1. Removal of excess fat

Stubborn areas/pockets of fat are responsible for increasing the size of a waistline. Although liposuction is frequently performed as a standalone procedure, it is also an element of a tummy tuck used to help flatten the area. During a tummy tuck the surgeon uses the main incision to get access for the liposuction cannula to loosen and suction out the fat.

CLICK HERE to see before and after photos of our tummy tucks

2. Removal of excess skin

Excess skin can create a sagging pouch that hides even very well-defined abdominal muscles that may sit beneath it. Some patients have a small amount of excess skin; others have a great deal of excess skin which is often called an “apron”. During a tummy tuck the surgeon re-drapes the abdominal skin until it sits flat and tight. The excess is then trimmed away. The surgeon places the incision in an area that is typically very low on the torso where it will eventually be hidden by underwear or a bathing suit bottom.

3. Tighten lax muscles

Belly muscles and the fascia covering them often become loose over time. A fascia that is firm helps to hold everything in place much like a “girdle”. When the fascia becomes lax the contents behind it bulge outward. When abdominal muscles separate, it can also make the entire midsection look flabby. When necessary, the surgeon will stitch the abdominal muscles and fascia back together to create a tight and toned look.

4. Belly button placement

During a full tummy tuck the surgeon “relocates” the belly button. This involves creating an opening in the newly-taut abdominal skin, allowing the navel to appear where it should be to look proportional with the rest of the body. This procedure is called an umbilical translocation. For mini and modified tummy tucks, the incision needed is somewhat shorter and the belly button is not impacted.

CLICK HERE to schedule a free consultation

Plastic Surgery for Men


What are the top reasons why men are having more cosmetic procedures?


More and more men of every age are opting for plastic surgery and cosmetic procedures to improve confidence and body image. The number of men seeking plastic surgery procedures in 2017 was at an all-time high of 1.4 million according to statistics released by the American Society of Plastic Surgeons.

Here are some of the top reasons why men chose plastic surgery:

  • To stay competitive in their careers
  • Build their self confidence
  • Feel better about their bodies
  • Preventative steps for aging

“Men should do their homework and choose a board-certified plastic surgeon,” says Dr. Robert Wilke from Edina Plastic Surgery. “A board-certified plastic surgeon has extensive training and is best equipped to offer each patient the right choice of procedure to get the most natural looking results.”

Men are feeling more confident about visiting plastic surgeons to discuss a wide range of procedures. When men have a procedure on an area of their body that they are not happy with, their confidence rises and impacts how they see themselves.

Plastic surgery does not have the same taboo for men that it did years ago because socially there is a greater sense of acceptance for physical body changes from elective plastic surgery. Today more men are seeing the importance of taking care of themselves in order to look their best, and one way to do that is through cosmetic procedures.

The rise in plastic surgery procedures among men is driven in part by the aging of the baby boom generation, but men of all ages, even those under 30 are interested in body contouring procedures.

Recent statistics regarding plastic surgery for men have shown a five year rise in procedures such as liposuction which has had an increase of 23%, tummy tucks which have increased by 12%, and male breast reductions which have increased about 30%.

Statistics show that the majority of younger men tend to focus on enhancing their bodies, while older men are showing greater interest in having minimally-invasive procedures to take years off of their faces. In 2017 nearly 100,000 men had filler injections, which is a number that is up a whopping 99% since the year 2000. The popularity of Botox for men has also skyrocketed in popularity. Many men believe that their careers and productivity can suffer if they look tired, so cosmetic facial procedures can be just the solution that they are looking for.

Because they see it as a key to remaining competitive in the workplace, many male patients are reporting a desire to look younger. This trend to look good for the sake of a career is often called “the executive edge”. When men look as young as they feel, the resulting rise in confidence benefits their careers and lives.

Mommy Makeovers After Pregnancy


Can a Mommy Makeover Restore My Pre-Baby Body?


A plastic surgery procedure that has received a great deal of media attention is the mommy makeover. Mommy makeovers have become increasingly popular, partly due to the fact that so many women are having children later in life.  Women who have babies in their mid to late 30’s and beyond may be less resilient to “bouncing back to pre-pregnancy shape” than those of their younger counterparts.

“Many of the women 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.”


Not all “mommies” need the same “makeover”

Some women are lucky and are not negatively affected by pregnancy or breast feeding, while other women experience loose abdominal skin, separated abdominal muscles, droopy breasts and fat deposits in areas that are resistant to diet and exercise.  In many cases these women need plastic surgery to achieve the kind of improvement that they are looking for.

A mommy makeover is a customized set of surgical procedures aimed at reversing the negative changes associated with childbearing. The board certified plastic surgeons at Edina Plastic Surgery will carefully listen to each patient and assess their individual needs. The ultimate goal with this procedure is a return to the “pre-baby body”.

The breasts and the abdomen are affected most during pregnancy

A typical mommy makeover often includes abdominoplasty combined with liposuction. Very frequently the patient also has a breast lift, reduction, or augmentation.

During mommy makeover procedures extra skin is removed, stretch marks are minimized and the breasts and body/abdomen are lifted to regain a comparable figure to pre-pregnancy form. The operations are all individually quite simple, but when combined together as a “whole solution”, the transformation from a mommy makeover can be incredible.


“The overall satisfaction rate for mommy makeovers is very high,” says Dr. Wilke. “Many women have told us that they are delighted with their transformation and the only regret they have is that they wish they had come in to see us sooner.”

A big benefit of the mommy makeover is that the patient has a single recovery vs. two or three separate ones. This shortens downtime from family and work as well as reducing the costs of anesthesia. 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.

Many factors play a role in determining the ideal time to have a mommy makeover
  1. For the maximum benefit, women should be fairly certain that they are done having children.
  2. Women who have small children will need to have help in their homes to take care of the children during the recovery period, which can last between two and three weeks.
  3. We suggest that women take a minimum of two weeks off from work for recovery time, so the necessary vacation time should be factored into the equation.
  4. It is recommended that women who smoke quit a minimum of two weeks pre-surgery and need to refrain from smoking during the recovery period. The surgical flaps used for a tummy tuck or breast lift are particularly susceptible to compromise from the effects of smoking; so much so that skin loss is possible.
  5. A woman’s weight before surgery also plays a role in the recovery from a mommy makeover. Studies have shown that surgical risks for complications related to healing and infection are more frequent in patients with higher BMI (Body Mass Index). Ideally, patients should have a normal BMI which is a score below 25.
We specialize in mommy makeovers

The board certified plastic surgeons at Edina Plastic Surgery listen carefully to each patient and advise them on the most appropriate procedures for their mommy makeovers. During a span of more than 40 years of making patients more beautiful, we have helped women of all ages improve their bodies and boost their confidence.


Liposuction vs. CoolSculpting™


What are the different benefits of Liposuction and CoolSculpting?


When patients feel as if they are tired of camouflaging unwanted bulges, lumps and bumps their thoughts often turn to liposuction or CoolSculpting. Either procedure can yield excellent results but many patients ask us “which one is better?”


According to recent statistics from the American Society for Aesthetic Plastic Surgery (ASAPS), liposuction is one of the most popular cosmetic procedures performed in America. Almost a quarter million people had liposuction in 2017.

At Edina Plastic Surgery our board certified plastic surgeons are all very experienced in liposuction procedures. Our surgeons perform liposuction surgery with local or general anesthesia to allow for the most comprehensive fat removal possible. Liposuction procedures are performed in our onsite, fully accredited and licensed surgical facility.

During liposuction, small incisions (around an eighth of an inch) are made to allow access to the area where the fat is to be removed. When the surgeon inserts a cannula and turns on the suction, small yellow round lobules travel down the plastic tubing from the body into a plastic canister. The surgeon tailors and sculpts the area by moving the cannula throughout the fatty bulge from different incision sites. There is a true art to doing liposuction correctly which is why patients should consult board certified plastic surgeons.

The typical liposuction procedure location may include the neck, arms, back, abdomen, thighs, knees or ankles – and sometimes all or a combination of these areas.

CLICK HERE to see our before and after photos from liposuction procedures


CoolSculpting is a noninvasive fat reduction technology offered at Skin Artisans at Edina Plastic Surgery. This fat-freezing procedure uses controlled cooling to eliminate stubborn fat that resists all efforts through diet and exercise and has become very popular in the U.S. after receiving FDA approval in 2010. The results are proven, noticeable and lasting.

The treatment works best on people who are already near their ideal weight but are bothered by the presence of localized fat deposits in areas such as the abdomen, thighs, muffin top, back, hips and chin.

During the treatment, a gel pad and applicator will be applied to the targeted area. The CoolSculpting applicator delivers controlled cooling to the targeted fat. Patients may feel a slight pulling sensation and numbing cold during this time. During the procedure patients often read or take a nap.

CLICK HERE to see before and after photos from CoolSculpting


One of the reasons liposuction is the second most requested cosmetic procedure is that it has many advantages over CoolSculpting such as:

  • The fat reduction is more complete and more aggressive
  • Better contouring can be achieved with liposuction
  • The results are more immediate
  • Many patients combine it with other surgical procedures done at the same time


  • Liposuction has possible surgical risks
  • Downtime of a few days with some activity restrictions for 3 to 6 weeks
  • There is a potential for surface irregularities
  • It is usually more costly than CoolSculpting depending on the number of treatments


  • This procedures is completely noninvasive
  • There is no downtime or minimal downtime
  • CoolSculpting has fewer risks
  • Depending on the number of treatments, it is generally lower in cost
  • This option works for patients who can’t have or don’t want surgery


  • Results are less dramatic when compared with liposuction
  • Possibility of surface irregularities
  • There is a rare risk of pain or paradoxical increase in fat
  • Areas of the body that can be treated can be limited by fit of application head
  • Results take approximately three weeks to be noticeable

Rhinoplasty questions


What are some of the most common questions about rhinoplasty?


Patients have many questions about rhinoplasty and the demand for this procedure is still very strong.

  1. It is one of the top five most frequently performed surgical procedures. According to a survey conducted by the American Society of Plastic Surgeons (ASPS), there were more than 218,000 nose reshaping procedures performed in 2017.
  2. A rhinoplasty is not always done simply for cosmetic reasons; this procedure can often correct real issues. Many patients seeking nose reshaping surgery have breathing issues caused by a deviated septum or large turbinates, which is the portion of the nose that heats and filters air when you breathe. In these cases this surgery has the potential not only to reshape the nose aesthetically, but to help alleviate breathing difficulties.
  3. The techniques and aesthetic rules vary for men’s and women’s rhinoplasty. For instance, the angle and slope for a man’s nose is different from a woman’s. An experienced board-certified plastic surgeon is essential for a good outcome in nose reshaping. It is truly an art to perform a rhinoplasty that results in a nose that looks natural, functions properly and coordinates appropriately with other facial features.
  4. Patients can truly see a virtual model of what their own nose will look like post-surgery. Edina Plastic Surgery is the only practice in the Twin Cities with the Vectra XT camera. This technology captures 3D images of the nose and shows the possible outcomes of a rhinoplasty. The Vectra allows our surgeons to discuss the procedure with our patients while viewing realistic 3D images, and helps to set clear goals and expectations for the surgery.
  5. Contrary to myths published on the internet, when rhinoplasty is done correctly by a board-certified plastic surgeon, the tone/sound of a patient’s voice will not change.
  6. The surgery time for a rhinoplasty is short and the recovery is much easier than some patients may think. Depending on the complexity of the case, the surgery itself usually only takes between 1 – 2.5 hours. The recovery level is mild to moderate. The initial swelling subsides quickly, and many patients, especially those who take Arnica pre-surgery have only a minimal amount of post-procedure bruising.
  7. Two weeks pre-surgery, patients are asked to steer clear of aspirin, Advil, Motrin, and Aleve. Staying away from these types of pain relievers can help speed the recovery time after a rhinoplasty because use of these drugs can cause excess bleeding.
  8. Elevating your head while sleeping after having a rhinoplasty is a very good idea to help reduce nighttime swelling. Sleeping with two pillows is an easy and effective way to keep recovery time on track in the first few days following a rhinoplasty procedure.

2017: Statistics for Cosmetic Procedures


What are the top cosmetic surgical procedures and minimally invasive procedures?


Patients are always interested in the trends for plastic surgery and minimally invasive cosmetic procedures. According to a recent survey conducted by the American Society of Plastic Surgeons (ASPS), in 2017 a record number of people opted to have surgical and nonsurgical procedures.

There were 17.5 million surgical and minimally invasive cosmetic procedures performed in the United States in 2017. This number represents a 2 percent increase over 2016. Breast reduction surgeries increased by 11% from 2016, and there were 2,000 more tummy tuck procedures performed in 2017 as well.


  • The United States continued to have a healthy economy in 2017.
  • There is a continued desire on the part of baby-boomer patients to remain competitive in a youth-centric workforce.
  • Preventative anti-aging care is seen as very valuable for young and middle aged adults.
  • Procedural and technologic innovations are providing patients with more options in both surgical and minimally invasive procedures.



Natural Looking Breast Augmentations


I’m concerned that after a breast augmentation my breasts will look “fake”. How can I be assured that they will look “natural”?


Many women considering breast augmentations are very concerned about how their breasts will look after the surgery, and rightfully so. Most are concerned that their breasts will look “artificial”, and many worry that the size implant they choose may be too big or too small for their body and frame.

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

These steps are key to ensure a natural looking result:


Finding a board-certified plastic surgeon like the three surgeons at Edina Plastic Surgery, will help ensure that you are happy with your breast augmentation. Our skilled and experienced surgeons will provide you with the insights and appropriate options for your body type so you achieve the most natural aesthetic possible with implants. Dr. Nathan Leigh, Dr. Robert Wilke or Dr. Michael Philbin will discuss a multitude of factors with you, including the implant shape, size, type and texture, as well as placement options tailored to your individual body.


Edina Plastic Surgery is the only clinic in the Twin Cities with imaging equipment that shows virtual before and after options to breast augmentation patients. Our Vectra XT camera captures comprehensive 3D images of your breasts, and these 360 degree images create incredible visuals of how different sizes and shapes of breast implants will look on your own body. This technology allows you to virtually “test drive” the implants before your procedure so you know what to expect before you make your final implant decision. Patients have told our surgeons that this ability to visualize their own bodies post-procedure has been an incredible help to them in deciding to go ahead with their breast implant surgeries.

The factors that most affect how natural the breasts will look after augmentation are the underlying anatomy of the patient and the size of implant chosen.

The surgeons at Edina Plastic Surgery will take the time to discuss the options with you, comparing your own body dimensions with the dimensions of the implant. The “profile” of the implant will be chosen based on those dimensions and you will have an opportunity to look at various size options. If you want the most natural result, it is important to stay within a reasonable size range. An implant that is very large relative to your frame will not look as natural.

The surgeons and staff at EPS are committed to achieving the best results possible for each patient. We encourage you to come in for a consultation and discuss your goals with us.

CLICK HERE to schedule a free consultation.

“During my consultation at Edina Plastic Surgery I felt very comfortable and was impressed that they could use the Vectra XT camera to generate a 3D picture of myself in my current state and one of what I would look like with different sized breasts. That sold me on having my surgery at EPS. They made the whole experience enjoyable and I am very, very happy with my results!”

“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.”

Treatments and procedures for the eyes


My eyes are really starting to show signs of aging. What treatments or procedures are available?


Without any words your eyes convey a wide range of emotion and information. Which is why we don’t want our eyes to appear tired, aged or even angry. Eyelid surgery and treatments using Botox® and dermal fillers can result in dramatic improvements to the eyes, making them look more youthful and refreshed.

If you are interested in enhancing the look of your eye area, here are some options to consider that are available at Edina Plastic Surgery and Skin Artisans at Edina Plastic Surgery:


At Edina Plastic Surgery our board-certified surgeons have extensive experience in eyelid rejuvenation.

Over time, upper eyelids often develop an excessively full or droopy appearance, and lower lids may develop puffy fat pads and loose skin. Surgery for these conditions can provide a more rejuvenated appearance – and can improve vision when skin is heavy enough to block the eyes.

Sometimes called “eyelid lift” or “eyelid tuck”, eyelid surgery’s medical name is blepharoplasty. This procedure can be conducted on the upper and/or lower eyelids to improve appearance by removing excess fat pads or skin.

The approach your surgeon will recommend for eyelid surgery is based on your needs and goals. During the initial consultation, our surgeons assess whether a blepharoplasty may be beneficial for you and, if so, what type of surgery will provide the desired results. Eyelid surgery is performed on an outpatient basis (requiring no overnight stay) in our fully accredited onsite surgery center.

For an upper lid blepharoplasty, your surgeon will make an incision along the natural skin crease of the upper eyelid. Excess skin is removed and some fatty tissue may be excised. For the lower lids, an incision is made just beneath the lash line, extending to the crow’s feet region of the eye. Excess skin and fat can then be removed.

The lower lid can also be improved using a “transconjunctival blepharoplasty”. In this technique, an incision is made along the inner lining of the lower lid where it will not be visible. The procedure allows treatment of the fat pads, though no skin can be removed, and works best for people who have younger, elastic skin.

Eyelid surgery can be performed under local anesthesia with sedation or under a light general anesthesia, in which you are completely asleep during the procedure.

Using the most cutting edge techniques of blepharoplasty, the surgeons at Edina Plastic Surgery often remove little, if any, fat from the eyelids. Instead, the fat is repositioned into areas that appear more sunken. This is very helpful in the area of the “tear trough” just below the lower lid and at the lid-cheek junction. In addition, the muscle of the lower lid is often lifted to help smooth the contour of the upper cheek and lid.


A forehead lift or “brow lift” is a procedure that improves the heavy and drooping appearance that can occur in the brows, forehead and upper eyelids.

The passage of time affects the facial appearance and some sagging, droop or heaviness typically occurs in the brow region and upper eyelids. In addition, individuals who have a relatively low brow position naturally, even at a young age, may be unhappy with an appearance that says they are tired, angry or sad. In these cases, a forehead or brow lift can produce a positive and pleasant change.

A brow lift procedure involves lifting the forehead and brow to a more optimal position. The lifting also tends to “open-up” the area around the eyes to reveal a more youthful and attractive appearance.

Sometimes patients will request a consult for upper eyelid blepharoplasty (upper lid lift) and actually will benefit more from a forehead lift. Other times, a blepharoplasty or even a full face lift is considered along with a forehead lift. A consultation with one of our board-certified and highly experienced plastic surgeons can help you determine what is needed to achieve your goals.


Botox is a well-known and popular anti-aging treatment that provides amazing results. There are many ways the injector technician experts at the Skin Artisans at Edina Plastic Surgery can improve the eye area using Botox.

Crow’s Feet: If the crow’s feet around your eyes are dynamic, there will be a significant improvement with Botox to this area. However, if the crow’s feet are mostly static and the results of photodynamic and chronological aging, the improvement may be disappointing.

Lower Eyelid: We can treat the jellyroll area under the eyelid. (It is most noticeable in certain individuals when they smile broadly.) When Botox is injected into the middle of the lower eyelid it makes the patient’s eye look more open and youthful.

Eyebrow (Lateral): Botox can be injected to reduce eyelid hooding to produce some of the benefits of a lateral brow lift.


Dermal fillers promote hydration of the skin as well as restore volume to the skin and its underlying foundations. The expert injectors at the Skin Artisans at Edina Plastic Surgery apply injectable gel under the skin to provide a smooth, natural look and feel and use dermal fillers to treat crow’s feet wrinkles and/or tear troughs.

Skin Artisans’ technicians assure minimal discomfort during any dermal filler procedure by applying a topical anesthetic cream to the treatment site prior to injecting. In addition, all fillers used have lidocaine in them further ensuring your comfort.

Health benefits from plastic surgery


What health benefits can be gained with plastic surgery procedures?


When performed by a board-certified plastic surgeon at Edina Plastic Surgery, procedures can have added benefits over and above enhancing your appearance. The following are some of the benefits that patients have received from these types of procedures:


  • Pain in neck, back and shoulders has been alleviated.
  • Posture has been improved.
  • Breathing becomes easier and patients find it easier to exercise as well.
  • Skin irritation under the breasts caused by excess friction dissipates.


  • Corrects tuberous breasts.
  • Improved posture can occur for patients with significant asymmetry.


  • Fixes deviated septums and can greatly improve nasal function and increase oxygen flow.
  • Can correct other structural problems that restrict breathing and cause congestion.


  • In patients where the eyelid droop is substantial it improves impaired eyesight.


  • In some cases an abdominoplasty can reduce urinary stress incontinence.
  • The risk of diabetes can be lowered.
  • Back pain is often alleviated by correcting the positioning of the rectus muscle.
  • Excess skin stretched by pregnancy can be removed.

Cosmetic surgery can help patients quit smoking


I read somewhere that cosmetic surgery can help patients quit smoking; is that true?


If you’re a smoker considering cosmetic surgery, your plastic surgeon will likely require you to stop smoking for at least two weeks before your procedure because smoking can result in serious complications.

A long-term follow-up study reported on in the September issue of Plastic and Reconstructive Surgery® finds that many patients receiving instructions to stop smoking from a plastic surgeon will quit smoking, or at least smoke less, in the years after cosmetic surgery.

To see a video about cosmetic surgery patients and the rate of smoking cessation from the editor of Plastic and Reconstructive Surgery CLICK HERE.

Study findings

The study shows an association between cosmetic surgery and smoking cessation at long-term follow-up, which suggests that surgeons who request preoperative smoking cessation are clearly influencing the long-term smoking status of their patients.

As part of the study, 85 patients who were previously labeled as smokers, were required to refrain from smoking for at least two weeks before their procedures.

Five years after cosmetic surgery, 42 patients who were previously daily smokers, responded to a follow-up survey. Most of the patients were women; the average age was 40 years. The most common procedures were tummy tuck (abdominoplasty), breast lift (mastopexy), and facelift.

40 percent of the patients who responded to the follow-up survey said they no longer smoked cigarettes on a daily basis. Nearly one-fourth had not smoked even one cigarette since their cosmetic surgery procedure.

Seventy percent of the respondents agreed that discussing their increased surgical risks with the plastic surgeon influenced their ability to quit or reduce smoking.

The results suggest that patients were more motivated to quit by targeted messaging provided by the surgeons who gave them specific examples of the negative effects of smoking, instead of just an overview of general health benefits from smoking cessation. Previous research had confirmed that patients who undergo cosmetic surgery are more motivated in general to sustain positive lifestyle changes.

How does smoking negatively affect surgical results?

Everyone knows that smoking is dangerous, but the effects of tobacco use impact far more than just our lungs. Carbon monoxide introduced during smoking affects the tissue, and the nicotine found in tobacco products can cause blood vessels to restrict, limiting the amount of oxygen that can get to the rest of the body.
If patients continue to smoke right up until surgery it can result in complications and issues after surgery including:

  • Compromised circulation, which can cause the skin to breakdown
  • A higher rate of post-op infection
  • Impeded healing
  • Impaired healing can lead to scarring, necrosis and skin loss

Facelifts can be very adversely affected by smoking. And as a result many surgeons will not perform facelift procedures on smokers; other surgeons will require that patients quit smoking for a longer time period pre-surgery. This is because the effects of smoking greatly restrict blood flow, and a good blood flow in the tiny capillaries of the face is essential in a facelift. In this procedure the facial tissue is lifted up from the surface, and if the capillaries have been impaired due to smoking, it can make healing much harder and in some cases can result in unsightly scars.

CLICK HERE to schedule a free consultation.

Men get the same benefits


Can a man get the same benefits from a tummy tuck as a woman?


A tummy tuck, which is also called an abdominoplasty, is one of the most common body contouring procedures performed by the board-certified plastic surgeons at Edina Plastic Surgery.

The procedure involves the removal of excess skin and fat from the abdomen and a repair or joining of the separated abdominal muscles. Tummy tucks can be as effective for men as they are for women. Plastic procedures overall are becoming more and more popular with the male demographic and a growing number of men are choosing to have tummy tucks.

Weight loss surgeries are on the rise for both men and women and they are another reason why tummy tucks for men are gaining in popularity; men are choosing the procedure to tighten and tone their midsection.

CLICK HERE to see our tummy tuck before and after photos.

The ideal candidate for a tummy tuck is in good medical health and has realistic expectations of what the procedure can and cannot accomplish. He should also be at his ideal body weight. One of the reasons for this is that a tummy tuck will not improve the appearance of the mid-section on men with large amounts of intra-abdominal fat located around their organs. Men who fit this description need to diet and exercise before they would be a good surgical candidate.

There are several techniques to perform tummy tuck surgery on both males and females, and our board-certified plastic surgeons will decide the best technique for each patient based on their anatomy and aesthetic goals. In most tummy tuck procedures, the surgeon will tighten the abdominal muscles as well as removing the excess skin and fat. The incision made during a tummy tuck is in the lower part of the abdomen, typically below the belt line. In some cases the surgeon will suggest that the male patient have additional liposuction to the waist at the same time the tummy tuck is performed to improve the love handles and the overall result.

CLICK HERE to request a free consultation.

At Edina Plastic Surgery, tummy tuck procedures are done in our modern and accredited outpatient surgery center which is attached to our clinic. The surgery can take anywhere between one and five hours depending on the exact procedure. No overnight stay is required; however, in rare cases complications can require admission to a hospital.

Most body contouring procedures are done under general anesthesia. Patients will need someone to drive them home and care for them for at least 24 hours after the surgery; assistance with daily activities may also be necessary during the next few days.

Of the many procedures performed by our surgeons, tummy tucks can provide the best results and the most satisfied patients. Men have been delighted with their new taut waistlines and torsos. Post-procedure, all men and women are encouraged to control their weight and to exercise after recovery to maintain the surgical results and an improved state of wellness.

Top procedures performed before the holidays


What are the top procedures performed before the holidays and what are the recovery timeframes?


Now that the summer is over, people start thinking ahead to the holidays; and who doesn’t want to look their best during the holiday season? A refreshed and rejuvenated appearance makes people feel more youthful and confident but it requires some planning, and now is a good time to begin that process. While some techniques can provide immediate results, most take weeks or months for the full benefits to become apparent.

Below is a list of some of the top procedures that patients choose to undergo:

Liposuction: Plan 2-3 months ahead

Liposuction is one of the most frequently performed procedures for fat removal. At Edina Plastic Surgery our board-certified surgeons can do this procedure as a stand-alone or we can perform it in conjunction with a tummy tuck or even a facelift. It has tremendous potential to shape the body, but there are some limitations based on the skin quality and planned volume retrieval. Typically the liposuction procedure can be done on the neck, arms, back, abdomen, thighs, knees or ankles. Sometimes patients request to have it performed on a combination of areas. Recovery from liposuction varies but a return to normal full activity will occur around four to six weeks.

CLICK HERE to request a free consultation to look your holiday best or call us at 952-925-1765.

Breast augmentation: Plan 2-3 months ahead

Breast augmentation is one of the most popular procedures with patients at Edina Plastic Surgery. All three of our board-certified surgeons have special expertise in breast augmentation. Because of our expertise our clinic was selected to participate in the FDA’s clinical trials for silicone breast implants. Breast augmentation can increase self-esteem and confidence, improve the fit of clothing and make women look and feel more youthful. Edina Plastic Surgery is the only practice in the Twin cities using the Vectra XT 3D camera which allows patients to see “virtual before and after photos” on their own bodies. Although most women are back to their daily routine in about a week, it takes three to six months for the implants to completely settle into position and for the residual swelling to subside.

Blepharoplasty: Plan 1 month ahead

Your eyes convey so much information and emotion, which is why you don’t want your eyes to appear tired or aged. Eyelid surgery can help patients project a more youthful, rejuvenated and refreshed appearance. A blepharoplasty can help make your eyes your most beautiful accessory for the holiday season and beyond.  An eyelid lift can be conducted on the upper and/or lower eyelids to improve appearance by removing excess fat pads or skin. The swelling and bruising post-surgery generally resolves in one to three weeks.

Botox: Plan 3-4 weeks ahead

Botox is a well-known and popular anti-aging treatment that can provide quick and amazing results to patients who want to diminish wrinkles around the eyes and on the forehead. It is so quick it can work within just one treatment so it is a very popular pre-holiday procedure. It targets dynamic facials lines; those caused by repetitive expressions including crows’ feet, forehead creases and frown lines. The treatment takes only a few minutes and requires no down time. The early benefits can be seen within two weeks but many times patients see improvement even after that time period. For best results plan about three weeks before your holiday celebration.

Dermal fillers: Plan 1-2 weeks ahead

There are many well-known fillers that patients request to give them a beauty perk-up before the holidays including Juvederm, Restylane, Radiesse and Voluma. Dermal fillers promote hydration of the skin, and they also restore volume to the skin and its underlying foundations. The expert skin injectors at Skin Artisans of Edina Plastic Surgery apply injectable gel under the skin to provide a smooth, natural look and feel. Areas that can benefit from filler treatments include: temples, around the eyes, mid-face, lip rejuvenation and jowl correction. Mild bruising and swelling can sometimes occur after treatments so give yourself a week or two before any holiday events.

CLICK HERE to request a free consultation to look your holiday best or call us at 952-925-1765.

Breast Implant Surgery Misconceptions


What are the most popular misconceptions about breast implant surgery?


There are many common assumptions about breast implants that are not based on scientific fact but rather on public lore. On behalf of all women considering breast augmentation surgery, we have listed some myths about the operation that need to be dispelled, as well as the actual facts.

1.  All implants need to be replaced after 10 years

There is no absolute indication to remove or replace breast implants at the 10-year mark. Breast implant removal with or without replacement should be considered if and when complications occur.

Breast implants are prosthetic devices that are not expected to last forever, and there are known complications that are associated with breast implants. Routine follow-up is essential in detecting any issues with the implants and determining appropriate therapeutic intervention, if any.

The most common reasons implants may need to be replaced include:

A. Rupture or leakage. If saline implants leak, the saline is reabsorbed by the body, whereas if silicone gel implants leak, the extruded silicone gel will need to be surgically removed. The chance of an implant leaking or rupturing increases with the implant’s age. However, rupture or leakage may occur at any time subsequent to surgery.

B. Capsular contracture. Capsular contracture describes an abnormal scar formation around the implant that usually presents with pain and hardening in the breast. This condition is usually progressive, resulting in distortion of the breast and displacement of the implant. Women may develop capsular contracture in either one or both breasts at any point following implantation.


2. It’s impossible to get a good idea of what the implant will look like pre-surgery

There are hundreds of types and sizes of breast implants currently on the market, and therefore an enormous range of possible results from breast augmentation. Edina Plastic Surgery is the only clinic in the Twin Cities area with high tech imaging equipment called the Vectra XT 3D camera that shows breast augmentation patients “virtual before and after photos” of implant options on their own bodies.


In addition to using the Vectra XT 3D camera, the surgeons at Edina Plastic Surgery are experts in helping patients choose implants that match the patient’s own breast dimensions and characteristics in terms of breast width, diameter and position on the chest wall. For instance, placing a very large implant under a small, narrow breast will most likely result in an implant that may be palpable or whose edges may be visible at the top or sides of the breast. The surgeons also take the actual weight of the implants into consideration, and the progressive stretch of the tissues due to the effects of pressure from the implants and the downward pull of gravity.

3. A hospital stay is required for breast implant surgery

At Edina Plastic Surgery breast augmentation surgery is performed at our in-house AAAASF-approved surgical facility. This facility is state-licensed and staffed with the finest specialty-trained personnel. The surgical process itself takes about 1½ hours, and patients are in our recovery room for approximately 2 hours. An adult is required to give you a ride home and spend the first 24 hours with you, but no actual hospitalization is required.

4. Breast implants cause autoimmune diseases

The media has highlighted many anecdotal reports of patients who claim to have developed a number of health problems and diseases as a result of their breast implants. The association between implants and systemic or autoimmune diseases has been refuted in many scientific studies that included hundreds of thousands of women with implants. There is also no proven increased risk of breast cancer in patients with breast implants.

It is also important to note that the implants that are currently available in the US, including all silicone gel, saline and structured saline implants, are all FDA cleared. Implants of the previous generation used in procedures as early as the 1960’s did not undergo the extensive testing and data collection that implants are currently subjected to in order to ascertain their safety and effectiveness.


Top ten questions to ask about liposuction


What facts are important to know about liposuction before scheduling a procedure?


More than 400,000 patients had liposuction in 2016 according to the American Society of Aesthetic Plastic Surgeons, making it the most popular surgical cosmetic procedure in the United States.

There is a good reason that so many patients are interested in liposuction; it can provide the individually tailored body sculpting results that people truly appreciate. Patients also appreciate that this minimally invasive technique is done on an outpatient basis and requires a very short recovery time.

The best way to get optimum results is to make sure that you are an informed and educated patient before your consultation. Asking your plastic surgeon the following ten questions will help you make the right decision.

1. Are you board certified by the American Board of Plastic Surgery?

This is a question you should ask even before you schedule a liposuction consult. Do some research online and make sure that the plastic surgeon you choose for a consultation is board-certified by the ABPS. If they are board-certified it means that they have undergone extensive training in their specialty and that they routinely pass rigorous board certification exams. The three surgeons at Edina Plastic Surgery are all board-certified.

2. Who is a good candidate for liposuction?

Liposuction should not be considered as a treatment for obesity; it is best used to treat stubborn, excess fat deposits that cannot be resolved by diet and exercise. The best candidates are patients who are healthy, exercise regularly and have realistic expectations of the procedures’ results.

3. What are the benefits of liposuction?

With continued healthy eating and diet, the effects of the liposuction procedure can be permanent. This procedure helps to smooth and contour the skin; and it can result in a dramatic improvement in appearance.

4. What type of liposuction will be performed?

When your doctor meets with you they will suggest the type of liposuction that is best suited for your particular needs. The right technique for your situation may depend on several factors, including treatment location, the extent of correction desired, and your doctor’s personal protocols. Ask your surgeon which type of liposuction they perform on a routine basis; a skilled doctor will be experienced in a variety of techniques.

5. Can I have liposuction at the same time as another cosmetic procedure?

It is very common for patients to have liposuction at the same time as another procedure such as a tummy tuck or a breast augmentation or lift. Your doctor will be able to tell you whether you are a good candidate for multiple procedures.

6. If I choose to have liposuction will the results be permanent?

When liposuction is performed, the fat cells that are removed do not return. However, if the patient experiences future weight gain, the surrounding fatty tissue can still expand. Ask your surgeon for ideas on how to best maintain your liposuction results for the long-term. They will have advice on how to best retain your newly refined physical contours.

7. Where will my liposuction procedure be performed?

Because liposuction is normally performed as an outpatient procedure, you will need to arrange for a ride home after the procedure. At Edina Plastic Surgery we perform liposuction procedures at our own state-of-the-art accredited surgical center which is located within our clinic. Some surgeons use an off-site day surgery facility that can be miles from their clinic location, so make sure you are familiar with that location and that it is convenient for you.

8. What type of anesthesia will be used?

Liposuction surgery 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 be done safely with this technique.

9. How long does the liposuction procedure take?

Traditional liposuction typically takes approximately three hours or less to complete. In some cases where large areas or multiple areas are being treated at the same time, the procedure can take longer.

10. Is there anything I need to do beforehand to prepare for my surgery?

First and foremost, patients are advised to quit smoking before the liposuction procedure. Smoking can prolong healing of wounds. You may also need to discontinue certain medications as they can cause bleeding issues during surgery. Ask your doctor for pre-procedure instructions.

Breast Implant Revision Surgery


When should you consider a breast revision? What are the benefits of having a breast implant revision surgery? How do you tell if you are you a good candidate for breast revision? How is a breast revision procedure performed?


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.

The 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.

These 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.

Even 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.

The 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.

Liposuction and The Ideal Female Silhouette


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


Despite 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


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


Breast 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.”

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


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


Mommy 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.”

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.

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 although 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.

Breast lift surgery


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


Statistics 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


I 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?


According 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


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


According 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.

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).

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


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


According 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.”

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 390cc.

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.

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?


Who is a good candidate for eyelid surgery?


In 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.

Eyelids are getting droopier?


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


Eyelid 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

Where else can Botox® be used?


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


Botox® 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


Are facelifts for men a rising trend?


One 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.