Question 1

What is the Aveli (Ovilee) cellulite treatment process?

Accepted Answer

Aveli is a very minimally invasive, one-time cellulite treatment performed by Dr. Gopathy at the practice's med spa. A consultation is required to determine if you are a good candidate.

Question 2

What is MiraDry and how does it work?

Accepted Answer

MiraDry is the first FDA-cleared device to permanently reduce excessive underarm sweat and odor. The practice uses an iodine sweat test, which shows dark spots where sweating occurs, to assess treatment areas. Patients can expect a dramatic reduction in sweat observed six weeks after the procedure.

Question 3

What is the typical recovery expectation for a chemical peel?

Accepted Answer

Patients should expect an initial period where the skin appears worse before it begins to improve during the chemical peel recovery process.

Question 4

What anesthesia options are available for neck liposuction, and what is the procedure like?

Accepted Answer

Neck liposuction can be performed awake, often with oral sedation, regional anesthesia, or laughing gas (Prominox). The procedure involves infiltrating tumescent fluid containing lidocaine, tranexamic acid (TXA), and epinephrine to minimize bleeding and bruising. After a 12-13 minute wait for the fluid to take effect, supplemental liposuction clears fat. It's a quick procedure that can significantly improve facial harmony and aesthetics, sculpting 'dreamy jawlines'.

Question 5

Is Morpheus8 resurfacing used with neck liposuction?

Accepted Answer

In some cases, neck liposuction is followed by Morpheus8 resurfacing of the neck, performed by the practice's esthetician, to help with skin tightening.

Question 6

How does Dr. Somayazula approach natural-looking breast implants, and what implant types does he recommend?

Accepted Answer

Dr. Somayazula defines 'natural' based on individual patient goals during consultation, but for most, it means less upper pole roundness and more of a teardrop shape. He offers both ergonomic implants (like Motiva, which provide natural movement, soft feel, and a teardrop shape as silicone settles) for a natural, teardrop look, and cohesive implants for those desiring or wanting to maintain upper pole fullness. The choice of implant type is highly individualized, with no single type being superior, and is determined through discussion and review of desired aesthetics during consultation.

Question 7

What factors contribute to breast implants looking natural, and what types of implants are best for a natural aesthetic?

Accepted Answer

Dr. Somayazula defines 'natural' based on individual patient goals during consultation, but for most, it means less upper pole roundness and more of a teardrop shape. He offers both ergonomic implants (like Motiva, which provide natural movement, soft feel, and a teardrop shape as silicone settles) for a natural, teardrop look, and cohesive implants for those desiring or wanting to maintain upper pole fullness. The choice of implant type is highly individualized, with no single type being superior, and is determined through discussion and review of desired aesthetics during consultation.

Question 8

Is MiraDry truly a permanent solution for excessive sweating, and what are the potential side effects?

Accepted Answer

MiraDry is the first FDA-cleared device to permanently reduce excessive underarm sweat and odor. The practice uses an iodine sweat test, which shows dark spots where sweating occurs, to assess treatment areas. Patients can expect a dramatic reduction in sweat observed six weeks after the procedure.

Question 9

What does Dr. Somayazula say about their approach?

Accepted Answer

The esthetician at the practice performs Morpheus 8 resurfacing. The Ovilee treatment is performed by Dr. Gopathy at the practice's med spa.

Question 10

What does Dr. Somayazula say about their techniques?

Accepted Answer

Then we're going to go back and do a little bit of supplemental liposuction to clear out the fat in that area. After infiltrating tumescent fluid, the practice waits about 12 to 13 minutes for the effects of epinephrine and TXA to take place.

Question 11

What does Dr. Somayazula say about the technology they use?

Accepted Answer

So in my hand over here is a Motiva ergonomic implant, you guys can see in the upright position, it takes on more of a teardrop shape as most of that silicone drops to the bottom as opposed to more of a cohesive implant.

Question 12

What does Dr. Somayazula say about their training and credentials?

Accepted Answer

I'm Dr. Ravi Somezula. I'm a board-certified plastic surgeon in Houston, Texas.

Question 13

What does Dr. Somayazula say about consultations?

Accepted Answer

The practice defines 'natural' based on the individual patient's understanding during consultation.

Question 14

What does Dr. Somayazula say about recovery?

Accepted Answer

I've had some patients that we do regional anesthesia, and without any oral sedation, they can actually drive themselves here and drive themselves back.

Question 15

What does Dr. Somayazula say about safety?

Accepted Answer

The practice uses laughing gas, specifically Prominox, during neck liposuction. Neck liposuction can absolutely be done awake.

Dr. Ravi Somayazula, DO

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