Sourced directly from Dr. Smita R. Ramanadham's social posts and replies.
What is the expected retention rate for fat grafting?
Approximately 50% of grafted fat typically dissolves over 6 months to a year.
What is Endoscopic Sleeve Gastroplasty (ESG) and what should patients know about it?
Endoscopic Sleeve Gastroplasty (ESG) is a newer weight loss procedure where a specific instrument is inserted through the mouth to suture the stomach from the inside, making it smaller. As a relatively new procedure, it doesn't have strict BMI criteria, meaning even individuals with a normal weight can undergo it. However, it is still a procedure with risks, and while studied, it's important to consider healthy lifestyle, diet, and exercise as primary weight loss strategies before opting for surgery.
What are some at-home alternatives to Botox and fillers?
For those who prefer not to get Botox or fillers due to belief, cost, fear of needles, or personal preference, there are at-home alternatives. While these will not yield the exact same results as professional treatments, they can help you age gracefully, make your skin glow, and look healthy. High-grade, medical-grade retinol is recommended if you can't get Botox, and a good medical-grade hyaluronic acid serum is suggested if you can't get fillers.
How does Botox work and why do wrinkles form?
Botox weakens the underlying muscles beneath the skin that pull on the skin, creating wrinkles. As we age, starting in our mid to late 20s, we lose collagen and elastin, which changes skin quality and makes repetitive motion wrinkles permanent. Botox helps by weakening these muscles, leading to fewer fine lines and wrinkles over time.
How does medical-grade retinol help with anti-aging?
Retinol works by building collagen and elastin back into the skin, making it a healthier version of itself. It reverses some aging, prevents future fine lines, and improves existing ones over time. Medical-grade retinols have significantly higher concentrations than over-the-counter products, offering more effective results.
What are the benefits of using a medical-grade hyaluronic acid serum?
Most fillers used are hyaluronic acid fillers. A good quality hyaluronic acid serum, when applied, absorbs into the skin, hydrating and plumping skin cells from within. This can help diminish fine lines, improve overall skin health and quality, and leave the skin looking dewy and glowing.
What is the recovery experience like after a labiaplasty?
While the labiaplasty procedure itself is not typically painful due to numbing, the aftermath and swelling can be startling. Patients will experience some pain for the first couple of days, primarily due to swelling. The labial area is dependent, so swelling can be significant and linger longer than expected, sometimes described as 'hot dog buns.' Following post-operative instructions, precautions, and restrictions is crucial for optimal healing and beautiful results.
What is Dr. Smita's opinion on flaxseed gel as a skincare remedy?
Flaxseed gel is not a replacement or alternative for Botox, as Botox works on underlying muscles while flaxseed primarily affects skin hydration and inflammation. Flaxseed contains beneficial omega-3 fatty acids and antioxidants. While a thick layer of flaxseed gel might temporarily make lines look less pronounced due to its sticky texture, it's important to be cautious. Dr. Smita, being acne-prone, would not use it on her own skin and advises those with sensitive or acne-prone skin to be careful due to potential reactions or clogged pores.
What is the mons pubis and how can it be addressed in plastic surgery?
The mons pubis is the area in the most inferior portion of the abdomen, located right over the pubic symphysis. It can be sagging (ptotic), enlarged, or fatty. The practice always examines the mons as part of the overall abdomen. During tummy tucks, if there's excess skin or sagging, it's addressed to ensure proportional results. Procedures include a mons lift (removing excess skin/sagging), defatting via direct excision (especially during a tummy tuck to make it flush), or liposuction. Fat grafting to the mons is also an option, typically when there's overall deflation of the labia majora, blending it with the mons.
What is Dr. Smita's advice on using Aquaphor for skincare, especially around the eyes?
Dr. Smita appreciates the hack of using Aquaphor under the eyes for dry, dehydrated lower eyelids with fine lines and concealer creasing, as it adds hydration, smooths, and plumps the skin for better makeup application. However, regularly applying occlusive products can cause issues like milia (tiny, keratin-packed cysts from unexfoliated skin). Therefore, Aquaphor should be used in conservative amounts and only when needed, especially sparingly if you are acne-prone or milia-prone.