Desert Hills Plastic Surgery Center

Products And Services

• Facial Plastic Surgery

  Our facial rejuvenation procedures restore classic beauty and greatly enhance self-esteem. As we age there are certain patterns of change that are commonly seen in our faces. These changes occur mainly as a result of the decreasing elasticity of skin, the sagging of tissues, and the loss of facial volume in the form of fat. Genetics have a major influence on this process along with one's habits. For instance, heavy sun exposure and smoking have a strong detrimental effect and hasten the process significantly. Although no one can stop the aging process, Dr. Hayley Brown provides several options for rejuvenation of the aging face, including: Facelift Eyelid Surgery Brow & Forehead Lift Lip Augmentation Chin Augmentation Non-Surgical Facial Rejuvenation Dr. Brown is one of the few cosmetic surgeons in Henderson who specializes in facial rejuvenation procedures that create natural looking, "non-operated on" results. Contact Us Today Options for enhancing facial rejuvenation include a neck lift and neck contouring with liposuction. Improvements in results can be obtained with injectable soft tissue fillers to add volume in areas of deficiency, and BOTOX® Cosmetic so that results are much longer lasting. Skin care is also important to improve and maintain results. A natural looking result is key after a facial procedure. The goal is a well-rested, youthful version of yourself. Dr. Brown focuses on concealment of incisions with preservation of normal hairlines and adjacent structures so that there is no stigma of surgery. The ideal outcome is achieved when you have a dramatic and long-lasting natural result, and it doesn’t look like you’ve had surgery. What People Say About Us! "I honestly could not recommend Dr. Brown and her team more and am so happy I decided to go to her! She is phenomenal and I am so obsessed with my results! Her office staff is amazing and so nice as well! I cannot thank them enough for everything they did for me and helped me with! Desert Hills Plastic Surgery Center is definitely the place to go to!" - Anonymous What Is The Most Common Facial Plastic Surgery? Rhinoplasty is the most common type of facial plastic surgery. According to the latest statistics, board-certified plastic surgeons performed 352,555 nose surgeries in the United States in 2020. However, eyelid surgery is a close second, with 325,112 procedures performed in 2020. This surgery can dramatically refresh the look of the upper and lower eyelids. Meanwhile, facelift surgery is the third most popular, coming in at 234,374 procedures. It's the gold standard for comprehensive and dramatic rejuvenation. Many people rely on these safe and proven services to take years off their appearance, correct their cosmetic concerns, and feel like their most attractive selves. If you're interested in facial plastic surgery, you're certainly in good company. How Risky Is Facial Plastic Surgery? Facial plastic surgery is incredibly safe when performed by a qualified provider. Unfortunately, anyone who is licensed to practice medicine in the US can legally perform cosmetic surgery. To avoid complications and ensure the best outcome, you should verify that your doctor has the appropriate qualifications needed to safely carry out your chosen procedure and achieve a pleasing result. The first thing to check is whether they are certified by the American Board of Plastic Surgery. This certification demonstrates that the doctor has met rigorous education and training requirements. Dr. Hayley Brown is a board-certified female plastic surgeon practicing in Las Vegas. She has performed hundreds of cosmetic operations for satisfied patients. In general, facial plastic surgery has a relatively low rate of complications. Of course, no surgery is risk-free, and you should be aware of the possibility of infection and other issues. During your consultation, Dr. Brown will discuss all of the relevant safety considerations in order to help you make an informed decision about rejuvenating your appearance through surgery. Does Facial Plastic Surgery Last Forever? Facial plastic surgery offers long-lasting results, which is why many people prefer it to non-surgical solutions such as injectables and skin rejuvenation treatments. However, facial plastic surgery doesn't last forever because there is no way to stop the natural aging process. Fortunately, you can extend your results with good aftercare measures, such as wearing sunscreen and avoiding nicotine. And while the aging process will leave its mark, most facial plastic surgery patients will still look younger and more vibrant than if they never had surgery in the first place.

  Link: Facial Plastic Surgery

• Facelift

  Facelift surgery becomes a surgically necessary procedure in many individuals as they age if they have desires to project a youthful appearance, an inviting expression, and a well-rested, healthy and vibrant look. Non-invasive modalities such as injectable therapy, lasers and chemical peels, for example, only go so far in improving sagging tissues, facial definition, and loose and wrinkled skin. Ultimately, skin-tightening procedures are required to elevate sagging tissues, tighten muscles, and improve facial contours and skin appearance. For more information about facelift procedures in the Henderson and Las Vegas area, please call Desert Hills Plastic Surgery Center at 702-260-7707 to schedule a consultation. Board-certified plastic surgeon Dr. Hayley Brown serves patients throughout the Las Vegas area. Defining Facelift The term "facelift" sometimes sounds unappealing, as most individuals are afraid of resulting stigma of facial cosmetic surgery where they have seen natural features look distorted, pulled, and mask-like. The goal of facelift surgery is not to change your appearance, but to create a natural-looking youthful appearance so that you look like yourself, only years younger. Dr. Brown focuses on natural results. Unusual appearances, distortion or immobility of facial expression, visible scars, and an overdone, pulled-look is unacceptable. Maintenance of existing hairlines is also important so that patients are comfortable in short hairstyles and women feel at ease wearing their hair up or back. Dr. Brown feels that the best plastic surgery is when it looks like it hasn’t been done. Facelift Techniques There are several different techniques used in facelift surgery. Each approach to facial plastic surgery is individualized per patient, taking into consideration areas of concern and personal goals. An efficient, effective, and minimally invasive procedure is desired along with longevity of results. Procedures can involve part or all of the following: full face lift, neck lift, neck liposuction, mini-facelift, soft tissue fillers to restore lost volume, and skin resurfacing to smooth wrinkles. These areas of the face may be considered during your evaluation and in determining your optimal procedure, so that the entire face looks harmonious and balanced: Eyes Eye brows Ears Perioral areas (around the mouth) Chin Neck Hair Certainly, patient desires and personal surgical goals become foremost in formulating a treatment plan. Who Is A Candidate For Facelift Surgery? A person who has experienced a loss of skin elasticity and muscle tone of the face and neck from aging, gravitational and environmental factors Patients of any age who have lost a significant amount of weight with resulting deflation and sagging of facial and neck tissue and skin. Someone with facial or neck wrinkles, or jowls, prominent facial folds A person with a tired facial appearance Individuals with full necks, ill-defined jawlines due to genetics, fatty deposits, sagging neck muscles Younger individuals may desire intervention sooner rather than later, to maintain their youthful look and put off more aggressive procedures. Common age ranges for facial rejuvenative surgery in our practice are 40-70 years old. Healthy individuals in older age ranges do very well with surgery and the recovery process Non-smokers. Patients who smoke or have a significant smoking history may be at risk for skin healing complications Goal Of Facelift Surgery: To provide the patient with a more youthful, healthy appearance that is also somewhat age-appropriate Improve skin tone and wrinkles Improve neck line, profile, jowls Reduce neck fullness, fatty deposits, tighten muscles of neck and face Restore youthful facial contours and proportions A natural "non-operated on" result Restore lost volume, reposition sagging tissues Facelift Procedure Description: The operation is done on an outpatient basis, usually under general anesthesia. Most patients will spend the night in an overnight nursing care facility. Mini-facelift patients may be able to return home right after surgery Incisions are hidden in and around the hairline and around natural ear contours, with a post-tragal incision desired. This means that the scar courses inside the ear along its middle third so that a vertical scar is not visualized in front of the ear. The skin is then separated from the fat, supportive structures, and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The underlying muscles are then tightened, the skin is redraped in a vector opposite gravity, and the excess is removed. Stitches secure the layers of tissue and close the incisions

  Link: Facelift

• Eyelid Surgery – Blepharoplasty

  Medical Terms Blepharoplasty: Eyelid Surgery or Eyelid Lift Ptosis: Droopy upper eyelid related to weak muscle holding up the upper eyelid Periorbital: Around the eye Transconjunctival: Approach to eyelid surgery from inside the eye with no external scar Ask anyone: What’s the first thing you notice when you meet someone? The eyes. The eyes are the most expressive sensory structures on the face. They reveal our feelings, our openness, mood, and character. For that reason, surgery around the eyes needs to be performed conservatively, naturally, and with precision. To learn more about eyelid surgery (medically known as blepharoplasty), please call Desert Hills Plastic Surgery Center in Las Vegas at 702-260-7707 to arrange a consultation. Why Blepharoplasty? As we age, eye appearance changes from gravity, fatty tissue fluctuation, and regular facial expression. Eyes that were once open, relaxed, inviting, and youthful become droopy, wrinkled, strained, and tired-looking despite the fact that our inner selves are the same. Patients complain of a tired appearance, wrinkles around the eyes, heaviness of the upper eyelids, difficulty-applying makeup, and in severe situations, even difficulty with peripheral vision. Besides the natural aging process, anatomic factors and genetics also predispose certain individuals to seek out the help of Dr. Hayley Brown in improving the appearance of the eyes. Both young and old individuals complain of dark circles or "bags" under the eyes. The eyebrows can be naturally low or descend over time and contribute to the appearance of excess skin or fullness involving the upper eyelids. The cheek pad can also descend over time or loose volume, unmasking underlying orbital anatomy, creating a hollow and "skeletonized" look. Lastly, the upper eyelid muscles can be weak; causing a droopy upper eyelid related to muscle function and not skin excess. What Is Involved With Eyelid Surgery? Blepharoplasty eyelid surgery is a common procedure used to reverse signs of aging and restore a youthful, well-rested look. It involves removal of redundant skin and/or fat from the upper and lower eyelids. It does not change certain anatomic conditions which can contribute to tired-looking eyes. In patients whose low eyebrows contribute to the upper eyelid fullness, a brow lift procedure may be indicated. In patients with dark circles from hollowness, ideally the addition of volume to that area is the best treatment. In patients with droopy (ptotic) upper eyelids from muscle weakness, upper eyelid muscle surgery is recommended. Dr. Brown will help you determine the best treatment plan for your condition and goals. Natural looking results are key after eyelid surgery. Surgery needs to be done inconspicuously and conservatively, preserving your natural eye appearance and shape so you look like yourself, only years younger. Preservation of fatty tissue in many cases is desired, to maintain a youthful look, and decrease risks for volume deficiency and hollowness of the eyelids as you continue to age. Upper Blepharoplasty- Before & After View More Before & After Photos Is It Possible To Combine Eyelid Surgery With Other Procedures? Eyelid surgery is often combined with other facial procedures to achieve the best results. Upper eyelid surgery pairs well with a brow lift because the two create a balanced and well-rested look. It is also included in surgical plans for complete facial rejuvenation. These surgical plans tend to feature eyelid surgery alongside a facelift and neck lift as well as other individualized options. Our board-certified plastic surgeon will help you select the right procedures to meet your needs. How Much Does Eyelid Surgery In Las Vegas Cost? Eyelid surgery performed by Dr. Hayley Brown starts at $6,500 if you are having either the upper OR lower eyelids treated. When both upper and lower eyelids are treated, the cost starts at $10,000. Who Is A Candidate For Eyelid Surgery? A person with excessive wrinkling in the skin of the upper and lower eyelids Someone with puffy bags under the eyes making him or her look tired Individuals with droopy upper lids from skin excess or fat A person with a compromised visual field Individuals with prominent globes, lower eyelid looseness or laxity, generalized hollowness or depressions contributing to dark circles, and severe dry eye problems may not be candidates for blepharoplasty surgery What Is The Goal Of Eyelid Surgery? A more youthful and rested appearance Maintenance of current eye shape Stability or improvement in lower eyelid position and support Naturalness Symmetry, although perfect symmetry is unrealistic Improved vision if excess upper eyelid skin was interfering with sight Longevity in the result Non-visible scars

  Link: Eyelid Surgery – Blepharoplasty

• Lip Augmentation

  Lip augmentation is an important adjunct to facial rejuvenation. As we age, our bodies produce less collagen and the mouth loses volume. The lips thin, the corners of the lip droop, and the curvy and attractive Cupid’s bow flattens. The upper lip elongates and the lower lip drops from gravity. Sun exposure can cause dryness, color changes, and brown spots. Vertical lip lines and wrinkles around the mouth occur from normal facial movement. As women age, they notice that their lipstick tends to “bleed” into these wrinkles, regardless of whether or not they are smokers. Therefore, the lips cannot be ignored when it comes to comprehensive facial rejuvenation. To learn about options for restoring fullness to your lips, call Desert Hills Plastic Surgery Center at 702-260-7707 in Las Vegas to discuss lip augmentation. What Is Lip Augmentation? For both male and female patients, lip augmentation can improve genetically thin lips or excessive teeth or gum show with smiling and animation. Asymmetries of one or both lips can be improved upon with lip augmentation. Trauma, scars, or congenital deformities can be managed with lip procedures. In the not so distant past, women were frequently enlarging their lips beyond normal proportions in response to visualizing beautiful women in the media such as Angelina Jolie and top models with naturally full lips. It seems the trend has settled down a bit as people have witnessed too many individuals having undesirable “overdone” lips with an unnatural duck-like appearance. Think of actress Lisa Rinna, who is infamous for her distorted and unnatural lips from silicone injections. Numerous stories and images of “lips gone wrong” have helped to deter women from going overboard with lip injections. The goals of lip augmentation are to provide a beautiful shape, with youthful, age-appropriate contours without sacrificing naturalness. The Cupid’s bow and upper lip philtral columns should be enhanced. There should be a natural fullness to the lower red lip. Anatomically, the lower lip is almost always naturally slightly fuller than the upper lip, so this balance should always be maintained. Ideally, no one should know that a procedure was done to enhance the lips. Results should be harmonious with your face, and not eye catching or disproportionate. In addition, a beautiful mouth and smile is dependent on the condition of the underlying dentition, something that is often overlooked. Lip augmentation only goes so far if the underlying teeth are misaligned or in poor repair. Structural support of the lips with orthodontics and/or veneers if necessary should always been considered to maximize the result after lip augmentation. It is important to maintain an age-appropriate vertical anterior tooth display in rest position and normal conversation. Lip augmentation may not be aesthetically pleasing if the added volume hides all of the teeth when smiling. Lip augmentation can be done as an isolated procedure or as part of any facial surgical procedure. Wondering how much it will cost? Dr. Hayley Brown performs lip augmentation for $800 per syringe. We will make sure you get the final cost estimate as part of your consultation at our office. Financing and payment options are available. Lip Augmentation: Fillers Fillers are probably the safest and most predictable method to enhance the lips. Plus, they are adjustable, forgiving, and correctable, should a patient desire a slight change. They can be performed in the office setting with little to no downtime or in surgery as an adjunct to a facelift, for example. There are many different injectable fillers available to enhance the lips and treat associated lip wrinkles and downturned corners of the mouth. Most fillers last around 6-9 months, as the lips are very mobile, so product around the mouth can be metabolized fairly quickly. Juvederm, Restylane, and other hyaluronic acid fillers are the best products out there right now, as the results are natural, usually nonperceptible, controllable, long-lasting and safe. Belotero works great for fine vertical lip lines around the mouth. Sculptra, Radiesse, Radiance, Artecoll, Artefill, Silicone and many other products are not safe to use around the mouth due to very high risks of nodules and complications. Who Is A Good Candidate For Lip Augmentation With Fillers? Lip augmentation with fillers may be a good option for those who wish to have fuller, more defined lips that appear naturally so. The ideal candidate should be in good physical health and have realistic expectations of what can be achieved through this procedure. Candidates should consult with a board-certified plastic surgeon, such as Dr. Hayley Brown at Desert Hills Plastic Surgery Center, to determine if using fillers for lip augmentation is appropriate for their desired look.

  Link: Lip Augmentation

• Breast Enhancement

  Women choose to undergo breast enhancement surgery for various reasons. Most commonly, women experience appearance changes affecting their breasts from normal aging, gravity, weight fluctuation, pregnancy, and breast feeding. In addition, many women perceive themselves to be small breasted, and want a larger, fuller breast and shapely figure. There are also many women with asymmetries in breast shape and size, genetically pointy, saggy, or tuberous breasts, that significantly benefit from breast contouring. Other individuals have breasts that are too large or pendulous, and they interfere with clothing choices, exercise, and can often result in symptoms such as back pain, neck pain, and shoulder pain or even shoulder grooving from bra straps. With so many breast enhancement options to choose from, it's important to speak with experienced professionals who can discuss which procedure is right for you. Please call 702-260-7707 to arrange a consultation with Las Vegas Board-certified plastic surgeon Dr. Hayley Brown today. Types Of Breast Enhancement There are various techniques and options to improve the appearance and contour the breasts. Breast enhancement is a rapidly growing area of cosmetic plastic surgery. Dr. Brown offers the following breast procedures to Las Vegas area patients: Breast Augmentation with Implants Breast Lift Breast Augmentation with Lift Breast Implant Revision Female Breast Reduction About Las Vegas Breast Surgeon Dr. Hayley Brown Dr. Hayley Brown is a Board certified plastic surgeon who specializes in cosmetic surgery of the breast. She is an active member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS). Membership in the American Society for Aesthetic Plastic Surgery is by invitation only and is limited to ABPS-certified surgeons who demonstrate wide experience in the major aesthetic surgical procedures such as breast augmentation, saline and silicone breast implants, breast lift (Mastopexy), augmentation mastopexy (breast lift with implants), and breast reduction. Dr. Brown is passionate about her work, and committed to providing expert care, focusing on patient safety while delivering the best possible cosmetic outcome. She believes: "It is not all about achieving a patient’s short term aesthetic goals – long-term stability in surgical results is also a priority." Dr. Brown’s Patient Discusses Her Breast Surgery Patient Testimonial "Dr Brown is extremely experienced and realistic with her patients. Everyone is so welcoming and sweet every time I have gone in to pre and post op consultations. Very warm environment with everyone laughing and having fun in the office! She has been so accommodating to me through my whole experience and I am extremely grateful." - Anonymous Schedule A Client Consultation In Las Vegas, NV If you have questions about breast surgery, please contact Dr. Hayley Brown at Desert Hills Plastic Surgery Center online or by calling 702-260-7707. Dr. Brown serves patients from Henderson and surrounding areas in Las Vegas, Nevada.

  Link: Breast Enhancement

• Breast Augmentation with Implants

  If you would like to improve the appearance of your breasts, you're not alone. Many women experience the same feelings as you do, which is why breast augmentation is consistently one of the most popular plastic surgery procedures performed every year. Breast augmentation is an excellent option to help you achieve your desired breast appearance. The procedure can improve the size and shape of your breasts, allowing you to look and feel your best. Often, breast augmentation can be a life-changing procedure, providing the boost in self-confidence that typically occurs when you’re happy with the way you look. Dr. Hayley Brown has almost two decades of experience performing breast augmentation procedures. As a female plastic surgeon, she understands the unique issues and concerns impacting women in a way that most male surgeons can never truly grasp. This allows her to forge deep, meaningful relationships with her patients, and enables her to more effectively understand their goals and desired outcome. You can learn about your options and receive individualized breast augmentation recommendations by speaking with Dr. Hayley Brown in person. Please call 702-260-7707 today to schedule a consultation. We proudly serve patients in Las Vegas and Henderson, Nevada. What is Breast Augmentation? Dr. Brown's Patient Discusses Her Breast Augmentation Benefits of Breast Augmentation Am I a Candidate for Breast Augmentation Your Customized Breast Augmentation Procedure How Much Does Breast Augmentation Cost in Las Vegas? Breast Implant Options Breast Implant Styles Breast Augmentation Incision Options Breast Implant Placement Options Breast Implant Sizing Recovery after Breast Augmentation Breast Augmentation with Lift Contact our Las Vegas Breast Augmentation Surgeon What Is Breast Augmentation? Breast augmentation, also called breast enhancement, is a procedure that uses saline or silicone breast implants to increase the size, volume and contours of the breast. Dr. Brown will devise a customized treatment plan to address your unique needs and goals. In order to achieve beautiful, natural looking results, Dr. Brown will evaluate the following factors when planning your breast augmentation: Your desired breast size Your natural breast size and the amount of natural breast tissue you have Your body frame and dimensions Whether you experience breast asymmetry Whether you lead an active, athletic lifestyle Dr. Brown's Patient Discusses Her Breast Augmentation Benefits of Breast Augmentation The greatest benefit of undergoing breast augmentation is an improved breast appearance. In addition, you'll achieve a more balanced and proportionate body contour, resulting in an improvement to your overall figure. This improved appearance isn't limited to the size of your breasts. Breast augmentation provides a wide range of aesthetic benefits, including: Improved breast shape Correction of breast asymmetry Restoration of lost breast volume caused by weight loss, pregnancy and breastfeeding, or aging Improved breast projection More attractive cleavage Improved appearance in clothing, bathing suits and lingerie Am I a Candidate for Breast Augmentation? If you would like to improve any aspect of your breast appearance, you are most likely a candidate for breast augmentation. It's important to be in good overall health and have realistic expectations for the outcome of your procedure. In addition, you should not currently be pregnant or breast feeding. In order to achieve natural looking results, you will also need to have enough natural breast tissue to cover the implant. Smokers must be willing to quit prior to surgery and throughout the recovery period since smoking can adversely impact healing and your results. In general, the best candidates for breast augmentation surgery would like to achieve one or more of the following goals: Increase the size or improve the shape of their breasts Have closer cleavage Correct breast asymmetry or a congenital deformity of the chest, such as tubular breast deformities or pointy-shaped breasts Restore lost breast volume Correct mild sagging issues (severe sagging issues are best corrected by a breast lift) Due to age restrictions mandated by the FDA, you must be at least 18 for saline implants and at least 22 for silicone implants. Your Customized Breast Augmentation Procedure Breast augmentation is performed on an outpatient basis under general anesthesia. Dr. Brown uses the most advanced techniques to ensure that you achieve the beautiful, natural look you desire.

  Link: Breast Augmentation with Implants

• Breast Lift

  Medical Terms: - Breast lift: Mastopexy - Ptotic: Sagging Sagging breasts are common among women of all ages. Young women can develop sagging breasts right from puberty. This can be due to genetics, poor skin tone of the chest, anatomically low-lying breasts, asymmetric conditions, or large breasts, which quickly respond to gravitational effects. The majority of women do experience sagging of their breast tissues as they age from gravity, pregnancy, breast-feeding, and weight fluctuation. In addition, patients with stretchable tissues with poor tone and laxity will be predisposed to sagging. These skin types are characterized by loose, thin, relaxed and compliant tissues, and skin with stretch marks. Whatever the cause, mastopexy, or breast lift surgery is an excellent way to re-contour, lift and tighten the breast. The goal is perkier, shapely, natural looking breasts with increased superior pole fullness. If this procedure appeals to you, please call Desert Hills Plastic Surgery Center at 702-260-7707 to discuss your options with our Las Vegas breast surgeon. Goal of Surgery: To raise the breast and nipple, tighten the skin, and achieve a youthful, well-contoured breast Improved symmetry in appearance, volume, and nipple position. Perfect symmetry of breasts is not realistic, breasts are naturally slightly different Maximum yet natural increase in upper pole fullness Improved nipple size and appearance with centralization of the nipple and areola on the breast mound Superior and medial breast fullness, better cleavage Ability to wear swimwear, dresses, and attractive clothing styles that look good, fit well, and feel comfortable To be able to find bras that fit and are attractive To satisfy a woman’s cup size desires, whether it be a smaller or larger breast size (by the addition of an implant), or to maintain current volume A long-lasting result Who are the Ideal Candidates for Breast Lift Surgery? Women of all ages with sagging (ptotic) breasts Women with loose skin, stretch marks, and volume loss after pregnancy and breast feeding Individuals after significant weight loss or weight fluctuations Individuals with large breasts who have experienced gravitational descent from gravity Women with breast or nipple asymmetry, enlarged areola, or degrees of tubular shaped or pointy shaped breasts Women with nipples that are on the lower aspect of the breast mound or point toward the ground Women who desire more upper pole fullness Women with breast implants who desire removal or downsize of their implants Healthy individuals who are non-smokers Breast Lift Techniques There are various breast lift techniques available. Dr. Hayley Brown individualizes the surgical approach based on the degree of breast elevation required, also taking into account a patient’s overall breast size and inherent tissue tone. Patients with looser, lax tissues require more skin and tissue tightening in all dimensions. Be prepared for the trade-off of permanent scarring on the breast from this surgery. There is no other way to effectively lift and tighten breast tissues without external scarring. The scars are acceptable for the majority of women, as they hide along natural breast contours, and fade to normal skin color over time. The benefits of fitting into various clothing styles and bikini styles that look great and fit comfortably typically outweigh the presence of hidden and inconspicuous scars. Women feel confident, youthful, healthy, and sexy with perkier, firmer breasts. Breast Lift vs. Breast Reduction There is a common misconception that breast lift surgery decreases overall breast cup size. Dr. Brown realizes that this is not desirable, and therefore specializes in breast lift surgery preserving all tissue, inclusive of skin, that is used for maintenance of current size. Certainly, all bras fit differently, and an uplift of breast tissue changes shape so that bra size could change. Dr. Brown will evaluate the amount of natural tissue available while honoring your desires for final cup size. Surgery is performed to keep your breast size the same, decrease size if desired, or increase breast size if indicated with implants. Procedure Description: The procedure is done on an outpatient basis under general anesthesia An incision is made partial thickness around the nipple areola complex, allowing size reduction if needed for ideal proportion on the breast mound. The nipple remains attached to underlying nerves, blood vessels, and ducts. Redundant skin is removed and tightened. Breast tissue and skin can be removed if the patient desires a smaller cup size. For patients who want to preserve all tissue and maintain their current size, techniques which involve skin invagination (tucking-in) rather than resection are utilized.

  Link: Breast Lift

• Breast Implant Removal and Replacement

  Breast implants are very durable and should last a long time, but they’re not expected to be lifetime devices. At some point, your implants may wear out and require replacement. This is natural and should be expected whenever you contemplate undergoing breast augmentation. That doesn’t mean you are committed to breast surgery on a regular basis. If everything looks and feels good and there is no evidence of rupture, you can keep your implants for many years. That being said, at some point in time, you will most likely need to remove your old breast implants and replace them with a new set. It’s important to realize that the removal and replacement of breast implants is often desired for cosmetic reasons rather than ruptures or other complications. Whether you're unhappy with the outcome of a previous breast augmentation or you’ve experienced an implant rupture, you have several options available to you. Dr. Hayley Brown has extensive experience performing breast augmentation revision procedures, and she can devise a treatment plan that will deliver the exceptional results you deserve. You can receive individualized treatment recommendations by speaking with Dr. Brown in person. Please call 702-260-7707 today to schedule a consultation. We serve patients in Las Vegas and Henderson, Nevada. Is Breast Implant Removal and Replacement Right for Me? Common Cosmetic Reasons for Breast Implant Removal and Replacement Breast Augmentation Revision to Correct Poor Outcomes from a Previous Procedure What Does Capsular Contracture Look Like? Breast Implant Rupture Surgical Procedures to Remove and Replace Breast Implants Breast Implant Removal with Lift Is Breast Implant Removal Painful? How Much Does Breast Implant Removal Cost? Does Insurance Pay for Breast Implant Removal? Indications for capsulectomy and en bloc technique Contact our Las Vegas Plastic Surgeon The Aesthetic Society Advisory on Breast Implant Illness Is Breast Implant Removal And Replacement Right For Me? The reasons for breast implant removal are as varied as the reasons for undergoing breast augmentation. It is a personal decision that each woman should make to satisfy her own life and body goals. As you experience more time with your breast implants, you may wish to have them removed at some point. Removal of breast implants is more common than many women believe. You may identify with these common reasons for considering breast implant removal: Dissatisfaction with your appearance – After several years with implants, some women just want to return to their smaller curves. Other women were never truly satisfied with the results of their first breast augmentation. All women can be affected by age, pregnancy, and weight gain or loss. These factors will alter the appearance of your breast implants. Desire to increase physical activity – Larger breasts can be a hindrance to an active lifestyle. They can affect the range of motion of your arms when participating in sports such as golf or tennis. The additional weight in your breast region can also make running more challenging and in some cases, it can result in back pain. Deflation or capsular contracture – When implants rupture or the body has formed a hard cavity around the implant, it can lead to an abnormal appearance that can be corrected with implant removal or replacement. Styles have changed – The larger breast implants that were popular in the 80s and 90s do not suit the body trends of today. This can lead women with larger implants to feel self-conscious and yearn to return to smaller, shapelier breasts. Common Cosmetic Reasons For Breast Implant Removal And Replacement The following are some of the most common cosmetic reasons for breast implant removal and replacement. Desire for a Larger Implant Size This is probably the most common yet unnecessary reason for secondary surgery. It’s important to get the implant size right from the beginning to avoid an early revision procedure in an attempt to more accurately achieve your desired cup size. There is no way to guarantee bra cup size after surgery, as all bras fit differently and every implant size looks different from person to person depending on many individual traits. By the same token, the implant has to fit within your frame to prevent stretch deformities and problems. Naturalness and longevity in the result is also essential. Doing surgery for small increments of volume change such as 25-75 cc adds surgical risk and expense with little to no benefit, as the size increase will be too subtle to make it worthwhile.

  Link: Breast Implant Removal and Replacement

• Breast Reduction

  Many women suffer from a condition called "macromastia," or excessively large breasts. Macromastia can be extremely uncomfortable and even debilitating, causing physical problems such as back and shoulder pain as well as issues such as drawing unwanted attention from bystanders and not being able to find clothes that fit right. For women suffering from this condition, breast reduction surgery can be life-changing. Here at Desert Hills Plastic Surgery Center in Henderson, NV, our goal is to help women look and feel their best. Dr. Hayley Brown is a renowned surgeon with extensive experience performing breast reduction surgery. Call us at 702-260-7707 to learn more and book your consultation! What Is Breast Reduction Surgery? Breast reduction surgery, also called "reduction mammaplasty," is a surgical procedure where excess tissue is removed from the breasts, the skin is tightened, and the nipple and areola are repositioned. Breast reduction often results in a full breast lift effect, as well. Excess tissue weighs the breasts down, so when it is removed and the skin is tightened, the breasts naturally become lighter and perkier. There are two main types of breast reduction surgery, as follows: Vertical Breast Reduction: This type of procedure is done when the patient has small to moderate macromastia and good overlying skin tone. During a vertical breast reduction, tissue is removed from the lower central aspect of the breast, skin is tightened around the areola, and the nipple and areola are raised and made smaller. Full Breast Reduction: A full breast reduction is more commonly performed for moderate to severe macromastia and associated sagging. During this procedure, tissue will be removed from all around the breast, and skin tightening as well as full breast reshaping will be performed. The nipple is raised to a more central location on the breast and made smaller to match the new breast size. How Much Does A Breast Reduction Cost? Costs: Breast reduction costs begins at $20,000 depending on the complexity of the case. This includes surgeon fees, anesthesia fees and surgery center fees. Watch the video below to hear Dr. Brown discuss the cost for breast reduction surgery. To get a customized cost estimate, please arrange a consultation with Dr. Hayley Brown. We also offer financing options through CareCredit and Prosper, both of which we can tell you more about at your consultation. Am I A Candidate for Breast Reduction Surgery? If you suffer from large breasts that cause problems in your daily life, you are probably a good candidate for a reduction mammaplasty. Everyday problems that overly large breasts can cause include: Back, shoulder, and neck pain Difficulty exercising Ill fitting clothes Unwanted attention when out in public Difficulty finding a bra that fits Pain from bra straps digging into shoulders You may be an ideal candidate for a breast reduction procedure if you: Have large, sagging, heavy breasts Desire a decrease in bra size and lift of nipple Are uncomfortable or self conscious about your breast size Have difficulty exercising Have pain in your back, shoulders, or neck due to the size of your breasts Are a non-smoker Are at a stable and healthy weight What to Expect from Breast Reduction Surgery Reduction mammaplasty is one of the most rewarding surgeries to perform, as it often results in a significant improvement in quality of life for patients. Back and neck pain improves, exercise becomes possible, clothes and bras start to fit better, and often the patient's entire self-image gets a boost. It's important to remember that asymmetry is the natural state of breasts, and while improvements to symmetry can be made, the breasts generally will not be (and should not be) completely symmetrical after surgery. In addition, as with any surgery, there will be resulting scars. Dr. Brown is highly skilled and can perform surgeries with the minimal amount of scarring possible, but you should expect some. Over time the scars will fade, and they'll be able to be hidden even under a skimpy bikini. Most of our patients find that a few easily hidden scars are a small price to pay for a vast improvement in their quality of life.

  Link: Breast Reduction

• Body Contouring

  Body contouring can define your figure and balance your proportions. By targeting concerns such as excess fat and loose skin, these plastic surgery procedures combat the effects of aging, significant weight changes, and pregnancy. Diet and exercise can help to some degree, but body contouring surgery achieves otherwise impossible goals. Board-certified plastic surgeon Dr. Hayley Brown uses the safest, most effective, and most advanced surgical techniques to deliver results beyond expectation. To learn more about your body contouring options, please call 702-260-7707 today to schedule an initial consultation. Desert Hills Plastic Surgery Center serves Las Vegas, Henderson, and nearby areas of Nevada. Schedule a Consultation Today What Plastic Surgery Options Do You Offer For Body Sculpting? Dr. Brown offers a comprehensive range of plastic surgery procedures for the body, including: Tummy tuck: A tummy tuck, also called abdominoplasty, eliminates excess fat and skin while restoring stretched or separated muscles. Although the procedure is commonly sought out by women after pregnancy, men can also benefit from its toning effects. Dr. Brown performs both full and mini-tummy tuck procedures to meet your unique needs. Liposuction: Liposuction is a time-tested method of removing excess fat from problem areas such as the abdomen, hips, thighs, arms, buttocks, and neck. It can be performed alone or to refine the results of other cosmetic surgeries. You can get the most from your procedure with Renuva®, a non-surgical filler that corrects any divots that may occur. Mommy makeover: Having a child changes your body in countless ways. Diet and exercise may not be enough to restore your pre-pregnancy figure. A customized combination of body and breast procedures, known as a mommy makeover, may be the ideal solution to your various concerns. Body Contouring After Extreme Weight Loss You have lost a significant amount of weight through lifestyle changes or bariatric surgery. Yet concerns such as excess skin remain, keeping you from your enjoying your progress to the fullest. Body contouring can help. Body contouring after massive weight loss offers benefits such as: Helping your clothes fit better and look more flattering Improving hygiene Minimizing rashes and chaffing Increasing your ability to exercise Improving your self-esteem and quality of life Helping you feel more motivated to maintain your weight loss over time The most common procedure for men and women with a history of obesity is a tummy tuck. Other post-weight loss options include liposuction. Sometimes, body contouring is combined with face and breast procedures. All surgical plans are highly individualized. Talk to Dr. Brown to learn which options make sense for you. Is Body Sculpting Right For Me? You may be an ideal candidate for body contouring if you are at or near your goal weight, in good overall health, and have realistic expectations for the outcome of your procedure. It is also crucial for your weight to be stable before surgery to ensure optimal results. Weight stability for 1-2 years is mandatory after significant weight loss. A consultation is the best way to learn if body contouring is right for you. During this visit, Dr. Brown will discuss your relevant medical history, examine the nature of your concern, and determine if plastic surgery can safely achieve the results you desire. How Much Does Body Contouring Cost? The cost of body contouring varies depending on the desired procedure. Other factors such as the number of treatment areas also play a role. Our staff will provide an exact quote at your consultation and discuss the flexible financing options available to you. Here is an overview of body procedure pricing at our office, which is subject to change: Tummy tuck: $10,000-$20,000 Liposuction: Starting at $6,900 for one treatment area Meet Dr. Hayley Brown Dr. Hayley Brown is a board-certified plastic surgeon, meaning she is certified by the American Board of Plastic Surgery (ABPS), the only board recognized by the American Board of Medical Specialties (ABMS) to certify physicians in the full range of plastic surgical and cosmetic procedures. She specializes in body contouring surgery and is an active member of the American Society of Plastic Surgeons (ASPS) and the American Society for Aesthetic Plastic Surgery (ASAPS). Having had four children herself, she particularly identifies with a woman’s body contour desires. She can visualize the ideal shape and body proportion to create an attractive and youthful result. She recognizes the areas of the body that become resistant to diet and exercise and require surgery. At the same time, she advises diet and/or exercise to target and contour other areas through patient efforts when appropriate.

  Link: Body Contouring

• Abdominoplasty – Tummy Tuck Surgery

  Tummy tucks are one of the most sought-after plastic surgery procedures. After childbirth or weight loss, you can be left with loose skin, a bulging belly, stretch marks, or damaged abdominal muscles. Diet and exercise are often not enough to correct these. A tummy tuck from Dr. Hayley Brown at Desert Hills Plastic Surgery Center could help put the finishing touches on the flat, toned stomach you've worked so hard to achieve. Dr. Brown serves Las Vegas, Henderson, and nearby areas of Nevada. Call 702-260-7707 today to schedule a tummy tuck consultation. Common Reasons for Getting a Tummy Tuck Benefits of a Tummy Tuck Am I a Candidate? Tummy Tuck After Weight Loss Tummy Tuck after Pregnancy What is a Tummy Tuck? Full vs Mini Tummy Tuck How Long Does It Take To Recovery from Tummy Tuck Surgery? Combining with Other Procedures Tummy Tuck Cost Common Reasons For Getting A Tummy Tuck It's common for your metabolism to decrease as you age. This, combined with the loss of skin elasticity that accompanies aging, can make it more difficult to maintain a flat, toned stomach through diet and exercise alone. In addition, the following factors can make it harder to achieve the abdomen you want: Weight loss: Significant weight loss leads to stretched, loose, hanging skin around your abdominal area. While some of this may recede naturally, most of it is only removable through surgery. Pregnancy: In addition to the stretch marks and C-section scars that you may have as a result of pregnancy, the process can also stretch and tear your abdominal muscles. A tummy tuck will repair them. Genetics: Some people are predisposed to store fat in their midsection, regardless of their diet or how much they exercise. Benefits Of A Tummy Tuck Dr. Brown has had four pregnancies. She can identify with mothers who worked hard to have and raise children, yet struggle to regain the body they had before childbirth. A tummy tuck can provide benefits such as: Increased confidence and self-esteem A flat, toned stomach Restored appearance following birth or weight loss Improved appearance in bikinis, lingerie, and form-fitting clothes Narrower waistline Repaired abdominal muscles Removed stretch marks and C-section scars Eliminated rashes and irritation from overhanging folds of abdominal skin Am I A Tummy Tuck Candidate? In general, good tummy tuck candidates: Are in good overall health Have maintained a stable weight for a year or more Have excess abdominal skin or diet-and-exercise-resistant fatty deposits Want to restore their pre-pregnancy body Have lost weight and want to complete their aesthetic transformation Want to repair damaged abdominal muscles Have stretch marks or abdominal scars they want to eliminate Don't smoke, or are willing to quit smoking two to three months before the procedure, as well as throughout recovery. Nicotine constricts small blood vessels and restricts blood supply to tissue that is vital for your healing process. Nicotine also increases your risk of developing an infection or other complications. Tummy Tuck Before And After Tummy Tuck After Weight Loss It's important to note that a tummy tuck is not a weight-loss procedure. If you have abdominal protuberance related to intra-abdominal distention, commonly known as a "beer belly," your bulging abdomen is the result of fatty deposits building up around your organs. A tummy tuck will not be able to correct that. Instead, a tummy tuck is the ideal procedure for someone who's already lost a significant amount of weight. That may lead to loose, hanging skin in your abdominal region, which no amount of diet or exercise will be able to fix. A tummy tuck can help eliminate that skin and put the finishing touches on your efforts. Tummy Tuck After Pregnancy And Childbirth Your tummy tuck will address many of the physical changes caused by pregnancy and childbirth. In addition to eliminating loose skin, stretch marks, and C-section scars, the procedure can repair abdominal muscles that were stretched or damaged throughout the childbearing process. You should also talk to Dr. Brown if you plan to have children in the future. This is still possible after undergoing a tummy tuck, but it's generally best to wait for the surgery until you're finished having kids. A tummy tuck will have no adverse effects on your pregnancy. However, your bodily changes during those nine months can undo many of the results that your procedure achieved. You may need a corrective follow-up after you give birth.

  Link: Abdominoplasty – Tummy Tuck Surgery

• Liposuction

  What is Liposuction Surgery? Liposuction is an excellent way to remove fat. It is not a weight loss procedure, but a body contouring procedure. Areas commonly treated with liposuction include the abdomen and hips (waistline) and inner and outer thighs utilizing a three-dimensional approach. Other areas that are regularly treated include the upper back rolls, flanks, buttocks, upper arms, medial knees, and lower face and neck. Liposuction is not a skin-tightening procedure. The best candidates have good overlying skin tone, and therefore experience smooth and even skin retraction. To find out if liposuction is right for you, please call Desert Hills Plastic Surgery Center at 702-260-7707 in Las Vegas today for a consultation. Goal of Liposuction Surgery: To remove fat cells and bulges and improve body contour and appearance of the treated area. Clothing fits more comfortably and looks better. Jeans look attractive and reveal trim straight and non-touching inner thigh contours with reduction in outer thigh bulges, while maintaining female curviness. The buttocks is framed, with reduction in flanks and square-shaped behind to more projecting, rounder and compact backside. Abdomen is flatter with a narrower waistline, bra strap bulges are reduced. Removal of "muffin-top" which are fatty deposits that undesirably project above pant lines Projecting medial knee fatty deposits can be reduced Lateral breast fullness can be reduced. Upper arms can be reduced so short-sleeved tops fit comfortably. Upper body appears narrower when arms look slender. Men can feel comfortable in snug tops and in bathing trunks. Abdomen is flatter and flanks are reduced Patients with full necks, weak chins, or "double" chins can improve neck and jaw line contour Liposuction is not intended for weight loss. The goal of surgery is to contour the body. If a patient desires a weight loss, he or she must do their part in maintaining a healthy diet and exercise. Weight gains after surgery negatively influence results. Is Liposuction Safe? Liposuction rarely has complications when performed by a board-certified plastic surgeon. The most common side effects of liposuction are swelling, bruising, and soreness at the treated site. You will receive detailed information about all of the potential risks during your consultation. Fortunately, there is a lot you can do to reduce your chance of experiencing complications. The following steps will go a long way towards ensuring a safe and successful liposuction surgery: Avoid nicotine and tobacco products Limit your physical activity during the recovery period Take antibiotics and other prescribed medications Wear compression garments as instructed Can I Reduce My Weight With This Treatment? Is Liposuction Affordable? What is Liposuction? It is important to understand that liposuction is not a weight-loss treatment. Instead, it is a body contouring treatment, and it is ideal for people who are already at or near their goal weight. You might lose two or three pounds with liposuction. However, it can vary a lot between patients. If you want to measure the changes that you can expect to achieve, inches are more helpful than pounds. Even if it does not weigh much, a small amount of fat can take up a lot of space. Removing it often provides a significant improvement to the shape and size of the area that was treated. Can Liposuction Tighten Up a Loose Neck? Liposuction is not capable of tightening sagging or loose skin on your neck. If this is a concern that you would like to treat, a facelift procedure would be more appropriate than liposuction. Excess fat under the chin, on the other hand, is something that liposuction can help improve. Liposuction is an effective way to remove unwanted fat that can make your jaw look undefined. How is Liposuction Surgery Performed? The procedure is done as an outpatient, usually under general anesthesia A fluid mixture of saline, local anesthetic, and epinephrine is infused into the fat. This is called tumescent fluid and it controls blood loss and fluid absorption, making the procedure very safe and well controlled. It distends the subcutaneous space facilitating safe passes of the liposuction cannula Small 2-4 mm incisions are made over the treatment area, and a long thin metal tube called a cannula is inserted. Cannula sizes range from 2-4 mm, depending on the site and depth of extraction. A vacuum then extracts the fat, as passes are performed to contour the soft tissues evenly. Improvements are immediately seen and felt, and the endpoints are smooth, symmetric contours with even fatty layer thickness

  Link: Liposuction

• Mommy Makeover

  A mommy makeover is a popular term used to describe a combination of breast and body contouring procedures intended to restore a woman's pre-pregnancy figure. Women who have had children experience breast and body changes that are often not correctable with diet and exercise. After a baby, the breasts can lose fullness and deflate, and they may get saggy whether or not a woman breast-feeds. The belly gets bigger and tends to bulge from the muscles being stretched. Stretch marks can occur and fatty deposits increase around the waistline. Women with naturally large breasts can start having back pain, neck pain and shoulder pain from the sagging. If this sounds like you, you may need a mommy makeover. Call our Las Vegas office at 702-260-7707 to schedule your consultation. Find out more about a mommy makeover: What Is a Mommy Makeover? What Procedures Can Be Included in a Mommy Makeover? What should I expect at my mommy makeover consultation? Mommy Makeover Candidacy Who is not a candidate for a mommy makeover? Mommy Makeover Procedure Description What are the benefits of a mommy makeover procedure? What are the risks of a mommy makeover procedure? Is a mommy makeover procedure covered by insurance? Are mommy makeover results permanent? How Long Does It Take to Recover After a Mommy Makeover Why Choose Our Plastic Surgeon Contact Us What Is A Mommy Makeover? After pregnancy, it is not uncommon for women to experience a lot of changes in their body. Because of abdominal stretching and changes, you may have excess and sagging skin, cellulite, stretch marks, and even a change in your abdominal muscles due to tearing and changes while pregnant and giving birth. Due to pregnancy and nursing, your breasts may have excess skin, stretch marks, and may appear deflated and saggy. You also may have experienced a severe change in the fat content of your body and may have a lot of trouble getting rid of this excess fat even through exercise and diet. A mommy makeover is typically a combination of procedures designed to restore your body to its pre-pregnancy state. The procedures included are something to discuss with our plastic surgeon, Dr. Hayley Brown, but are usually designed to rid you of excess fat and stretch marks, fill and lift your breasts, and restore your abdomen to what it was before. A mommy makeover usually combines multiple procedures into one operation in order to minimize downtime and allow for just one recovery, essential for busy moms. What Is All Included In A Mommy Makeover? When you’re finished having children and breastfeeding, you may be ready to get your body back to what it was before. However, this can be very difficult because of the ways pregnancy changes your body, so mommy makeover procedures can address your various problem areas. While a mommy makeover may only be one procedure and could also be a combination of all of them, any of the following can be included in the procedure in order to restore your pre-pregnancy body: Breast augmentation – by placing breast implants, we can restore your breasts’ fullness, size, and perkiness Breast lift – breasts often become saggy and deflated after nursing, but a breast lift will bring your breasts back up to where they will proportionally look best on your body Breast reduction – for women with large, saggy breasts Tummy tuck (abdominoplasty) – in this procedure, we remove portions of excess skin, fat, and stretch marks from your abdominal area. Additionally, sutures are placed on your internal abdominal muscles to tighten and restore them Liposuction – by utilizing the best in technology and techniques, we can expertly remove fat pockets from your abdomen, buttocks, thighs, arms, back, bra line, chin, neck, and more What Should I Expect At My Mommy Makeover Consultation? Your mommy makeover consultation is an exciting opportunity to talk about achieving your body goals with the help of plastic surgery. However, for many patients, this initial meeting can also be a bit intimidating. Knowing what to expect ahead of time will help you feel more confident and prepared. You’ll arrive at our inviting Las Vegas office to meet with board-certified female plastic surgeon Dr. Hayley Brown. She’ll discuss your goals and concerns, perform a physical exam, and request information about your medical history. She’ll also walk you through your surgical options, explain the recovery process, and answer any questions you might have. Do a bit of research before you arrive to get the most out of your consultation. If you have any photos of the results you want to achieve, feel free to bring them with you!

  Link: Mommy Makeover

• Non-Surgical Treatments

  People of all ages experience constant effects from gravity, sun exposure, and stress. Both young and older patients can benefit from subtle interventions on a regular basis to restore, treat, and maintain a youthful and attractive appearance. The addition of volume is an important adjunct in all patients undergoing facial rejuvenative procedures. In addition, patients who have undergone facial cosmetic surgery can maintain long-term results with regular non-invasive maintenance procedures. To discuss non-surgical cosmetic treatments available at our Henderson, Nevada, office, please call 702-260-7707 today. Dr. Brown and her team are pleased to serve patients throughout the Las Vegas area. BOTOX® Cosmetic/Dysport A common and popular injectable material that decreases muscular activity and when placed in certain areas on the face, reduces wrinkles, smoothes skin texture, shapes eyebrows, and appears to lift and tighten the skin. It can be used in younger patients to prevent deep wrinkles from developing and to lift and shape eyebrows. Asymmetries with respect to eyebrow position may be improved with BOTOX® Cosmetic. Frown lines and an angry look can be corrected. Older patients benefit from BOTOX® Cosmetic to improve the appearance of wrinkles, creating a smoother, tighter appearance, with eyebrow elevation, and a refreshed, well-rested appearance. It is also used as an adjunct to surgery to maintain results after certain surgical procedures, such as brow lifts and facelifts. It has no associated “down-time”, it is extremely safe, cost-effective, but effects are not permanent, lasting 3-6 months, so touch-ups are required. It can also be used to treat excessive sweating from the armpits, and may have a role in improving headaches. Injectable Fillers Many products are available to restore volume to the face, and fill wrinkles, depressions, or skin surface irregularities. Fillers plump up creased and sunken areas of the face providing a smoother, more youthful appearance. Some of the common fillers currently being used at Desert Hills Plastic Surgery Center are: Restylane Juvederm Belotero Sculptra Radiesse Voluma Oftentimes, a combination of fillers is advised as some products work better in certain areas. Most products (with the exception of Bellafill and fat which can be long-lasting) are not permanent, which may be ideal; facial contours are always changing as a result of aging, gravitational forces, weight fluctuation, and facial movements. For this reason, touch up or maintenance procedures are required for long-lasting effects. Common areas treated include the: Nasolabial folds Marionette or oral commissure creases and depressions Vertical lip lines Lips Smile lines Jaw line, including the pre-jowl area and chin Cheeks Temporal hollows Lower eyelid hollows Dr. Brown utilizes a three-dimensional approach to enhance the contours of the face naturally with the addition of volume, in addition to “wrinkle-filling”. How much do injectable fillers cost? The price varies. Depending on the filler and the treatment areas, they cost between $700 and $1,200 per syringe at our practice. Hand Rejuvenation This is an area that is often overlooked. The dorsum (top surface) of the hand can sometimes give your age away. Sunspots, thin skin, and skeletonization of the underlying structures can be improved upon so that your hands look youthful and your jewelry looks attractive. Injectable fillers such as Radiesse can be injected just under the skin of the hands and smoothed, to thicken the skin and immediately improve the appearance of your hands. The procedure is painless with no downtime and immediate results lasting approximately 9 months. Additional improvements in skin quality are obtained with topical anti-aging skin care treatments as well as bleaching products to improve freckling and sun damaged skin. Skin Care Skin care is an important adjunct to maintaining a healthy, youthful look. There are many products and product lines available which claim to improve skin quality. It gets very confusing as to what products work, and which have the right concentrations of key ingredients. We have experience with all medical based skin care product lines. From this broad based experience, we have developed our own recommended products, which work. These products contain effective concentrations of key ingredients proven to improve the appearance and quality of your skin. These include: Retinol Vitamin C Antioxidants Glycolic and other acids

• BOTOX® Cosmetic

  BOTOX® Cosmetic has been in use since the 1980s for the treatment of spastic muscle conditions such as strabismus, eye muscle spasms, and cervical dystonia (a painful condition in which your neck muscles contract involuntarily, causing your head to twist or turn to one side). It is a product that has been used for many years in adults and children with consistent reliability, safety, and efficacy. BOTOX® Cosmetic for cosmetic purposes was introduced in 2002 to soften frown lines and forehead furrows. More recently, it was FDA approved as a non-surgical treatment to smooth crow's feet wrinkles. Find out if the world's most popular non-surgical cosmetic treatment is right for you. Call Desert Hills Plastic Surgery Center in the Las Vegas area at 702-260-7707 for more information about BOTOX® Cosmetic. What Is BOTOX® Cosmetic? BOTOX® (botulinum toxin type A) comes from the bacteria Clostridium botulinum, which produces a toxin that contains 7 distinct serological types. Botulinum Type A is the most potent and is marketed by Allergan as Botox. Type B is marketed by Elan Pharmaceuticals as Myobloc and is FDA approved for cervical dystonia. Other competitors have continued to populate the cosmetic market and work the same way as including Dysport® (abobotulinumtoxinA), initially marketed as Reloxin, and XEOMIN® (incobotulinumtoxinA). These are both Type A Botox, but with less protein binding, and work in the same way as BOTOX® Cosmetic with slight differences in dosing, diffusion, and onset of action. All products have the same duration of 3-6 months, so the main benefits of having newer BOTOX® products available for cosmetic use is to help keep pricing competitive among companies and consumers. How Much Does BOTOX® Costs In Las Vegas? This injectable is $800 per vial at our practice. Arrange a consultation today to find out how many vials will meet your aesthetic goals. Safe BOTOX® Cosmetic Injection Practices Prospective patients often wonder why pricing for BOTOX® Cosmetic treatments can vary so widely. While each state has its own specific laws about who is qualified to inject BOTOX® Cosmetic, patient safety is paramount. Any injected medication or product should be performed by a licensed and experienced Physician, Physician Assistant, RN, or Nurse Practioner and ideally under the direct supervision of a physician. In addition, the Centers for Disease Control and Prevention clearly state that vials packaged as single-dose vials should not be administered to multiple patients and leftover contents should not be saved for later use. Julianne Clifford, Ph.D., of the FDA's Division of Vaccines and Related Products Applications, explains "Botox is licensed for marketing and distribution as single-use vials." This means that as packaged, "each vial is intended to be used for a single patient in a single treatment session." BOTOX® Cosmetic does not contain a preservative against potential contamination of the product through repeated use of a single vial. Once opened and diluted, BOTOX® Cosmetic must be used within four hours. Treating multiple people with one vial violates product labeling, which is stated on the package insert, the vial and the carton. So choose your injector wisely. You get what you pay for, and not everyone follows the rules. Risks and complications can arise when untrained personnel administer BOTOX® Cosmetic. How BOTOX® Cosmetic Works The medical term for the action of BOTOX® Cosmetic is selective muscle denervation. Normally, to make a muscle contract, a nerve sends a signal to the muscle. The point where the nerve and the muscle meet is called the neuromuscular junction. When the signal gets to the neuromuscular junction a chemical called acetylcholine is released from the nerve side of the junction and binds to the muscle side of the junction causing more chemical reactions that make the muscle contract. BOTOX® Cosmetic works by blocking the acetylcholine receptors on the muscle side of the junction. Then when the nerve sends a signal to the muscle to contract, acetylcholine is released as before, but it can’t bind anywhere on the muscle. The muscle has no idea it is supposed to contract. It is essentially weakened or paralyzed, but not because it or the nerve have been damaged. This acetylcholine blockade begins within 48 hours. The clinical effects of a BOTOX® Cosmetic injection become noticeable between 5-10 days. Over the next 3-5 months the muscle gradually develops new receptor sites and is able to contract again. The wrinkle smoothing effects of BOTOX® Cosmetic are therefore transient, but maintaining BOTOX® Cosmetic regularly to weaken muscles that cause dynamic wrinkles over time can prevent the formation of static wrinkles, which are creases that become harder to treat.

  Link: BOTOX® Cosmetic

• Hand Rejuvenation

  Women spend thousands of dollars and countless hours on manicures and jewelry to show off their hands. It is interesting that the hands are often overlooked when it comes to aging. With age and sun exposure, the skin of the hands gets blotchy, spotted, thinned, wrinkled, and the underlying blood vessels and tendons show through. While most people regularly use anti-aging skin care products and sunscreen on their face, they neglect other areas like the neck, chest and hands. Women who want to maintain a youthful look tend to focus on their face, and undergo regular facials, injectables, and cosmetic surgery. However, looking younger after your facial procedures can conflict with aged hands that simply do not match the face. The Desert Hills Plastic Surgery Center is pleased to offer hand rejuvenation services that can complement a wide variety of facial plastic surgery procedures. Please call 702-260-7707 to schedule a consultation at our office in Henderson, Nevada. You Can Always Tell A Woman’s Age By Her Hands The Plastic and Reconstructive Surgery® Journal, the official medical journal of the American Society of Plastic Surgeons (ASPS), published a study in the past discussing the importance of hand rejuvenation. According to the study, most people can accurately tell a person’s age by viewing only their hands: In the study, people examined photographs of female hands and were asked to estimate the women’s ages, i.e., younger than 20 years, 20 to 30 years, 30 to 40 years, etc. In the majority of cases, participants were able to accurately estimate the age of each woman in the photographs. Overall, the physical characteristic which most commonly gave away age was prominent hand veins. Other characteristics associated with older looking hands include thin skin, age spots, wrinkles, deformity, blemishes and prominent joints. Hand Rejuvenation Treatments Two issues need to be addressed for hand rejuvenation. The first is the skin appearance. Brown spots, red spots, broken capillaries, crepey skin, and wrinkles need to be smoothed using resurfacing procedures along with the regular application of skin care products. Secondly, the visibility of the underlying tendons, vessels and joints (skeletonization) needs to be minimized. Injecting fillers under the skin surface hides these structures, while thickening the overlying skin. Prominent veins can be treated with sclerotherapy, lasers, or direct excision. At Desert Hills Plastic Surgery Center, hand rejuvenation comes at a cost of $700 per syringe. During your consultation, we will make sure you know the final cost and your financing options. Skin Resurfacing A routine skin care program is an important part of hand rejuvenation. The products that you use regularly on your face can and should be used on your hands. Sunscreen is essential. Light chemical peels of glycolic acid or transchloroacetic acid in low concentration can be used to improve discolorations. Multiple treatments are usually required. Hand skin is different than facial skin, lacking sebaceous glands that are the source of new skin cells. Therefore, hand resurfacing treatments need to be conservative to avoid scarring. Multiple sessions are usually required for desired results. Lasers and other thermal resurfacing treatments such as Fraxel, Carbon Dioxide laser, IPL, Erbium laser, Q-Switched laser, and Thermage can be used, but at lower settings than typically used for the face. So again, multiple treatments are usually required for desired results. Treatments For Skeletonization: Visible Veins, Tendons, And Joints Various injectable fillers can be placed under the skin of the dorsum of the hands to hide vessels and tendons, while thickening the skin. RADIESSE® works well in this area, as it spreads evenly and results are immediate, lasting about 9 months. Injections in this area are relatively painless and there is little to no downtime. RADIESSE® not only adds immediate volume, but it is also stimulatory so it tends to thicken the skin. Hyaluronic acid products such as Juvederm and Restylane can also be used in this area. Sculptra is not recommended in this area. Fat transfer to the hands is another option, but is more invasive with more risk and downtime. Usually the abdomen or thigh is liposuctioned to obtain fat, which is then injected to fill the dorsum of the hands. Because the skin here is very thin, contour irregularities or imperfections in the fatty tissue layer are perceived if it is not precisely performed. Results are very operator dependent. In addition, the results can be unpredictable as a portion of the injected fat can get reabsorbed. Over correction or lumpiness is very difficult to correct.

  Link: Hand Rejuvenation

• Chin Augmentation

  Are you unhappy with a weak chin? In Henderson, Dr. Hayley Brown provides non-surgical chin augmentation. Using dermal fillers, Dr. Brown can enhance and sculpt the chin and jaw line, creating the facial contour you desire. To learn more, please call Desert Hills Plastic Surgery Center at 702-260-7707. What Is Chin Augmentation? Chin augmentation at our practice is a non-surgical treatment. There are many benefits to the non-surgical version, including: Minimal downtime No anesthesia or incisions Results are immediate Results are completely reversible Results are temporary Injectables can be sculpted and injected strategically, unlike a pre-molded implant The only way to know if chin enhancement will be advantageous for you is to visit Dr. Brown for a consultation. After examining your facial structure and facial features, she can determine if this treatment can accomplish the results you want to see. Generally, candidates for chin augmentation want to address one or more of the following: Recessed or weak chin Poor chin projection Narrow or weak jaw line A nose, neck, double chin or other feature that is out of proportion with the jaw and chin A weak chin can be a source of dissatisfaction for both men and women. A more masculine look is desired in men, while women need to look refined and feminine, yet with a well-developed bone structure. Dr. Brown will analyze your facial features, including the lips, chin height and width, chin pad thickness, chin crease, forehead and nose projection. Patients who undergo chin augmentation report increased confidence and self-esteem as a result of a more attractive, fit and youthful look. Not only does a defined facial contour tend to be associated with beauty and attractiveness, but a strong chin and jaw can bring other facial features into proportion. A large nose, a double chin and other features look more harmonious when a weak chin is augmented. How Dr. Brown Performs Chin Augmentation Dr. Brown uses hyaluronic acid fillers for this purpose. Examples include Juvederm® and Restylane®. HA, as it's called, is a substance that also occurs naturally in the cells of your body, especially in your skin. It binds with water molecules and maintains youthful moisture in your skin cells, while HA depletion and moisture loss is associated with the aging process. HA-based injectables restore youthfully smooth, plump skin and volume. Injections of the selected HA filler can be used under the chin pad to increase projection, or along the jaw line or pre-jowl area to widen or define the jaw line. Results are subtle, natural, and non-permanent. Small changes can be made to the specific areas needing augmentation, so this method can be very closely tailored to what you want to achieve. There may be swelling, redness and bruising after the injections, but they should subside in the days following your appointment. Most people are comfortable returning to work and their normal routine right away. We will provide you with complete aftercare instructions. Depending on the exact injectable you and Dr. Brown choose, the results may last several months or longer. They will eventually begin to vanish, at which point you can decide whether to renew your results. As for cost, chin augmentation is $700 per syringe at Desert Hills Plastic Surgery Center. If you wish, we can describe options to apply for financing. Juvederm Vs Restylane For Chin Augmentation Juvederm and Restylane are both dermal filler collections made with hyaluronic acid. Within these collections, you’ll find several products that are perfect for chin augmentation. For example, Juvederm Voluma XC is designed to augment the chin and improve the chin profile through deep injections. It provides flattering definition and shape. Meanwhile, Restylane Defyne corrects mild-to-moderate chin retrusion and improves chin projection. It uses XpresHAn Technology to maintain facial movement and provide natural-looking results. The right choice for you will depend on your facial characteristics and treatment goals. Schedule a consultation to find your ideal filler for chin augmentation. Keep in mind that selecting a skilled injector to perform your treatment will impact your final look as much as the type of filler used. When Will I See Results After Non-Surgical Chin Augmentation? The great thing about non-surgical chin augmentation using fillers is that it provides instant results. It immediately adds volume beneath the skin to define your weak chin, fill in wrinkles, balance your facial features, and even smooth out an unwanted cleft. You can expect to see more volume right after your treatment due to swelling. It may take a few weeks for the swelling to completely subside. When it does, your final results will be visible.

  Link: Chin Augmentation

• Belotero Balance®

  BELOTERO BALANCE® is a newer hyaluronic acid filler FDA-approved in 2011. The product is developed by Merz aesthetics, the makers of RADIESSE®. It is FDA-approved for injection into the mid-to-deep dermis for correction of moderate-to-severe facial wrinkles and folds, such as nasolabial folds. For more information about the facial rejuvenation properties of Belotero®, please call Desert Hills Plastic Surgery Center at 702-260-7707. We offer multiple injectable treatments to patients in and around Las Vegas. What Is Belotero®? Belotero is a sterile, bioresorbable, non-pyrogenic, viscoelastic, clear, colorless, homogenous gel derived from bacterial fermentation from Streptococcus. Belotero’s chemical structure is different from the other hyaluronic acid fillers on the market. It is a double cross linked hyaluronic gel based on "Cohesive Polydensified Matrix (CPM)" technology that creates a low-viscosity gel product with variable densities of cross-linking in one cohesive structure. This technology creates a thinner substance with uniform particle size that is smooth, easy to inject, and naturally spreads within the treated area when injected. This allows the product to be injected in a more superficial plane without risks of perceptibility or lumpiness. It has a hyaluronic concentration of 22.5 mg/ml. The variable zones of cross-linking allow for the product to integrate nicely into nooks and crannies of the skin and the subcutaneous layer, resulting in smooth, natural-looking augmentation outcomes. What Sets Belotero Apart? Belotero is a soft dermal filler that is able to achieve natural and imperceptible results by integrating evenly into facial skin tissue. Belotero integrates so readily into your own tissue that unlike some of the other fillers, you are unlikely to feel the implant when you touch the treated area. This is especially important in thin skinned areas like your lips and along your lower eyelids, where you will want to see contour improvements without seeing or feeling product. When injected too superficially in the dermis, some hyaluronic fillers will create a Tyndall effect, a bluish discoloration due to light reflection from the clear filler placed under the skin. This unwanted side effect is less of an issue with Belotero because of the filler’s homogenous tissue integration pattern. In contrast to some other filler products currently available on the market, Belotero Balance® does not come premixed with lidocaine, which may be viewed as a disadvantage to some. It’s just a matter of time before the lidocaine version becomes available! Is Belotero Effective? In clinical studies, 66% of patients continued to show a visible improvement 9 months after a single treatment. Most clients opt for follow-up treatments between 6 to 12 months to maintain a fresh, youthful appearance. Belotero is a natural hyaluronic acid present normally in the skin as a volumizer and moisturizer. Traditional fillers may enlarge dermal spaces and lift the skin, leaving bumps. Belotero And Facial Rejuvenation Belotero is FDA-approved for injection into the mid-to-deep dermis for correction of moderate-to-severe facial wrinkles and folds, such as nasolabial folds. It is the one of the best hyaluronic acid fillers that corrects fine lines close to the skin surface with immediate results. It is ideal for eradicating fine lines around the lips, crows feet, and in other areas where there are fine lines close to the skin surface. It is important to understand that it works best when injected superficially and is not the best product to add generalized volume, as it disperses when injected at deeper planes. Belotero is often used in conjunction with other fillers when volumizing the face. Certain products work better in other areas, so expect a combination of products to optimize your facial rejuvenative procedure. The duration of a filler’s effect depends on patient metabolism as well as injection location. Risk And Side Effects The risks and side effect profile are similar to other hyaluronic acid fillers like Restylane and Juvederm. Belotero has a low risk of perceptibility, lumps, Tyndall effect, discoloration, nodules, and irregularity. Patients Who Are NOT Good Candidates For Belotero Patients who are allergic to lidocaine may be candidates, as current formulations of Belotero do not contain lidocaine. Please let us know if you have allergies to local anesthetics, as many of our topical numbing creams have local anesthetics that can cause allergic reactions. Find out if Belotero is the right facial rejuvenation treatment for you: call 702-260-7707 or contact Desert Hills Plastic Surgery Center online to schedule a consultation to learn about our full range of injectable treatments.

  Link: Belotero Balance®