A Recap of Our Summer Bikini Selfies

All this month we have been celebrating your summer bikini selfies!  Thank you to all who have participated and submitted your picture to us.  Those who have sent in their selfie to us received either a Colorescience Mineral Sunscreen Brush OR a 30 minute Lunchtime Facial from Annette. 

We loved sharing your picture on our social mediums and know that they were an inspiration to others.  So, here's a recap of all the bikini selfies!  Didn't get a chance to submit your summer pic?  No problem!  You have until July 31 to do so.  Please send to ashley@duncanmiles.com so you too can receive either a sunscreen brush or a mini facial!

 

 

 

 

 

 

 

 

Heather for Your Facial Rejuvenation Needs

If you've ever considered receiving Botox or other facial fillers, you certainly do not want an inexperienced person performing an injection on you.  Popular in-home "pumping parties" can be risky.  Coming to a doctor's office, where a knowledgeable medical professional can advise you if Botox is right for you is much safer.  If you're considering Botox or other fillers, stop by our office and visit Heather.

Heather Parlett has over 10 years experience as a Physicians Assistant and is a Nationally Certified Physician Assistant (PA-C), who has been working in cosmetics for over

10 years.  Heather graduated with honors in Kinesiology from San Diego State University in 2001 and received her Master’s of Science degree from Loma Linda University in 2004.  In her Masters program, Heather graduated at the top of her class and received the Loma Linda University Spirit award for her scholastic achievements. After graduation, Heather established a busy practice in cosmetic dermatology in the Newport Beach and Encinitas areas where she gained vast experience in injectable and laser treatments.  Heather joined Dr. Miles when he opened his private practice in 2010.  Heather enjoys working with Dr. Miles and has assisted him with his clinics and surgeries.

 

 

Currently, Heather is working at Dr. Miles office on Tuesdays and Thursdays seeing cosmetic patients.  Heather has been trained and certified in all of the latest cosmetic laser and injectable treatments. She has attended many advance injector workshops and seminars over the years.  She is always eager to learn new procedures and techniques and feels it is important to continue to learn and broaden her knowledge.  In the past, Heather has taught dermatology and lab techniques to the students at the Loma Linda University Physician Assistant Program.  In her spare time, Heather loves spending time with her daughters and husband.  She enjoys the outdoors, horseback riding, golfing and swimming.

 

Heather provides compassionate, empathetic care and has a keen aesthetic eye.  Heather spends quality time with her patients, making sure all of their concerns and questions are addressed.  She offers complimentary consultations and looks forward to helping you address all your skin care needs.  

 

To make an appointment with Heather, call out office at 909 509-5900.

 

                     Heather Parlett

Confidence is Beautiful

Having confidence is a beautiful thing.  Some people may perceive beauty as being physically attractive or intelligent, and although we don't disagree, those things are beautiful, we strongly believe that CONFIDENCE is beautiful.  It is our desire for each patient that leaves our office, whether for cosmetic purposes or health reasons, we want EVERYONE to leave feeling more confident about themselves. 

We believe so strongly about our statement, we wanted it to be a constant reminder for our patience when they come see us in our office.  Just this week, we placed "Confidence is Beautiful" on our office walls.  We think it's a very nice addition, what do you think?

Is a Breast Augmentation Right for Me?

 

 

 

Also known as augmentation mammoplasty, breast augmentation surgery

involves using implants to fulfill your desire for fuller breasts or to restore

breast volume lost after weight reduction or pregnancy.  Implants also may be

used to reconstruct a breast after mastectomy or injury.

 

If you are dissatisfied with your breast size, breast augmentation surgery (either

breast enhancement or breast enlargement) is a choice to consider. Breast

augmentation can:

 

• Increase fullness and projection of your breasts
• Improve the balance of your figure
• Enhance your self-image and self-confidence

 

What it won't do

 

Breast lifting can often be done at the same time as your augmentation or may

require a separate operation.  Dr. Duncan Miles will assist you in making this

decision.  Breast augmentation does not correct severely drooping breasts.  

If you want your breasts to look fuller and to be lifted due to sagging, a breast

lift may be required in conjunction with breast augmentation.

 

Is it right for me?

 

Breast augmentation may be a good option for you if:

• You are physically healthy
• You have realistic expectations
• Your breasts are fully developed
• You are bothered by the feeling that your breasts are too small
• You are dissatisfied with your breasts losing shape and volume after
• pregnancy, weight loss, or with aging
• Your breasts vary in size or shape
• One or both breasts failed to develop normally

 

 

Preparing for breast augmentation surgery 

 

Prior to breast surgery, Dr. Duncan Miles may ask you to:

• Get lab testing or a medical evaluation
• Take certain medications or adjust your current medications
• Get a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue
• Stop smoking well in advance of your breast augmentation surgery
• Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

 

Breast implant risks and safety information

 

The success and safety of your breast augmentation procedure depends very much on your being completely candid with Dr. Duncan Miles during your consultation.  By being actively involved your consultation about breast augmentation, problems, concerns and questions you may have can be addressed by Dr. Duncan Miles Plastic Surgeon.  You'll be asked a number of questions about your health, desires and lifestyle.

• Why you want breast augmentation surgery, your expectations and desired outcome
• Medical conditions, drug allergies and medical treatments
• Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
• Previous surgeries
• Family history of breast cancer and results of any mammograms or previous biopsies

 

The risks of breast implants and complications after breast augmentation include:

• Unfavorable scarring
• Bleeding (hematoma)
• Infection
• Poor healing of incisions
• Changes in nipple or breast sensation, may be temporary or permanent
• Capsular contracture, which is the formation of firm scar tissue around the implant
• Implant leakage or rupture
• Wrinkling of the skin over the implant
• Anesthesia risks
• Fluid accumulation
• Blood clots
• Pain, which may persist
• Deep vein thrombosis, cardiac and pulmonary complications
• Possibility of revisional surgery

 

Although there potentially may be complications with breast implants, they do not impair breast health.  Careful review of scientific research conducted by independent groups such as the Institute of Medicine has found no proven link between breast implants and autoimmune or other systemic diseases.

 

What Happens During Breast Augmentation Surgery?

 

Step 1 - Anesthesia

Medications are administered for your comfort during breast augmentation surgery. The choices include intravenous sedation and general anesthesia.  Dr. Duncan Miles will recommend the best choice for you.

 

Step 2 - The incision

Incisions are made in inconspicuous areas to minimize visible scarring.  Dr. Duncan Miles plastic will discuss which incision options are appropriate for your desired outcome. Incision options include: Inframammary incision, Transaxillary incision and Periareolar incision

 

Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and Dr. Duncan Miles preference.

 

Incisions vary based on the type of implant, degree of enlargement desired, your particular anatomy, and Dr. Duncan Miles preference.

 

Step 3 - Implant choice: Silicone breast implants or saline breast implants

Breast size and shape are important, so be honest and open about your expectations when talking with Dr. Duncan Miles.

Implant type and size will be determined not just on your desired increase in size but more importantly on your breast anatomy, skin elasticity and body type.

 

Options for Breast Implants

 

Saline breast implants are filled with sterile salt water. They can be filled with varying amounts of saline which can affect the shape, firmness and feel of the breast. Should the implant shell leak, a saline breast implant will collapse and the saline will be absorbed and naturally expelled by the body.  Currently Saline breast implants are FDA-approved for augmentation in women 18 years of age and older.

 

Silicone breast implants are filled with an elastic gel.  The gel feels and moves much like natural breast tissue.  If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.  Currently, silicone breast implants are FDA-approved for augmentation in women 22 years of age and older.

A leaking implant filled with silicone gel may not collapse.  If you choose these implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly.  An ultrasound or MRI screening can assess the condition of breast implants.

Implant manufacturers occasionally introduce new styles and types of implants, so there may be additional options available.  Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

 

Step 4 - Inserting and placing the breast implant

 

 

 

 

 

After the incision is made, a breast implant is inserted into a pocket either:

• Under the pectoral muscle (a submuscular placement), or
• Directly behind the breast tissue, over the pectoral muscle (a submammary/ subglandular placement)

The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type, and your surgeon’s recommendations.

 

Step 5 - Closing the incisions

Incisions are closed with layered sutures in the breast tissue and with sutures, skin adhesive or surgical tape to close the skin. Over time the incision lines will fade.

 

 

 

 

 

 

 

 

 

 

Ultherapy - Our Summer Secret

If your looking for a way to lift, tighten and tone your face without undergoing a face lift, Ultherapy may be your answer.  With Ultherapy, there is virtually no down time.  You may resume normal, everyday activity the same day.  

 Before

 

 

4 months after

 

    

                   

Before

 

    

 

4 months after



What is Ultherapy?

Ultherapy is the only non-invasive treatment approved by the FDA for lifting the skin on the neck, chin and brow.  Ultherapy uses focused ultrasound to lift and tighten loose skin over time, without any downtime.

How is Ultherapy different from other cosmetic procedures?

Ultherapy is the only non-surgical cosmetic procedure that uses focused ultrasound to stimulate the growth of new collagen deep within the skin. The production of new collagen occurs over time, so results can become more apparent over three to six months.  The procedure takes only about an hour for most patients, and there is no downtime.  It also is the only procedure to use ultrasound imaging, which allows us to actually see the layers of tissue we target during the treatment and ensure the energy is deposited precisely to where it will be most effective.

Does it hurt?

A recent software upgrade called “Ultherapy Amplify” now affords a more comfortable procedure.  While comfort thresholds vary from patient to patient, most patients now report that the procedure is quite tolerable.  If and when any discomfort does occur, it happens while the ultrasound energy is being delivered.  This sensation is temporary and is a positive signal that the collagen-building process has been initiated.
We take measures to make the experience as pleasant as possible, and patients tell us they leave comfortable and excited about the benefits to come.

How long does it last?

Patients treated with Ultherapy still have fresh young collagen after a year’s time following the procedure, but skin continues to age.  Future touch-up treatments can help keep pace with the aging process, which varies by individual.

Are there any side effects?

There may be slight redness for up to an hour or so following the treatment, and a small percentage of patients may have slight swelling, tingling or tenderness to touch, but these are mild and temporary in nature.

Is Ultherapy safe?

The procedure has been cleared by the FDA after demonstrating safety in clinical studies, and over 100,000 treatments have been performed safely worldwide.  In addition, ultrasound energy has a proven track record, with use in the field of medicine for more than 50 years.

How many treatments does it take?

The majority of patients only need one treatment; however, some may benefit from more than one treatment depending on how much laxity they have and their body’s own biological response to the ultrasound and the collagen-building process.

Who is a good candidate for Ultherapy?

A good candidate for Ultherapy is someone with skin that has some degree of laxity, to the point of looking, and often feeling, less firm.  A lowered eyebrow line or sagging skin on the eyelids, for instance, is often the first sign of "maturing" skin.  Loose skin under the neck and under the chin signals a patient might be a candidate.  Typically, those in their thirties and older who have mild to moderate skin laxity are candidates.
While Ultherapy is not a replacement for a surgical face lift, there are many people who want some lifting but are not ready for surgery, either mentally, physically or financially.  There also are younger people who want to “stay ahead of the game” as well as those looking to prolong the effects of cosmetic surgery.

What about treating anatomical regions other than the face?

Currently, Ultherapy is a treatment for the face and neck with a specific clinical indication for lifting the skin on the neck, chin and brow.  What does collagen do?   How does Ultherapy stimulate the creation of collagen? Collagen is a natural protein that gives skin its youthfulness by keeping it firmed and toned. As we age, collagen loses its strength and its ability to stand up to the effects of gravity that pull the skin downward.  Ultherapy uses focused ultrasound to generate a thermal affect under the skin.  The thermal affect essentially jumpstarts a repair process that strengthens existing collagen and produces fresh, new collagen.

Want to learn more?  Call us to book your consultation at (909)509-5900! 

Is a Mommy Makeover Right for You?

 
Meet Tara.  Last summer she underwent a Mommy Makeover procedure where she received a breast augmentation, tummy tuck and liposuction.  A year later, she couldn't be more happier.  She has more confidence now than she ever had before.

But why did she decide to do it?  She simply stated, "I just wanted my body back from before I had my two kids."  After having kids, sometime diet and exercise just isn't enough to get the body back to where it use to be.  A Mommy Makeover can even enhance what your body looked like before having children. 

You can customize your mommy makeover to include any of the following below:

Breast Lift

Also known as mastopexy, a breast lift raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

 

Breast Augmentation

Also known as augmentation mammoplasty, breast augmentation surgery involves using implants to fulfill your desire for fuller breasts or to restore breast volume lost after weight reduction or pregnancy.  

 

Breast Reduction

The best candidates for breast reduction surgery are well-adjusted women whose oversized breasts cause health and medical problems, interfere with routine activities, disrupt sleep, or suffer related self-consciousness issues.

 

Tummy Tuck

Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.  A flat and well-toned abdomen is something many of us strive for through exercise and weight control.  

 

Liposuction

Also known as lipoplasty, liposuction slims and reshapes specific areas of the body by removing excess fat deposits, improving your body contours and proportion, and ultimately, enhancing your self-image.

 

To schedule your consultation with Dr. Duncan Miles and talk about whether a mommy makeover is right for you, call us at (909) 509-5900 or you may schedule a consultation online here.

 

We look forward to speaking with you and helping to shape your confidence!