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Center For Plastic Surgery Blog

Feeling Down After Plastic Surgery is Actually Normal

If you’ve been thinking of having plastic surgery for a while now, say a face lift or an eyelid lift, and have been reading a lot of things about it online, there’s a huge chance you’ve come across stories about those who have experienced post-surgical depression. Such stories may have even discouraged you from actually pursuing any form of cosmetic surgery altogether.

Yet here’s the truth — it is perfectly normal to feel any of the following right after plastic surgery, whether it’s surgical or not:

  • sad/depressed
  • tired
  • bored
  • anxious
  • restless
  • irritable
  • doubtful
  • bloated

In addition, the outcomes you expect from the procedure may not even materialize sooner than you think. As to the case of facial rejuvenation procedures like what we do here at the Center for Plastic Surgery, there is exactly nothing wrong if the area being operated or treated on is bruised, swollen, asymmetrical, numb, and tender to the touch. All these symptoms will eventually fade away and will only be a cause of worry if they do not seem to go away after a few days or seems to have worsen or intensified.

The aforementioned physical or mental symptoms are actually part of the healing and recovery process. By and large, the best you can do is simply relax, be patient, and adhere strictly to post-surgery instructions for quicker recovery. Keep in mind that it takes time to see results from plastic surgery and Rome wasn’t certainly built in a day!

If you want someone to talk to after surgery or if you’re still thinking about having plastic surgery, we’d love to hear from you! We are located at 209 Hospital Drive, Suite 202, Highlands, NC. Call us at 828-526-3783 or fill out this contact form today to schedule an initial consultation. We look forward to your visit!

Posted on September 30th, 2014


Do Facial Rejuvenation Exercises Really Work?

Skin aging is influenced by various factors — from genetics to lifestyle to what you consistently eat. While one may not be able to specifically pinpoint which factor is responsible for one’s wrinkles and fine lines, there are a lot of ways  to make the physical signs of aging less noticeable. Here at our North Carolina plastic surgery practice, we get a lot of questions concerning facial rejuvenation exercises to help improve the appearance of sagging skin. Read on below to learn what we think of such supposedly anti-aging exercise methods.

It’s Like Yoga for the Face

Proponents of facial exercise claim that it’s just like yoga for the face. In fact, there are historians who claim that Cleopatra herself use facial exercises to keep those wrinkles and jowls at bay. Nowadays, there are tons of resources that teach how to properly move and manipulate those facial muscles to retain one’s youthfulness including books, DVDs, and online tutorials.

Does It Work?

A  review of medical and scientific literature earlier this year on the effectiveness of facial exercises in rejuvenating facial appearance reveal that there is actually insufficient evidence to prove that it really works. The full details of the study published in the January issue of the Aesthetic Surgery Journal were only able to identify 9 studies which examined the link between facial muscle exercises and facial rejuvenation.

Dermal Fillers to the Rescue!

Now that you’ve find out that there is no sufficient evidence to prove the efficacy of facial exercises, it may be best to choose facial rejuvenation options that are already proven to work and deliver results. If you’re looking for a non-surgical alternative, dermal fillers should be your top choice. By and large, these fillers can either be made of naturally-occurring or synthetic materials which fill in sunken cheeks, smoothe out creases and folds which in turn improve the appearance of a somewhat sallow complexion.

Finding a Skilled Dermal Filler Injector in North Carolina and neighboring areas

Our highly experienced team are skilled in dermal fillers and has in-depth knowledge on facial anatomy.If you’d like to learn more about injectables, we’d love to hear and address your concerns. For a private consultation with Dr. Buchanan, call us at (828) 526-3783 or fill out this contact form today! We look forward to your visit!


Posted on September 15th, 2014


Facelifts – Questions to Ask Prior to Choosing a Surgeon

Finding a surgeon to carry out a facelift has never been easier. It’s a simple case of carrying out an online search, choosing a name you like the sound of and arranging a time and date. However, assuming you’d like the procedure to be performed by the best possible surgeon who has a genuinely high level of care and respect for patients, it’s worth asking a few questions before going ahead with anything.


  • How Long Have You Been in Business? – This is important because under no circumstances do you want to find yourself in the hands of a surgeon who’s actually just getting started and could do with the practice. Instead, side only with those with plenty of experience and pedigree.
  • Are You Qualified and Licensed? – Don’t be afraid to ask these kinds of obvious questions as assuming the surgeon ticks all the right boxes, they’ll be more than happy to answer. If they cannot prove their licensing and qualifications, don’t take the risk.
  • Can You Provide References – Any surgeon can fill their website with reassuring pictures of before and after their previously carried out procedures, but how can you be sure they’re authentic? Ask for references in the form of actual feedback and testimonials from past clients.
  • Why Choose You? – The surgeon should be able to lay his or her case before you in such a way as to convince you why it is that they are indeed the surgeon to go with. And this means no simple answers like “I am the best” but rather explanations as to why.
  • Can I Think About it? – Last but not least, the number-one sign of an irresponsible surgeon is any sense that patients are being rushed into making a decision. You should never, ever feel as though you have to make a decision on the spot and should test this by asking for time to think before going ahead.

Posted on August 31st, 2014


How to Effectively Avoid Bruising With Injectables

If there’s one thing that Americans are willing to spend on, it would have to be injectables. The most recent statistics by the American Society for Aesthetic Plastic Surgery revealed that Americans spent 2.5 billion dollars on injectables alone in 2013. In addition, Botox and hyaluronic acid-based fillers were respectively first and second in the most frequently performed non-surgical cosmetic procedures in the same year.

Here at our North Carolina cosmetic surgery practice, queries regarding Botox and dermal fillers are quite common. During initial consultations, issues pertaining to the possibility of bruising after treatment with injectables is also most likely to come up. If you’ve been thinking of having Botox or a filler and is concerned about bruising, the information below can surely help you!

Why Bruising May Occur with Injectables

Bruising is a common adverse effect following injectables because the surrounding blood vessels in the injection site are most likely to be injured during the procedure. When the surrounding blood vessels are damaged, blood leakage may occur which in turn could result to pooling of blood and eventually, bruising around the injection site.

What You Can Do to Avoid Bruising

The good news is that bruising with injectables can be prevented through the following steps:

  • Steer clear of medications and supplements that also act as blood-thinners. These drugs can increase your risk of bleeding after having an injectable. Common medications and supplements that also act as blood thinners include popular cardiovascular medications (aspirin, clopidogrel, and warfarin), NSAIDs (non-steroidal  anti-inflammatory medications), and herbal supplements containing garlic, Vitamin E, and ginkgo biloba.
  • You might also want to avoid alcoholic beverages and green tea 48 to 72 hours before having injectables. Both drinks can increase your risk of bleeding due to their anti-clotting properties.
  • Apply cold compresses to the injection site immediately after the procedure to promote blood vessel constriction and consequently reduce the risk of bleeding.
  • Increase your intake of Vitamin K-rich foods that help improve your blood’s ability to clot.
  • Lastly, choose an injector or injectable provider that has the necessary knowledge, training, and experience in preventing or minimizing bruising with Botox or dermal fillers.

If you’d like to learn more about injectables, we’d love to hear and address your concerns. For a private consultation with Dr. Buchanan, call us at (828) 526-3783 or fill out this contact form today! We look forward to your visit!


Posted on August 15th, 2014


Choosing Between an Upper Eyelid Lift and a Brow Lift

Facial aging is a result of a combination of factors — ranging from genetics to sun exposure to one’s lifestyle. Although not all of those factors can be modified, cosmetic solutions are abundant for such concerns. When it comes to aging in the upper third of the face, a brow lift and an eyelid lift are often the top surgical cosmetic options.

Here at our North Carolina facial rejuvenation practice, men and women are often confused during their initial consultation as to which procedure is ideal for their aesthetic goals. Should they go for a brow lift or an eyelid lift? If you’re wondering the same thing, read on below to figure out! 

When to Decide on a Brow Lift

A brow lift is the ideal facial cosmetic surgery for you if your brows sit too low, significantly contributing to an aged look. By and large, a low brow can be referred as such if it sits below the level of the bone above the eyes.

A brow lift procedure by Dr. Buchanan employs a more modern approach through the endoscopic brow lift technique. The procedure is done endoscopically through small incisions in the scalp in line with the nerves. This eliminates the numbness of the older type of brow lift. The incisions are also much smaller, can heal faster, and have much less hair loss. Like our facelift surgical technique, we fix the tissues to solid deep structures to prevent relapse and improve longevity. One can hardly find the incisions a week following the procedure.

When to Decide on an Upper Eyelid Lift

Generally, an upper eyelid lift is preferred if the brows are still in their normal position yet the upper eyelids themselves have drooped significantly. Apart from lifting the upper eyelids, excess skin may be removed as well. While some surgeons may remove extra fat around the area, Dr. Buchanan is careful not to remove extra fat as it can cause the eye to look sunken. In fact, adjunctive procedures such as a fat injection is frequently necessary to truly rejuvenate the eyelid area.

Ultimately, making the decision between a brow lift and an eyelid lift will be joint effort between you and Dr. Buchanan. Each procedure has its own set of pros and cons but have the same end goal — provide you with a more refreshed and well-rested appearance by subtly eliminating the aged look on the upper third of your face.

If you’d like to learn more facial rejuvenation options, we’d love to hear and address your concerns. For a private consultation with Dr. Buchanan, call us at (828) 526-3783 or fill out this contact form today. We look forward to your visit!

Posted on July 31st, 2014


Are You Tired of Looking Tired with Your Tear Troughs? Let Us Help You Out!

Do people constantly comment about you looking exhausted despite getting adequate sleep the night before? The ravages of aging may have taken a toll on you with the appearance of depressions or grooves between the lower eyelid and the bulk of your cheeks. These grooves, also known as tear trough deformities, are one of the most common cosmetic concerns of our patients who are in their 30s and beyond.

Why Tear Troughs Develop

By and large, tear troughs develop due to a combination of factors such as genetics, smoking, diet, and lack of sleep. As one ages, the delicate skin around the eye area starts to sag while fat loss happens in the cheek area. In addition, facial bone and muscles will start to shrink resulting to loss of skin elasticity due to lack of support. The end result of all the aforementioned creates the illusion of dark under eye circles and tired looking eyes.

Dermal Fillers to the Rescue!

We have helped patients improve the appearance of their tear trough deformities through the use of dermal fillers such as Restylane, Juvederm, Radiesse, and Sculptra. Each filler has their own pros and cons. Take the hyaluronic acid fillers (Restylane and Juvederm) for example. They are more effective in filling in nasojugal folds while Radiesse and Sculptra are ideal for filling in flattened cheeks.

Surgical Options

If dermal fillers do not seem enough to improve the appearance of tear troughs,a lower eyelid lift may be done to remove excess fat and skin in the undereye area. In addition, fat transfer may also be done to reduce the hollowed look.

If you’d like to learn more about improving the appearance of tear troughs, we’d love to hear and address your concerns. For a private consultation with Dr. Buchanan, call us at (828) 526-3783 or fill out this contact form. We look forward to your visit!


Posted on July 15th, 2014


Smoking and Facelift: A Risky Combination

A middle-aged woman came in for an initial consultation wanting a facelift here at our North Carolina plastic surgery practice the other day. Upon assessment, we found out that she was actually leading a healthy lifestyle – she eats minimally processed food as much as possible, swims and does strength training exercises at least 3 times a week, and her recent numbers (blood sugar, cholesterol, etc) are actually within normal limits. By and large, she was what you classify as healthy. Except that she smokes at least half a pack a day.

No Other Choice But Quit

During the consultation, we strongly pointed out to her the need to stop smoking before and after the procedure. If you’ve been wondering yourself why she needed to quit, the following reasons make smoking and a face lift a risky combination:

  • Smoking can significantly delay healing of facelift incisions.
  • Smoking increases your chances of scarring.
  • Smoking increases your risk of developing post-facelift complications such as infection and pneumonia.

The aforementioned negative effects has to do with the nicotine content in cigarettes. Nicotine constricts the blood vessels which in turn reduces the amount of oxygen supply to the rest of the body. The facelift incision needs all the oxygenated blood it can get to facilitate healing.

Here’s an excerpt from a collective review of studies on the effects of smoking and surgery:

Smokers suffer poorer outcomes in nearly every realm of plastic surgery, with increased wound infections, reduced skin flap survival, and lower rates of successful digital replantation. Numerous trials have found that smokers are at increased risk of skin sloughs after facelift surgery, and the authors of one study attributed 74% of total skin sloughs to tobacco use. Even surgeons who did not themselves find an increase in skin sloughs often choose to perform more conservative procedures on smokers based on anecdotal evidence and existing data. Surgeons performing breast reconstructions report similar findings, noting that smokers have a higher incidence of skin flap necrosis, implant loss, skin loss, and hernia after reconstructive surgery.

Allow us to help you quit smoking before your facelift surgery! For a private consultation with Dr. Buchanan, call us at (828) 526-3783 or fill out this contact form. We look forward to your visit!

Posted on June 30th, 2014


Using Your Own Fat to Look Naturally Younger is Possible!

For the past decade or so, fat has always been seen in a negative light as they are thought to be the main cause of modern day health woes such as obesity and cardiovascular disease. However, recent scientific findings have shown that ditching butter, egg yolks, and red meat is actually not the answer to an ever increasing list of health problems these days.

Recent advances in plastic surgery have also revealed that excess body fat can actually be of good use for those who are looking into replenishing areas of the body that have lost volume. Here at our North Carolina plastic surgery practice, we use your own fat from other areas of your body to improve the appearance of folds and wrinkles.

Areas in the body that benefit well from fat transfer include the forehead, nasolabial folds (between the mouth and nose), cheeks, lips, and hands, breasts, and buttocks. In some cases, fat transfer is used in breast augmentation revision because it works well in filling in irregularities brought about by improper placement of breast implants.

The Ideal Candidate of Fat Transfer

First of all, you need to have enough amount of fat in other areas of the body that can be harvested. In addition, you should have excellent physical health and should be specifically free from circulation problems. Being able to strictly comply to post-surgery aftercare instructions is also a must. Lastly, you should be ready for repeated treatments as it may be necessary to achieve your desired outcomes.

In some cases, fat transfer may be done in conjunction with other facial rejuvenation procedures. If you’d like to learn more about how fat can help you look naturally younger, we’d love to hear and address your concerns. 

For a private consultation with Dr. Buchanan, call us at (828) 526-3783 or fill out this contact form. We look forward to your visit!


Posted on June 15th, 2014


How to Enhance Results of Your Facelift

Today’s Facelift is performed by Dr. Buchanan to help patients look younger and fresher. Here at our North Carolina plastic surgery practice, Dr. Buchanan can perform other procedures during a patient’s Today’s Facelift appointment to enhance results.

Below are the additional procedures that can be performed to enhance results.


As a person ages, drooping of the forehead and temple area becomes apparent. As a result, an arched eyebrow flattens and excess skin fills the upper lid. Excess skin can be removed through a browlift. Dr. Buchanan uses a modern browlift technique that eliminates the need for Botox, does not cause loss of sensation, and reduces recovery time.

Upper Blepharoplasty

Browlifts are usually enough to correct problems in the upper eyelids. However, if excess skin or fat is still present after a browlift, upper blepharoplasty can be done.

Lower Blepharoplasty with Cheek Lift

The lower eyelid and cheek descend as part of the normal aging process. Dr. Buchanan performs lower blepharoplasty with cheek lift to correct an elongated lower eyelid, laxity of the lower eyelid, and descent of the cheek.

It is important to know what Today’s Facelift can do and what it cannot do. During your initial consultation with Dr. Buchanan, you will know the other procedures that can be performed at the time of your Today’s Facelift. This way, you can recover from facial surgeries all at once.

To know more on how you can improve your overall appearance through cosmetic surgery, request a personal consultation with Dr. Buchanan today by calling (828) 526-3783 or filling out this online contact form. We look forward to hearing from you!




Posted on May 30th, 2014


Don’t Just Look Good, Feel Good Too!

It is not enough that you look good; you also have to feel good about yourself. Here at the Center for Plastic Surgery, we do not just perform surgery to improve your overall look, but we also offer lifestyle enhancement in North Carolina. Improving your lifestyle has a lot of benefits, which is why you should think about making that change soon.

Below are easy ways to boost your lifestyle.

Get enough sleep

Sleep at least six hours per night. Getting enough sleep has a lot of benefits. It improves learning and memory. It improves your metabolism and your mood. Enough sleep also boosts your immune system, enhancing your body’s ability to fight diseases.

Drink lots of water

Drinking lots of water helps hydrate the skin and makes it look better. Water also flushes out toxins in the body and helps in maintaining normal bowel function. Lack of fluids in the muscles lead to fatigue, which is why it is important to drink lots of water when exercising.

Move your body

Spend 30 minutes each day for jogging or walking. Light exercises can be done to burn calories and reduce stress levels by increasing endorphins in the brain.

Don’t skip breakfast

A lot of people do not eat breakfast and merely drink a cup of coffee. Eating breakfast is important to give you enough energy for the day and to prevent food cravings later on.

Quit smoking

Smoking has a lot of detrimental effects to the body. It increases your risks of developing different diseases including cancer, heart diseases, and respiratory illnesses. Take the final puff and break the habit for good.

If you need help in enhancing your lifestyle, request an appointment with us by calling (828) 526-3783 or filling out this online contact form. We look forward to hearing from you!


Posted on May 15th, 2014




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