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Botox and dermal fillers are great treatment options for facial rejuvenation with results that can last for several months or more. As you age, it’s normal for your skin to lose moisture, collagen, volume and elasticity. With all this loss, dermal fillers can help restore plumpness and volume even moisture to the skin. The most common active ingredient in fillers is hyaluronic acid. It’s a substance your body uses anyway, and it gives your skin’s moisture a boost and helps fill out lost volume from collagen loss and skin laxity. There are a range of dermal filler products, and they can provide an array of options to treat the signs of aging. But fillers aren’t just for anti-aging anymore. They are used more and more frequently in young patients for facial contouring of the lips and jaw line and cheeks to enhance your natural beauty. 

We love offering both treatments—including dermal fillers, Botox, and Dysport, (an alternative to Botox)—at Baltimore Plastic Surgery. In the long run, you may even end up saving money by combining the two treatments.  

What is Botox?

Botox is the common trade name for this substance. It is also known by its scientific name botulinum toxin. Its primary objective is to treat and prevent facial wrinkles. In 2002, Botox was approved by the FDA as a cosmetic treatment for frown lines above the eyebrows and wrinkles. Since then, it has become one of the most sought-out treatments for those who want to prevent the signs and effects of aging from occurring in their face or to correct any present signs.

Facial fillers are also known as dermal fillers. Like Botox, it is also used to prevent or eliminate signs of aging in the face like wrinkles. This is where they often get confused. The primary difference between the two is that Botox reduces the activity of muscles in the face that cause wrinkles. Facial fillers, however, fill the trouble areas with collagen, which helps to stimulate collagen growth in the face as well as plump and lift the skin to replace collagen loss. This helps your skin achieve as youthful of a look as possible, as well as eliminate signs of aging that occur as a result of collagen depletion.

Choosing Between the Two

When choosing between Botox and facial fillers, Dr. Schreiber will address what kind of wrinkles you want to get rid of and how.

Botox is the better choice for dynamic wrinkles as it will reduce their motion and visibility. These wrinkles occur when the face is in motion or making an expression. They are usually positioned in the forehead and around the eyebrows.

Facial fillers are ideal for static wrinkles, which are visible even when your face is relaxed and making no expression. These areas are depleted and sunken in and will benefit from the fullness that facial fillers give them.

Knowing the difference between Botox and facial fillers and how they work matters significantly when seeking treatment for your wrinkles. Whichever one you choose, both forms of treatments are very efficient ways to recapturing and maintaining a youthful appearance.

Benefits of Botox and Filler Combo

Dr. Schreiber may recommend having just one of the two treatments first, before adding the other based on that outcome. In some cases, it’s best to relax muscles first using Botox and then have a filler treatment two weeks later. That said, your aesthetic specialist might recommend both treatments in the same session. For some people, receiving Botox and filler in the forehead area in the same sitting leads to results that last 9-10 months versus five to six months.

With age, you may find yourself looking a bit more tired, even if you don’t feel that way. That’s because lost volume often contributes to lines, wrinkles, saggy-ness, and under-eye hollows (which create dark circles) and result in an overall down-turned or fatigued appearance. A lack of volume in other areas of your body can also noticeably contribute to an aged appearance. Versatile enough to comprehensively improve these symptoms, dermal fillers can help you look bright-eyed and awake.

To see if you are a good candidate for botox, fillers or a combination please schedule a consultation with Dr. Schreiber (410) 2051846 he will determine if that treatment is best for you.

If you’ve ever complained of a double chin, jowls or the dreaded “turkey neck,” a neck lift might be just what you need. As far as cosmetic surgeries go, few other procedures can have as great an impact on a person’s appearance. As we age and gravity takes its toll on us, we may start to see the skin around our face and neck start drooping first.

Benefits of a Neck Lift

Neck lift surgery has a wide range of benefits, including:

•         Reduction of “turkey neck” 
•         Improvement of wrinkles around the neck area
•         A more defined jaw line
•         Elimination of double chin

There are three key issues that contribute to an aged appearance of the neck — extra fat, excess skin and deteriorating neck muscles. A neck lift, or lower rhytidectomy, can address all three issues and be performed as a stand-alone surgery, or done in combination with other cosmetic procedures, such as a face lift, brow lift or dermal fillers.

The Procedure

A necklift can be performed under local anesthesia with sedation or general anesthesia. The incisions for a necklift follow the lines around the earlobes and extend back behind the ear and into the hairline. A small incision is also made underneath the chin to help with tightening the neck muscles. This way, the incisions stay inconspicuous and heal very well. Dr. Schreiber will then lift the skin off of the underlying neck muscles. This allows him to tighten the neck muscles in order to help establish a long-lasting improved contour to the neck. Tightening the neck muscles also gives a more youthful, smooth contour to the neck.

What is the recovery time for a neck lift?

Most patients can resume their normal activities within two weeks of surgery. Swelling and bruising around the neck is common, and your neck may also feel tighter than usual for a few weeks or longer, depending on the patient. The stitches in front of the ears are removed 3-5 days after the procedure. The stitches behind the ear are removed about 7 days after the necklift procedure.

Dressings are placed right after the operation and they stay on for 3 days. Following the removal of the dressings three days later, you can shower and wash your hair.

Surgical vs Nonsurgical

A Baltimore neck lift requires a considerable amount of individualized assessment, because a particular technique that may work well on one neck may not work well on another. There are also many trendy nonsurgical procedures that claim to give you neck lift results however, those are rarely successful, long lasting or natural appearing.

Another thing to consider is while you may think you just need a neck lift, sometimes a lower face lift may be the better option as it bring the face to full correction.

Necklifts are commonly used to remove the excess skin of the neck and to tighten the muscles of the neck. 

Ready to get rid of the “Turkey Neck”? Call Dr. Jeffrey Schreiber today (410) 902-9800 to schedule your consultation

When you lose 100 pounds or more, what happens to the extra skin? For many, the answer is body-contouring surgery.

As weight loss surgery becomes more popular, weight losses of 100 pounds or more are becoming common. Many people who lose massive amounts of weight are left with sagging skin and stubborn deposits of fat on various parts of their bodies, especially around the midsection. 

Body lifts are an extremely effective plastic surgery procedure for patients with excess skin, fat, and other tissues that linger after substantial weight loss.. Depending on the location of the extra skin, patients may choose to undergo either an upper, mid, or lower body lift. There are also arm lifts, thigh lift, tummy tucks and Brazilian Butt lifts. For patients with significant amounts of excess skin throughout the midsection, lower body, and extremities, a combination of these techniques called full or total body lift may be the best. For the actual surgery, Dr. Schreiber will first remove the excess skin from the back and lift the buttocks and outer thighs.  He will then essentially perform a tummy tuck to complete the procedure. This involves tightening the abdominal muscles and involves removing as much excess abdominal skin as possible.

 Recovery takes about 2 weeks with exercise resuming at 4-6 weeks.  Dr. Schreiber also places 2-4 drains underneath the skin to help remove any excess fluid.  The drains that Dr. Schreiber uses are painless when they are removed! He also places long-lasting numbing medicine in the abdominal muscles for maximum patient relief that lasts several days.

 As is the case with most other plastic surgery procedures, body lift surgery is highly customizable to the unique needs and goals of the individual patient.

The Best Candidates

Body lifts are usually performed on those with large amounts of loose, hanging skin in multiple areas on the trunk and legs. Its goal is to return the body to a more normal appearance after loss of skin elasticity due to extreme weight loss or age-related changes.

What a body lift cannot do is remove significant fat deposits. Your weight should be stabilized at or near your ideal weight before considering a body lift. In cases where there are small local fat deposits but skin elasticity is poor, your surgeon may recommend a combination of liposuction and body lift surgery.

The best candidates for a body lift are non-smokers who are in generally good health and maintain a stable weight through a commitment to a healthy diet and lifestyle. It is also important for the patient to have a positive outlook and realistic expectations about the outcome.

Women considering pregnancy should hold off on having a body lift, as subsequent pregnancy may significantly compromise results in the abdominal area.

If you believe that body lift surgery might be right for you or any type of cosmetic surgery in Baltimore, it is important that you entrust your procedure to a skilled, experienced plastic surgeon with a history or producing outstanding results for patients with similar cases like Dr. Jeffrey Schreiber and give his practice a call to set up a consultation! (410) 902-9800.

Fat grafting, also referred to as fat transfer or fat injections, is a surgical process by which fat is transferred from one area of the body to another area.  Baltimore cosmetic surgery expert, Dr. Jeffrey Schreiber, uses fat grafting for the breasts, buttocks, and face.  The goal is to improve or augment the area where the fat is injected. The technique involves extracting fat by liposuction, processing the fat, and then injecting purified fat into the area needing improvement. The process of fat grafting involves three steps:

1.  Extraction of the fat from one area (donor area) via liposuction
2.  Purifying the fat by processing it in a fat harvesting system
3.  Reinjection of the purified fat into the area needing improvement, like the breasts, face, or buttocks

In the first step, fat is extracted from a donor area using liposuction techniques.  This is best accomplished by manual methods using thin liposuction cannulas with small holes.  Vaser or ultrasonic liposuction should not be used for the extraction as it may destroy the fat cells.  Typical areas that Dr. Schreiber uses for the liposuction include the following:

Abdomen
Arms
Flanks
Thighs (inner and outer)
Back (upper and lower)
Knees

As a Baltimore breast augmentation specialist, Dr. Schreiber realizes that women who desire a modest increase in breast size or correction of minor size disparity between the breasts may be able to achieve their goals with fat transfer rather than implants.  Although there are limits to the degree of augmentation that can be achieved with fat alone, in some cases fat transfer can provide the subtle boost a patient desires or enhance symmetry between the breasts.  The ideal patient for fat transfer to the breasts is generally happy with her starting breast shape and has good skin elasticity.  Fat transfer can also be used after breast augmentation with implants or in conjunction with reconstruction to refine results and help achieve the optimal outcome.  Breast fat grafting can:

Correct breast asymmetry
Increases the breast size by one or two cup sizes
Helps correct scar deformities from lumpectomy or breast reconstruction
Repairs radiation tissue damage and can treat breast implant capsular contractures

Anesthesia for the procedure is usually done with general anesthesia.  However, procedures that don’t involve a large amount of liposuction can sometimes be done with only local anesthesia and sedation.  During the procedure, Dr. Schreiber will use liposuction to harvest the fat which is then processed in a sterile fashion to isolate just the fat cells. The fat is then carefully and gently injected in the breasts to mold and contour them as discussed during the consultation.  Dressings are then placed over the liposuction areas and breasts.  A bra may or may not be applied depending upon the amount of fat grafted to the breasts.  Once in recovery, you will rest quietly until you are ready to go home or until you are ready to go to your private hospital room.

Fat Grafting to the Buttocks & Hips (Brazilian Butt Lift)
During this procedure, Dr. Schreiber removes fat from an area where it’s not wanted—such as the abdomen or thighs—and places it into the buttocks.  Essentially, this is a combination of liposuction AND buttock augmentation.  In properly skilled hands, it is not just about increasing the size of the butt, but also about obtaining a more shapely butt and contouring the entire torso, including the waist, abdomen, and thighs.  Fat grafting can:

Augment buttocks size (aka Baltimore butt lift)
Makes buttocks appear perkier
Adds volume to achieve a more feminine profile and better waist-hip ratio

Recovery from fat grafting procedures ranges from 7-14 days depending upon many factors, like how much fat was removed and whether or not other procedures were done in combination.
Dr. Schreiber offers cosmetic surgery consultations in his comfortable, private office with ample parking.  So, if you’d like to discuss the possibility of getting fat grafting to your breasts, buttocks or face, please call us at (410) 205-1846 or fill out our Schedule an Appointment located on the side of this page.

Mommy Makeovers may seem like the new buzzword.  While the term might be trending, women have been seeking cosmetic surgery after having children for years.  Each woman’s body will naturally try to return to pre-pregnancy shape at its own rate.  But sometimes women don’t feel completely themselves and begin considering plastic surgery to restore their image and confidence.  In a recent interview on WMAR, Baltimore mommy makeover expert, Dr. Jeffrey Schreiber, states that “mommy makeover” is simply any combination of cosmetic procedures performed together meant to return the body to the desired pre-pregnancy shape or better.

Common procedures involved in a Baltimore mommy makeover include:

Breast Augmentation – breast implants or your own fat can be used to increase the volume of the breasts
Breast Lift – a lift can elevate the nipple/areola to a more aesthetic position
Breast Reduction – decreasing the size of the breasts can create a more aesthetic and balanced appearance to the body
Abdominoplasty (Tummy Tuck) – removing the excess belly skin and tightening the muscles can lead to a flatter bely
Liposuction – removing excess fat of the flanks/love handles can augment the results of a tummy tuck

Healthy diets and exercise can help with weight loss post pregnancy.  However, for some cosmetic surgery is the best option to get rid of stubborn fat and excess skin and to rejuvenate their breasts.  Recovery varies depending upon the procedure that you get, and Dr. Schreiber is keenly aware of post-operative discomfort so he takes the extra step to make everything as comfortable as possible.  Women should also have ceased breast feeding to allow their breasts to return to a normal size and shape.

The Baltimore mommy makeover cost varies depending on how many cosmetic procedures are performed. There is no “one price fits all” cost and  every person is unique in body shape, so let Dr. Schreiber listen to what your aesthetic desires are and he will offer you a customized procedure plan to accomplish your goals.

For mommy makeover before and after photos, visit Dr. Schreiber’s photo gallery and you can even view video reviews of other patients’ experiences.  Call 410-205-1846 today to schedule a consultation in Baltimore with Dr. Jeffrey Schreiber.

Breast augmentation is an excellent way to increase the size of your breasts safely and reliably.  The procedure takes about 90 minutes and the recovery is only about 2-3 days of taking it easy.  Discomfort is well controlled with oral pain medication, and you can even shower the next day in most cases!  As your Baltimore breast implant expert, Dr. Schreiber sees multiple patients every week seeking out breast implants to restore volume of their breasts or to improve cleavage that they never had.  Having said this, here are the five most commonly asked questions about a breast augmentation procedure:

1.  How long do they last?  Breast implants can last many, many years and the current revision rate is about 20% every 10 years.  The revisions are typically done because women want to go either larger or smaller with the implants or they would like a lift with replacement of the older implants for new ones simultaneously.
2. Are the implants placed over or under the muscles?  This depends upon the athleticism of the patient.  For those women who routinely engage the chest muscles for exercise or if they do not want their implants to shift with flexion of the chest muscles, then over the muscle is a good option.  If women are looking for a more natural look and don’t mind a slight shifting of the implants with exercise then going under the muscle is a great option.
3. Are the breast implants smooth or textured?  Dr. Schreiber only uses smooth breast implants.  With years of experience using these types of breast implants, he has achieved amazing results in hundreds of women and fully supports the use of smooth silicone gel breast implants.
4. When can I start working out again?  Typically, Dr. Schreiber recommends waiting 1 week before resuming light cardio exercise and 6 weeks for heavy weightlifting.
5. How do I determine which size to get?  When it comes to picking out your breast implants, Dr. Schreiber listens to what his patients want and spends a lot of time making sure his patients are satisfied with the size before surgery.  Therefore, he encourages his patients to bring in photos of breasts that his patients like and he provides ample time for women to “try on” breast implants by putting breast implant samples inside their bras to get a 3D look and feel for that their breasts will look like after surgery.

It’s important to remember that every patient is unique and not every answer to these questions is the same for everyone.  This is why Dr. Schreiber spends a lot of time with his breast augmentation patients to ensure that all of their questions are answered to the best of his ability.  Breast augmentation is a fantastic procedure and it’s one of Dr. Schreiber’s most common operations to perform.  So, if you want to get the breast size that you’ve always wanted to if you want to restore lost volume to your breasts, call (410) 205-1846 for a consultation or simply click the Schedule and Appointment tab at the top of this page and a staff member will contact you very soon to schedule your consultation!

As your Baltimore tummy tuck expert, Dr. Schreiber knows how beneficial a tummy tuck can be.  Abdominoplasty (tummy tuck) is a procedure that removes the excess skin from the lower belly, tightens the abdominal muscles, can make a nice almond-shaped belly button.  The procedure itself takes about 3 1/2 hours, but can last longer if liposuction is incorporated with it which is commonly done.  Sometimes, a breast lift or breast augmentation is done at the same time saving costs and recovery time.  A tummy tuck can be done as an outpatient surgery or you can stay overnight (especially if several procedures are done at the same time.)  So, if you are considering or already schedule for a tummy tuck, here are the top 10 tips for an easy and comfortable recovery:

1.  Take 1-2 weeks off of work
2.  Avoid exercise for at least 2 weeks
3.  Prepare your first floor for the first few days of recovery to avoid a lot of steps
4.  Make some food ahead of time to prevent the need for a lot of cooking
5.  Ask family and friends for help during the first week, especially if you have small children or pets
6.  Get your prescriptions filled before surgery
7.  Get a good book or movies to watch
8.  Arrange rides to and from the surgery center
9.  Make sure Dr. Schreiber has answered all of your questions
10.  Know what to do if you have questions after surgery

Following these tips will allow for a nice, comfortable recovery after your tummy tuck procedure.  Dr. Schreiber recommends waiting about 2-3 months after surgery to buy that new bathing suit or dress that you’ve always wanted!  A tummy tuck is an excellent way to get rid of excess skin that doesn’t go away after diet and exercise and Dr. Schreiber has extensive experience in doing tummy tucks.  So, if you’re thinking about a tummy tuck call (410) 205-1846 to schedule your consultation today or click the Schedule an Appointment button at the top of this page.  It’s time to look as good as you feel!

It may not feel like spring yet, but you can still take advantage of our latest spring specials from your Maryland plastic surgery expert!  We are pleased to offer the following amazing deals:

1.  Coolsculpting
   1 small cycle $625
   ($200 savings)
   or
   1 large cycle $1250
   ($250 savings)
   or
   1 neck cycle $700
   ($300 savings)

2.  Miradry