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Archive for the ‘Around Nashville’ Category
Who should perform your cosmetic injections?
Cosmetic injections are not like getting your hair or nails done! Be prudent!
States can regulate who can and can’t inject, but just because a person can inject doesn’t mean they should! Complications can arise, and your injector needs to be aware of how to manage these complications with confidence.
In the state of Tennessee, I would recommend a physician, nurse practitioner, physician assistant, or registered nurse to perform your injections. Your best bet is at a plastic surgery or dermatology office. These practices usually perform the most volume of cosmetic procedures daily and are well educated on facial anatomy.
Also key things to look for when considering cosmetic injectables:
Does the office offer other cosmetic services other than Botox (i.e. skin care products, chemical peels and/or lasers)?
Is cosmetic treatment an active and frequent part of their practice? You don’t want to go to an office that just “does it on the side”.
Good input from someone who has a vision for your total appearance is vital.
Also, word of mouth can be a great tool in finding an experienced injector.
I hope this has been educational and relieved some of your anxiety about choosing a reputable facility for your future cosmetic treatments. Please call for a consultation today 615-932-7700 and visit our website www.maxwellaesthetics.com. Click on the MA Skin Center Tab to learn all about our services and wide variety of injectables.
Mastectomy Evolution
“My friends can’t tell I’ve had a mastectomy!!” says a recent breast cancer survivor.
Look how far we’ve come in the evolution of mastectomies.
In the late 1800s, breast cancer was treated by not only removing the breast, but also removing the underlying muscles and most of the axillary contents, leaving behind an extremely disfiguring defect. Over the years, we have evolved to sparing many of the anatomic breast landmarks… and there’s a promising new trend: removing the entire breast, but keeping all the skin, areola and the nipple! In fact, when performing this type of mastectomy followed by implant reconstruction, the resulting breast looks very much like a cosmetic breast augmentation, with only a small inframammary scar! UNBELIEVEABLE!!! This type of mastectomy is termed nipple sparing, although proper nomenclature should really be nipple-areola-complex preserving mastectomy since the areola is also spared, not to be confused with skin sparing mastectomies which takes the entire nipple and areola.
So who qualifies for this type of mastectomy?? The answer is not simple and is highly variable from surgeon to surgeon. We unfortunately do not have a lot of long term data, but factors that are currently being considered include the tumor size, its location, its distance from the nipple-areola complex and whether its HER2 positive.
The improved cosmesis with this type of mastectomy must not compromise a safe oncologic outcome. A biopsy at the base of the nipple is taken at the time of mastectomy and sent for both frozen and permanent section. It has a good (80%) sensitivity and 96% negative predictive value, such that if the biopsy comes back negative, you can be reassured that your nipple is free of cancer involvement. Long term studies on recurrence rates are lacking, but short term follow up studies show no increased risk of local recurrence.
The nipple-areola-complex preserving mastectomy may be a great choice for risk reduction, especially in gene (BRCA) positive patients. We look forward to long term studies and the continued improvements in quality of life for breast cancer patients and those women at high risk. Check out our website for before/after pictures of implant reconstruction after nipple-areola-complex sparing mastectomies. www.maxwellaesthetics.com
Dr. Kristina O’Shaughnessy, M.D, Plastic and Reconstructive Surgeon, Maxwell Aesthetics, Nashville, TN
Pinkberry in Nashville
It’s official: Nashville is getting a Pinkberry!
The first will open on West End in October with several more locations to follow. My girlfriend Laura Dunn told me to try the watermelon yogurt topped with watermelon puree and fresh diced cucumbers… sounds like it would make a nice facial mask at Maxwell Aesthetics lol.
Better amp up my Pure Barre workouts as I am totally addicted to this Fab Flavor 
