VOL 10A Winter 2016
post baby bod options for getting your body back
2016
a Rucker MD & Enza Medispa Publication ruckermd.com enza.com enzamedispa.com
@ENZAPRGIRL instagram love
PUT YOUR BEST CHEST FORWARD a plastic surgeon’s
BEAUTY TREND FORECAST 2016 January.indd 1
perspective
say goodbye
to your double chin 1/6/2016 1:31:54 PM
Welcome.
@ENZAPRGIRL
Whenever we work on the first Profiles of the new year, we take a look at the resolutions women and men make for themselves physically for the coming months. With the help of our team here at Rucker MD, no goal is out of reach whether you’re looking for surgical options or a less serious noninvasive treatment with serious results. We hope this issue helps you reach your goals for 2016 Through Profiles, I wish to educate readers about the possibilities of cosmetic surgery as well as noninvasive options. I hope that Profiles will encourage you to develop a life plan for looking and feeling your best. Your comments are always welcome.
Joseph Rucker, MD, FACS Cosmetic Plastic & Laser Surgery Reconstructive Plastic Surgery
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@etta.taylor: Thankful for @enzaprgirl / #EnzaEssentials for making this fabulous Vegas vacation possible and always helping me to be #EnzaBeautiful!!
@musingsofglitter: I couldn’t wait to try out the Enza Essentials skin care line! The best part about this company is that they offer customizable skin care suites that are tailored to your specific needs! I’ve been using it for a few days now and I already see a huge difference in my skin!
Dr. Rucker sees patients in: Eau Claire | 3221 Stein Boulevard, Eau Claire, WI 54701 River Falls | 1629 East Division Street, River Falls, WI 54022 Give us a call at: 800.456.8222 | 715.833.2116 | 715.832.1774 or email us at info@ruckermd.com.
@mksportsanista: Real talk today on Sportsanista about my skincare regimen and why pimples still haunt you in your 30’s!!! #skincare #enzaessentials.
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totally slept in which is rare (8:00 a.m. is late for me). Here are my daily beauty products I don’t leave home without from #enzaessentials.
Follow us @EnzaPRgirl This publication provides general health related information and is not intended to be substitute for professional medical care. If you have questions or concerns, contact your physician or healthcare provider. Your questions and comments are always welcome. Please write to: RUCKER MD/ Profiles, 3221 Stein Boulevard, Eau Claire WI 54701 or info@ruckermd.com
@lycheestyle: Thank you @enzaprgirl for customizing my new skincare routine! I am so excited to begin the journey!
Profiles is published by Rucker MD Plastic Surgery Clinic & Enza Medispa, 3221 Stein Blvd, Eau Claire, WI 54701 2016 January.indd 2
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PAGE THREE ruckermd.com & www.ruckermd.com enzamedispa.com PLASTIC SURGERY
finding your ideal
BREAST SIZE a plastic surgeon’s perspective by Joseph Rucker, MD, FACS For women considering breast augmentation, size is usually the first thing that comes to mind – will my new breasts be too small? Will they be too large? Despite my 25 years of experience and aesthetic judgment, asking me – the plastic surgeon - to define the perfectly sized and shaped breast is not only misleading, it assumes I can make a unilateral decision on the patient’s behalf. Certainly shape, size, position and proportion are important, but my patients have taught me that my point of view is not necessarily their own perception. Having said that, a woman’s profile should generally present a gentle curve with rounding from the nipple to the chest wall—not down or out, but up.
THE GOAL OF BREAST ENLARGEMENT SURGERY The idea is for you to be comfortable and confident in your own skin. Being selfconscious defeats the entire proposition. You don’t want others to be preoccupied with your chest. You DO want them to leave with the impression that you look great. Facing the mirror with arms down, the breast should start at the armpit then subtly extend outward touching the bicep with the nipple positioned slightly upward with roundness evident beneath the nipple in a smooth curve. Size is very subjective, but should ultimately be proportional with the rest of her body. While I am confident in my surgical and aesthetic opinions, my recommendations are always tempered by the patient’s desires and goals. Throughout my career, I have developed an approach that my patients have found beneficial in helping them decide what an appropriate augmentation goal should be for them:
GENERAL QUESTIONS FOR THE PATIENT: What is your activity level on a scale of 1-10? 1= sedentary; 10= marathon runner. If she has children: During your pregnancy, what cup size did you enlarge to and did you like that size? How much attention drawn to your chest are you comfortable with? Would you mind if people you knew thought, “I think she may have been augmented” or would you rather them think, “That sweater sure does fit her well.” Most of my patients would prefer the latter. 2016 January.indd 3
SIMULATION OF THE BREAST ENLARGEMENT: Once we go over at the patient’s details together - current bra size, height, weight, shoulder width, clavicle to nipple distance, any signs of breast sagging, chest wall shape and any asymmetry - a range of different sized implant inserts that I feel may be appropriate are selected. The patient can place these into her bra for a simulation. I often suggest that a selfie of each size is taken so that, if she desires, her significant other can review the various enhancement choices.
DETERMINATION OF ANTICIPATED BREAST IMPLANT SIZE: After an assessment of the our findings, the patient and I can now narrow our choice of breast implant size down to within a 50 cc range (1 coffee cup size). If the patient is extremely active, then I might suggest that we reduce the final implant size by 20%. The patient can later review her photos and still have the flexibility of knowing that she can change her desired implant size upon the day of surgery. The general range of breast enlargement relative to the patient’s height (in the 1,500 breast enlargements that I have performed) are as follows: • 5’3” and under: 340cc to 370cc • 5’4” – 5’8”: 370cc to 420cc • 5’9” and above: 400cc to 480cc
To schedule a consult, call 800.456.8222 For more information along with before and afters, visit us at ruckermd.com. Dr. Rucker sees patients in River Falls and Eau Claire.
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2016: PAGE FOUR
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BEAUTY TRENDS FORECAST by Joseph Rucker, MD, FACS and Melissa Mattice, Aesthetician
BEAM ME UP, SCOTTIE Word continues to spread on how incredible the results of laser treatments are. Not only are they affordable, convenient and safe, but they are highly effective for combating aging and wrinkling skin.
MAN-OH-MAN Even in the Chippewa and St. Croix Valley, the demand for male procedures and treatments continues to skyrocket.
FILLER-UP FRIDAYS Facial contouring through the use of dermal fillers will remain hugely popular thanks to the ease of placement, nearly no downtime and the great variety of fillers available.
NICE AND EASY DOES IT Lighter and less invasive procedures such as Botox速, fillers, laser peels, non-surgical body contouring treatments such as Viora, and state-of-the-art personalized skin care programs will continue to be immensely popular.
THE FAT ATTACK Patients looking for a more permanent solution to facial contouring with the use of their own fatty tissue remarkably continues to be requested.
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HEAD START The age range of women and men alike wanting to preserve their youth will continue to increase while more and more mature patients seek to erase the signs of time through cosmetic procedures.
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PAGE FIVE ruckermd.com & enzamedispa.com
FRENCH KISS Yes, french manicures are officially back and all over the runways for Spring 2016. However, this time around, there is no one right way.
SKIN INVESTMENT The rise of customized skincare products allow patients to take anti-aging treatments into their own hands.
FEELING BLUE From soft baby blues to bolder, darker hues - blue is the color for spring, made evident here by Kendall Jenner at Diane Von Furstenberg’s Spring 2016 show. We’re currently obsessed with Jane Iredale’s PurePressed eye shadows in Blue Moon and Caribbean!
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THE PROFILE YOU'VE BEEN DREAMING OF
say goodbye to your double chin Have you made a resolution for 2016 to lose weight or tone up? Many of us do! Unfortunately, submental fullness (also known as a “double chin”) is typically resistant to diet and exercise and can make us look older or heavier than we really are. Luckily, there is a new way to treat submental fat that is both non-surgical and very effective! INTRODUCING KYBELLA®, the first and only FDAapproved injectable treatment that contours and improves the appearance of submental fullness. The active ingredient in Kybella is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath your chin, Kybella causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat again! Expect your first appointment to take 30 minutes and 15 to 20 minutes for the second visit, being one month apart. To see if Kybella is right for you, schedule a consultation with board certified plastic surgeon Dr. Joseph Rucker at 715-833-2116 and reclaim the profile you’ve always dreamed of.
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PAGE SIX
ruckermd.com & enzamedispa.com
BODY CONTOURING after weight loss or pregnancy by Joseph Rucker, MD, FACS
There are a variety of body contouring procedures available, but a
by Joseph Rucker, MD, FACS
A
comprehensive and individualized approach must be employed to meet the concerns of each candidate. These techniques are best if you have excess subcutaneous fat that resists reduction to diet and exercise or in those individuals that have excess fat and sagging skin following multiple pregnancies or after a major weight loss. However, these procedures are not intended as a weight loss alternative. Commonly involved areas are the neck beneath the chin, upper arms, chest, breast, trunk, abdomen, hips, waist, thighs, inner knees, calves and ankles. Ideally, patients are near a normal weight, healthy and desire some form of a permanent contour change. The treatment options are determined by the elasticity of the patient’s skin. If the skin elasticity is good, as in a younger patient, liposuction alone is often the procedure of choice. However, if the skin elasticity is not optimal, as in an older patient or after extreme weight loss, liposuction alone can cause dimpling which requires the additional procedure of skin tightening.
The best candidates for body contouring procedures are:
B Before and Afters
A: Dr. Rucker performed a breast augmentation, abdominoplasty and liposuction on this 42 year-old female to give her fuller, perkier breasts and a more toned mid-section. B: Dr. Rucker performed a breast augmentation to give this 45 year-old female a more natural, proportional result, as well as an abdominoplasty with liposuction to tighten and sculpt her mid-section. *Unedited patient photos provided by Dr. Joseph Rucker.
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• Adults whose weight loss has stabilized • Healthy individuals without medical conditions that impair healing or increase risk of surgery • Individuals with a positive outlook and realistic goals • Individuals that are committed to leading a healthy lifestyle with proper nutrition and fitness • Individuals that have a well-shaped and conditioned body core, but their skin envelope is too large • Non-smokers The overall frequency of body contouring procedures has increased nearly 10% over the past five years, due partly to the increasing popularity of bariatric surgeries like lap band and gastric bypass. Those surgeries can cause rapid weight loss, leaving behind excessive, sagging skin and an enlarged skin envelope. Body contouring procedures help complete the weight loss journey.
The most common procedures performed are:
1. BREAST LIFT. With excessive weight gain or after multiple
pregnancies the breast skin stretches, the breast mound sags and the areola becomes enlarged. The breast lift raises and firms the breasts by removing excess skin and tightening % the surrounding breast to reshape and support the new breast contour without removing the nipple. This is a two-hour procedure and is done in our office operating room. The recovery is
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PAGE SEVEN PAGE SEVEN
ALL ABOUT LIPO Liposuction, AKA “lipo,” is the removal of unwanted fat bulges when diet and exercise do not work. However, it is not a substitute for exercise and a healthy diet -- it is used more to contour the body. As always, the best way to determine whether lipo is right for you is to schedule a consultation with Dr. Rucker.
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MAMMA MIA! our favorite new hollywood moms before and after baby
WHO IS IT FOR? A good candidate should have realistic expectations about what lipo can do for them, be of average or slightly-above average weight, have firm, elastic skin, and be in good health.
GIVE ME A BRIEF OVERVIEW! Your procedure will only take a couple of hours, max, based on what areas are being treated, and can be done in our in-office suite. Expect recovery to take anywhere from 3-21 days and you can return to regular activity within 3-8 weeks.
approximately 2 ½ weeks and 50% of my patients have chosen a slight breast augmentation to further improve breast contour.
2. ABDOMINOPLASTY / TUMMY TUCK. This is
the most common procedure performed after weight loss or strictly as a cosmetic procedure for contouring of the abdomen. I prefer to categorize this procedure as either a limited abdominoplasty, a standard tummy tuck or a circumferential abdominal wall contouring. The person undergoing abdominal wall contouring after excessive weight loss may require a more extensive procedure to address the lax skin around and behind the waist. For the 1,400 cases that I have performed, this is a two-hour in-office procedure. The Tummy Tuck recovery time varies between 10 days to 3 weeks.
New mom Blake Lively, 28, got back to work filming her new movie exactly one year after giving birth to daughter James.
3. THIGH LIFT.
The inner thigh can be treated by lifting the skin and placing the incisions along the groin crease. This procedure is usually combined with the Tummy Tuck procedure and may require an overnight stay in the hospital. Operative time for both is approximately three hours and the recovery is 2-3 weeks.
4. UPPER ARM LIFT (BRACHIOPLASTY). An arm lift is often the only way to remove large amounts of unwanted skin and fat from the back of the upper arm. Get back the arms you once had with this 2-hour, in-office outpatient procedure. Recovery involves about one to two weeks out of work for light jobs and three weeks for jobs that require lifting.
Zoe Saldana, 37, gave birth to twin boys and posted this gym selfie just seven months later!
5. CHEEK AND NECK LIFT. This 2 ½ hour, in-office
procedure removes excess skin and fat in the lower face and neck, diminishing facial creases and giving a visual lift to the face. Most patients are socially presentable within 12-14 days. Although it is possible to perform a full body lift in one lengthy session, I prefer to break up body contouring surgeries for the safety and comfort of the patient. In the majority of the 1,000 cases that I have performed, most patients that require staging procedures undergo the thigh lift and tummy tuck first, following by the breast lift and arm lift later.
For a more detailed description with before and after pictures of results, visit us at ruckermd.com
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Kristin Cavallari, 27, wife to Jay Cutler, lost 20 lbs in the two months after giving birth to second son, Jax!
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