VOL 7C Fall and Winter 2013
Functional vs. Cosmetic
RHINOPLASTY
5 Facelift factors to consider Dr. Rucker
in the
media
a Rucker MD & Enza Medispa Publication ruckermd.com enza.com
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Do you need a
Facelift?
Welcome. Plastic surgeons assist people with making life changing choices. We are called upon to reconstruct a breast after cancer, rescue a smile from disfigurement or reinforce a foundation of selfconfidence.
EXCITING NEWS FROM RUCKER MD.
Through Profiles, I wish to educate readers about the possibilities of reconstructive, plastic and cosmetic surgery, as well as non-invasive 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 & Laser Surgery Reconstructive Plastic Surgery
dr. joseph rucker, keynote speaker Staying Abreast: Innovations in Plastic Surgery Dr. Rucker has been selected to be a keynote speaker for “Innovations in Plastic Surgery” at the 12th Annual BCAA Education Conference in Minneapolis, MN on October 12th. Tickets are available for purchase at www.bcaamn.org.
Visit us! Dr. Rucker sees patients in: Eau Claire | 3221 Stein Boulevard, Eau Claire, WI 54701 New Richmond | 535 Hospital Road, New Richmond, WI 54017 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.
featured expert Dr. Rucker’s article in the November / December issue will cover Skin Care by the Numbers. What’s Your Number? Visit www.azsal.com.
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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 Blvd., Eau Claire WI 54701 or info@ruckermd.com
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When choosing the right type of facelift option, it is important to consider: • The specific areas that you want to improve. • How much time you have for recovery. • Your expectations for post-facelift appearance.
is it time for a
FACE LIFT? by Joseph Rucker, MD, FACS
The effects of gravity start to take
their toll between the ages of 40 and 50, so the skin and soft tissues of the face start to lose their elasticity. This all results in bags developing under the eyes, and a sagging from the cheekbone, which causes a deepening of the folds from the nose to the corner of the mouth. The jawline becomes less clean and bands begin to develop in the neck. Most patients requesting evaluation for a facelift feel that their facial features do not reflect their youthful spirit and energy level. That’s when they turn to me for a rejuvenation plan. Facelift techniques (rhytidectomy) have evolved significantly over the last several years. Early facelift operations tightened only the skin. Today, the facelift addresses
facial muscle laxity and removes excess skin and fat found in the lower face and neck. The procedure can enhance the contour of your jaw and soften deep lines. There are so many different procedures, it can be confusing for a patient. Just the word “facelift” can be intimidating because it implies that the whole face is lifted. In the majority of facial cosmetic procedures that I have performed, the most common areas treated are the cheek and neck only. The main objective has always been to produce a natural result and to make the patient look like a younger version of themselves, with an avoidance of the dreaded “pulled” look.
The Procedure: 85% of the facial cos-
metic procedures I perform are done in our office operating suite, on an outpatient basis. The procedure is done under heavy sedation or a general anesthetic. We find the office procedure to be more beneficial than the hospital experience because of the higher level of confidentiality and also the cost savings.
Facelift Recovery and Results: Most
patients rate the pain as 3 to 4, on a scale of 1 to 10. Bruising usually resolves in 10 to 12 days. There is one small, well-concealed scar in front of the ear and the rest are hidden in the hair line. They fade significantly within a 3 to 4 month period. Continued on page 6.
TYPES OF FACELIFTS. Lower (Standard)
Mid-Facelift
The Mini “Weekend”
Thread Facelift
Tightens the lower face’s underlying structures that slacken with age. Also trims excess skin, smoothing it to eliminate facial creases, and giving a visual lift to the bottom third of the face.
As people age, the cheeks and eyelids tend to sag. This procedure restores a youthful, rested look to the lower eyelids and cheeks.
Performed quickly with a shorter recovery period, the procedure enhances key facial areas. However, the “weekend facelift” is a minor surgical procedure. Results are much less impressive than a standard facelift.
A less invasive approach that has come under criticism for not producing the results as promoted. I do not offer this technique because of the questionable level of improvement.
FOR MORE PHOTOS AND INFORMATION, VISIT WWW.RUCKERMD.COM OR CALL US AT 715.833.2116
PAGE FOUR
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The Top 5 Nose Complaints.
Sound familiar? by Joseph Rucker, MD, FACS
While we can often disguise protruding ears with different hairstyles and soften the appearance of our eyes with makeup, the nose is the most noticible facial feature and is more difficult to hide or disguise. In the 500+ Rhinoplasty procedures that I have performed, I have employed a highly focused individualized approach which avoids the dreaded “operated on” or “done” appearance.
FUNCTIONAL nasal problems usually arise from an injury and result in a disfigurement of the nasal shape with complaints of obstructed nasal breathing. Most functional Rhinoplasty candidates have sustained an injury to the nose that has resulted in a possible nasal fracture and/or displacement of the internal partition of the nose, which separates one nostril from the other. The most common concerns - difficultly breathing through the nose and severe headaches. The nose may appear disfigured, often identified by a hump at the midportion of the bridge. An internal examination may
confirm that there is, in fact, a deviation of the nasal partition resulting in a partial blockage of nasal airflow. We then would develop an operative plan to restore the displaced nasal structures to their original position, and to rearrange the displaced nasal partition in an effort to restore normal nasal airflow. The reconstruction of a functional nasal problem is usually covered by one’s insurance.
COSMETIC nasal problems include the above complaints of “my nose is too large”, “I hate my hump” or “the tip is too large”. These are characterized as cosmetic
MOST SOUGHT AFTER CELEBRITY NOSES
because their improvements do not affect the function of the nose and the ultimate goal is to produce a better appearance of the nose. I refer to this type as an “aesthetic” Rhinoplasty. It is important to understand that the shape of the nose is dictated by the bone and cartilage framework beneath the skin. It is therefore the goal of the cosmetic nasal surgeon to reshape the framework beneath the skin to reduce the size and shape of the nose, without producing a result that looks “done”. In the case of an aesthetic Rhinoplasty, I feel the most important aspect of the initial consultation is to determine whether the
% KATE MIDDLETON
NICOLE KIDMAN
NATALIE PORTMAN
KATE BECKINSALE
PAGE PAGECARE FIVE FIVE SKIN
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S BEFORE
EXCITING NEWS FROM RUCKER MD.
The NEW RUCKERMD
In-House Surgery Suite and recovery center
AFTER
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results of the procedure can realistically meet the patient’s expectations. Difficulties can arise when a patient states, “I want my nose to look exactly like this,” and presents a photo of a celebrity. This type of result is often not realistic, firstly, due to other facial features contributing to the nasal appearance, and secondly, because the nasal framework may not allow a specific result. However, certain characteristics of someone else’s nose may be incorporated into each individualized Rhinoplasty. A detailed examination of the candidate is performed and an operative plan to address the patient’s concerns is formulated. Because this is a purely cosmetic procedure, it is not covered by insurance.
The Nasal (Rhinoplasty) Procedure: Both functional and cosmetic procedures are done under a general anesthetic and on an outpatient basis. Each procedure takes about two hours to perform. Most patients rate the pain on a scale of 1 to 10 as a 4 to 6. There is a dressing in place for 6 to 7 days, and upon its removal the patient’s result is noted with a moderate amount of swelling. Patients typically feel comfortable being in public after Rhinoplasty in seven to eight days.
To set up a consultation, call Dr. Rucker’s office at 715.833.2116.
Enjoy extra privacy.
You can trust our small staff and know that your appointment will be secret. Our back door entrance and exit make it easy for a discreet visit with us.
30+ years of experience.
Plastic surgery is no small deal. Trust your body in the hands of a board-certified plastic surgeon with over 30 years of experience.
Now Scheduling:
• Breast Augmentation • Mastoplexy / Breast Lift • Cheek and Neck Lift
• Tummy Tuck • Blepharoplasty • Rhinoplasty
Call us for a consultation 715.833.2116 or 800.456.8222
PAGE SIX
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thinking about a
FACELIFT?
Continued from page 3.
Sunken Eyes Loss of Volume
Before
Female with complaints of sagging of cheek, jawline and neck.
Wrinkly Skin
Deep Folds in Skin A Saggy Jawline
5 FACELIFT FACTORS TO CONSIDER 1. Sunken Eyes. Gravity begins to pull the fat under the eyes down, which
results in a sunken appearance. Typically a blepharoplasty is addressed at the time of the facelift.
2. Loss of Volume. A loss of fat in the face results in droopiness. Volume can be restored through injectibles, fillers, fat, or a combination during or after your facelift.
3. Wrinkly Skin. Various factors over time can cause the skin to age and wrinkle. Think sun exposure, pollution and free-radical damage.
4. Deep Folds in Skin. This is due to the bone density changing over time. Excess skin is removed and remaining skin is pulled back.
5. A Saggy Jawline. As time goes on, bones become less dense and gravity begins to wear on the skin. Eventually, only surgery can correct and tighten the jawline.
After
4 months after cheek, jawline and neck lift.
Less-invasive alternatives to the surgical facelift. 1. Laser Skin Lift, Skin Tightening or Laser Resurfacing: This approach is well accepted with patients that do not have significant folds and sagging of tissues, or desire not to undergo a surgical procedure.
2. Microfat Contouring: This is an excellent way to treat
the loss of facial volume that occurs with aging. It does not treat the folds of the neck, but is helpful in enhancing the cheek and treating the folds from the corner of the nose to the corner of the mouth.
3. Topicals: Our exclusive serum, the
Tri-Peptide Cell Activator 速, (www.enza. com) was developed to treat fine lines and wrinkles around the mouth and eyes, and also as a maintenance treatment for patients that have had a facelift and want to maintain their result for a longer period of time.
4. Facial Exercises: Although highly
publicized, I feel that it simply helps you feel that you are being proactive in avoiding the progression of facial sagging. Unfortunately, we have found it to be non-beneficial.
PAGE SEVEN ruckermd.com & enza.com HEALTH PAGE SEVEN & FITNESS ruckermd.com ruckermd.com & enza.com & enza.com
Your 5 Minute Anywhere Workout!
by Lori Heck, ASPIRE Personal Training
No Time? No Excuse!
You can tone muscles anywhere! When meeting with clients during the initial meeting, one of the top five excuses I hear is, “I don’t have enough time!” If you ask any one of my small group training clients they will tell you that some of their toughest, yet most worthwhile, workouts can be done in less than five minutes! Even if you can’t get in an intense five minute workout, there are several movements that you can perform while doing everyday tasks, which will help to “tone” your muscles and burn a few extra calories!
AT HOME • Heel raises are perfect while washing dishes, blowdrying your hair, folding laundry or talking on the phone! • Try squats, alternating lunges, jumping jacks, or push-ups while waiting for food to heat up in the microwave. See how many reps you can accomplish of any of the above listed exercises in the 60 seconds (or whatever time) it takes to heat your food. These can also be performed while waiting for the coffee to brew!
AT THE OFFICE By getting up a few minutes more often, you’re less likely to have lower back issues, tight hamstrings (which is a cause of lower back issues), tightness of the shoulders and neck and, hopefully, less yawning! • Switch your office chair for an exercise ball. Merely sitting on the ball is going to activate your core muscles to balance on the ball.
IN THE CAR
• If you have an office or a cubicle, set your watch or timer on your phone to go off every 30 to 45 minutes so that you can get up and move! Great exercises would be squats, push-ups, lunges or crunches on the ball.
• Chest squeeze. Place left palm on steering wheel at 9 o’clock position and your right palm at the 3 o’clock position. Press your hands into the steering wheel and hold for 10-15 seconds. Keep breathing. You are working the muscles of your chest, shoulders and arms.
• Keep a couple of dumbbells under your desk so that you can perform seated (on the ball) shoulder presses, arm curls, arm frontal and lateral raises, etc.
• Reverse squeeze. Place hands at same position, but inside of the steering wheel instead. Press hands or fists out and again hold 10-15 seconds.
Stopped at a stoplight or stuck in traffic? Challenge yourself!
• Glute squeezes. Yes, I said it! Contract your glutes and hold for 10-15 seconds. • Some of my clients even have a couple of 5lb dumbbells in their car so they can do arm curls while waiting at the lights. Plus, if you end up at a park for a walk or run, you can incorporate some resistance exercises too! Lori Heck offers ASPIRE FIT BODY Small Group Training Programs. Learn more about FIT BODY: http://aspirepersonaltraining.net Questions? e: lori@goldsgym-ec.com
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