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Your TOP Skin Problems SOLVED When Insurance Covers Breast Reduction

a Rucker MD & Enza Medispa Publication

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Surgical Treatments of Veins

Training For Your First Marathon &

Rucker MD Plastic Surgery Clinic Plastic surgeons assist people with making lifechanging choices. We are called upon to reconstruct a breast after cancer, rescue a smile from disfigurement or reinforce a foundation of self-confidence. 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

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Keep up to date with the happenings at RUCKER MD.

800.456.8222 | 715.833.2116 | 715.832.1774 Enza Medispa & Enza Essentials Skin Care Ooo…Spring is almost here! I love it. The best part about this season is the opportunity to stop to smell the roses and decide what areas of your life need to change. The most important question is, “How will you do it?” Focusing realistically on where you want to go makes it easier to put one foot in front of the other and most of us need support to reach those goals. We are here to help! Does the new season have you wanting to look your very best? It is not easy to break old patterns, change habits, or stick with new routines. Enter the doors of the Enza Medispa where Dr. Rucker and his team are ready to set a plan in motion to help you blossom beautiful skin!

Deb Markham

Paramedical Skin Care Expert Rucker MD Plastic Surgery Clinic Enza Medispa

I am so proud of the plans we are setting in motion for your skincare needs. Make a commitment to you this spring! Deb

Correction to Profiles Winter 2012: Under Thanks to Our Sponsors, Oak Leaf Surgical Hospital was incorrectly listed as “Oak Leaf Medical Clinic”

enzaessentials. Keep up with Enza Essentials on the Official Blog and follow intern Heather’s skin care journey!

For more articles by Dr. Rucker, check out


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 &

Your Top

Skin Problems

SOLVED Stop stressing over an imperfect complexion and correct it! The girls at the Enza Medispa share what products and tips will help you perfect your skin.

Help! I have BREAKOUTS! You thought you escaped acne when you left your high school days behind you. However, this is not the case! Dr. Rucker recommends a double cleanse. “Everyone knows that you wash your face once to wash away surface pollutants, but that second cleanse will rid the toxins in your skin.” When all else fails, try Enza Essentials Spot Extractor, $25, formulated with Salicylic Acid to gently exfoliate, cleanse and fight bacteria.

Help! I have

DRY, FLAKING SKIN! Has the winter air taken a toll on your skin? Your skin will need extra moisture and also a soothing agent, such as Willow Bark, to repair it. Try Enza Essentials Hydra Gel, $50, under your moisturizer for best results.

Help! I have BAGS &

Help! I have



Your aging skin can benefit from natural stem cells from botanicals, and also Resveratrol, one of the strongest antioxidants out there. Look for a powerhouse product that can do it all. Try Enza Essentials Tripeptide Cell Activator, $150.

Age, genetics and sun exposure all play a role in the dark circles and puffy eyes you are experiencing. Help your skin revitalize by feeding it powerful peptides. Natural ingredients such as sea lettuce and locust bean can also make the eye area instantly feel brighter and tighter. Try Enza Essentials Eyebright Anti-Puffiness Gelée, $55.

Help! I have AGE SPOTS! All those years spent in the sun have given you more than just a temporary tan. Anti-oxidants will not only stimulate collagen production, they will also play a major role in cellular turnover for new and healthy skin cells to replace irregular pigmented spots. Try Enza Essentials Vitamin C Serum, $95. For serious age spots, schedule an appointment with an esthetician for a microderm. A microderm can help slough away dead skin and turn over cells more rapidly.

Help! I have REDNESS! If you are suffering from Rosacea or your skin just easily reddens, it is time to fight back. So besides avoiding triggers such as spicy food, alcohol and heat – a serum formulated with soothing agents can work wonders for you and bring your skin back to normal. Try Enza Essentials RosaCalm, $50, a clinically proven, award-winning formula.

For more tips and solutions, check out our Facebook page at or our website at or call 715.832.1774


When Insurance Covers

Breast Reduction by Joseph Rucker, MD, FACS

PLASTIC BREAST SURGERY FOR women is often a misunderstood procedure that can be performed for various reasons, both functionally and cosmetically. No matter the reason, a woman’s decision to have plastic breast surgery may cause her stress: physically, emotionally, and financially. However, this stress can be lessened if she is presented with the right information, including a description of when a procedure is necessary, symptoms that may hint towards surgery, how she may obtain insurance coverage, and what she can expect going through the surgery. With these pieces of information, a woman can be comforted by her knowledge of what to expect in her journey through plastic breast surgery.

There are two types of plastic breast surgery: the functional procedure and the cosmetic procedure. Functional breast surgery will typically be covered by an insurance carrier due to the condition’s symptoms that prove to be detrimental to a woman’s health. Cosmetic breast surgery only improves the contour or the size of the breast. Because it is not performed to improve one’s health, this procedure would not be covered by an insurance carrier. The person inquiring about breast reduction surgery is usually referred by a friend or her primary care doctor, as it is considered functional breast surgery. This type of patient has been large breasted since her teenage years, and as a young adult

“I should have done this years ago!”

has begun to notice symptoms that she attributes to her size. She has found it difficult to be active in sports and tends to wear certain clothing to conceal her size. As she moves into child bearing years, her symptoms usually worsen due to further breast enlargement during pregnancy. The most common symptoms, in order of frequency, are as follows: • Chest wall heaviness • Neck strain • Bra strap irritation • Upper or lower back pain • Poor posture • Tingling or numbness of the fingers Most candidates for this procedure begin as a D cup or higher and wish to be reduced to a C cup or smaller. To combat the symptoms, the patient may have tried a course of treatments, designed to reduce the discomfort. Most commonly: • Chiropractic care • Physical therapy: massage, heat treatments, muscle stretching exercises • Oral medications: muscle relaxers, pain medication, anti-inflammatory drugs If, after a trial of these conservative treatments, there is no improvement in their symptoms, she should be referred for a consultation regarding a breast reduction procedure. At the initial consultation, particular attention is focused on the symptoms, the conservative methods that

LIVING may have been used to reduce them and her height, weight and cup size. Additionally, an estimate is made regarding the amount of breast tissue that should be removed in order to reduce her breast weight. This information is forwarded to the patient’s insurance carrier and a decision is made relative to coverage. The most important factors in attaining coverage, in order of importance, are as follows: • The estimate describing the amount of reduction from the procedure (most patients will go from a D or DD cup to a C cup) • A detailed list of the symptoms present and their duration • Any records of a non-successful conservative treatment period • Documentation regarding her condition and her attempt to reduce symptoms from her primary care doctor In the 2,000 breast reduction cases that I have performed, when all of these pieces of information are submitted, the patient has a 75 to 85 percent chance that her breast reduction surgery will be covered. The two and a half hour procedure can then be scheduled. The expected outcome after plastic breast surgery will include: • Overnight stay in the hospital • Pain level roughly between two and five on a scale of one to ten • A return to work within around two to four weeks (dependent upon the patient’s type of employment) • Anticipation of partial or full return of nipple sensation and ability to breast feed in 90 percent of my patients • The breast shape lifted as well as reduced During my 30 years as a plastic surgeon, the breast reduction procedure has been by far the most appreciated by my patients. I attribute this to the fact that they not only feel better with the reduction of symptoms, but they also have an improved appearance. The most frequent statement that we hear after the procedure is: “I should have done this years ago.”

To schedule a consultation at the RUCKER MD Plastic Surger y Clinic, please call 715.833.2116.

My &


We are excited to share with you an update on the winner of “The Great Pellevé Giveaway” contest we held on our Enza Medispa Facebook page back in September! Our winner, Betsy, just finished her 3rd treatment in December and continues to see gradual results everyday. Read on to see what she had to say. Q: What was most intriguing about the Pellevé treatment? A: The fact that there was no downtime and that it’s pain free. I’m starting to show my age, so this seemed like it would really benefit me. Q: How was your first experience with the Pellevé treatment? A: The Pellevé felt so good! I felt like I was getting a spa treatment. I was only there for an hour and there truly was no downtime. Even that same day I had it done, you wouldn’t be able to tell. Anyone could do this on their lunch hour and no one would know. There’s no bruising, no burn marks - nothing. Q: Did you see improvement right away? A: Yes, the best part about my experience was the instant results! Q: Where did you see the biggest improvements? A: I think around my eyes. The area is a lot thinner and showed results more quickly. Q: After finishing three Pellevé sessions, what differences do you see in your skin? A: My skin has definitely improved. It’s been gradual. My goal is to come back in another seven months or so for maintenance.


Immediately after 3x

Find out if Pellevé is right for you! Call us at 715.832.1774. Check out the Pellevé special on the back!


Advancements in

Varicose Vein Treatments Dr. Richard Daniels shares the new advancements in treating Venous Reflux Disease so you can enjoy a life without the pain of Varicose Veins.

Over 30 million Americans are affected by varicose veins yet do not seek treatment due to the belief that the treatment of varicose veins is often seen as simply cosmetic, but this is not so. When varicose veins are left untreated, symptoms such as pain, swelling and fatigue may worsen. In the past, “stripping” - a process of bluntly removing the vein with a long wirewas a surgical procedure to remove painful, enlarged varicose veins. Fortunately “stripping” has been made obsolete by new and advanced surgical methods. Today’s Treatment I believe the best way to treat varicose veins currently is to use radio frequency ablation or heat destruction. Radio frequency ablation can be performed as an outpatient procedure with a simple, local anesthetic. It is a minimally invasive procedure that takes typically under an hour. In the procedure, controlled heat is delivered to the vein wall so that the collagen in the wall shrinks and the vein closes. This forces the blood to re-route itself to healthy veins. The new advancement results in a much better patient experience with much less pain, bruising and a quicker recovery – typically only a few days. In fact, most patients report feeling little, if

any, pain during and after the procedure. Patients can go on and start living a life free of the pain of varicose veins. Qualified Candidates The first step in deciding if you are a qualified candidate for this treatment is testing

whether or not you have Venous Reflux Disease. Venous Reflux Disease develops when healthy leg veins become dysfunctional and cannot properly assist blood back to the heart. When left untreated, varicose veins can lead to

symptoms such as restless legs, heaviness and fatigue, leg or ankle swelling, pain, cramping, burning or itching of the skin, skin changes and ulcers. Other factors that may play a role in whether or not you are susceptible to varicose veins can include age, obesity, multiple pregnancies, gender, heavy lifting, family history and standing profession. To determine if venous reflux is present, an ultrasound scan is required. Most insurance providers and Medicare will cover this varicose vein treatment if the patient has been diagnosed with venous reflux. If Venous Reflux Disease is affecting you or someone you know, don’t hesitate to call our clinic and set up a consultation. Take the first step in your return to enjoying life painfree. Dr. Daniels is a surgeon with Evergreen Surgical in Eau Claire. He has practiced at Sacred Heart Hospital for over 14 years and is the recipient of the 2012 Physician of the Year by Sacred Heart Hospital.


3 months post-treatment

Call 715.832.1044. to schedule a consultation with Dr. Daniels


Training For Your

First Marathon by Lori Heck, ASPIRE Personal Training

Setting a goal to run your first half or full marathon is exciting, admirable, nerve-racking and, perhaps, daunting. If you train smart and safely, you will enjoy the journey on race day and will cross that finish line with an immense sense of accomplishment! Below are a few tips and pieces of advice that will help you to get started.

Get a physician’s clearance.

This should be the first thing you do, especially if you have any health or medical issues.

Hire a trainer.

A certified trainer that specializes in long distance running (whether for general health/fitness or training for races) will assess your body mechanics, muscle imbalances, flexibility and core strength. All of these factors affect your running efficiency. Improper strength, flexibility, core strength and posture can lead to injuries.

Do not run every day.

Increase your distance properly.

Find your perfect running shoes.

Don’t just run.

Even advanced runners often make the mistake of not going every other day. Use your days off for cross training (biking, elliptical) and completing balance, core and resistance exercises.

Everyone’s feet and gait are different, so it is important to find a pair that gives you enough support. Try going to a specialty shop or asking your trainer for assistance.

A typical guideline is to increase no more than 10 percent of your mileage from one week to the next. For example, if you run a total of 12 miles one week, you will add 1.2 miles for a total of 13.2 miles the next. Incorporate foam rolling, flexibility, balance, core and strength training. Your trainer can help you customize a routine that is suitable for your body and goals.

Use the run/walk method.

Based on your 1 mile time, your “run” day can be a combination of running and walking. For example, run 3 minutes followed by a 1 minute walk and continue the pattern for a specific time duration (ex: 30 minutes.) This will help to stave off injury.

Aim to just complete it.

Once you have completed your first half or full marathon, then become more specific with your goal when it comes to timing.

Lori Heck is is the owner of ASPIRE Personal Training & NASM-CPT . She can be reached at or 715-271-9678.

PROFILES - Spring 2013  

Profiles is a health and beauty publication by Rucker MD Plastic Surgery Clinic and the Enza Medispa. Want to have Profiles mailed to you? S...

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