Chevy Chase Facial Plastic Surgery Blog
Do you want to enjoy radiant, glowing skin this summer? Would you like to minimize noticeable lines and wrinkles? Dr. Jennifer Parker Porter of Chevy Chase Facial Plastic Surgery can help. Here, she offers tips for beautiful, healthy skin, and suggests a few professional treatments to help your skin look its best.
Protect Yourself from the Sun
Sun protection is key for beautiful, healthy skin, especially during the summer when the sun is most prevalent. If you’re going outside during the day, apply a broad-spectrum sunscreen with an SPF of 25+, and re-apply every two hours. For extra protection on the delicate facial skin, wear a wide-brim hat and wraparound sunglasses. If possible, stay out of the sun between the hours of 10:00 am and 2:00 pm, when the sun’s rays are strongest. Don’t forget about super-sensitive areas such as the lips (use a lip balm with an SPF of 15 or higher) and the scalp (try a sunscreen spray along your part).
If you like products that multi-task, streamline your routine with makeup products like foundation and powder that contain SPF. Mineral makeup is a great choice that offers coverage and protection in one product.
Did you accidentally sunburn? Soothe irritated skin with cooling gels and balms, and treat yourself to a glass of red wine. Studies have shown that resveratrol, which is found in the skin of red grapes, can minimize redness from sunburns.
Slough Off Dead, Dull Skin Cells
Exfoliation is essential for smooth, soft skin. Use a gentle exfoliating scrub one to three times per week to get rid of dead, dull skin cells and shed previous sun damage. Exfoliation also helps your skincare and makeup products penetrate the skin deeper and last longer. After exfoliating, use a rich hydrating cream to lock in moisture. Be extra diligent about sun protection on newly exfoliated skin.
Chemical peels are another way to slough off dead, dull skin cells. A professional chemical peel evens out discoloration, minimizes wrinkles and improves the overall health and hydration of your skin. The skin care experts at Dr. Porter’s office offer a variety of chemical peels, including PCA Peels and Vitalize® and Rejuvenize® Peels, to address various skin concerns.
Tweak Your Product Routine
The right combination of products can stave off wrinkles and lines and minimize existing sun-related skincare problems. Ask Dr. Porter about the Environ and Lifeline product lines, which are more potent than over-the-counter skin care products. She can recommend products to suit your unique skin care needs.
Consider Botox Treatment
Do you have noticeable lines and wrinkles from years of squinting into the sun or furrowing your brow? Botox can minimize these imperfections. Treatment with the cosmetic injectable is quick, convenient and practically painless. Results last up to three months the first time, and five to six months with repeated treatments.
Try a Laser Skin Procedure
If you have moderate to severe areas of skin damage (i.e., dark sun spots, age spots, sun-induced redness, deep creases or folds), you might be a candidate for laser skin rejuvenation. Dr. Porter uses the Fraxel re:pair® laser system to remove damaged skin cells and stimulate the body’s natural healing process for fresh, glowing skin. The Time Machine Procedure® is another great alternative for improving skin texture.
Learn More about Safe, Effective Skin Care Treatments
For more information about skin care treatments or products, please contact Dr. Porter at Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.Posted in Skin Care
Jennifer Parker Porter, MD, FACS
Chevy Chase Facial Plastic Surgery
I had a long personal journey in my decision to offer Ultherapy in my practice. Many years ago, when it first arrived on the scene it was very painful and I was not impressed with the results. As I would sit through presentation after presentation at the meetings, I would look at the before and after photos with great difficulty in seeing the difference. So to me, it was painful and didn’t work; certainly not something I would like to offer my patients.
Fast forward to about 8 months ago when I began to see patient after patient asking for the procedure. As a result I decided to revisit the technology and learn more about what it had to offer. I looked at before and after photos, as well as investigated and read journal articles about the technology. Finally, I decided that I needed to have the procedure done to know whether it would truly be worth it.
At the age of 50, I was beginning to see things I didn’t like; the extra skin under my chin and some early jowling with associated loose skin of the cheek area. So I was an appropriate candidate. Two months after my treatment I started to notice that that skin that I played with under my chin was gone! The loose skin of my cheek was more difficult to move toward my ears. The firmness of yesteryear was back! How exciting. It was then that I decided that I needed to bring this technology to our patients.
There is still a little pain during a short part of the treatment but I had it performed with no anesthesia or medications of any kind. I have performed it on patients that have taken Motrin and those that have used no medication – all tolerated well and would do it again for the result.
We are excited to have you learn more about the procedure and determine whether you are a good candidate for the procedure. Attend our Chevy Chase Facial Plastic Surgery Beach Week Open House on July 14, 2015 from 12:00 to 1:00 pm to talk with us about your concerns and to learn more about the procedure. Likewise, you can schedule a consultation to discuss your concerns and allow us to help you determine if it is right for you. You may contact us by phone, (301) 652-8191 or email Jen Mergenthaler, our patient coordinator, at email@example.com.Posted in Uncategorized
Statistics show that the number of men seeking cosmetic treatment is rising: roughly one in 10 plastic surgery patients is male. Dr. Jennifer Parker Porter of Chevy Chase Facial Plastic Surgery knows the reason for this: men want to look and feel great, just like women! She offers cosmetic treatments to minimize signs of aging, treat sun-damaged skin and enhance her male patients’ facial features.
With Father’s Day 2015 quickly approaching, Dr. Porter urges you to consider treating your father, or the father of your children, to facial plastic surgery for his special day. She has seen her male patients flourish both personally and professionally after receiving cosmetic treatment. Executives look more energized and fathers look less tired after surgical or non-surgical treatments.
Here are some of the most commonly requested treatment options for men:
- Eyelid surgery is the most popular procedure amongst Dr. Porter’s male clientele. It is ideally suited for the man with tired or sad-looking eyes or eyelid skin that obscures their line of sight. During the operation, excess skin and fat is removed from the upper and/or lower eyelids, puffiness or bags are reduced and fine lines and wrinkles are smoothed.
- Skin tightening treatments — such as Ultherapy and Thermage— are great for the man that wants firmer skin and greater definition on the face and neck without surgery. Ultherapy and Thermage technologies warm the deep layers of the skin to trigger the body’s production of collagen for smoother, more elastic skin; Ultherapy goes a little deeper to improve and tighten the muscle layer. Skin tightening treatments generally require a few months to achieve the desired results.
- Injectable dermal filler products like Radiesse replenish lost volume in the cheeks for a more youthful facial contour. Sculptra is another great product to treat facial volume loss; it stimulates the body’s production of collagen for tighter looking skin. Regular treatments are recommended to maintain the results.
- Pulsed light photorejuvenation with BBL technology can lighten areas of sun damage and uneven pigmentation for a more even complexion. They can be performed on the face, neck, chest and hands. For the best results, a series of two to four treatments, performed every few weeks, is recommended.
An at-home skin care product routine can improve skin tone and texture with minimal effort. Dr. Porter recommends the PCA product line, which has a variety of serums that work well with the thicker male skin.
Why Choose Dr. Porter
There are a few reasons why Dr. Porter is the perfect choice of plastic surgeon for the man in your life. Not only does she have the medical expertise necessary to perform complex cosmetic procedures, but she also favors an individualized approach to patient care. She takes the time to discuss her patient’s goals in a one-on-one environment before developing a viable plan of treatment. Dr. Porter is one of Washington, D.C.’s most in-demand surgeons for facial plastic surgery.
If you are interested in gifting the man in your life cosmetic treatment with Dr. Porter, please contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.Posted in Male Plastic Surgery
The American Academy of Facial Plastic and Reconstructive Surgery, to which Dr. Jennifer Parker Porter belongs, recently released their 2014 procedural report. To compile the annual report, the AAFPRS surveyed a select group of their 2,500 facial surgeon members about the procedures they most frequently perform. The survey also asked the member surgeons to describe any trends they’ve seen during the year.
Certain aspects of the 2014 report are surprising. For example, many of the facial plastic surgeons noted that photos and videos posted to social media have raised their patients’ self-awareness, and contributed to an increase in requests for cosmetic treatment.
Other areas of the report, such as the wild popularity of Botox and dermal filler treatment, are consistent with reports from past years.
Here, Dr. Porter explores the 2014 report’s findings in more detail.
Most Requested Surgical Procedures
Rhinoplasty was the most requested procedure among both sexes in 2014. When expertly performed by a surgeon with Dr. Porter’s experience and skill, cosmetic nose surgery can accomplish a wide range of aesthetic goals. For example, it can gently adjust the shape and size of the nose or refine other problematic areas (e.g., the bridge, nostrils, tip). The result is a beautiful nose that balances out the rest of the facial features.
Other highly requested surgical procedures in 2014 included:
Most Requested Non-Surgical Procedures
No surprises here: Botox was the most requested non-surgical procedure in 2014. Botox temporarily minimizes the appearance of dynamic wrinkles that appear from making normal facial expressions such as smiling and frowning. Botox injections can be administered quickly and conveniently during a lunchtime appointment. Dr. Porter saw a patient back recently that echoed what so many patients say — “I wish I had done it sooner!”
Other highly requested non-surgical procedures in 2014 included:
- Hyaluronic Acid Fillers
- Non-Ablative Skin Resurfacing
- Chemical Peels
The 2014 AAFPRS report also revealed the following:
- Women account for 82 percent of patients having surgical and non-surgical procedures.
- Patients confess that video clips on social media heighten their awareness of dynamic wrinkles, double chin and imperfect noses.
- The need for reconstruction after skin cancer (e.g., skin grafts/flaps) is growing. Eighty-seven percent of AAFPRS member surgeons reported that they have seen patients that need skin cancer-related reconstructive work.
Learn More about Your Procedure of Choice
If you would like more information about a surgical or non-surgical facial procedure, please schedule a private consultation with Dr. Porter. Contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191 to make an appointment.Posted in Facial Plastic Surgery
Dr. Jennifer Parker Porter of Chevy Chase Facial Plastic Surgery understands that each of her patients has a unique cosmetic concern and goal. In order to accommodate a diverse patient base, she offers a wide range of treatment options. She has noticed that patients tend to ask for certain procedures based on their age group. Here, she shares a few examples.
Most young adults in their 20s haven’t yet started to show signs of aging, but have other cosmetic concerns. For example, a young adult may be unhappy with the size or shape of their nose. Rhinoplasty brings the nose into better proportion with the rest of the face and corrects any problematic features (e.g., hump on the nasal bridge, upturned nasal tip).
Twenty-somethings may also have scars from acne breakouts in their teenage years. Non-surgical skin care treatments such as the Time Machine Procedure or DermaPen are helpful to reduce the appearance of acne scarring and improve the overall tone and texture of the facial skin.
In their 30s, Dr. Porter’s patients tend to see subtle signs of aging appear around the face. Bothersome forehead lines or crow’s feet can develop and prematurely age a 30-something. Non-surgical wrinkle reducers like Botox, Dysport and Xeomin are great options to stave off the aging process. Treatments like chemical peels and microneedling can improve other skin concerns such as wrinkles, acne scars and sunspots.
Signs of aging deepen in a person’s 40s. Lines and wrinkles become more pronounced and the cheeks may lose volume, giving the facial a fatigued or sallow appearance. Regular dermal filler treatment with Juvederm Ultra or Ultra Plus smoothes lines and wrinkles, and Juvederm Voluma restores healthy-looking volume to the areas of the face that need it. Other dermal fillers, like Restylane, Perlane, Radiesse or Belotero, are designed to add definition to weak facial contours or fill in smile lines and marionette lines around the mouth and chin. Skin tightening treatments such as Thermage CPT and Viora Reaction become very useful as we approach our late 40s.
50s and Older
Most adults in their 50s and older that are unhappy with wrinkles, lines, fat displacement and saggy skin usually require surgical intervention such as facelift or eyelid lift. Facelift will address most signs of aging in the middle to lower face, and eyelid lift tightens the skin on the upper and lower lids. The procedures can be combined for a complete facial makeover. Some in this age range opt for the nonsurgical options as well. Dr. Porter will discuss the full gamut of options that would be appropriate for your concerns.
Considering Cosmetic Enhancement?
Dr. Porter works with patients of all ages that desire a more attractive facial appearance. She is happy to consult with you to identify your specific cosmetic concerns and design a plan of treatment. To schedule a consultation, please call (301) 652-8191 today.Posted in Plastic Surgery
Soon it will be that time again. I call it the special event season. It is the season of weddings, graduations, reunions and general gathering time with family and friends. The time when we want to put our best face forward. There are so many ways to refresh for these events. Whether it is starting a new skin care regimen or getting rid of a little excess skin on your upper eyelids, there are many ways to update your look in a very natural way. What follows is a simple guide to options and the ideal timing needed prior to your event.
6 months to 1 year out
This is the best time to pursue a surgical procedure on the face. While it typically takes a year to see the final result for surgeries such as rhinoplasty (nose job), blepharoplasty (eyelid surgery) and facelift, the bruising and swelling due to surgery are significantly diminished at a month out from surgery. As the months go on there is further refinement and improvement. Patients are typically socially acceptable at two weeks out from surgery. A thorough discussion of your desires and expectations is needed to determine the optimal timing for your surgery.
Thermage™ is skin tightening treatment that takes 6 months to see the final result. However, slow improvement is seen along the way.
3 – 6 months
This is a great time to start Viora Reaction™ treatments which are typically performed every 2 weeks. Viora Reaction can tighten loose skin almost anywhere on the body. It typically takes 6 to 8 treatments to see a final result – so starting about 3 months prior to the event is ideal. Two of our favorite areas to treat are the eyes and the abdomen. The eye treatment always has that wow factor and the abdomen treatment is great for those with loose skin.
Forever Young BBL™ treatments are ideal at this point. They will tighten and tone skin; plain BBL treatments are performed every 2 – 3 weeks and will take approximately 2 – 4 treatments to see improvement. Forever Young BBL treatments are usually performed in one month intervals. These treatments are ideal for treatment of skin of the décolleté, neck, hands and face; anywhere that shows signs of sundamage and aging.
For those with acne scars or that want to improve signs of aging, the Time Machine Procedure™ is ideal for tightening skin and improving the appearance of acne scars. Some patients may need more than one treatment, so it is best to start early so that the treatments can be completed in a timely fashion. There is a little downtime with the treatment but the results are worth it.
Sculptra® volumization is a great treatment for those with facial volume loss. As we age the fat under the skin of the face is lost in addition to the skin losing its elasticity. Sculptra stimulates the skin to generate collagen and adds volume to the face. Treatments are performed every 6 to 8 weeks and it typically takes 2 to 3 treatments. The result typically lasts 2 years.
This is also an ideal time to begin a skin care treatment protocol. A combination of treatments including DermaPen3® (microneedling), Chemical Peels or microdermabrasion can be planned to get your skin ready for the big day. Add in a PRP (platelet rich plasma) treatment for that extra special glow.
Never had Botox® and want to try it for the big day – my best recommendation is to give it a trial run 4 months prior to the event to make sure you like it and we can determine the treatment pattern.
1 – 3 months
Fillers (Juvederm®, Restylane®, Radiesse®, Voluma® and Belotero®) and Botox are ideal at this juncture. The ideal time to have the combination treatment is approximately 6 weeks to 1 month before the event. All fillers look better a few weeks out and it takes about 2 weeks for Botox to become fully operational.
It is also not too late to do a few peels and change up your skin care regimen. It will always make for skin that is glowing.
Microneedling with PRP helps the skin to glow and can be done a week prior to the event.
Have a “date” peel or mask a few days prior to the event.
Some of this may be confusing. Don’t take matters into your own hands. Schedule an appointment with Dr. Jennifer Parker Porter to discuss your concerns and make an Individualized Treatment Plan (ITP) to get everything scheduled in a timely manner. Attend our Special Event Open House for a free consultation and receive VIP discounts on the treatment(s) that works best for you.Posted in Uncategorized
The key to a successful plastic surgery experience is open communication with your facial plastic surgeon. This starts at the initial consultation, where you will discuss your goals of surgery, expectations and personal motivation for pursuing cosmetic improvement. Dr. Jennifer Parker Porter of Chevy Chase Facial Plastic Surgery recommends that you prepare a list of questions before your consult, so you can maximize your time and your plastic surgeon’s time. Use this guide of five recommended questions to spark the conversation.
1. What are your credentials?
First, you want to establish that you are working with a trained, experienced professional. Ask your surgeon about their education, residency training, board certification(s) and professional affiliations. Inquire as to whether they have performed research in their field, published book chapters or journal articles and served in any leadership capacities.
You should also ask about the surgeon’s experience with the specific procedure you are interested in. Ask how many procedures of this type they have performed and how they approach these cases.
2. What should I know about my requested procedure?
It’s important that you have a comprehensive understanding of your requested procedure, the benefits and possible risks. You can prepare ahead of time by researching the procedure from reputable online sources (e.g., the American Academy of Facial Plastic and Reconstructive Surgery), but it is also helpful to hear your surgeon describe the procedure in their own words, and explain what it entails.
The surgeon will help you understand how to prepare for surgery and how to recover quickly. Also, the two of you can set reasonable expectations of the procedure.
3. Where do you perform surgery?
It’s best to work with a surgeon that has full, active hospital privileges or operates at a fully accredited surgery center. Ask about the facility where your procedure will be performed. Ideally, the facility should be accredited by a nationally or state-recognized accrediting agency, such as the American Association for Accreditation of Ambulatory Surgery Facilities or a similar agency. Ask whether it is a state-licensed facility and Medicare-certified.
4. May I see before and after photographs of your patients?
Browsing the surgeon’s before-and-after photo gallery gives you a clear idea of the surgeon’s typical results. It’s also helpful to read patient testimonials to learn more about the surgeon and how they work.
5. Do I feel comfortable with this surgeon?
After your conversation with the surgeon, take a moment to ask yourself some questions. Do you trust and respect them? Do you feel confident in their ability to perform the procedure and provide attentive care? Do they have a good “bedside manner?” It’s important that your surgeon has good medical credentials, but their disposition and demeanor is also a vital component. Don’t ignore your intuition — make sure you feel good about working with the surgeon and their team.
To schedule a consultation with Dr. Porter and talk about your personal cosmetic needs, please call (301) 652-8191 today.Posted in Uncategorized
Rhinoplasty approach – open vs. closed
Jennifer Parker Porter, MD, FACS
Rhinoplasty, the art of changing the outside appearance of the nose, continues to be very popular. Fortunately, more and more patients are gravitating toward a natural result versus the overdone looks of yesteryear. The approach to rhinoplasty is variable based on the needs of the patient. The closed approach, with no external scar across the columella, is one of the original approaches to rhinoplasty and is still useful in certain instances in my practice. The external approach which involves an incision across the columella to approach the rest of the nose is very helpful for full visualization of the nasal structure. I will discuss the benefits and risks of both approaches.
The closed approach is the perfect approach for patients with very little to do and want a very natural result. It is ideal in patients with medium thickness skin desiring hump reduction and minimal to no change in the tip of the nose. It is also useful for patients that desire narrowing of the alar base, or nostrils, with no change in the tip of the nose. In these patients the nasal bones located in the upper third of the nose are narrowed as well in order to keep harmony and balance in the appearance of the nose. It is also used in revision rhinoplasty cases where the patient has only some dorsal (the bridge of the nose) irregularity to improve.
The external, or open, approach is used for a variety of patients with differing needs. It is very helpful for patients with a crooked nasal deformity for which I may use a spreader graft or need to place sutures in the middle portion of the nose. The external approach is also my choice for patients with a bulbous tip desiring distinct changes in the tip. In these instances, the open approach facilitates placement of sutures and use of cartilage grafts when needed. The open approach also helps the patient with the droopy nose. In these instances, through the use of a cartilage extender or the septum that is located in the midline of the nose, the nose can get support for the tip and help to prevent further droop.
These are just a few of the reasons why I choose one approach over the other. The ultimate decision is made upon taking the history and performing an examination of the patient. Using the desires of the patient to work from, computer imaging is performed based on the desires and the patient anatomy. Realistic expectations are set and the image is used during surgery to achieve the desired result. The incision in the open approach is thin and heals well in most patients. Patients that are prone to poor scar formation will typically use a scar gel to allow for reduction of redness and improved healing of the scar. Ultimately the decision is based on what is needed and not whether there will be a scar present as the appearance of the scar is usually negligible. The majority of the patients forget that an incision was ever made externally.
Posted in Rhinoplasty
Last month, numerous news outlets reported on the growing demand for earlobe reconstruction across the nation. This is a trend that Dr. Jennifer Parker Porter of Chevy Chase Facial Plastic Surgery has observed at her own practice.
Earlobe reconstruction is performed to restore a normal appearance to misshapen or otherwise deformed earlobes. It is common for women who have torn their lobes wearing heavy earrings.
However, the rise in individuals seeking earlobe reconstruction is partially attributable to the ear gauging trend that has been popular in recent years, especially among youths. Ear gauges, or “tribal” ear piercings, produce a substantial hole — big enough to see through (some would even describe the holes as “gaping”). The most common method of ear gauging is to gradually stretch out the hole using progressively larger piercings; although the alternative is dermal punching, which creates an instant gap in a technique similar to a hole punch.
Unfortunately, once the earlobe holes are stretched past a half-inch in diameter, they will not close up or shrink back to their normal size. The hole is considered to be permanent. At that point, the only solution to restore normal appearance to the earlobes is surgical repair.
More about the Procedure
Earlobe reconstruction is typically a quick outpatient procedure performed with local anesthesia. It does not require a significant recovery period or cause excessive post-operative scarring.
Dr. Porter will remove the excess stretched tissue and skin, restore the earlobe to a more normal shape and use stitches to secure the lobe. The ear heals quickly and usually can withstand a new piercing two to three months after surgery (gauges are obviously discouraged). The scar is typically concealed along the natural contour of the earlobe.
Dr. Porter’s earlobe reconstruction patients have unique motivations for seeking surgery. Certain individuals want to look more professional while applying for jobs, or being considered for promotions (many companies are leery of hiring candidates with extreme body modifications). Others need to clean up their appearance for the military, which enforces strict guidelines for earlobe holes. Some simply do not like the look of torn or stretched out lobes, or are embarrassed by the negative attention their earlobes have attracted.
Contact Our Practice
If you have torn or stretched earlobes and want to learn more about the reconstructive procedure, please schedule an informational consultation with Dr. Jennifer Porter. Contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.Posted in Ear Surgery
The New Year is the perfect time to reveal a new and improved you. Whether you long for the perfectly proportionate nose, a rejuvenated facial appearance or the elimination of dark spots (hyperpigmentation) and wrinkles, Dr. Jennifer Parker Porter of Chevy Chase Facial Plastic Surgery offers a treatment option that is right for you.
If you have long been embarrassed by or frustrated with the size, shape or function of your nose, the New Year is the perfect time to pursue rhinoplasty, or nose surgery. With rhinoplasty, Dr. Porter can narrow a nose that is too broad, remove a pesky bump from the bridge of the nose, correct a hook at the end of the nose, make the nose more symmetrical or simply improve the way your nose functions. Rhinoplasty patients are often pleased to discover that correcting a small imperfection in their nasal structure brings a sense of balance to all their facial features.
Facial Cosmetic Surgery
Perhaps you like the look of your nose, but wish your face looked as youthful as you feel. If this is the case, you might be an appropriate candidate for a facial rejuvenation cosmetic surgery procedure, such as facelift, neck lift, brow lift or eyelid surgery. Whether you desire a more rejuvenated facial appearance overall or a refreshed look throughout your neck, forehead or eyes, Dr. Porter can help.
Nonsurgical Treatment Options
If you desire a new, improved look but are not yet ready to pursue cosmetic surgery, don’t worry. Dr. Porter also offers a wide array of nonsurgical cosmetic treatment options that will help you reveal a new you this New Year. From chemical peels, Forever Young BBL treatments and Time Machine procedures to injectable muscle relaxants and dermal fillers, Dr. Porter can suggest a nonsurgical cosmetic treatment or a combination of treatments that will help you put your best face forward.
Now Is the Time for a New You
The New Year is a symbol of renewal, making it the perfect time to revamp your look. By undergoing the surgical or nonsurgical cosmetic treatment of your choice, you can reveal a new and improved you this New Year.
To schedule a consultation with Dr. Porter to find out more about the cosmetic surgery and nonsurgical treatments that she offers, contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.Posted in Face Procedure, Rhinoplasty