Chevy Chase Facial Plastic Surgery Blog
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
Do you ever wonder how celebrities in their 60s look so youthful? Although many of them are simply born with amazing genes — hello, Christie Brinkley! — others rely on skincare secrets to help them look so young. Here are some skincare secrets that will help you look youthful at any age.
Often, when you see individuals who do not have any wrinkles, allowing them to look much younger than their actual age, their youthful appearance is the result of an injectable treatment, such as BOTOX Cosmetic, Dysport or Xeomin. These three injectables contain botulinum toxin, which, when injected into the treatment area, temporarily suspends muscle movement, thereby smoothing out any overlying wrinkles. Each of these injectable treatment options offers specific benefits and potential drawbacks. Facial plastic surgeon Dr. Jennifer Parker Porter can evaluate your facial rejuvenation needs and recommend the appropriate treatment option for you.
Enhancing Facial Features
In addition to having a youthful facial appearance, celebrities seem to have a perfect pout, sculpted cheek bones and fresh, full skin overall. How do they achieve the perfect facial proportions? Often, their harmonious facial features are the result of dermal filler treatment. With dermal fillers, such as Juvéderm Voluma, Belotero, Radiesse, Restylane and Sculptra, celebrities often enhance their favorite facial features, such as their lips or their cheeks, while restoring volume to areas of the face that lack fullness and filling in fine lines and wrinkles. Dermal filler treatment is often the secret to achieving a youthful look with perfectly proportionate facial features.
Achieving Healthier Skin
You may also wonder how celebrities in their 40s, 50s and 60s seem to have baby-soft skin with small pores and no dark spots. Often, the answer to healthy, soft, luminous skin is a nonsurgical cosmetic skincare treatment. At Chevy Chase Facial Plastic Surgery, Dr. Porter offers a wide range of nonsurgical treatments that are designed to help you achieve healthy, youthful-looking skin, including Forever Young BBL, Time Machine procedures, microdermabrasion, chemical peels, skin-tightening treatment and a combination of the most effective nonsurgical facial rejuvenation procedures.
Find Out More About Skincare Secrets
If you would like to look younger, restore a sense of balance to facial features or simply achieve healthier skin, contact Dr. Porter for help. She will assess the health of your skin and let you in on which skincare secret is best for helping you achieve your facial rejuvenation goals.
To schedule a consultation with Dr. Porter to learn about the cosmetic treatment she offers, contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.Posted in Non Surgical, Wrinkle Reducer
The holidays will soon be here, and it is time to get a jump start on your holiday shopping list. Do you have a beauty lover in your life? If so, she will adore the beauty gift ideas in the following list. Take note, and get thee to the mall pronto to beat the holiday rush.
Bobbi Brown Lip and Eye Palette
Beauty lovers love having a plethora of makeup choices. That’s why the Bobbi Brown lip and eye palette in Twilight Pink is such a great idea: With 10 different shades of neutral-colored eye shadows with both matte and sparkling finishes and four gorgeous lip colors, beauty lovers will make this palette a staple in their makeup arsenal.
Solid Perfume Compacts
It is nice to be able to carry a signature perfume scent in the purse for whenever your beauty lover needs a little pick-me-up. In the past, however, this could be a messy undertaking, as perfumes tend to spill at the worst possible moments. Now, your beauty lover can carry a solid perfume compact in a variety of fun shapes, such as a monkey, grasshopper or horseshoe shape. Estee Lauder offers some of our favorite compact designs — and fragrances.
Heart Breaker Leather Pochette
“Pochette” is simply a fancy term for “pouch.” With the Heart Breaker pochette from Nars, your beauty lover will feel fancy herself. This cute leather pouch has a black and red heart on a white background, and is the perfect size for holding all the makeup goodies she likes to keep with her, in her purse.
Sonia Kashuk Holiday Brush Set
No beauty arsenal is complete without a set of makeup brushes with which to apply eye shadow, powder, blush and lip gloss. You can avoid breaking the bank with the Sonia Kashuk holiday brush set, which comes with six different makeup brushes. In addition, your beauty lover will be reminded of this festive time of year every time she uses the sparkling set.
Gift Certificate for Cosmetic Treatment
If your beauty lover has hinted that she could use a little help smoothing out fine lines or facial wrinkles, enhancing the look of her lips, rejuvenating the area around the eyes or achieving smoother, healthier skin, consider getting her a gift certificate for a cosmetic treatment with Washington, D.C. area plastic surgeon Dr. Jennifer Parker Porter. Dr. Porter offers a wide range of both surgical and nonsurgical facial cosmetic treatments, from facelift and eyelid surgery to minimally invasive procedures, including BOTOX Cosmetic treatment and intense pulsed light (IPL) photofacials. Just be sure to use discretion and only treat your beauty lover to a procedure she has already expressed interest in — or you may be out in the cold come the New Year!
To schedule a consultation with Dr. Porter to learn about the available cosmetic treatment options, contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.Posted in Skin Care
So many patients are into the “quick fix” these days. While a face lift is the gold standard for rejuvenation of the lower face and neck, many are unable to take the time off of work and their daily schedules to embark on these procedures. The so called quick fix skin tightening options abound. Some of the treatments are performed in series or need to be repeated to maintain the result. Chevy Chase Facial Plastic Surgery has a variety of options designed to turn back the hands of time.
One of the best procedures is the Time Machine Procedure®. This procedure has little down time in exchange for powerful results. An in office procedure, the Time Machine Procedure incorporates a combination of cutting edge technologies to improve skin texture and firm up the skin. Patients with acne scars, wrinkles and enlarged pores and scars can benefit from the treatment. Most often the treatment is performed on the face, neck and décolleté. It can also be performed on scars or stretch marks on other areas of the body. Depending on the condition being treated some patients may need several treatments.
Another one of our favorites that has been histologically shown to improve skin texture and tone through the years is the Forever Young BBL™ treatment. This treatment is a fotofacial(BBL) treatment combined with SkinTyte™ to make the skin in the area treated look younger as the patient ages. The treatments are typically performed 3-4 times a year, less often in the younger patient population. The number of treatments are determined the degree of sun damage and the age of the patient. Continued use of the appropriate skin care products is encouraged for best results.
The Viora Reaction® treatment can be performed alone or combined with PRP (Platelet Rich Plasma). The combination of the two helps to stimulate collagen and tighten skin. The treatment has minimal downtime – only a windburn look the day of the procedure which resolves overnight. Improved texture of the skin and tightening after a series of treatments is the result. With these treatments the collagen is stimulated in three ways: with the bipolar radiofrequency machine, microneedling collagen induction therapy and PRP injections and application through microneedling. The PRP has been proven to stimulate collagen in the skin.
Last up, Thermage® is a treatment option that has been around for the past decade. While not all patients see substantial benefit, those that do will see continued improvement with successive treatments. We have some patients that come every 1 to 2 years for a repeat treatment and they have not aged during a time period when the aging should be rapid.
Consultation with Dr. Jennifer Parker Porter can determine which of these treatments may be best suited for you based on your skin type and your concerns. Frequently these treatments are performed in conjunction with other procedures such as Botox®, fillers and chemical peels. Making everything look slightly better and natural is the goal.
TIME MACHINEPosted in Non Surgical
At Chevy Chase Facial Plastic Surgery, our goal is to help your face look flawless. One way we do this is with facial rejuvenation surgery, when necessary. Another way we help you look your best is with our nonsurgical cosmetic treatments. We offer a range of noninvasive treatment options that can enhance the aesthetic results of your cosmetic surgery procedure — or help you stave off the need for cosmetic surgery a while longer.
We offer BOTOX Cosmetic, Dysport and Xeomin injectable treatments to relax the muscles in the treatment area, thereby smoothing out the overlying wrinkles. These muscle relaxants are an effective way to treat moderate to severe wrinkles on the forehead or in between the eyebrows. BOTOX Cosmetic has additional uses, such as improving the look of horizontal neck bands.
Dermal fillers, including Juvéderm, Restylane and others, are designed for use in filling in fine lines and wrinkles, such as the parenthetical-looking lines that extend from the outer edges of the nose to the corners of the mouth. Juvéderm can also be used to enhance the lips, while Juvéderm Voluma XC can be used to enhance the cheeks and provide a subtle lift throughout the treatment area.
We provide a variety of laser treatments to address a myriad of aesthetic concerns. For instance, Fraxel repair laser resurfacing treatment corrects visible signs of aging, including wrinkles, fine lines, uneven skin texture, redness and hyperpigmentation (dark spots), by removing the dull outer layers of the skin, stimulating your body’s natural healing process and re-activating your body’s production of collagen, a protein essential to healthy skin.
Laser hair removal is an effective means of removing unwanted hair from various regions of the body, with long-lasting results.
We offer intense pulsed light (IPL or BBL) photofacials to reduce wrinkles, repair sun damage and correct dark spots and redness.
Many other laser treatments are also available, such as laser vein therapy to improve the look of superficial veins that are visible underneath the skin’s surface.
Medical-Grade Skincare Treatments
In addition to the treatments listed above, we offer several medical-grade skincare treatments to help your skin look its best. From microdermabrasion used to slough away dead skin cells and reveal radiant skin to chemical peels that offer more dramatic skincare results, there is a cosmetic treatment that is right for you. Micro-needling collagen induction with the DermaPen 3 is a wonderful addition to the skin care regimen; helping your skin care products to penetrate more.
At Chevy Chase Facial Plastic Surgery, we offer more than surgical procedures! To schedule a consultation with Dr. Porter to find out more about our noninvasive cosmetic treatments, contact Chevy Chase Facial Plastic Surgery by calling (301) 652-8191.Posted in Lasers, Non Surgical, Wrinkle Reducer