Five Tips for a Tighter-Looking Tummy

Get Tighter AbsAre you doing hundreds of abdominal crunches a day and following a strict diet, but not seeing any tone or definition in your stomach? Sometimes it helps to switch up your routine and incorporate some new tips and tricks. Try these suggestions, compiled by Dr. Ronald DeMars.

1.  Practice HIIT

You may believe the key to a tighter tummy is doing hundreds of abdominal crunches. When performed correctly, crunches are helpful, but cardio exercise is also very important for blasting belly fat and revealing definition in the abdominal area.

Fitness gurus suggest high-intensity interval training, like outdoor sprints, for a quick and effective cardio workout. FitnessRx for Women recommends the following plan: After a light warm-up and stretch, alternate quick bursts of 50-yard sprints with a 30-second rest. Repeat six times. Then, alternate 100-yard sprints with a 30-second rest. Complete your workout with a cool-down jog and more stretching. If you don’t like running, try a HIIT cardio kickboxing workout using an at-home DVD or by joining a class at the gym. With regular HIIT sessions, the fat will start to melt off your stomach and your waist will look smaller.

2.   Eat Every Three to Four Hours

It may seem counterintuitive to eat every few hours to slim your stomach, but it is actually good to eat small, nutritious meals throughout the day. Skipping meals can cause your blood sugar to plummet and your body to store fat due to fear of starvation. Eating every three to four hours is critical to stabilizing your blood sugar levels, so your body is less likely to store fat around your midsection.

The most common lag between meals is waiting five to six hours between lunch and dinner. To avoid a drop in your blood sugar, eat a snack between 3PM and 4PM. Keep in mind that “a snack” doesn’t mean a candy bar or bag of chips. Instead, reach for a protein bar, piece of low-fat cheese or handful of almonds with an apple.

3.   Decrease Bloating

To prevent bloat, look at what you’re eating and how you’re eating it. Dawn Jackson Blatner, a registered dietician and author of “The Flexitarian Diet,” points out that proper digestion is key to controlling gas and bloating. Digestion begins in the mouth, she says, and if food is not chewed properly, the body won’t digest it well. Dawn suggests chewing your food until it is the consistency of applesauce.

Another key to reducing bloat is watching your sodium intake. Try to stay away from traditional table salt in favor of natural sea salt or kosher salt, which are lower in sodium. Or, look for creative alternatives to infuse flavor into your meals. Susan Irby, the author of “Substitute Yourself Skinny,” recommends fresh tomato salsa or cayenne pepper.

4.   Camouflage Your Middle

If you’re still struggling with a flabby belly, divert attention away from it and play up a different body part through your clothing and accessories. For example, wear slim pants or skirts to draw attention to great legs. Wear a blouse with a boatneck or sweetheart neckline, or a statement necklace or pair of earrings to attract attention toward your neck and shoulders.

5.     Consider Surgical Enhancement

Surgical correction is a great option to think about if you have exhausted every other option trying to tighten and tone your stomach. Liposuction will reduce localized fat deposits and improve the contour of the stomach. Tummy tuck offers more comprehensive correction by targeting excess fat, loose skin and weakened/separated abdominal muscles.

Dr. DeMars invites you to schedule a consultation to discuss your surgical options in more detail. He would be happy to explain how these procedures can help you enjoy the body you deserve.

To schedule an appointment, please call (503) 253-3458 or send us an email.

Get the Bikini Body You Want

Get the Summer Body You WantIf you’ve spent any time at the pool or on the beach so far this summer, how did you feel about the way you looked in your bathing suit? Did you feel confident walking around in a bikini, or were there areas you noticed that you’d like to improve?

Portland cosmetic surgeon Ronald DeMars offers a variety of body and breast procedures to help you achieve your bikini body goals. With the required recovery and downtime, it might be too late in the summer to enjoy your new figure this year, but Dr. DeMars can certainly help you achieve your ideal physique in preparation for upcoming weddings and events, the holiday season and certainly in time for summer 2015!

Let’s look at a few of the procedures Dr. DeMars offers to help you look slimmer and sexier in your swimsuit:

Breast Augmentation

If you’d like fuller, shapelier breasts to fill out your bikini top, you are not alone. Nearly 300,000 women in the U.S. opted for breast implants in 2013, making it the most popular procedure in the country. Implants come in different types, shapes and sizes; Dr. DeMars will help you select the best option based on your cosmetic goals and body type.

Breast Lift

Perhaps the size of your breasts isn’t the problem; rather, their saggy quality makes you feel self-conscious in a bikini. Breast lift surgery restores the breasts to a higher position on the chest, giving them a perkier and more youthful appearance.

Liposuction

Liposuction is a body sculpting procedure that removes excess fat deposits that won’t respond to diet and exercise. Modern liposuction techniques have enhanced the safety and precision of the procedure, allowing Dr. DeMars to create beautifully contoured curves.

Liposuction can be used to sculpt the following areas of the body:

  • Abdomen/waist
  • Hips
  • Thighs
  • Knees
  • Upper arms
  • Back

Liposuction is great for targeting problems like “love handles” or a “muffin top,” or helping thin out the inner thigh area.

Abdominoplasty (Tummy Tuck)

Some of Dr. DeMars’ patients — often women who have had multiple pregnancies or have lost a significant amount of weight — need a little extra help in the abdominal area than liposuction alone can provide. Tummy tuck is the perfect procedure to address cosmetic concerns like loose skin, excess fat and weakened/separated abdominal muscles. Don’t worry: the incisions for tummy tuck are placed low enough that they won’t be visible in a bathing suit bottom.

 

If you’d like to learn more about how Dr. DeMars can help you achieve your ideal bikini body, please contact our office by calling (503) 253-3458 or sending an email.

Mother’s Day Plastic Surgery Special

In honor of everything mom’s do, Dr. DeMars’ office is offering a Mother’s Day Plastic Surgery Special to help mom’s feel as beautiful as they are!

Dr. DeMars' Mother's Day Plastic Surgery Special

The special is 15% OFF the surgeon’s fee’s on ANY procedure! (One of the best offers we’ve ever made, just to celebrate this special day.) Visit Dr. DeMars’ website here to see his plastic surgery offerings: www.drdemarsmd.com.

To take advantage of this special: 

  • Call (503) 253-3458 and
  • Book your consultation before noon (PST) on Friday, May 9th.
  • Schedule your surgery before July 31st, 2014.
  • Be a new patient.

Have questions? We’re happy to answer them – just give us a call at (503) 253-3458. We look forward to hearing from you.

Happy Mother’s Day!

How To Get Rid of Bags Under Eyes

Dealing with under eye bags? Several beauty magazines will give you tips and tricks for removing under-eye puffiness which may help with temporarily relieving puffiness due to poor sleep, consuming too much sodium, or other self-caused triggers. These remedies may include creams, ice packs, make-up tricks or other quick fixes. But for some people who have more significant, permanent under-eye bags,  a more lasting solution is needed.

Permanent under-eye bags (as opposed to just temporary puffiness) is caused by aging and/or fat compartments under the eye. Many people visit Dr. DeMars, a plastic surgeon in the Portland, Oregon area to help them get rid of these bags and get a more rested, youthful, healthy look. The proper procedure for these patients is called a lower blepharoplasty (eyelid surgery).

The goal of a lower blepharoplasty is to remove these fat pads, but many patients (about 75% of Dr. DeMars’ lower blepharoplasty patients) decide to combine this procedure with either an upper blepharoplasty and/or a facelift to achieve their overall goal of a younger yet natural-looking appearance.

See Photos of Dr. DeMars’ Blepharoplasy Patients here:

Before and After Photos of a lower blepharoplasty patient of Dr. DeMars

 

How long does it take to recover from lower eyelid surgery?

Many patients are relieved to hear that they can undergo and recover from the surgery rather quickly. The out-patient procedure takes about 45 minutes to 1.5 hours depending on the technique used (a decision that should be discussed and decided with your doctor during your consultation), and most patients experience minor pain for only 1-2 days.

Though bruising may last for about 1-3 weeks after the eyelid surgery, many patients can be out-and-about within 3-4 days after the surgery with use of makeup or sunglasses to conceal the bruising. Eyelid surgery patients may also go on long walks shortly post-surgery but should refrain from heavy exercise for about 2-3 weeks.

Interested in learning more about eyelid surgery, or wondering if it’s right for you? Call us today at 503-253-3458 or contact us on our website to tell us about your goals and set up a consultation!

 

How Much Does a Breast Augmentation Cost?

Are you considering a breast augmentation in Portland but not sure what to expect and how much it costs? Breast augmentations are one of Dr. DeMars’ most commonly requested procedures and therefore receives the most questions, including questions about the price.

Hundreds of women have trusted Dr. DeMars to perform this procedure that many tell us it is a “priceless” investment in their own self-image and confidence. Price shouldn’t have to stop you from achieving your aesthetic goals; read below to learn about what price you can expect and how you can afford it.

Price of a Breast Augmentation

In general, the price of a breast augmentation procedure is between $6,000-8,000 dollars. This an all-inclusive price, meaning it includes the cost of the breast implants and surgeon, facility and board-certified anesthesiologist fee.  The cost of a breast augmentation procedure by Dr. DeMars can, however, vary depending on several factors including: breast implant type, complexity of the procedure needed, and if a breast lift is also needed.

For example, silicone breast implants are often more expensive then saline implants. There are different advantages and disadvantages to each type, which Dr. DeMars can explain to you during a consultation. You can also read up on choosing the right type of breast implant here.

The complexity of the procedure can affect the price. This includes revision breast augmentation surgery or removing outdated or ruptured breast implants.

Finally, during a consultation Dr. DeMars may advise that a breast lift in conjunction with an augmentation may be necessary to achieve the look you want. In this case, the price may be affected as well.

What to Be Aware Of

You may find some surgeons who offer breast augmentations for $2,000 – 4,000 dollars. This is often the case when the surgeon is a cosmetic surgeon, not a board-certified plastic surgeon. What is the difference? Get the details here.

Additionally, a surgeon who is quoting you that low of a price may not be including fees such as the facility fee or anesthesia fee. Be sure to ask!

How to Afford a Breast Augmentation

Plastic surgery is not just for the rich. Average women have been able to get the breasts they desire by financing their plastic surgery. Dr. DeMars’ office offers 100% financing through CareCredit which has 24, 36, 48, and 60 month plan options! Visit Dr. DeMars’ Financing page to learn more about this opportunity.

Periodically Dr. DeMars offers limited time  breast augmentation specials. Be sure to sign up for our e-newsletter or “like” us on our Facebook page to be updated on these quarterly announcements !

To get more of your breast augmentation questions answered, please call us at 503-253-3458 or visit our contact us page to schedule your consultation.

Botox in Portland: What You Can Expect

Have you been considering Botox® Cosmetic,  but are not sure what to expect? Here are some quick details about what Botox® is, how it’s used, and what Dr. DeMars’ Portland Botox® patients can expect:

  • Botox® Cosmetic is a non-surgical treatment for improving and preventing wrinkles.
  • It is often used on individuals ages 25-65 who have fine lines, and would like to slow down the aging process.
  • It works by relaxing the facial muscles so that repeated muscle movements that typically crease the skin and cause wrinkles are reduced or prevented. (I.e. furrowing of or raising the eyebrows, squinting, etc.)
  • After experiencing Botox® Cosmetic, you will still be able to make facial expressions.
  • Botox® Cosmetic results last about 3-5 months, and therefore should be maintained several times a year.
  • The treatment is an injection that can be used on different places on the face (or even different areas of the body.)
  • Botox® Cosmetic injections are nearly painless, though some patients may report slight discomfort that is temporary. A topical anesthetic may be used on the areas before the treatment.
  • The entire procedure generally takes about 10 minutes.
  • It may help delay or prevent the need for future more invasive plastic surgery in the future.
  • Over 11 million people have used Botox® Cosmetic.
  • Botox® Cosmetic should only be administered by a qualified physician or health care provider, such as Dr. Ronald DeMars.
  • The average price of Botox® Cosmetic is approximately $400 dollars but varies depending on the individual needs of each patient.

Interested in learning more about Botox in Portland? Dr. DeMars’ office has provided Botox® Cosmetic for several years and will be able to provide any information you need, as well as set up a time for you to come in and get the refreshed look you’ve been wanting!

Preparing for After Your Plastic Surgery Procedure in Portland

Often times, patients are concerned about how to prepare before their plastic surgery procedure, but forget to consider how they should prepare for after. Here are a few things to keep in mind before you have your procedure:

  1. Work – If your plastic surgery procedure will require that you have some recovery time, make sure you are aware of how much recovery time is typically needed before returning to work. Be sure that you have cleared this with your place of employment, requested days off as necessary, and have a plan in place for who will do your work in your absence or how it will be managed while you are gone.
  2. Childcare – If you are a parent, you will want to consider that you may be unable to properly care for your children for some time, depending on their ages and your procedure. Have appropriate childcare planned in advance.
  3. Driving Home – Most plastic surgery procedures are outpatient procedures, meaning you can go home on the same day. However, it is likely that you will need a driver who can take you home once you awaken from the anesthesia, as you will not be in a condition to drive. Plan to have a friend or family member take you home.
  4. Household Chores – You may be unable to accomplish certain household chores for a time after your procedure. If necessary, make arrangements for how this will be managed before your surgery.
  5. Support – You will likely need both emotional and physical support during your healing process. Make sure you have someone you trust and can depend on to be there for you during this time, whether it is someone to speak to, or someone who can help run an errand for you.

See Dr. DeMars’ video response about how to prepare for after plastic surgery here:

Other factors may need to be considered depending on what type of plastic surgery procedure you have completed. If you have questions about how to prepare for plastic surgery in the Portland area, feel free to call Dr. DeMars’ plastic surgery office at (503) 253-3458 and we can help address any concerns.

How I Decided to Become a Plastic Surgeon – Dr. Ronald DeMars

Photo of Dr. Ronald DeMars
Patients frequently ask me why I went into plastic surgery, one of the specialties that requires the longest training (9-12 years after college). From 3rd grade I was convinced I would be a surgeon. By the time I was in High School my mother was the office manager for one of the largest groups of plastic surgeons in the country and I grew to admire them. By college these surgeons were letting me watch their surgeries during summer vacations and I found the combination of art and science fascinating. As the years of training passed and I learned more about the specialty, I grew to appreciate the large variety of surgeries my specialty performed and the great creativity many of the doctors employed. Couple that with seeing the great pleasure the patients had in their surgical results and I was hooked. It is extremely gratifying to see the look on a patient’s face and their new confidence after a surgery.

After practicing for over 30 years I still learn new approaches and better techniques regularly and my fascination remains intact. It’s a blessing to be able to do what I enjoy. I hope you will reach out if you have any questions about our office or practice. My staff and I are here to answer any questions. Visit us at www.drdemarsmd.com or call (503) 253-3458.

Facts About the Mommy Makeover Procedure

The “Mommy Makeover” is a term commonly used to describe a combination of procedures used to help a woman’s body return to its pre-pregnancy condition. It generally includes a combination of two or three procedures that are done at one time, cutting down on cost and recovery time.

Do you know all the facts about the Mommy Makeover? Read below to find out.

 

How long must a woman wait after giving birth to have a Mommy Makeover surgery?

In general, a woman must wait at minimum six months after giving birth, however it varies for each woman. As abdominal muscles and tissues change and tighten, and breasts change shape and volume in the months post-birth, a doctor must wait until the changes have stopped so he/she can best identify what is needed to be done to accomplish the patient’s goals.

Additionally, all the baby weight gained during pregnancy must be lost, and a woman should have a BMI of 25 or less. She should also have completed breast feeding four months (or longer) prior to the procedure.

For most women, it takes a full year before all the aforementioned changes and requirements are complete.

 

Can you have children after having the Mommy Makeover?

Yes, you can have a normal pregnancy. However, it will alter the results of the surgery and may need to be completed again to re-gain the same (or similar) look. It’s also likely that you will be able to breastfeed, but is not guaranteed.

It is highly advisable to wait to have a Mommy Makeover until you are done having children.

 

What amount of pain can one expect?

Patients will normally be quite sore for about 3-4 days, and most women no longer need pain medications after the first week. Dr. DeMars’ office also offers pain pumps to make patients feel more comfortable during their healing.

 

How long is the recovery period?

If the Mommy Makeover includes a tummy tuck, most patients will need at least two weeks before returning to the majority of daily activities, such as driving, working (at a non-physical job), etc. If you have a more active job, you might need four-six weeks off work. You should also expect to refrain from exercising for at least 8 weeks, with the exception of light walks.

 

What are the most common combinations of procedures in the Mommy Makeover?

Most women have a breast augmentation and a tummy tuck. Occasionally, some women may also require a breast lift and/or liposuction to get their desired result.

 

Does a Mommy Makeover less than having the procedures done separately?

Yes. It costs significantly less and is therefore more efficient financially, but is also more efficient with your time since you will recover from everything at once. Many moms find that the time savings is just as important, if not more important than the financial savings.

 

Does it leave scars?

Yes, but depends on what procedures you have in your Mommy Makeover. With a breast augmentation you will have a small, hardly-noticeable scar around the bottom of the nipple or under the fold of the breast. A tummy tuck usually removes the majority of most stretch marks but will leave a scar in the pubic region that is hidden by bathing suits or underwear.

 

When is the best time to get a Mommy Makeover?

The best time to get a Mommy Makeover is when you are no longer planning on having additional children, and when you have at least two weeks to recover.

Most women opt to get the procedure in the spring months, in preparation for summer clothes and bathingsuit season. Many women also find this to be a calmer time of the year, since the holidays are over and children are still in school.

 

How often does Dr. DeMars do Mommy Makeovers?

Dr. DeMars is highly experienced in Mommy Makeover procedures and performs about 2-4 Mommy Makeovers each month.

 

If you are interested in the Mommy Makeover or have questions, call Dr. DeMars’ office at (503) 253-3458 to schedule your consultation. Please also visit the website here to learn more about Dr. DeMars’ office and staff: www.drdemarsmd.com                .

 

Common Breast Augmentation Questions

1.)    How do I choose the right breast implant size?

During your consultation, you should speak openly with your doctor about the general size and look you are hoping for. For example, if you have an A-cup and are hoping to be a C or D-cup, you can mention that to your doctor and he/she can help you decide what breast implant size is the best option for you. Many factors such as quality of skin, existing breast tissue, and location of nipples can all play a role. Your frame, or chest cage, should also be taken into consideration as it can play a significant role.

Another good way to show your doctor the look you are going for is to search photo galleries for women who have a very similar pre-operative breast size as you (also try to find one who has  the most similar chest cage size and body composition as you) who ended up with a size you like.

2.)    What should I expect during a breast augmentation consultation?

You should go into the consultation knowing three things:

a.)    Why you want the breast augmentation

b.)    What your and your family’s medical history is

c.)     What general goals you have for your breast size, shape and appearance

From there, you can expect your doctor to ask you several questions regarding the points above, and a breast exam where the doctor will consider many factors of your body and breasts including your body composition, chest cage size, quality of skin, nipple location, amount of breast tissue present, and more. The doctor will also likely take photos for your patient records. During this time your doctor should also discuss with you the different types of breast implants and different sizes, and the different breast augmentation techniques (under the breast, under the nipple, or in the arm pit). You will also learn about what to expect before, during and after the surgery.

The consultation is your time to ask any questions or discuss any concerns about the procedure, so be sure to speak up and ask whatever you’d like to know!

3.)    How should I prepare for surgery?

Your doctor will advise you on exactly what you need to know before your surgery, but in general you should refrain from smoking 1-2 weeks before your surgery, avoid specific medicines that could complicate surgery or the recovery (including ibuprofen and aspirin), schedule time off work if necessary, and arrange for a ride home post-operation and help at home for a day or two afterward.

4.)    What is the normal breast augmentation recovery time?

Everyone is slightly different, but in general you should expect at least 2 full days to rest. Most women are able to return to work after about 5-7 days, and are also able to take part in light activity at that time. Do not expect to be doing moderate or heavy exercise for at least four weeks after your surgery. You can expect the swelling to be completely gone within about 4-8 weeks.

5.)    How much pain should I expect?

Patients vary in how they experience pain. For most women the worst discomfort is over by the third or fourth day. Again, everyone is different and has varying levels of pain tolerance. Your doctor should be able to talk with you about pain medication or pain pump options. Be sure to let him/her know about any allergies to medications that you may have, or other medicines or supplements that you are currently taking.

6.)    Do I need to come to the office after my breast augmentation?

Yes. You can likely expect that your doctor would like to see you one week after the surgery and one month after the surgery to make sure that there are no complications and that you are healing properly.

7.)    How often will I need to get my breast implants replaced?

Breast implants should not be considered “lifetime devices” although they have the possibility to last a life time. In general, you might expect to have your breast implants replaced every 12-15 years, though some women’s may last longer or shorter.  Of course, if there is a breast implant rupture you will want to have them replaced. Saline implant ruptures are quite obvious as the implant will deflate and the saline gets absorbed, harmlessly, into your body. However, silicone breast implant rupture can go unnoticed.  The FDA recommends an MRI every 2-3 years for silicone implants to make sure that there is no  ( omit this….Capsular Contracture or) rupture. If the MRI shows no indication of a rupture, and your breast implants are still soft and normal looking, you may be able to go longer without having them replaced.

8.)    What happens if a breast implant ruptures/breaks?

When a saline breast implant breaks, usually due to blunt force or an old implant, it will likely deflate quickly as the saline solution leaks out of the implant shell. (It can leak slowly, in some cases, but is more rare.) Your breast will lose its size or shape, and your body will absorb the saline solution. This is almost always harmless. You will also need to have the silicone shell removed and a new implant replaced.

When a silicone breast implant breaks, it’s possible you may not even know! This is called a “silent rupture.” It can happen very slowly and sometimes it will not be noticed for years, or until the implant is removed. If it does happen, it is often harmless as the silicone usually does not make its way past the capsule (normal scar tissue) that has developed around the implant. If it does leak outside the capsule, it can make its way to other areas of the body where it cannot be removed. Therefore, refrain from mammograms as they can cause implants to leak or rupture and opt for MRIs instead.  Also, if you have silicone implants and notice any change in the size or shape of your breasts, or have any unusual feelings (pain, numbness, etc.) contact your doctor immediately.

9.)    What’s the difference between Silicone and Saline breast implants?

In general, silicone implants are a silicone envelope filled with silicone gel, a product that feels more like human fat. Because of this women often feel that silicone implants look and feel the most real. They are often slightly more expensive as well.  They are pre-filled and inserted at their exact size during the procedure. Silicone implants are available for women 22 and older.

Saline implants are also a silicone envelope, but are filled with sterile salt water. During the procedure they are inserted while empty and then filled to the desired size. They are generally slightly less expensive than silicone implants and are available for women 18 and older.

*Both breast implants are available to women of any age for breast reconstruction.

10.) Are breast implants safe?

Yes, breast implants are very safe and see very little complications. Like any procedure, there are some risks, such as capsular contracture (when the scar tissue distorts the shape of the breast), pain, infection, loss of breast or nipple sensation (usually temporary) or implant leakage or rupture. Be sure to talk to your doctor if you have any safety concerns regarding implants.

11.) What are the different options for how the breast augmentation is accomplished?

Breast implants can be placed in front of or behind the muscle. The incisions for this can be below the breast, at the edge of the areola (nipple), or less commonly in the armpit. The procedure may also be accompanied by one of several types of lift if necessary. The implants themselves come in a multitude of varieties with smooth or textured surfaces and several shapes. During your consultation, you and your doctor should discuss all of the details of each option so you can choose the one that is best for you.

12.) Can I still breast feed after a breast augmentation?

Not all women can breast feed, but if you were able to breast feed before the surgery, it would be unlikely you would lose that ability.

13.) What if I don’t like them?

It is very rare that a patient does not like their new breast look. However, if you are displeased for any reason with the size, shape or appearance of your new breasts, you should contact your doctor and discuss the options. If you prefer your original breast size, implants can be removed.

14.) Can you make my breasts look like [celebrity name]’s breasts?

It is always OK to bring photos of the look you would like, but with the infinite variety in the human form, it is unlikely that you will look exactly like someone else.

 

Dr. Ronald DeMars is a board certified plastic surgeon serving the Portland area. Many of his plastic surgery patients come from Beaverton, Gresham, Tigard, Vancouver, Lake Oswego, West Linn, and Seattle.

Do you have more questions, or would like to discuss your own individual specific questions with Dr. DeMars? Call his office at (503) 253-3458 to set up a consultation or contact Dr. DeMars’ office here. We look forward to hearing from you!