Valentine's Special

Reversing the signs of aging.

Are you looking to reverse the signs of aging?

Aging is the result of a combination of biologic processes.  As we age, we experience thinning of the skin and facial fat pads, laxity in the ligaments that hold tissues up, and loss of bone in the brow, cheeks and jaw.  All of these factors contribute to the appearance of wrinkles, hallowing of the eyes, flattening of the cheeks and the emergence of jowling.

Because aging is caused by the interplay of changes occurring in all five facial anatomical layers: skeleton, ligaments, muscles, adipose tissue, and skin, a multilayered combined treatment is necessary.  In other words, no single technology, filler, or neuromodulator can achieve all the results desired in treating the aging face. The question is when and how to combine different aesthetic interventions safely and effectively.

The current trend in the area of non-surgical and non-invasive aesthetics is that of a multimodal, combined approach aimed at treating the Four R’s of facial rejuvenation: resurfacing, repositioning, revolumizing and relaxing.

Kellee, FNP: “When a patient looks in the mirror he or she sees the results of various factors that cause the appearance of aging.  It’s our job to assess all of those factors and address each of them.  We have found that combination treatment plans that involve all aspects of what we do from medical grade skincare, to PDO threads, to fillers and neuromodulators, and sometimes even surgery equate to better results in the end, as these treatments have synergistic benefits when done together.”

Resurfacing is aimed at improving skin quality and texture through the use of topical, medical grade skincare products, peels, UV protection, moisturizers, and topical antioxidants.  In addition, device-based rejuvenation procedures such as microneedling, radiofrequency, and lasers address the signs of aging at the skin layer.

Repositioning is the process of lifting sagging skin and its underlying structures.  One of the best approaches to repositioning the tissues is with PDO threads.  PDO threads are absorbable suture material that stimulate the body’s ability to build collagen as well as provide lift to the structures of the face.  PDO threads last approximately 1-2 years and can be done in a single office-based procedure with minimal discomfort and downtime.  PDO threads can be used in any area of the body as well as for hair restoration.  Kellee, FNP: “Patients love this procedure because they can see results immediately.”

Revolumizing is the process of using injectable filler material to revitalize areas of volume loss.  Particularly in the areas of the cheeks, temples, chin/jaw and lips.  Our nurse injectors have had training by industry leaders in the areas of facial anatomy and advanced filler techniques which allows them to assess and treat areas of volume loss safely and naturally.

Relaxing involves using neuromodulators (Botox, Jeuveau, etc.) in order to smooth wrinkles and relax the muscles of the face that cause wrinkles.  Hyperactive muscles around the eyes cause fine lines and wrinkles known as crow’s feet.  Other muscles around the mouth can cause the corners of the mouth to turn down and dimpling of the chin.  The platysma muscles in the neck can cause sagging and undefined contours to the jawline.  Our providers can set up customized protocols for individual patients in order to smooth wrinkles and relax the relevant muscles in the most personalized way.

All of these options can be overwhelming and knowing where to start is one of our most commonly asked questions… Let us take the guesswork out with a consultation with one of our Board Certified Plastic Surgeons or our Nurse Practitioner who is Board Certified in Anti-Aging Medicine as well as a Certified Aesthetic Nurse Specialist.

Kellee, FNP: “At the end of the day, it comes down to providing the natural, individual results our patients desire, and the key to this is the combination of the right treatments.”

At The Centre, P.C. safety is our priority. Many of the services rendered in our medical spa are considered medical procedures.  Therefore, it is a crucial first step for med spas to establish the patient-provider relationship and ensure that a med spa patient is a good candidate for the procedures he or she is seeking. This is the purpose of the good faith exam.  Patient consultations, or “good-faith exams,” are among the most crucial aspects of proper patient care. Recently, the media has highlighted negative outcomes from medical spa treatments that resulted in adverse outcomes.  The Doctor Oz Show featured a story in which unlicensed and unqualified practitioners performed treatments that resulted in harm to patients. As a result, the medical spa industry has established compliance guidelines to promote safe, professional, and competent care. Patients should always be seen by a doctor, nurse practitioner, or physician assistant who can then delegate certain treatments to other licensed professionals such as a registered nurse or aesthetician. At The Centre, P.C. our physicians are board certified plastic surgeons and our board certified nurse practitioner also has additional certification in anti-aging medicine and is a certified aesthetic nurse specialist and plastic surgery nurse. Our lead aesthetician holds a laser safety certification and all of our aestheticians have received the ZO® Expert Certification. It is important that patients check the credentials of the providers and facilities where they are seeking treatment. In order to make this process more streamlined and accessible we offer virtual consultations with our nurse practitioner so patients can discuss their desires and goals without leaving the comfort of home.

It doesn’t stop there…  We have several other services aimed at Anti-Aging….

We offer vitamin drips and injections with anti-aging benefits in our private Drip Lounge.  For example, all of our drips contain high doses of vitamin C which is instrumental in the production of collagen.  We offer Biotin injections which are great for maintaining beautiful hair, skin and nails.  In addition, we offer glutathione which is known in the beauty industry as “liquid gold.”  It is a powerful antioxidant and anti-inflammatory that helps detoxify the body and contribute to glowing, rejuvenated skin.  Ask our staff about their favorites and to book your appointment today.

We also offer bioidentical hormone replacement for patients.  Do you suffer from fatigue, loss of focus, sleep disturbance? BioTE® bioidentical hormone replacement therapy or BHRT is prescribed for men and women that present with a variety of symptoms including: depression, anxiety/irritability, mood swings, night sweats, menopausal disorders, problems with sleeping, losing weight, loss of focus, fatigue, and sexual performance/desire. Low testosterone and estrogen imbalance can lead to serious health issues such as; osteoporosis, heart disease, colon cancer, Alzheimer’s disease, as well as breast and testicular cancer. Men and women who choose BHRT will experience: greater mental clarity, increased libido, increased muscle tone, and enhanced energy levels.

PRP For Facial Rejuvenation

Platelet-rich plasma facial rejuvenation is a natural, non-surgical procedure with virtually no downtime.

While results are immediate, overtime, PRP can encourage new collagen production, improve skin elasticity, and more.

The cost of platelet-rich plasma for facial rejuvenation ranges from $800 to $1,600.

Discuss your rejuvenation goals with a board-certified plastic surgeon. Call 574-621-3171, or schedule an appointment online

What is platelet-rich plasma (PRP)?

Platelet-rich plasma is a solid component in blood that’s most known for aiding blood clotting after an injury. PRP contains protein growth factors called fibrin that help heal the injury.

Platelet-rich plasma rejuvenates the face by creating a lattice of healing proteins under the skin. These proteins encourage new collagen production, smooth fine lines and wrinkles, add youthful volume, and improve skin elasticity.

PRP therapy has been used by medical professionals for decades to treat ligament and tendon injuries and chronic pain like arthritis.

Platelet-rich plasma is not a drug—it’s 100 percent natural!

What can I expect during the procedure?

The procedure begins by extracting a small amount of blood from the patient’s arm. The blood is put in a vile and spun in a centrifuge, which separates the red blood cells from the platelet-rich plasma.

Prior to injection, patients receive a topical numbing cream on the face to reduce discomfort.

Lastly, PRP is carefully injected into areas of the face that lack fullness, in fine lines and wrinkles.

What is the recovery process like?

Results are visible immediately; however, excess swelling at injection sites is typical for several hours following the procedure. These sites will lose some volume as the PRP settles into the dermis.

Bruising is uncommon but may occur near injection sites. Most patients are fully healed a day or two after the procedure.

Many women find that results continue to improve several months after the procedure, as the injected growth factors encourage stem cells to produce more collagen, which can look even better over time.

While you heal, it’s best to avoid direct sunlight.

How long do results last?

Unlike BOTOX and other dermal fillers that break down in the body over time, platelet-rich plasma tends to last longer and may even improve over time.

Results typically last between 18 months and two years, depending on the number of treatments.

For best results, we recommend two or three treatments, spaced at four to eight-week intervals.

Am I a good Candidate for platelet-rich plasma treatments?

Platelet-rich plasma treatments are low risk and very effective. Because PRP occurs naturally in the body, there is little risk of infection or adverse reaction to the injections.

Ideal candidates are in good general health, interested in facial rejuvenation, and prefer an alternative to surgery.

Make an Appointment Today!

Get visibly younger-looking skin without invasive surgery! Platelet-rich plasma treatments are a safe and effective way to rejuvenate the face.

Schedule a consultation with one of our board-certified plastic surgeons. Call 574-621-3171, or schedule an appointment online.

Rhinoplasty 101 – What Is A Nose Job?

More and more people are turning to plastic surgery to improve self-esteem and correct areas of their body they aren’t happy with. By far, one of the most desirable plastic surgeries today is rhinoplasty.

Known more commonly as a “nose job” or nose reshaping, rhinoplasty has become the second most popular plastic surgery next to breast augmentation.

In 2014 alone, 217,124 rhinoplasty procedures were performed in the United States.

Though extremely popular, rhinoplasty can be an intimidating procedure. The good news is it has been performed repeatedly for a very long time. Rhinoplasty techniques have been perfected to create an experience that is as efficient and pain-free as possible.

When performed by a skilled surgeon, rhinoplasty is a very safe procedure that can leave the patient much happier with their physical appearance.

Despite how common it is, many people considering rhinoplasty find themselves with a lot of questions. Today, we’ll answer those questions and provide an overview of the rhinoplasty procedure.

Are You A Rhinoplasty Candidate?

Almost anyone is eligible to have a nose job, though you should consult with your doctor to determine your specific limitations. Since the skeletal structure of the nose needs to be fully formed, rhinoplasty is generally not performed on adolescents. Since girls mature faster than boys, they may be able to have rhinoplasty as early as 15 years old. Teenage boys typically cannot get rhinoplasty until they are 17 or older.

From a cosmetic standpoint, rhinoplasty may be a good option for people whose nose:

  • Is crooked or asymmetrical
  • Is too large or too small when compared to other facial features
  • Has a bump on the bridge of the nose
  • Is too wide
  • Has a tip that is droopy or enlarged
  • Has nostrils that are too wide or narrow
  • Obstructs the ability to breath

How A Nose Job is Performed

Rhinoplasty is an outpatient procedure. Patients do not have to stay overnight in a hospital and can go home after a brief recovery period in the surgery facility.

To prepare for surgery, the patient’s face is washed thoroughly and an IV delivers medications and fluids during the operation. Some procedures are performed under general anesthesia, allowing the patient to sleep through the surgery. Others are done under local anesthesia, where the nose is numbed and the patient is conscious but sedated to help them relax.

Once the patient has been successfully sedated, the surgery begins. What happens next depends on the type of rhinoplasty the patient is having. Some may require small incisions inside the nostrils to allow the doctor to lift the skin and remove or add structure as desired.

Grafting will be used to add shape to a small or narrow nose. If a large or wide nose needs to be made smaller, the surgeon will use an osteotome to remove the existing bone. This tool resembles a small chisel and is carefully used to break nasal bones with precision. The excess bone may also be shaved down using a nail file-like tool called a rasp.

Once the nose has been reshaped according to the patient’s needs, the incisions are closed and packing is inserted into the nose to help it keep its new shape and reduce bleeding and swelling. After packing is inserted, the nose is taped and a small cast is applied to help maintain the new shape during the first phase of healing.

Types of Rhinoplasty

When a plastic surgeon performs a rhinoplasty, there are two methods they can choose from.

Closed Rhinoplasty: In this procedure, the surgeon makes incisions inside the columella, the vertical piece of skin the separates the nostrils. They then raise the skin and other tissues so that they are separated from the bone, giving the surgeon greater access to the interior of the nasal passages. Closed rhinoplasty is minimally invasive and does not leave scar tissue.

Open Rhinoplasty: An open rhinoplasty gives plastic surgeons even more access to the bone structure. In this procedure, the doctor makes a horizontal incision across the columella so that the tip of the nose can be lifted and shaped. This method will leave some scar tissue and possibly a small scar on the bottom of the nose.

Whether open or closed, there are several different kinds of rhinoplasty that are chosen based on the patient’s needs and what they hope to achieve through plastic surgery.

Revision Rhinoplasty: Sometimes called secondary rhinoplasty, this procedure is performed on patients who had rhinoplasty in the past. It is used to correct any issues or cosmetic changes that need to be made after the patient’s first rhinoplasty.

Filler Rhinoplasty: This is a non-permanent solution in which surgeons use injectable fillers, such as Juvederm or Restylane, to even out imperfections in the nasal structure.

Reduction Rhinoplasty: If the patient feels their nose is too large or their nostrils too flared, they can have reduction rhinoplasty performed to remove bone and/or cartilage and shape the nose so it is more proportionately equal to their other facial features.

Augmentation Rhinoplasty: If a patient has a nose that they feel is too small, plastic surgeons can use bone or tissue grafting to reshape the nose as desired.

Post-Traumatic Rhinoplasty: If the patient has suffered a traumatic injury, it can affect both the cosmetic appearance of the nose and its ability to function. This kind of rhinoplasty is commonly used for fixing a broken nose or correcting an injured nasal septum.

Reconstruction Rhinoplasty: Patients who require reconstructive rhinoplasty have often lost a portion or all of their nose after an accident, injury, or serious illness, such as cancer. Reconstruction rhinoplasty is advanced and can be complicated, as it requires surgeons to rebuild the nose and may take several operations to complete.

Health Risks of a Rhinoplasty Procedure

Though rhinoplasty is considered fairly safe, as with any surgery, risk and complications can occur during or after the procedure. Common risks during rhinoplasty can include:

  • Infection
  • Bad reactions to anesthesia
  • Bleeding
  • Difficulty breathing
  • Septal perforation (hole in the septum)
  • Numbness
  • Scarring
  • Chronic nosebleeds
  • Blood clots
  • Burst blood vessels
  • Unsatisfactory results
  • The need for revision rhinoplasty
  • Death

Recovering from a Nose Job

Despite being a relatively simple outpatient procedure, it can take patients a while to heal. Some surgeons suggest their patients take off as many as 7-10 days following surgery while the swelling subsides.

During the first few days of recovery patients are advised to:

  • Sleep with their head elevated. This will help reduce swelling and prevent blood from rushing to the surgery site.
  • Take care when brushing their teeth so as not to jostle the upper lip or nose.
  • Refrain from as much facial movement as possible.
  • Use ice to reduce swelling and alleviate pain.
  • Eat foods that are soft and don’t require much chewing.
  • Bathe instead of showering, to avoid water coming into direct contact with the nose and destroying the bandages.
  • Refrain from blowing their nose.
  • Wear clothes that button up instead of those that go over the head.
  • Change bandages as instructed by their surgeon.

Additionally, in the weeks following rhinoplasty, patients should:

  • Refrain from exercise and other strenuous activities until given the all clear by their doctor.
  • Wear SPF 30 or higher sunscreen outdoors.
  • Restrict sodium intake.
  • Refrain from wearing glasses or sunglasses for at least 4 weeks or until cleared by their surgeon.

If the surgeon’s instructions are closely followed, the majority of the swelling will go down within 10 days to 2 weeks. Most of the residual swelling will disappear within 4-6 weeks, but slight swelling may persist for up to 12-15 months after surgery.

This is concerning for many patients, as swelling can make the results look asymmetrical or imperfect when they’re not. Remember, your body reacts to surgery as if its gone through trauma. Only time will take the swelling away and allow the patient to truly appreciate their new look.

Finding the Perfect Plastic Surgeon

It is highly recommended that prospective rhinoplasty patients consult with at least two different plastic surgeons before making their choice. Below are some questions patients should ask themselves before settling on one doctor:

  • Do I like the results shown in this surgeon’s previous patients?
  • Is the surgeon’s style in line with my wants?
  • Are the results seen in other patients natural looking?
  • Can I envision myself with this kind of look?

The most important thing to do when considering rhinoplasty is to find an experienced plastic surgeon you are comfortable with. It’s also crucial that both the surgeon and the facility in which the surgery is performed is appropriately licensed.

Both Dr. Ronald K. Downs and Dr. Patrick J. Viscardi, are board certified to perform plastic surgeries by the American Board of Medical Specialties and have years of experience helping patients achieve the look they dream of. The Centre P.C. also provides an onsite, licensed surgical suite in addition to a rehabilitation center.

If you’re considering rhinoplasty at The Centre P.C. and have questions or concerns, we’d love to help! Contact us through our website or give us a call at 574-621-3108.

Would Liposuction or Cellulaze Work Better For You?

Every morning you get ready for the day ahead. At some point during your routine, you look in the mirror to make sure you’re presentable before heading out.

Chances are there are some features you really love about your body and maybe a few you don’t.

We all feel this way from time to time. It’s hard not to focus on love handles, saddlebags, and other “jiggly bits” that we’ve accumulated over the years. It can be tough to be 100% confident about ourselves when we feel we could do better at keeping our bodies fit and healthy.

The truth is that eating right and exercising doesn’t work for everyone. Some individuals struggle with metabolic conditions that make it hard to shed excess pounds. Others simply can’t find the time in their schedules to dedicate to weight loss.

Whether you have a medical condition or you’re looking for a way to sculpt parts of your body, plastic surgery provides plenty of options for you. There are multiple procedures that can help you.

Liposuction and Cellulaze are two of the most popular procedures used today. How can you know which procedure is right for you? Read on as we compare these two procedures to help you make the best choice.

Liposuction and Cellulaze: What’s the Difference?

Both of these procedures remove different kinds of unwanted fat from your body. Though they have this in common, liposuction and Cellulaze are two very different procedures that accomplish different aesthetic goals.

Liposuction: At The Centre, P.C., we use a procedure that is safer than traditional liposuction called SmartLipo™. SmartLipo™ is performed on smaller, more focused areas of the body. A laser is inserted into several small incisions and is used to break up fat and make it easier to be removed from the body.

Cellulaze: This revolutionary procedure breaks down the structure of the cellulite that’s under your skin. Cellulite is commonly referred to as “orange peel syndrome.” It gives your skin a lumpy or cottage cheese-like appearance. It’s seen commonly in the buttock and thigh area, but can occur in other portions of the body as well.

During Cellulaze, the surgeon makes a few very tiny incisions. A small laser is used to increase the thickness of your skin, loosen the fibrous bands that drag it down and liquefy the bumpy fat, that is then gently pressed out of the body.

Why Choose Liposuction Over Cellulaze and Vice Versa?

While they may sound the same, liposuction and Cellulaze remove different kinds of body fat. There are certain circumstances that call for liposuction, while others call for Cellulaze. You should always consult with your doctor about your specific needs, but it’s good to understand what each procedure is meant to do.

When to Choose Liposuction

Liposuction may be the best choice for you if you have pockets of fat you wish to get rid of. It can help with body shaping and contouring, as it can take little or a lot of fat until the desired shape is achieved. Liposuction is not used to achieve dramatic results. It is best used for small changes to areas like:

    • Thighs
    • Neck
    • Chin
    • Buttocks
    • Upper Arms
    • Calves
    • Back/Bra Line
    • Abdomen
    • Hips

When to Choose Cellulaze

Cellulaze is used exclusively for the removal of small amounts of cellulite. Cellulaze helps smooth the appearance of dimpled, cellulite-ridden skin so the body has a firmer and more toned appearance. If this is your goal and cellulite is your problem, Cellulaze might be what you need.

Cellulite typically affects women more than it does men. It forms in areas with little circulation and is generally seen on the lower half of the body, from the waist down.

Cellulite is organized into four grades:

  • Grade 0: Cellulite is not visible to the naked eye, even when the skin is pinched.
  • Grade 1: There is no appearance of cellulite when the individual is laying down or standing, but it becomes apparent when the skin is pinched or manipulated.
  • Grade 2: Cellulite can be seen when the individual is standing, but not when they are lying down.
  • Grade 3: Cellulite is apparent both when the individual is standing and when they are lying down.

Results and Recovery

Both SmartLipo™ and Cellulaze are outpatient procedures. They don’t require an overnight stay unless there are substantial complications during the procedure. Both procedures utilize very small incisions, so there is little to no scaring and no painful surgery site to heal from.

That said, each procedure does have unique characteristics of recovery and healing.

Recovery from Liposuction

Recovery time can range from 2-3 days to a full week. This depends on how much liposuction was performed and what your doctor believes is a suitable recovery time. Many doctors recommend that patients rest for the first day but suggest they make an effort to move around a little bit. Stitches are removed about a week after the procedure and most patients can engage in strenuous activity after 3-4 weeks.

You might see results in the first few days after your procedure. In most cases, your doctor will prescribe compression garments or bandages to minimize swelling and pain. It can take anywhere from 1-3 months for swelling to subside. Once it does, you will see the full scope of your liposuction results. 

Recovery From Cellulaze

The recovery time for Cellulaze is shorter than liposuction. Patients return to normal activities within 1-2 days and strenuous activities within 1-2 weeks. Swelling and bruising are common, as is some mild discomfort. Patients may experience a leaking of fluid from the incision site. This is normal and should subside within a day or two.

Results are instant, but, because of swelling, they may take 3 months to a year to see. During this time your skin will appear firmer and tighter and the dimpled cellulite appearance will be a thing of the past. 


These procedures are not for everyone. A local anesthetic is used in both procedures, so people who are allergic to lidocaine should discuss alternatives with their doctor. Pregnant women or those who are nursing are not usually good candidates. Below is a brief overview of the criteria used to determine whether an individual is a candidate for either procedure.

Liposuction: To get liposuction, the individual must be in good health and within 25 pounds or so of a healthy weight. They should have fat deposits that don’t go away with diet and exercise in target areas like the arms, waist, neck, or abdomen.

Cellulaze: Candidates for Cellulaze are women or men with a healthy weight that are concerned with the appearance of cellulite in their legs, buttocks, or stomach area.

 Results at The Centre, P.C.

When you come in for liposuction or Cellulaze at The Centre, P.C., you’ll benefit from an amazing experience, performed in a relaxing environment, by skilled professionals. Our plastic surgeons are board-certified and are up to date with the latest techniques. We can help you achieve the look you’ve been dreaming of. All it takes is one phone call.

Contact us at 574-968-9100 to schedule a consultation today.

Be Your Best At The Beach

If diet and exercise won’t produce the results that you’re expecting, there are more options for you. Consider, for example, SmartLipo™ a minimally invasive procedure that is safer than traditional liposuction and melts those stubborn fat deposits that you can never seem to shed – literally.

Another possibility is Vaser® LipoSelection. Vaser® LipoSelection allows for more predictable results than traditional liposuction. With Vaser® LipoSelection, the surgeon is able to more specifically target the stubborn fatty areas without disturbing the surrounding areas. Vaser® LipoSelection is less invasive which promotes a shorter recovery time, ensuring you’ll be on the beach in no time.

If cellulite is the source of your worries, Cellulaze is a service to consider. A minimally invasive, laser-assisted procedure performed by one of our board-certified plastic surgeons, Cellulaze is a new, FDA approved, anti-cellulite treatment proven to increase your skin’s natural thickness for a smoother, healthier look that lasts.

If you’re reaching for that bikini ready stomach, consider a tummy tuck. While a tummy tuck, or abdominoplasty, is an intense surgical procedure, the results are undeniable. The tummy tuck helps to reduce the appearance of a protruding “tummy” area.

Whatever the case may be, the board-certified plastic surgeons at The Centre, P.C. specialize in the latest surgical techniques. If you are considering body contouring surgery, call our cosmetic surgeons at The Centre, P.C. to schedule your cosmetic surgery consultation.

VECTRA® 3D Process

Oh, to have the ability to actually see your results before you commit to breast implants. To be able to see yourself—a three-dimensional you, the real you from every angle—enhanced to what-could-be through surgery.

Truth be told, who wouldn’t want that opportunity? As a culture, we spend so much time second-guessing even our desire for cosmetic enhancements or corrections. At The Centre, P.C., when we see patients at their initial consult, often they want to be told that what they want is ok.

Until very recently, cosmetic surgeons could only help their patients visualize themselves post-surgery through before-and-after photos of other women’s bodies, or with testimonials. Yet nothing could really help patients see what their very own body could look like.

It was the reason our founder Dr. Ronald Downs brought the first (and only) digital image technology to our area. Through the VECTRA ® 3D system, patients can finally see realistic previews of their post-op bodies prior to surgery.

The cool part about the VECTRA® is that it’s not just for breast augmentation.

Rhinoplasty patients, people who are considering chin implants, even those who want a tummy tuck can all take a digital look at what a change could look like.

So good is this technology, our doctors can adjust sizing and re-sculpt the images during your consultation, so when you enter our surgical suite, both you and your surgeon have the same expectations for the results.

The imagery from the VECTRA® is stunningly realistic, says Dr. Downs. “The patient becomes very comfortable with the expected results of their surgery. And frankly, as plastic surgeons, we get a very good understanding of our patients’ personal expectations because we see those expectations right in front of us on the screen.”

Learn more about the  VECTRA® 3D process.

Things are getting real—down there

A recent article in the New York Post put a spotlight on the topic of—come on, say it with me—labiaplasty. The headline blasted “Women are getting labiaplasty to look good in their yoga pants”, and as it was intended, caught the attention of men and women alike.

Some commenters screamed others laughed, others shared the article in shock and awe. But the fact is, labiaplasty was the cosmetic surgery trend of 2013, 2014 and 2015.*

And yes, women are doing it to look good in their yoga pants.

Here at The Centre, P.C., our data matches national trends. We’re receiving more calls and scheduling more of these surgeries than ever before. So, what is it? And why is it becoming more popular? We asked Ronald K. Downs, MD, FACS, Founder of The Centre, P.C. to tell us more.

What is labiaplasty?

Labiaplasty is one part of the overall category of vaginal rejuvenation surgery. Vaginal rejuvenation—you might hear some people call it “vontouring”—usually combines vaginoplasty, which tightens the vagina, along with labiaplasty or vulvaplasty, which reshapes the vulva and labia (the outer and inner lips of the vagina).

How does it work?

The process is fairly straightforward. We use a laser to remove extra tissue beyond the desired contour of the area both inside and outside of the vagina.

In some cases, liposuction will be used to remove fatty tissue from the mons (the upper pubic region). Any incisions will be stapled or sutured, depending on the circumstances.

Why are women so concerned with the look of this intimate area of their body?

That’s an interesting question. The article states that it’s a superficial need to “look good” while wearing tight-fitting clothing like yoga pants or leggings. I agree that’s part of it, but we know from our patients that after childbirth and with age, they just don’t have the tightness and feeling that was there in their youth, which leads to diminished enjoyment of sex and in their self-confidence, not to mention urinary incontinence.

It’s a very personal decision, but it’s really no different than a woman who wants a breast lift after she’s finished nursing her children.

Is it expensive?

The range in cost varies, but commonly the surgery is $3,500 to $6,000.

Is there much downtime after?

Typical of surgeries, there is some time needed for recovery of the sutures and from any lifting. Medication for discomfort might be needed and intercourse is discouraged for up to one month. Most patients are cleared to return to work, however, after five to seven days, sometimes sooner.

For more information on labiaplasty, vulvaplasty or vaginal rejuvenation surgery, please contact our office at (574) 968-9100.

*Labiaplasty is one of the fastest growing cosmetic surgeries with more than 5,000 procedures performed in the US in 2014, a 49% increase from 2013, according to the American Society for Aesthetic Plastic Surgery (ASAPS).


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