Frank Agullo, MDBoard Certified Plastic Surgeon

#Belfies Are the Latest Social Media Rage

#Belfies Are the Latest Social Media Rage

buttWe all know what selfies are. Those often funny images people post of themselves, particularly of their faces. But if you haven’t heard of “Belfies”, these are the latest trend to hit social media sites like Instagram, Facebook, Twitter, Pinterest and even YouTube. As funny as it sounds, these are images of big, round buttocks posted by women of their own butts, “butt selfies”!

It is unclear exactly where this recent fad started, but it could be due to the Kardashians, Nicki Minaj, Jennifer Lopez and other celebrities who have recently undergone “butt augmentations”. Butt augmentations for the last couple of years have been rising in the plastic surgery industry, with more women wanting to jump on the bandwagon and get those round, beautiful booties like the big stars.

Is this just another passing fancy, or are butt augmentations here to stay?

Brazilian Butt Lifts Result in Surge in Belfies

There are several ways women can achieve the beautiful buttocks like the celebrity superstars. Dr. Agullo is one of the leading butt augmentation surgeons in the Southwest part of the U.S., with two practices in El Paso, TX and Las Cruces, NM. Some women choose to go through the whole shebang, with butt implants and all, while others prefer some reshaping procedures.

Here are three ways you can get that #Belfie Booty:

  • Buttock Fat Injections – This is also called “fat grafting” or “Brazilian Butt Lift” in which the plastic surgeon removes fat from other parts of your body and then reapplies the fat into your butt to achieve a rounder, more voluptuous derriere. With BBL, the fat injections must be done with precision to achieve desired results and make the butt look smooth and natural, rather than lumpy. Dr. Agullo uses a combination of fat transfer with liposuction to create a beautiful “belfie-worthy” butt.
  • Butt Implants – Much like breast implants, butt implants are actually made of a solid silicone that doesn’t break. The implant is inserted and positioned into the buttock muscle to create a more volumizing, round effect. The implants also “lift” the butt.
  • Buttock Lift – You may just want to reshape your butt, so Dr. Agullo can reposition the fatty areas that are sagging and do a cleanup with the liposuction tool, while tightening and removing excess skin. This will lift your butt and make it look perkier. This is a good technique for people who already have enough “junk in the trunk” but who are just dissatisfied with the way it looks. The butt lift makes your butt look more shapely and proportionate with your body, giving you a nice effect.

All three of these options will give you a “Belfie” Butt that you can snap photos and post to social media, if that is what you want to do. However, that is not the real reason to get something major done to your body. The best reason is because you want more self-confidence and just to feel better about your appearance or the way you look in clothes.

If this sounds like you, then schedule a consultation with Dr. Agullo to talk about a Brazilian Butt Lift, Butt Lift, or Butt Fat Grafting services in Texas! Contact us today. Take a look at the hashtag #Belfie if you are interested in seeing images of different cosmetic services women are doing to make their backside complement the front.

The Next Generation of Breast Implants Will Blow Your Mind

newWell, now that we have your attention…

A lot of women who have considered getting breast implants and breast augmentations worry about how they will look. Some breast implants look obviously “fake” after the surgery, but to any women who has small breasts or who has suffered from a mastectomy, this has been the only alternative.

Science continues to impress us with new innovations, and the latest one to hit the plastic surgery industry is a new breast implant called Inspira® by Natrelle. Although still crafted with silicone, the Inspira® breast implants offer a totally customized shaping that gracefully enhances a woman’s bust area, making it hard to tell if they are real. Their slogan is, “Shape that Holds. Satisfaction that Lasts.” This is telling about what a woman can expect with this fifth-generation, silicone breast implant. Already a hit in countries like Australia, the Inspira® silicone gel implants will make their way to many of the best plastic surgery centers across the U.S., including Agullo Plastic Surgery of El Paso, TX.

What Makes Natrelle Inspira® Different?

There are multiple choices with Inspira, which maintains its shape better over time giving women less likeliness of wrinkling, dimpling or ripples.

Inspira® also features five different projection volumes, which Dr. Agullo can help you to determine the best choice, based on your current breast size and base width. Your breasts will look larger with a higher projection. You’ll have Extra Full, Full, Moderate, Low Plus or Low to choose from, which gives you the most natural result!

Dr. Agullo can use the Vectra 3D system during your consultation so that you can visualize your breast augmentation results with different implant types, sizes, and profiles.

One in three women are unsatisfied with their breasts, so if you’re in that category and want to consider breast augmentation, come to see Dr. Frank Agullo at Southwest Plastic Surgery in El Paso or Las Cruces and try Inspira® when it officially hits the U.S. market – May 30th!

Getting Rid of “Arm Flab”

shutterstock_177004775Something strange happens as we age, and that is the loss of skin elasticity. Even the strongest man or woman in the world might find themselves with extra skin underneath the arms, particularly in the triceps area. Moms know they have superhuman strength from lifting their babies and children, but somehow gravity does little to back this up; after a certain age range.

You may have heard many terms for the “arm flab” just underneath the biceps. Some call them “Bat Wings” and Oprah calls them “Ham Hocks”. There’s even a new term called “Bye Bye Arms”. All of these derogatory terms refer to the flaps of skin and fat that keep waving long after you wave goodbye! Even those who are considered fit, or at least, not fat, may notice this problem as the skin loses its firmness.

Dr. Frank Agullo of Southwest Plastic Surgery of El Paso, TX and Las Cruces, NM can get your arms back in top condition! Through either a brachioplasty – which is also known as an upper arm lift – or liposuction, the skin underneath the arms can be liposuctioned and trimmed. This is especially great for people who may have lost significant weight, or who have mid-to-moderate underarm sagging.

Another alternative procedure has also come into the limelight. It’s called “Vanquish” and works best for people who still have good skin elasticity, but who have some fat excess they want to get rid of. Vanquish is minimally invasive and can be done in about an hour, per arm. It does not hurt and patients can leave and return to their regular day-to-day activities by the next day!

One last “arm flab” solution at Agullo Plastic Surgery is done through the use of ultrasound technology. Ulthera is a device that uses magnetic pulses and different frequencies to tighten the skin. This option is great for people who don’t have a lot of fat, but who just want to tighten up the underarm areas to eliminate those Bat Wings. Ulthera works by stimulating the collagen in the affected zones. Patients may see a substantial reduction in the arm circumference over a period of several treatments. The warm sensation is also soothing and relaxing, with no pain or downtime, plus no worry about damaging the underlying nerves.

Dr. Agullo is a board-certified, award-winning plastic surgeon who can help you get your arm flab under control, so you can feel confident again wearing sundresses, beachwear and other favorite summer styles! Call 915-590-7900 to schedule a consultation and see if any of these arm reduction solutions are right for you.

New Fat Grafting Procedure Helps Patients Love Fat in a Different Way

In Mid-May of 2015, top surgeons for the ASAPS – American Society for Aesthetic Plastic Surgery – met to brainstorm the rapidly evolving method of fat grafting, which offers patients a revolutionary new way to re-sculpt and reshape the areas of the body that even exercise and diet cannot achieve.

Those once-neglected regions of a person’s body, such as the pecks, shoulders, abs and legs, can now achieve stunning definition that was once only available to those who were “born with” great genes.

Being hailed by one plastic surgeon as “liquid gold”, the fat grafting technique enables qualified surgeons to augment, reshape and redefine the anatomy in ways that other previous methods could not achieve. The results are natural looking, minimally invasive and use a patient’s own body tissue, making it less apt to be rejected by the body.

Fat grafting provides a robust, flexible measure of injecting the patient’s own fat cells into the desired areas. So you can take the fat away from the areas you don’t want it, and have it redistributed to the areas that need more volume. Although this does often require combined procedures, such as liposuction, for example, the initial results have been tremendously favorable. The fat literally takes on the physiologic makeup of whatever it is injected next to, thereby adapting in a way that makes it easy for the body to adopt.

While implants have long been used for augmentations, the fat grafting procedure offers an innovative alternative. It can even complement existing implants for patients who want more dramatic results, such as ultra-sexy, deep cleavage or “booty-licious” butts. In the future, many patients who have returned to plastic surgeons for the decade updates on their breast implants may be offered fat grafting as an alternative solution. It can also smooth and contour the implants, offering enhanced definition and customization.

One of the surprising findings is that in patients who have already gone through with the fat grafting procedure, the fat cells that were removed and redistributed to another part of the body did not come back to those areas. They also live forever in their new location. Fat retention rates averaged 60% for buttock fat transfers, 40% for breast fat grafting and 60% retention in the legs and calves. These tallies were performed by board-certified, best-of-the best, plastic surgeons certified by ABPS – the American Board of Plastic Surgery.

Another notable point about fat grafting redistribution is that the results are centered on shape and proportion, rather than the size of the patient. A person can designate the unwanted fat and just move it to another part that needs extra perkiness and volume. If you are underweight, this technique may not be possible unless you want to gain ten or twenty pounds to have it done.

Limitations exist, mainly when a patient’s bone structure or skin is unable to stretch enough to accommodate the fat injections. Scary as it may sound, if too much fat is injected into a specific area, it can actually rupture the nearby ligaments. Not everyone is a candidate for fat grafting, so the best advice is to go to a board certified plastic surgeon, such as Dr. Frank Agullo of El Paso, TX. In addition to being a member of ABPS and other prestigious organizations, Dr. Agullo can give patients realistic advice as to whether or not they are a candidate.

If you would like to find out if fat grafting is an option for you, Contact Agullo Plastic Surgery today to set up a personal one-on-one to discuss your concepts and goals.

Not So Commonly Asked Questions About Breast Fat Injections

Breast Augmentation Using Fat InjectionsRecently, Dr. Agullo received a great email from a prospective client in Canada interested in breast augmentation with fat grafting. She did not want to have breast augmentation with implants and had additional questions not covered on the website. Dr. Agullo performs surgeries of all kinds – not only for patients throughout Southwest Texas, El Paso, Mexico, and Las Cruces, NM – but also for a number of fly-ins from all over North America, Asia, and Europe. This is a special privilege.

Dr. Agullo has taken care to write all the content for his website himself to describe the most important aspects of breast augmentation using fat injections. To answer many questions about fat injections for women who want fuller breasts, here are answers to some not so frequently asked questions.

1. Who administers the anesthetic, and are they board certified? Is it local or general? Can it be local?

For breast fat transfer procedures, Dr. Agullo performs the surgery at a certified outpatient surgery center, which includes a free overnight stay for his out-of-town patients. Dr. Agullo’s team includes a board-certified anesthesiologist and nurse anesthetist, who will take care of the patient with the utmost care and attention to detail. The procedure is done under general anesthesia to optimize fat harvesting volume.

2. What type of liposuction do you use to remove the fat for fat transfer to the breast? How does this keep the fat viable?

Power-assisted, tumescent liposuction is the gold standard. This is the least traumatic method for the cells. Other types of liposuction, such as Vaser and Smartlipo™, generate heat that can injure and destroy the fat cells.

3. What is your complication rate? Are blood clots an issue?

It might seem unrealistic, but close to 0%. Infections and blood clots are extremely rare in a healthy patient. The most likely complication is fatty necrosis, which could result in palpable small masses, but Dr. Agullo doesn’t commonly see that with his delicate, micro-injection technique.

4. When you state the range for the procedure is between $4,000 – $7,000, what increases the price or decreases it?

The base cost includes one area of liposuction. In most patients, Dr. Agullo performs liposuction in multiple areas. Out-of-town patients are welcome to send pictures of themselves to get an exact cost, as well as recommendations. At Southwest Plastic Surgery, we are accustomed to consulting and treating out of town patients. Dr. Agullo can consult with you via telephone, or even better, face-to-face using FaceTime or Skype.

Patients who live locally within the El Paso, TX or Las Cruces, NM areas are welcome to come in for a consultation. During your consultation, Dr. Agullo can determine how much work is needed to accomplish your goals as well as an exact cost. Another advantage Dr. Agullo’s patients receive is the ability to get a Vectra 3D imaging preview of “before” and “after” pictures.

5. Is the price all inclusive, including garments?

Yes, we provide you with the exact cost for everything you need from preoperative vitamins to post-operative care.

6. Do you recommend lymphatic massage to the lipo areas?

Yes, Southwest Plastic Surgery of El Paso and Southwest Plastic Surgery of Las Cruces have a massage therapist on site to provide lymphatic drainage treatments. If a patient is from away, this will be done as frequently as possible until the patient leaves town. Please refer to the article about the benefits of lymphatic massage.

7. Do you use drains?

No; they are not necessary.

8. Having done this procedure, how many patients have complained of lumpiness or calcification afterward?

None.

9. When injecting fat into the breast, how are you careful not to hit any veins? Is that a concern?

Dr. Agullo uses blunt, microinjection cannulas, which are extremely unlikely to perforate veins or arteries. Nevertheless, a patient may still get bruising after the procedure.

People have different concerns, and understandably so. Any time a surgery is performed, women want to be well informed before committing to any major undertaking, especially if they are mothers who want to ensure their wellbeing in order to care for their child. Breast fat injections are fairly straightforward in the hands of an experienced plastic surgeon.

If you have any question regarding breast augmentation using fat injections, we encourage you to contact us at our El Paso office at (915) 590-7900 or our Las Cruces office at (575) 520-5041 today. Feel free to email Dr. Agullo directly, and he will be happy to answer any questions you may have.

Three Unknown Physical Benefits of Tummy Tucks

Benefits of Tummy TucksMore and more frequently, women are turning to plastic surgery to help them regain their pre-baby shape or after large amounts of weight loss to remove excess skin and to restore their figures. Tummy tucks are not gender exclusive; many men have also sought the tummy tuck as a solution for eliminating or decreasing those spare tires and love handles.

If you’re considering it, you’re not alone. For a lot of people in America, the most wanted surgery is a tummy tuck or abdominoplasty. The proof is in the numbers; according to the American Society of Plastic Surgeons between 2000 and 2014 the number of tummy tuck procedures increased 87%!

Most people are familiar with the outer physical benefits, the creation of a flatter and toned mid-section, improved waistline, and elimination of stretch marks. What’s not usually known are these three physical benefits that can be achieved with a tummy tuck:

  • Reduction of Urinary Incontinence – Some women develop Stress Urinary Incontinence (SUI), or bladder control issues, after a vaginal birth. While most patients are treated with a specific SUI surgery, it has been noted that the incontinence is often resolved after an abdominoplasty.
  • Tightened Abdominal Muscles– An additional benefit to a tummy tuck has been seen when the abdominal muscles are tightened. Not only is the mid-section visually flatter, but a lot of patients experience significantly better standing and seated posture. The tightening of these muscles and better posture can also sometimes lead to the relief of back pain associated with a weak core or incorrect posture. The tightened abdominal muscles also contribute to a smaller intra-abdominal space, with patients experiencing fullness with smaller amounts of food intake, which contributes to weight maintenance or even weight loss.
  • Benefits of Tummy TucksVentral Hernia Correction if Needed – Many times patients experience ventral hernias associated with abdominal weakness. This can be caused by a multitude of factors including but not limited to extreme weight loss, C-sections, appendectomies, multiple pregnancies, etc. If you’ve been diagnosed with a ventral hernia, it might be worth speaking with your doctor about adding an abdominoplasty to strengthen the abdominal wall and prevent any future hernia occurrences.

Though the tummy tuck is increasingly popular in men and women, it’s important to take several steps to educate yourself before committing to the procedure. Knowing as much as possible about the actual surgery and recovery is very important for your health, your life schedule, and to help your family plan accordingly. Therefore, here are some important things you should know about tummy tuck surgery:

  • The procedure is still a major operation.
  • The surgery lasts, on average, two to three hours.
  • You will be under an anesthetic during the procedure.
  • You can expect your recovery time to take several weeks.
  • You will need to refrain from heavy lifting, quick movement etc., for a period of time after your surgery.

Dr. Frank Agullo is an award-winning, board-certified plastic surgeon who performs a large number of tummy tucks and Mommy Makeovers in El Paso and Las Cruces at Southwest Plastic Surgery. During your consultation, Dr. Agullo will take the time to explain why his technique is better, the pros and cons of surgery, the expected recovery time, and his post-operative recovery recommendations.

To schedule your consultation with board-certified plastic surgeon Dr. Frank Agullo, please call our El Paso office at (915) 590-7900 or our Las Cruces office at (575) 520-5041. We look forward to helping you achieve the confidence you deserve!

Breast Augmentation for Asian Patients, Is There Any Difference?

shutterstock_173309375One of the most important skills a plastic surgeon has when working with a patient is the ability to tailor a surgical procedure to “fit” the patient appropriately. This customization is just as true for breast implants as it is for any other personal enhancement. With Asian patients, the size of their body and the responsiveness of their skin are big factors when deciding on breast implants.

Most Asian women tend to be shorter and more petite than Western women, with proportionately smaller breasts. For most Asian women, this means using a smaller implant than those that would be used for Western women.   For example, using implants to increase an Asian woman’s breasts to an A or B cup would allow her to feel more feminine, while still looking natural. An increase in size to a C or D cup could possibly make her breasts disproportionately bigger than her body and result in feelings of self-consciousness.

When it comes to skin, Asians can develop scars that are either pigmented or raised. Their skin is very fine and delicate, and that is why Asian women seem to age more gracefully. That certainly is a plus, but when it comes to breast augmentation, the plastic surgeon must use caution to avoid excessive scarring. Asian women also tend to be culturally very private regarding the admission of cosmetic procedures, therefore having any telltale scars could result in patient dissatisfaction.

This tendency to develop visible scars can affect the choice of where the incision is made and what type of breast implant is used. Options for incision placement are under the breast or at the inferior areolar edge. A third approach is the Peri-Areolar incision. This is made around the edge of areola, or colored circle surrounding the nipple. This can be an option for Asian women who want a small lift at the time of augmentation.

Finally, a patient can elect a Trans-Axillary approach, where an incision is made in the crease of the armpit. If the patient tends to scar it will generally be hidden in the armpit, hence it would only be visible whenever the patient raises her arm.

The choice of implant used for Asian breast augmentation follows the same principles as petite breast augmentation. Proper tissue planning and measurements will help determine the ideal implant. For a more natural appearance, Dr. Agullo often recommends a 410 or “gummy bear” implant that is teardrop shaped. For petite Asian women that want a fuller and rounder appearance, he recommends a high profile round silicone implant. As a general rule, Dr. Agullo avoids the use of saline implants in petite Asian women, since they have a higher risk for rippling and palpability.

If you are considering breast augmentation but have any concerns, you can trust Dr. Frank Agullo to speak candidly with you about your best options and solutions. Schedule an appointment to see if breast augmentation is right for your situation and to see what the results will look like through a remarkable 3D Vectra system. Call 915-590-7900 to book a private consultation today.

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