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Dr. Steven Couch is opening up a whole new world to patients. The Washington University oculofacial plastic surgeon at Barnes-Jewish West County Hospital performs upper and lower eyelid surgeries, correcting droopiness to expand patients’ field of vision and improve the appearance of the eyes.
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Women now have more options for cosmetic and reconstructive breast procedures. And West County Plastic Surgeons is helping deliver those new choices.
There is more than one way to flatten your tummy. Diet and exercise works for those who need to reduce fat in general. Liposuction removes fat cells from targeted areas. Noninvasive procedures freeze fat and cause it to disappear over time. But the only thing that addresses the abdominal muscles, fat and excess skin is abdominoplasty—a tummy tuck.
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Cosmetic breast surgery continues to be a popular choice for many women, and the efficiency, safety and results obtained by these procedures have improved over time. However, not every new cosmetic surgical trend is ready for prime time when it comes to breasts.
If you’ve Zumba’d and kettle bell’d yourself down a few sizes and the mirror is still not offering the reflection you’d like to see, how about body sculpting with the help of cosmetic surgery? According to the American Society for Aesthetic Plastic Surgery, the demand for cosmetic surgery procedures increased almost 9 percent last year. And the most common areas of concern for female patients? In their practice at West County Plastic Surgeons of Washington University, Drs. Terry Myckatyn and Marissa Tenenbaum hear “breast and tummies” most often. “The No. 1 complaint, after breast size or shape, would be the stomach,” says Tenenbaum. “Especially after childbirth, women notice a pouch, extra skin or stretch marks that appeared during pregnancy and did not improve afterward.”
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For about 70 percent of women who have a mastectomy or lumpectomy, breast cancer surgery is the end of the surgical road. Some may be unaware of their options for reconstructing the missing or damaged breast. And some may live too far from a major medical center where reconstruction is performed. And then there are others who decide that enough is enough. But Christy Kessler was determined not to be part of that majority.
Ever since Cleopatra lined her eyes with smoky lead powder, women have had an edge when it comes to enhancing their face. From lipstick to lipo, beauty products and services have traditionally been marketed to the ladies. But gender equality has arrived at the plastic surgeon’s office, although goals and procedures may differ.
For those of us who have inherited familial tendencies that have us accumulating fat in certain areas, liposuction is a miracle tool, says Dr. Michele Koo of Aesthetic Surgery Institute. “It should not be used for weight loss; its function is to contour and smooth areas of disproportionate fat accumulation due to genetics,” she clarifies. “We all have lumps and bulges that 98 percent of the population can’t get rid of on their own.”
Do friends sometimes think you’re angry, or tell you to smile? There is a cure for that furrowed brow that some of us develop with age: it’s called a brow lift. “Many people, when they hear ‘brow lift,’ think of an overdone, startled look, so I call it ‘brow shaping,’ ” says Dr. Michael Nayak of Nayak Plastic Surgery. Brow lifts are done to raise the brow, not to get rid of crows’ feet or the creases between the eyebrows, he explains. It can help those lines, because during the procedure the muscles that cause them are removed, but they’re not the main target. If, when you raise your brow manually, excess skin above the eyes disappears, only a brow lift is needed.
Dr. Terry Myckatyn, of West County Plastic Surgeons of Washington University, performed a lower body lift on a patient who had lost significant weight. He removed hanging skin and flattened the abdomen, concealing scars in areas covered by underwear.
Drs. Marissa Tenenbaum and Terry Myckatyn. photo by Taka Yanagimoto
With so many innovations in facial rejuvenation, how can someone determine which options are best? A patient’s No. 1 asset is a qualified physician, according to Drs. Terry Myckatyn and Marissa Tenenbaum, principal physicians at West County Plastic Surgeons of Washington University.
May 29, 2009
When West County Plastic Surgeons of Washington University opened its facility in Creve Coeur one year ago, it sought to create a different kind of practice, one that put patients at ease on their very first visit. Principal physicians Terry Myckatyn and Marissa Tenenbaum are trained in all areas of cosmetic and reconstructive surgery, and also serve as assistant professors at Washington University.
Big news! In a first for St. Louis, the FOUR SEASONS HOTEL ST. LOUIS has been recognized as a AAA Five Diamond property. This prestigious award is given to less than one percent of the more than 58,000 rated lodgings and restaurants around the country. To earn the recognition, the hotel underwent multiple blind evaluations that rated the property on 25 different benchmarks and 228 staff evaluations! This award puts our Four Seasons in good company, other AAA Five Diamond properties include the Sanctuary at Kiawah Island, Camelback Inn in Scottsdale, the Peninsula in Chicago and the Breakers in Palm Beach.
It’s springtime in St. Louis (at long last). The trees are budding, the grass is growing and the noses are running! In most cases, nasal congestion and drainage are minor inconveniences that can be treated with prescription or over-the-counter medications. However, it’s not always that easy.
While varicose veins may not be life- or limb-threatening, they can be a dreaded nuisance. Just ask longtime sufferers. The bulging, ropey veins are ugly and uncomfortable, says Dr. Scott Westfall, a vascular surgeon with West County Surgical Specialists Inc. He regularly sees patients who have chronic symptoms caused by varicose leg veins, with aching, itching and burning the most common complaints.