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Is It Best To Lose Weight Before Liposuction?2021-09-13T08:34:58-08:00

Liposuction–while designed to remove fat–is not a weight loss surgery. It only removes small pockets of fat resistant to diet, exercise, or have other causes. One of the most frequent uses of liposuction is to help weight loss patients get rid of the small bits of fat that continue to cling to their bodies. So, is it best to lose weight before liposuction?

The answer is that it depends. If you want to remove more than a few small areas of fat (usually less than ten pounds), then you may need to lose a little weight before undergoing liposuction. On the other hand, if you are fairly slim and want a BBL, Dr. Allegra may advise you to gain weight before surgery. Though, this is not that common.

The general rule for liposuction is that patients should be within about ten to fifteen pounds of their goal weight. It is also okay to continue losing weight after liposuction, but this should not be massive weight loss. The main reason for this is because some people have loose, extra skin after weight loss and would benefit more from a tummy tuck or other skin removal procedure. 

Therefore, every patient will have different needs before liposuction. The best way to find out what is best for you is to schedule a consultation with Dr. Ludwig Allegra at Northwest Face & Body. Call us at 425-576-1700. You can also reach out online via Price Simulator®, chat, and contact form.

What Is Usually Included In A Mommy Makeover?2021-09-06T09:26:05-08:00

A mommy makeover is a procedure designed to help women address the damage done to their bodies by having children and aging. As a general rule, it addresses the breasts and abdomen, and occasionally, other areas. Dr. Allegra is one of the top mommy makeover surgeons in the Bellevue area and frequently performs combination procedures. A common question heard during consultations is, “What is usually included in a mommy makeover?”

The answer depends on the patient’s anatomy and goals. As previously stated, traditionally, a mommy makeover includes a breast procedure and abdominal surgery. One of the most frequent combinations is breast augmentation and tummy tuck. However, a mommy makeover can include any combination such as breast lift and liposuction, breast augmentation with lift and tummy tuck, etc. 

Occasionally, a mommy makeover may include other procedures or areas. A few common examples include additional areas of liposuction, a Brazilian butt lift, and fat transfer. Sometimes facial procedures can be performed during a mommy makeover. Ultimately, a mommy makeover is customized to each patient and their goals. 

To schedule your consultation, call us at 425-576-1700. You can also reach out to us online via Price Simulator®, chat, or contact form.

Can Kybella Define Jawline?2021-08-30T09:35:19-08:00

Kybella–an injectable form of deoxycholic acid–is a non-surgical way to dissolve small amounts of fat. It is primarily used to treat the appearance of a double chin. Along with reducing a double chin, Kybella can improve the profile of the face and promote a slimmer appearance. When patients learn of these benefits they often wonder, “Can Kybella define jawline?”

The simple answer is yes, if you have the right anatomy. An undefined jawline can have many causes, one of which includes submental fullness. When injected with Kybella, over time, the injections dissolve the fat for a more defined and proportional chin appearance. When this fullness is addressed, this may reveal the true projection and contours of your chin. The chin largely affects the jawline and so when the fullness recedes, the jawline may look more defined. 

If you have both submental fullness and a recessed chin, you may benefit from Kybella injections in addition to chin augmentation with either fillers or an implant. This can dramatically improve and define the appearance of the jawline. Ultimately, your injector or plastic surgeon at Northwest Face & Body can determine the best treatment route given your anatomy and goals.

To schedule a consultation, call us at 425-576-1700. You may also reach out online via Price Simulator®, chat, or contact form.

How Do I Know If My Breast Implants Are Making Me Sick?2021-08-23T09:04:38-08:00

A condition known as breast implant illness is still hotly debated within the plastic and cosmetic surgery community. In short, this is a condition where a patient’s body reacts negatively to breast implants and can cause a variety of symptoms including unexplained fatigue, gastrointestinal issues, headaches, and increased anxiety and depression. The symptoms can range and typically do not present exactly the same in every patient. While many surgeons doubt the existence of breast implant illness, at Northwest Face & Body, we believe it is very real and have removed implants for patients experiencing it. So, how do I know if my breast implants are making me sick?

Considering many of the symptoms of breast implant illness crossover with autoimmune disorders and other conditions, you need to rule out other causes and factors. Generally, once all other possible causes have been ruled out, or effectively treated but not lessened symptoms, it may be time to think about removing your breast implants.

While breast implant illness can occur any time after getting breast implants, it generally happens within a few years of the surgery. Looking at the onset of your symptoms can give a clue as to if it may be breast implant illness. 

Finally, if you have concerns about breast implant illness, schedule a follow-up with your surgeon. If you cannot or feel uncomfortable returning to the same surgeon, schedule a consultation with Dr. Allegra who can discuss the possibilities of breast implant illness and give recommendations on how to proceed. To schedule a consultation, call us at 425-576-1700. You can also reach out online via Price Simulator®, chat, and contact form.

How Permanent Is Laser Hair Removal?2021-08-16T08:46:08-08:00

Laser hair removal is known as the longest lasting hair removal option available. But, just how long does it last? Since laser hair removal is often described as “permanent”, many patients believe this is too good to be true. So, let’s take a look at the frequently asked question, “How permanent is laser hair removal?”

Body hair grows in cycles. Therefore, to adequately treat all of the hair follicles, multiple sessions of laser hair removal are required. Once you finish all your rounds of treatment (typically between four and six), you should see little to no hair growth in the treated areas. It is normal to see some occasional, patchy hair growth, but it is unlikely that you will see the full return of hair in the area.

Our master estheticians do often recommend touch-up treatments once every year or so. The necessity for this depends largely on the treatment area, the type of hair, and your body’s individual response. However, beyond these occasional small patches easily addressed at home in a fraction of the time shaving normally takes, laser hair removal is permanent. 

Current technology has created lasers that are more effective for hair removal and that come with less pain. This essentially deactivates hair follicles and leads to long lasting, often permanent results. To schedule a free consultation with a master esthetician, call us at 425-576-1700. You can also reach us online using Price Simulator®, chat, or contact form.

What Is The Best Neck Tightening Procedure?2021-08-09T08:47:20-08:00

A sagging neck or neck laxity can have many contributing factors. Some of which include: reduction in skin elasticity, descending fat, sun damage, and other environmental damage. Many creams and over-the-counter products may provide some firming of the neck area, but once it reaches a certain point, professional procedures or surgery may be necessary to restore a more youthful neck. What is the best neck tightening procedure? Below are some of the most effective neck tightening treatments available at Northwest Face and Body.

Neck Lift

If you have significant extra or sagging skin on the neck, a neck lift may be necessary to remove this skin and improve the contours of your neck. Luckily, this procedure is fairly routine and takes under two hours. It can also be combined with a facelift or other facial plastic surgery.

RF Microneedling

The loss of collagen and elastin associated with aging can impact the look of the neck. If you notice some minor changes, wrinkles, or the beginning of sagging, RF microneedling uses radiofrequency waves to tighten and microneedling to induce more collagen in the area. This can improve the look of your neck and promote a slower aging process.

Chemical Peels

Earlier on in life, you can take a proactive approach to maintain the skin on your neck. While common for the face, chemical peels can also be performed on the neck to remove dead skin, address wrinkles, and treat regular damage. 

To schedule a consultation at Northwest Face & Body, call 425-576-1700. You can also reach us online via chat, Price Simulator®, or contact form.

Is Microneedling Better Than BOTOX?2021-08-02T11:47:30-08:00

When it comes to anti-aging treatments, there are two main types: medical spa skin treatments and injections. Both have their merits and can work wonders in making you look younger longer. Two of the most popular procedures in these categories are microneedling and BOTOX. While many master estheticians and injectors would recommend a routine that includes both injections and professional skincare, patients often ask, “Is microneedling better than BOTOX?”

First off, let’s look at what the two procedures treat. Microneedling is a skin treatment that induces collagen production to improve the quality and thickness of the skin. This accounts for the collagen loss that comes with aging. This can make wrinkles less noticeable as the skin thickens which can better hide hollows. BOTOX temporarily hinders muscle movements that cause wrinkles. This treats dynamic wrinkles and prevents more permanent ones from forming. 

The two procedures work in very different ways that can complement one another. So, one is not really better than the other since they address aging so differently. However, if you must choose one, your age and skin may make one more viable. If your biggest concern is with your skin such as sun damage, acne, hyperpigmentation, etc., then microneedling is likely the better choice. However, if you are more concerned about wrinkles and fine lines, especially those that form with movement on the forehead, nose, and corners of the eyes, then BOTOX may be the better option. 

To schedule a consultation, call us at 425-576-1700. You can also reach us online using Price Simulator™, chat, or contact form.

How Long Do You Have To Wait After Filler To Have Microneedling RF Procedure?2021-07-26T14:08:49-08:00

A Photo For A Blog Post About How Long Do You Have To Wait After Filler To Have Microneedling RF Procedure

Combining dermal filler injections and skincare procedures together is an extremely common and effective anti-aging regimen. Taking good care of your skin can also improve the look of your filler over time. However, you should always use caution when having the procedures performed closely together as they can interfere with the results of each. How long do you have to wait after filler to have microneedling RF procedure?

Filler & Microneedling Treatment Schedule

In most cases, your master esthetician or injector will recommend waiting two weeks between procedures, regardless of what they are. After two weeks, dermal fillers have typically settled and side effects are gone. This makes it unlikely that the microneedling will hinder the results or irritate the skin further.

If the treatments are reversed, wherein microneedling is performed first, it may be possible to receive filler the same day or soon after treatment. Though, filler injections too soon after microneedling will be more uncomfortable and more likely to cause an unsatisfactory result if any swelling is present after microneedling.

Therefore, most of the time it is best to wait around two weeks between filler injections and microneedling. Some exceptions can exist if the filler is an area not treated by microneedling. This is best discussed during your appointment.

Benefits Of Combining Filler & Microneedling

Despite the necessary waiting period between treatments, there are many benefits to combining microneedling and filler. First off, microneedling promotes better skin quality and collagen production. Better quality skin will only improve the look of your filler and may especially help in the under eye area prior to filler injections.

Considering both procedures are non-surgical, it is safe to combine them as long as you follow your provider’s instructions about doing so. They can also lead to plumper, suppler skin. While filler restores lost volume, the microneedling can thicken the skin and improve its look for better filler results.

Risks Of Combining Filler & Microneedling

When done correctly, there are few risks associated with combining these two procedures. However, if done too close together, there are some risks, which are typically temporary, minor, and correctable. Some of the risks may include:
Skin irritation
Lumps or bumps created in the filler
Unwanted manipulation of filler
Increased swelling or bruising
More pain during treatment
Filler migration
Unsatisfactory results from one or both treatments
Skin rash

Some patients can undergo the treatments closer together depending on their healing and individual goals. However, your provider will evaluate this between treatments. Overall, as long as you wait the right amount of time between treatments, the risk of the above complications is fairly minute.

At Northwest Face & Body, our injectors and master estheticians work together to provide all of your cosmetic needs. We provide the top cosmetic injections and professional skincare procedures in Bellevue and Kirkland. With experienced providers and under physician supervision, Northwest Face & Body offers the best combination of cosmetic treatments.

To schedule a consultation, call us at 425-576-1700. You can also submit an inquiry online using Price Simulator™, chat, or our contact form.

What Is The Difference Between A Breast Augmentation And Breast Implants?2021-03-01T10:44:36-08:00

Breast enhancement can refer to many different surgeries, results, and devices. Most commonly it refers to a breast augmentation surgery where Dr. Allegra enlarges the breasts. Again, there are many ways to perform a breast augmentation surgery including the use of the patient’s own fat and breast implants. Breast augmentation and breast implants are sometimes used interchangeably to refer to a boob job or breast enlargement. What is the difference between a breast augmentation and breast implants?

What Are Breast Implants?

Breast implants are an FDA approved, medical device that increases the size of the breasts and can alter the shape. There are many surgeries that use breast implants. In general, breast implants are placed to create fuller breasts. Occasionally, implants may create a more shapely, or rounder breast. This can treat shape abnormalities such as tuberous breasts. 

Dr. Allegra also uses breast implants during breast reconstruction surgeries. For patients who underwent a mastectomy, or have deformed breasts, breast implants can reconstruct the breast for a more feminine natural look.

Breast implants come in two main types: saline and silicone. Both types utilize a silicone outer shell. Saline breast implants are then inserted into the breast while empty. It is then filled with a sterile saline solution to the desired volume. Silicone breast implants come pre-filled and are filled with silicone gel. This gel mimics the look and feel of real breast tissue. 

In general, patients find that silicone breast implants look and feel more natural. They also are less likely to cause possible complications such as capsular contracture. The newest generation of silicone implants known as “gummy bear breast implants” offer an anatomical shape that contains more fullness towards the bottom like a natural breast. 

“Breast implants” refers to the implanted device itself. The surgical procedure can differ depending on the patient, their goals, and needs. At a consultation with Dr. Ludwig Allegra, he will use Vectra 3D imaging to help you choose the best breast implants based on your preferences and goals.

What Is Breast Augmentation?

Breast augmentation is a surgery that uses breast implants to make the breasts bigger and create all around fuller breasts. The goals of breast augmentation will vary based on the individual patient and their anatomy. Some patients may be satisfied with the shape of their breasts and want to use breast implants for larger breasts. Other patients may want rounder and fuller breasts. And, even further, some patients may want more cleavage and projected breasts.

Breasts implants are the most common way that Dr. Allegra performs breast augmentation. They can create a variety of shapes and sizes and offer the most consistent results of all breast augmentation methods. During a traditional breast augmentation, Dr. Allegra will make an incision in the inframammary fold, around the areola, in the armpit, or in the belly button. Through the incisions, Dr. Allegra will then place breast implants. 

Breast implants are not the only breast augmentation technique, however. Fat transfer to breasts consists of using liposuction to remove fat from donor areas such as the abdomen. The fat is then purified and injected into the breasts. This usually results in a more modest augmentation, but is also common among women wanting to fill in divots after a breast biopsy.

Other methods of breast augmentation that do not use breast implants are usually performed simultaneously with a breast lift. For example, auto breast augmentation involves removing unnecessary skin and tissue. Your plastic surgeon will then carefully rearrange the tissues for a full, perky breast.

Difference Between Breast Implants And Breast Augmentation

All in all, the difference between breast augmentation and breast implants is that breast augmentation is a surgical procedure that enlarges the breasts. Breast implants are the medical implant that can achieve larger breasts. Breast augmentation does not have to use breast implants and breast augmentation is not the only surgery that utilizes breast implants.

To learn more about breast augmentation or breast implants, call us at 425-576-1700. You can also connect with us online using chat, contact form, or our Price Simulator™ app.

Let Us Help You Treat Your Rosacea2019-03-04T19:46:45-08:00

Do you struggle with rosacea? You are not alone! According to the National Rosacea Society, it is estimated that 16 million Americans suffer from the signs and symptoms of rosacea. Characterized by blotchy skin, small red bumps, and broken capillaries, rosacea can be both aesthetically displeasing as well as physically uncomfortable. Fortunately, NW Face & Body has a number of ways to help treat and relieve your rosacea.


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