CoolSculpting Results After One Month

CoolSculpting procedureWe know CoolSculpting is a big hit with celebrities – it’s been one of Hollywood’s best kept secrets for a while now. Sometimes we forget that, in a lot of ways, stars are just like us. Okay, so most of us can’t afford world class personal trainers to whip us into better shape or top tier personal chefs who spend their lives concocting the healthiest, most delicious meal options conceivable. But even so, we can all work hard to change our habits, maintain active lifestyles, and eat healthy, and still find that we have those stubborn pockets of fat in the tummy or the thighs that just don’t go away. It turns out celebrities have been freezing this fat away for the last few years with one of the most effective non-surgical fat loss technologies we’ve ever encountered.

At this point you might be thinking, that’s all well and good, but we all know that celebrities whose careers rely on their appearance are often willing to use any means necessary to get their desired results, no matter how uncomfortable, inconvenient, and even in some cases painful they might be. They have the time, the money, and patience to do whatever they need to. What about for the rest of us? If we’re seeking out a non-surgical treatment option, it’s more than likely because we don’t have time for downtime and we’re so busy we can’t afford to be bogged down by painful recoveries. So what is CoolSculpting really like for the rest of us?

Toronto lifestyle and beauty blogger Sarah Ohm wanted to know, too. As you can read in her first post about the actual CoolSculpting experience (and you really should check it out, she was even generous enough to include a video to show her real time reaction to the procedure) it’s actually totally comfortable and you can relax while your fat is literally frozen away. You can even double up on other treatments like peels or injections while you’re hooked up to the CoolSculpting applicator, like Sarah did, or you can kick back, relax, watch Netflix, and enjoy other treats.

It’s been one month now since Sarah came to us for her first CoolSculpting session, and believe it or not, you can already see a difference. Even though final results will continue to develop for three months after a CoolSculpting treatment, as you can see with Sarah, that gradual change can start to be visible after only four weeks. Sarah’s CoolSculpting update covers the first weeks after her procedure (discomfort was “probably more annoying than painful” and thankfully the pain management tips I gave her worked like a charm). She’ll keep updating us as the final result progresses, but here’s her current before and after:


We love this procedure because results speak for themselves. Not just for celebrities, either! If you want to know more, join us for our upcoming VIP CoolSculpting event where you can win free treatments, receive unbeatable discounts, and enjoy tons of other treats and perks. Hope to see you there!


Anesthesia for Breast Augmentation

anesthesiologist breast augmentationOne of the top concerns for patients undergoing any type of surgical procedure has to do with general anesthesia. When I meet with women who are interested in breast implants, naturally we have a lot to talk about during the consultation process. From how to choose the right breast implants, to potential risks and complications, we talk about it all. When it comes to overall safety, there’s still one question I hear time and time again: is general anesthesia safe with breast augmentation?

The short answer is of course yes. Unless you are at a higher risk due to issues like smoking, obesity, allergies, or significant kidney, lung or heart problems, anesthesia is really very safe for patients. For the big procedures I’ve been performing for over 25 years like breast augmentation, tummy tuck, and rhinoplasty, thousands of patients at The Plastic Surgery Clinic have been put under general anesthetic. If it wasn’t a safe way to conduct surgery, it’s not something that we’d even consider offering. It’s just that simple.

During a breast augmentation operation, patients at The Plastic Surgery Clinic always have a board certified anesthesiologist by their side. This highly trained doctor administers the anesthetic, stays with you throughout the entire operation, and is there to continue monitoring you as you wake up. They will monitor your vital signs and make sure that the concentration of oxygen, carbon dioxide, and anesthetic drugs you are breathing in and out are at the right levels. They’ll also continually monitor your levels of consciousness by paying close attention to your electrical brain activity and by conducting in-person clinical observation. This way there’s always someone making sure that you’re completely comfortable, completely asleep, and completely safe every step of the way, from the operating room, to the recovery room.

breast implants anesthesiaThe other benefit of having an anesthesiologist in the operating room is that I can put my full attention towards creating the best result possible during surgery. Since I only work with the best doctors in Toronto and Mississauga, I know that I can trust them completely with your safety. It allows me to focus on creating a beautiful and natural looking breast and lets me concentrate on achieving all the goals we talked about during your consultation. In the end, you get the highest level of care and the best results possible, and really that’s what we strive to deliver to our patients every time.

A lot of people have fears about going under anesthetic, but statistically speaking, the risk isn’t in line with the worry. If you have concerns about this and about types of anesthesia used during breast augmentation, I’d love to discuss it further with you during a free consultation.


How to Choose the Right Breast Implant Size

best breast implant sizeThere is probably no other plastic surgery procedure that gives you as many choices as breast augmentation. If you decide that breast implants are right for you, you’re at the beginning of a long process of decision-making. Choosing between silicone and saline implants, under-the-muscle and over-the-muscle placement, incision placement near the breast or in the armpit… it can seem overwhelming at the start. But it doesn’t have to be!

Today, let’s talk about one of the biggest questions all of my breast augmentation patients ask: how do I choose the right breast implant size? Most of the patients I meet want to end up with a result that looks really natural, so when we work together to find the right breast implant for their body, we’re really looking to achieve a balanced proportion where it looks like she was born with that shape—not something obvious or fake-looking. Basically we want our patients to get noticed for their confidence, not for their breast implants. So when we talk about choosing the right breast implant size, we’re really talking about choosing a customized size for every woman that’s going to be big enough create a nice enhancement, but not so big that it looks unnatural.

We want you to be able to get an idea of what a given breast implant volume will look like with your body type, and that’s why we use special digital imaging software during our free consultations. We also use a range of implant sizers with a sports bra so you can get impression of the look and feel of different implant volumes. These approaches are great insofar as they help you to visualize what some number like 350cc looks and feels like in real life. At the same time, these demonstrations only give you an idea of what your outcome might be like, and it can be hard for a patient to accurately predict an end result, especially factoring in other implant characteristics like profile, shape, and placement.

Here’s where choosing the right plastic surgeon for your goals is so important. A highly qualified, experienced plastic surgeon has the right amount of knowledge and practice to understand how all of the factors of breast augmentation come together to achieve a great result. If they understand your goals and you feel that their outlook is in line with what you want for yourself, they will be able to guide you toward a breast implant volume that’s right for you. At our clinic, our philosophy is all about what looks natural. If a patient doesn’t want a natural looking result, then I advise them that I’m not the right surgeon for their procedure. I give my patients a range of sizes that will work for them based on their breast width, but I won’t let them stray beyond the range I’ve suggested. This way my patients still have a say in the decision-making process, but it’s guided by over 25 years of plastic surgery experience.

So what’s the bottom line when it comes to breast augmentation and volume? To choose the right breast implant size, the most important thing is to choose the right plastic surgeon who understands your goals and your needs.


Types of Breast Implants: Textured vs. Smooth

types of breast augmentationIf you’re considering breast augmentation and you’ve begun to research your options, you’ve probably discovered something important: when it comes to choosing the right breast implant for you, there are so many different factors to consider. Differences between cohesive gel silicone and saline breast implants are fairly commonly known, and after that you likely start looking into volume, projection and implant shape. But did you know that there are different textures for different types of breast implants as well?

The outer shell of a breast implant—whether it’s cohesive gel silicone or saline—can be perfectly smooth or rough and textured, kind of like velcro. Texturization was introduced for a couple of different reasons. When we use a teardrop shaped breast implant, for example, then we need that texturization to help keep the implant in place. Whereas the movement of a round breast implant likely won’t cause any abnormalities, if a teardrop or anatomical shaped implant moves around beneath the breast tissue, that particular shape won’t be able to stay in the right position. We don’t want our patients to have oddly-shaped, unnatural-looking breasts, so we use a textured implant with that velco-like shell to prevent it from moving around too much while still giving a natural look and feel.

The other reason texturization was invented was to help reduce the risk of capsular contracture. Capsular contracture is a complication that very rarely occurs in breast augmentation. The body forms scar tissue around the breast implants, which causes it to feel hard. It’s not the breast tissue, and it’s not the implant, but rather it’s the scar tissue that your body forms around the implant that creates this feeling. Plastic surgeons everywhere take every precaution to prevent this complication from happening with our patients, because we know it doesn’t let your breasts look and feel as natural as they should. What we discovered through significant research is that textured implants can help reduce the risk of capsular contracture.

But there’s a catch. Texturization can reduce this risk, but only when the implant is placed above the muscle. When we place the implant behind the muscle, studies show that no matter what texture you use, the rate of capsular contracture will be about the same. In that case, you always go with the implant with the lowest overall complication rate, and that’s a smooth implant.

Whether to place the implant above the muscle or behind the muscle is based entirely on what’s right for you, your goals, and your body type. Modern breast implants have been invented and designed for exactly these types of reasons. There is no standard best choice of implant that will work for everyone, but there is a best type of breast implant that can be perfectly customized to you.


Haiti: From Earthquake to Surgical Relief Mission

Haiti Child PatientIt’s an anniversary we won’t soon forget, and another milestone for a nation. January 12th of this year marked the 5th anniversary of the devastating earthquake that struck Haiti in 2010. It’s hard to believe that it’s been five years since that disastrous event, which took the lives of far too many and left hundreds of thousands of others with incomprehensible injury and untold sadness. Broken limbs, wounds, lacerations, and infections demanded immediate and highly skilled attention—demand that could not be met by a country reeling from this level of devastation. The earthquake was a disaster where the injured needed plastic and reconstructive surgery at a level never seen before.

It’s even harder to believe that it’s been almost five years since a team from The Plastic Surgery Clinic arrived in Port-au-Prince for a week long mission. Our team set out to continue the debridement, skin grafting and reconstructive procedures performed by the previous volunteer surgeons. The line of patients who needed attention was never-ending, their suffering incomprehensible, and their strength in the face of hopelessness unbelievable. The experiences from that week in mid-February have stayed with each volunteer every single day since their return. It’s not just that you can’t forget such an impactful experience. It’s that you owe it to those who lost their lives to remember, to move forward, and to continue the hard work wherever there is suffering.

That’s why we’re so glad to continue working with Artists for Peace and Justice. This incredible organization supports long-term, sustainable development in direct partnership with the Haitian people. They believe in empowering local communities, fostering economic growth, and the power of education to change a nation. They provide education, scholarships, healthcare, and other fundamental resources to a country where more than 50% of the population still lives in extreme poverty.

Haiti has come a long way since the earthquake five years ago, but there is still so much work to be done. You can contribute by donating to APJ, an organization that follows a 100% policy. Every single publicly-donated penny donated goes directly to programs in Haiti. The need for long term commitment is essential in order to create true change, and APJ is wholly committed to the ongoing project of empowering a new generation of Haitian leaders who will continue to help Haiti rebuild to become stronger than ever before.

To find out more on the 2010 Haiti Relief Mission, read Dr. Lista’s personal journal from the trip:

1.) We’re Going
2.) Our Journey Begins
3.) From Texas to Haiti
4.) Entering a New World
5.) Utter Chaos
6.) The People