Call Us Now!

PHONE: (828) 526-3783 | TOLL-FREE: (877) 526-3784

209 Hospital Dr #202
Highlands, NC 28741

Facebook IconGoogle Plus IconTwitter IconRealSelf Icon


3 Ways to Help You Quit Smoking Before the Start of the New Year

3 Ways to Help You Quit Smoking Before the Start of the New Year

ZERONA™ Non-invasive Body Slimming Highlands, NCWhether you have been a tobacco user for your entire life or if it’s just a habit that you just picked up, there’s no denying that tobacco isn’t good for you. With Surgeon General warnings on every cigarette box and with commercials that are enough to severely scare you, the information is out there.  With the holidays in full swing and the new year just around the corner, you may have a few resolutions that you want to make. If you are a tobacco user or smoker, why not quit before the new year even starts? Here at The Center For Plastic Surgery, we encourage all of our patients to quit smoking,  and, in some cases, will not do a surgery if the patient is smoking, because nicotine use slows down your body’s natural ability to heal and, may severely jeopardize the success of some procedures. To help you quit, we have created a brief guide of a few things that you can do.

Change the Habit of Putting Something In Your Mouth

Whether It’s after work, on your lunch break, or after a drink on a Friday night, one of the things that keep people coming back for more cigarettes is their habit of having something to put in their mouth. This is a hard habit to break, so we recommend you just modify it to something other than a cigarette or tobacco, or nicotine containing product. Electronic cigarettes are in the latter category. Instead, consider using something like a toothpick or straw as a substitute for the cigarette.  

Break the Nicotine Habit

The hardest thing of all is breaking your nicotine habit. When trying to quit smoking, try doing something like making a chart of how many cigarettes that you smoke each day and when. Then, make a goal of smoking two fewer cigarettes each day for 10 days, deleting one from the morning and one from the evening. If you can, continue this until you are no longer smoking. If you find it problematic, then just delete one ever day or, even, if you have to, every other day until you are no longer smoking. Make sure that you physically log your cigarette use so that you can see just how well you are doing.

Picture Your Life Without Nicotine

Sometimes, one of the best ways for you to quit smoking is to think of just how much better your life will be without nicotine. For instance, you can:

  • Daydream of all the wonderful aromas that you can smell once you quit smoking.
  • Think of how GOOD food will smell and tastes when you quit.
  • Think of your lungs thanking you for setting them free.
  • Think of your body being able to get more oxygen again.
  • Think of those facial wrinkles no longer forming at such a rapid rate.
  • If all else fails, talk to Dr. Buchanan about other options

Here at The Center for Plastic Surgery, Dr. Buchanan wants all patients to live healthy, cigarette-free life. If you want to learn more about ways that you can quit, contact our Highlands office or call us at (828) 526-3783.

Myths About the Sun and Protection From It:

We all think we know about the sun, what it does to us and how to protect ourselves from it. Unfortunately, most of us really do not know what we need to know. A great deal of this is because most of the people who write about this keep repeating information that has been outdated for years. Though you may think that this is implausible, several studies have shown that it takes an average of 13 years before a new discovery is adopted into general usage. Unfortunately, it has already been well over 20 years we learned new information about the sun and how to protect from it, and it has still not been generally accepted.

 

You only need to use Sunscreen when you “go out in the sun.”

 

This is based on what we previously knew about UVB. Since UVB is immediately absorbed rather than being reflected, it is much less strong in the shade or inside. It is also what causes sunburn. Because of that, it was considered really bad. Also, many modern windows block UVB so you would not sunburn inside. None really block UVA, which is present almost equally all day, all year, at all latitudes and even inside and in the shade. UVA is also the “bad guy.” It is what really causes sun damage. We remember the effects by “UVB, Burn, UVA, Aging.” We, therefore, need to protect from UVA all the time every day. This requires the proper sunblock and sun protective clothing.

 

 “You don’t need sun protection in the winter.”

 

This is similar to the above. While UVB is twice as strong in the summer as it is in winter, the strength of UVA is almost the same. This means that you need to protect from UVA aging all year. This is also true indoors and on cloudy days as UVA is unchanged in strength then also.

“SPF is what you need to look for in selecting a Sunscreen.”

 

SPF is a designation designed to tell you how well the sunscreen protects from sunburn. It has no bearing on whether it protects you from sun damage, however. As I said, sunburn is caused by UVB that is absorbed by everything, including your skin. This is the reason it causes a burn (all the energy is concentrated in the outer skin layer) and present twice as much in the summer as the winter, at noon as morning and evening and in Florida as in North Dakota (because of atmospheric absorption). Since it is UVA that is absorbed into all layers of the skin and causes cellular damage resulting in skin cancers and aging, you need a way to tell if what you are using does that. SPF does not do this.

 

All sunscreens protect from damaging rays equally,

 

Since December of 2013, any product labeled as a sunscreen or sunblock have to protect from both UVA and UVB. Any product that simply puts an SPF on the label but does not claim to be a sunscreen or sunblock does not necessarily have any UVA protection and any that it does have is usually short lived. Even those that are approved as sunscreens are not all equal in the protection provided. There is a long list of chemical sunscreens and the manufacturer can use a mixture of them. Some are better than others. The one thing they all share is that they only last about an hour if you are outside or 2 hours if you are inside. The physical sunblocks are zinc and titanium oxide. Both protect from both UVA and UVB and last until washed or rubbed off. However, zinc is by far the best, protecting maximally over a larger spectrum.

 

Something other than an applied sunscreen or sun protective clothing will protect you,

 

There have been many claims over the years. Most recently, several companies have marketed either a pill or something to drink that is supposed to protect you from sun damage. None of these products work, and the FDA has recently warned these companies to stop making such claims.

 

For proper sun protection, we suggest:

 

Since zinc oxide provides the widest spectrum of maximum protection and lasts as long as it remains in place, this is, not only the best, but the most practical. Probably the main reason it has not been adopted better is another myth, “it is that white stuff the lifeguards used to wear on their noses.” A recent health writer even bemoaned that we did not have a reasonable sunblock or “something other than that white stuff.” The fact is that it has not been “white” for well over 20 years and rubs in clear but provides superb protection. Instead of looking for SPF, we recommend that you simply look at the ingredients and buy one with at least 8% zinc oxide. This will give you all the UVA and UVB protection you need. We also suggest that your clothing is sun protective, either bought that way or washed with Rit SunGuard that washes in sun protection for 20 washes. We sell both in the office. Call, come in or visit our web site to find out more.

What Clean Skin Can Do For Your Confidence

Beautiful Skin Highlands, NCAfter a long day of work or activities, all you want to do is crawl into bed. But, before you lay down and really get comfy, make sure that you wash your face. With dirt, makeup, oil, and environmental chemicals on your skin, your skin is a lot dirtier than you may be aware. Plus, dirty skin can leave you with a wealth of problems. Let’s take a closer look at what clean skin can do for your confidence and why you shouldn’t avoid washing your face before bed every night.

Acne or its Adult Equivalent

Acne is an interesting problem. It is very common in teenagers and young adults. However, it is also quite common in older adults also. At an older age, it is frequently confused with other problems and labeled “Rosacea.” The initial inflammation causes redness and then stimulates the pigment cells causing dark spots. It can, therefore, be one of the hardest things on a person’s self-esteem, especially if you have a lot of it. Acne at both times is caused by clogged pores. The number one reason why we at The Center For Plastic Surgery encourage our patients to wash their face with a cleansing device like the Clarisonic is to get rid of the things clogging the pores. Oil can build up and clog the pores whether from overproduction at a younger age or small pores caused by years of sun damage. When you wash your face with a Clarisonic and an exfoliating cleanser you unclog the pores and prevent the inflammation. The Clarisonic has been shown to unclog the pores many times better than washing otherwise.

Rough, Dry Skin

The dryness of the air inside during this time of year can make your skin feel exceptionally dry. This is made much worse if you have not been keeping the outer dead cell layer thinned. Washing your face with a gentle exfoliating facial scrub will help you get rid of the dry dead cell layer, exposing the hydrated layer below. This is our preferred care instead of using moisturizers.

Fine Lines

Washing your face with an exfoliating cleanser also helps to prevent fine lines and wrinkles. If the dead cells build up, they tend to weight down the skin making it more likely to crinkle as the underlying support layer thins. This is also the reason we strongly recommend against the use of moisturizers as they also add weight to the skin.

Washing your face every night before bed is one of the best (and easiest) things that you can do for your skin and your self-esteem. If you want to learn more about how to take better care of your skin, contact our Highland’s office today. Call us at (828) 526-3783.

How to Make the Most of Your Liposuction

 Liposuction Highlands & Asheville, NCLiposuction is one of the most popular cosmetic surgeries for a variety of different reasons. It reduces localized fatty areas and even some less localized fat to smooth and even your contours. It is, in the right hands, quite safe. It is relatively easy on you and has a moderately fast recovery. Although we can perform the surgery to give you the results you desire, there are some things that you can do to make sure you get great results.

Make Sure You’re a Good Candidate for Liposuction

One of the best ways to really get the most out of your liposuction results is to ensure that you are a good candidate to begin with. One common misconception about liposuction is that it’s for people who are obese and have a lot of weight to lose. Although liposuction is considered to be a body contouring procedure, it is only for patients who are close to their ideal body weight but simply have localized areas of fat that spoil an otherwise nice contour, in other words, those who have already tried a combination of diet and exercise but are still unable to get rid of stubborn, excess, localized fat.

Make Sure That You’re Mentally Prepared

One thing to know about any sort of cosmetic procedure is that it can oftentimes be a lot more mental than it is physical. Although we can control the physical aspect of liposuction, it’s up to you to mentally prepare yourself for the surgery and recovery. What results do you want? Can you tolerate the procedure when done under local anesthesia? Are you ready to wear the post- op elastic garment? All of these things will help you head into surgery and recovery feeling like a champ.

Make Sure You Take Recovery Seriously

Yes, you may think that recovery is optional and that you can ignore your doctor’s recommendations, but recovery is definitely mandatory. By taking several days off any vigorous activity to rest and relax, you can help to speed your recovery time and allow your body to heal before you fully get back into your normal routine.

Make Sure You Maintain Good Habits

Getting liposuction doesn’t all of a sudden mean that you have a free pass to eat and drink whatever you want while you sit on the couch and watch TV all day. In fact, one of the things that you have to do after you get liposuction is to maintain a healthy diet and exercise plan. The leaner you eat and the more you exercise, the better results you will have.

Are you ready to take the next steps toward getting liposuction? Schedule your constellation at our Highlands office today by calling us at (828) 526-3783.

What Do You Know About Wrinkles?

If you are a man or woman “of a certain age,” the aging of your body and skin manifests itself in countless ways, facial wrinkles being one of the most visible and obvious.

Why wrinkles?

What’s the main causes of wrinkly skin? The sun’s UV and UVB rays resulting in an unbalance between the skin and the underlying muscles that, in the face, are attached to the skin.

How does this happen? The sun’s UVA rays cause a loss of your skin’s connective tissues including collagen and elastic tissue making your skin thinner, less elastic and much more vulnerable to wrinkles which are the result. More importantly, repeated, unprotected sun exposure can cause skin cancer. Additionally, the effects of the sun’s damaging rays are cumulative over your lifetime.

Most wrinkles appear around the eyes, eyebrows and mouth. This is because of repeated facial expressions, such as frowning and smiling. Smiling is a good thing, but worrying is not. Those frown lines don’t need extra help to deepen!

What helps? Here are 7 things to consider:

facial rejuvenationWrinkles are a natural result of aging, that’s true, but there are some things you can do to prevent or reduce them:

1.  Sunscreen is critically important but it doesn’t do any good in a drawer. Be sure to choose a product that contains at least 8% zinc oxide and re-apply it whenever you rub or wash it off (other products are OK, but need to be reapplied hourly outside and every 2 hours indoors). Don’t forget your hands and neck.

2. Stay away from tanning beds. They use UVA, the damaging part of sun rays.

3. Be gentle. Don’t scrub your skin with a rough cloth; don’t rub and pull at your skin; use an easy touch when applying makeup, especially around the eye area.

4.Use a retinol cream applied daily, especially after 30 years of age to reduce loss of collagen. If you are in your 50’s or older and haven’t been using a retinol, you probably need tretinoin (Retin-A).

5. Consider adding Obagi ELASTIderm® that converts some of the collagen to elastic tissue. This is especially true the older you are.

6. If you smoke, quit. Smoking greatly accelerates the aging process and causes wrinkles to appear prematurely.

7. Consider injectables, like Juvederm and Botox, if your wrinkles are deep and pronounced.

Today is the beginning…the rest of your life awaits you! Give Dr. Buchanan a call and request your complementary consultation 828.526.3783.

The Truth about Artificial Sweeteners

For decades dieters and diabetics have used artificial sweeteners to reduce sugar intake in an attempt to lose weight or control their diabetes. Multiple studies have shown that this does not work. One study split a number of people with metabolic syndrome (prediabetes) who drank sodas into 3 groups. One stayed on the regular sodas, one switched to diet sodas (with artificial sweetener), and the third switched to Perrier or other drinks without sugar or artificial sweetener. By switching to diet soda, the prediabetes did not change. However, stopping all sodas did markedly reduce the problem.

This and other studies only showed that switching to artificial sweeteners did not change anyone’s diabetes, prediabetes or weight. One study 4 years ago did show that artificial sweeteners have an effect in causing diabetes. Another study a year ago showed that drinks with artificial sweeteners could increase a person’s risk of dementia or stroke. A new studyfrom the Medical College of Wisconsin and Marquette University links artificial sweeteners to obesity and diabetes, claiming sweeteners change how the body processes fat and uses energy.

We at the Center for Plastic Surgery have preached for years that the way to control weight and diabetes is reduction of sugar through dietary management, not substitution for it. All these studies continue to add evidence of the significant harm that artificial sweeteners do and the necessity of proper dietary management rather than substituting something for sugar or fat.

Myths about the Sun and Protection from it:

We all think we know about the sun, what it does to us and how to protect ourselves from it. Unfortunately, most of us really do not know what we need to know. A great deal of this is because most of the people who write about this and even many Dermatologists and Plastic Surgeons keep repeating information that has been outdated for years. Though you may think that this is implausible, several studies have shown that it takes an average of 13 years before a new discovery is adopted into general usage. Unfortunately, it has already taken well over 20 years to adopt new knowledge about the sun and how to protect from it, and it has still not been generally accepted. The following are some widely held myths:

SPF is what you need to look for in selecting a Sunscreen.

SPF is a designation designed to tell you how well the sunscreen protects from sunburn. It has no bearing on whether it protects you from sun damage that causes skin cancer and aging, however. Sunburn is caused by UVB that is absorbed by everything, including your skin. This is the reason it causes a burn (all the energy is concentrated in the outer skin layer) and is present twice as much in the summer as the winter, at noon as morning and evening and in Florida as in North Dakota (because of atmospheric absorption). Since it is UVA that is absorbed into all layers of the skin and causes cellular damage resulting in skin cancers and aging, you need a way to tell if what you are using does that. SPF does not do this.

All sunscreens protect from damaging rays equally.

Since December of 2013, any product labeled as a sunscreen or sunblock have to protect from both UVA and UVB. Any product that simply puts an SPF on the label but does not claim to be a sunscreen or sunblock does not necessarily have any UVA protection and any that it does have is usually short lived. Even those that are approved as sunscreens are not all equal in the protection provided. There is a long list of chemical sunscreens and the manufacturer can use a mixture of them. Some are better than others. The one thing they all share is that they only last about an hour if you are outside or 2 hours if you are inside since the sun actually deactivates them. The physical sunblocks are zinc, titanium and iron oxide. They all protect from both UVA and UVB and last until washed or rubbed off. However, zinc is by far the best, protecting maximally over a larger spectrum and is the easiest to apply.

You only need to use it when you “go out in the sun.”

This, again, is based on what we previously knew about UVB. Since UVB is immediately absorbed rather than being reflected, it is much less strong in the shade or inside. Besides, many modern windows block UVB. None really block UVA, which is present almost equally all day, all year, at all latitudes and even inside and in the shade. We, therefore, need to protect from it all the time every day. This requires the proper sunblock and sun protective clothing.

Something other than an applied sunscreen or sun protective clothing will protect you,

There have been many claims over the years. Most recently, several companies have marketed either a pill or something to drink that is supposed to protect you from sun damage. None of these products work, and the FDA has recently warned these companies to stop making such claims.

For proper sun protection, we suggest:

Since zinc oxide provides the widest spectrum of maximum protection and lasts as long as it remains in place, this is, not only the best, but the most practical. Probably the main reason it has not been adopted better is another myth, “it is that white stuff the lifeguards used to wear on their noses.” A recent health writer even bemoaned that we did not have a reasonable sunblock or “something other than that white stuff.” The fact is that it has not been “white” for well over 20 years and rubs in clear but provides superb protection. Instead of looking for SPF, we recommend that you simply look at the ingredients and buy one with at least 8% zinc oxide. This will give you all the UVA and UVB protection you need. We also suggest that your clothing be sun protective, either bought that way or washed with Rit SunGuard that washes in sun protection for 20 washes. We sell both in the office.

The Importance of Daily Sunscreen

About this time of year, many start thinking about using sunscreen and many stores add new sunscreen choices. The truth, however, is that we all need to use a good sunscreen every day all year. It needs to protect from both UVB, the rays that cause sunburn and are present mainly in the south, mid-day and in the summer, and UVA, those present morning to night, at all latitudes and all year that cause aging and skin cancers. My preference, because it is exceedingly effective as well as practical, is micronized zinc oxide of from 8-14%. We stock several in the office. We also have many excellent methods of rejuvenating the skin from skin care creams to laser, IPL and peels. A recent publication by Drs. Oz and Roizen has reinforced our thoughts on this subject.

Many “Medical” Spas Lack Proper Oversight.

The Hampton Roads (VA) Virginian-Pilot (8/29, Simpson) reports on the growing trend of spas “tacking the word ‘medical’” onto their business’s name and “pitching invasive services,” often without “proper doctor oversight.” The paper writes that the trend is a result of a few factors, including “aging baby boomers, people looking for a cheaper alternative to plastic surgery and elective enhancements, and doctors looking for a way to replace shrinking insurance reimbursements.” Cases have begun to pop up, the latest of which occurring in Virginia when a Norfolk physician “received a state reprimand and a $5,000 fine” form the Virginia Board Of Medicine “for letting an unlicensed person use his prescription information to obtain medication for erectile dysfunction at a local medical spa.”

Other spas pay a non qualified off site physician to write prescriptions for other prescriptive medications including skin care products and then sell these without physician supervision. The Obagi Nu-Derm system is an excellent example as this system definitely requires oversight. Other spas are using lasers and other semi invasive machines without physician oversight. These too require oversight and the state of North Carolina where we are also requires this oversight. 

The Center for Plastic Surgery and Medi-Spa has been operating with more than the required oversight for over 14 years. All prescriptive skin care, such as Obagi, is personally supervised by Dr. Buchanan who also carefully oversees or personally does all invasive procedures, including lasers, IPL’s and major peels.

“WWII’s Guinea Pig Club helped revolutionize plastic surgery”

This excerpt from the book “Extreme Medicine: How Exploration Transformed Medicine in the Twentieth Century” by Kevin Fong illustrates how efforts to treat troops’ horrific wounds during World War II transformed the field of plastic surgery. Reconstructive surgeon Archibald McIndoe was among those treating severe burns and reconstructing facial features using skin flap and other pioneering techniques. Recovering patients formed a social club, dubbed the Guinea Pig Club, which evolved from “drinking and singing around pianos to rehabilitation and support,” Fong writes. Slate (5/12)