Tag Archives: Stephen M. Miller

Unfortunately gravity is unceasing and combined with age and sun related skin loss of elasticity a woman’s tissues surrounding her breast can lead to the breast mound falling lower on the chest. Additionally, the volume inside the breast can diminish with hormonal changes after pregnancy and menopause and with significant weight loss.  All these factors triumphantly combine to give an aged appearance that can be significantly disproportionate to the otherwise youthful feeling of a women. Sound depressing? Sure it does but the artistry and science behind plastic surgery can offset these changes to a woman’s breasts and make them feel good about the skin they are in.

If someone is unhappy with the appearance of their breasts it is helpful for analysis sake to deconstruct the breast into two separate components: the overlying skin brazier, and the volume and its distribution of the breast mound on the chest wall.

The mound itself may have adequate volume but most of the distribution of the volume is in the lower pole of the breast well below the breast fold requiring a bra to perform a heroic task of keeping the breast on the proper location on the chest wall. This situation can be improved by a mastopexy (lift) with creating a lower pole breast flap of tissue transposed under the rest of the breast mound and fixated to a non-mobile portion of the chest wall to provide upper pole fullness. In this situation the skin brazier is loose and has allowed the breast mound to sink inferiorly and requires and generous amount of skin to be removed and repositioned to be coincident with the newly shaped breast mound. For some women this may produce a nice result but particularly individuals who have a very long trunk with a great distance from the breast fold to the collar bone, creating the appearance of low set breasts, the above technique requires another means of providing upper pole fullness. Some women are comfortable with adding an augmentation with a breast implant to enhance shape and form and creating a nice upper pole roundness. Some surgeons are comfortable offering an augmentation at the same time as the mastopexy. Other surgeons would argue, based on data which has shown a 25% revision rate with the combined procedures, would prefer to stage these techniques. I personally like to perform the augmentation mastopexy in a single stage because I would rather have the implant in place to provide shape and volume to the overlying breast mound prior to tailoring the skin envelope of the lift procedure. I find this saves the patient a second general anesthesia, reduces expenses, and can be performed in the office setting with much less cost. Generally, it is only a minor skin re-tailoring to minimally reposition the nipple-areolar complex vertically on the breast mound.

Implants can provide structural shaping and volume enhancement of the breast mound but there are definitely limitations to their effect. Women who have structural limitations to their chest wall anatomy can have difficulty in achieving satisfactory results with implants alone. Individuals with very wide sternums and rapidly sloping chest walls cannot achieve meaningful cleavage with implants alone because the devise cannot be placed on the sternum. Another anatomic limitation eluded to in the above paragraph is the long chest wall with the accentuated length of the breast fold to collar bone giving the illusion of the low set breast. Even an anatomic shaped breast implant which is taller than it is wide still cannot mask this affect. In both of the above situations in which implants are chosen as the enhancer of choice the addition of fat grafting is necessary to create a much enhanced result. The beauty of fat grafting is that it can be placed in any position on the chest or breast. It can be similar to the concept of photo-shopping an image and allows the surgeon to truly sculpt the breast and chest wall to closer reflect an ideal form and helps to hide these difficult anatomic variants with your very own fat.

Other women may prefer to avoid implants all together and in consultation with their surgeon may choose to enhance the shape and volume of the breast mound and chest wall in conjunction with a mastopexy with just fat grafting lone without implants. Just as implants have limitations so does fat grafting. The current art and science of the techniques of autologous fat grafting has a yield of around seventy percent sustainable take of the viable fat implanted into the tissues. This has been reproducible shown over many series of papers presented in the literature. Since fat is a very soft material that cannot resist significant opposing forces of the skin it is difficult to globally enhance a breast mound much larger than a cup to a cup and a half sizes larger in one session. Therefore a women who has a large skin envelope and very limited breast mound volume and desires to have a very full shape should not consider enhancement solely with fat alone. A combined implant with fat grafting provides a much better and stable result. In my experience fat grafting alone is best to sculpt and shape the cleavage and upper poles of the breast and chest wall interface. It can enhance the overall volume by a cup size as well. The other nice advantage of fat grafting for breasts is it allows the removal of unwanted fat volume from places like the flanks, abdomen, and thighs to achieve improved breast shape and sculpting of the body contour.

If you feel self-conscious about the appearance of your breast and feel it is disproportionate to the rest of the body and how you feel about yourself, consult a board certified plastic surgeon in LV Nevada to define your goals and options for rejuvenating your breasts.

Stephen M. Miller, MD, PC, FACS
8435 S Eastern Ave
Las Vegas NV 89123
Phone: (702) 369-1001

http://www.drstephenmiller.com

Stephen M. Miller, MD and Axiom Spa Open House

May 25, 2016 5-7 PM

Join us for a night of raffles, demonstrations, special promotions and catered refreshments.

Our raffle items include Botox, Juvederm, eyelash extensions and several skincare items from Hydrafacial, Neocutis, Obagi and SkinMedica.

Special promotional prices on Silicone Breast Aug, Fraxel Repair, Thermage, Micro Needling with PRP, Botox, Juvederm, Restylane, Kybella, Voluma, Radiesse, IPL-photo facials and all of the skincare lines listed above.

Representatives of the top anti-aging products will be presenting valuable information about their products.

This is an excellent opportunity to meet Dr. Miller, his staff and Axiom Spa technicians.

Please RSVP at Dr. Stephen M. Miller and Axiom Spa Open House

Stephen M. Miller, MD, PC, FACS
8435 S Eastern Ave
Las Vegas NV 89123
Phone: (702) 369-1001

Residents of Las Vegas know all too well the meaning of extreme weather. With thechanging seasons comes dry winter skin, and now that the holidays fast approachingit is time to focus on your skin care regime. Dry climates equal dry skin. Not to mention, dry skin is uncomfortable. It draws out the moisture from your skin leaving you with a less youthful glow, andcan lead you looking older than you really are. It’s easy to ignore daily skin care but when you live in a dry state like Nevada, understanding your skin first is the basis of a good skin care program.

An important part of our mission is sharing our expertise with you. Using the latest VISIA technology, a Skin Spa specialist will take ultra-violet and digital photographs to assist in evaluating your skin. Your face will then be thoroughly cleansed and analyzed for type and condition. To round out your consultation, we will formulate a customized program, and skin care treatments.The medical-grade products we use are available in our retail boutique by prescription so you can maintain the restorative effects at home between treatments.

We carry the following lines:

Obagi® Medical -offers an extensive line of clinically-proven, by-prescription-only skin care systems and products designed to help revitalize, enhance and maintain beautiful skin for life. The following sampling of systems meet the needs of all ages, all skin types.

Éminence Organic Skin Care – body and facial products are a natural approach to skin care. Produced using sustainable farming and green practices in Hungary, Eminence products only use ingredients without harmful chemicals or additives to allow premium results for all skin types. These products are made-up of essential oils and coloring and scents from fruits, vegetables, herbs and teas.

Jane Iredale Mineral Makeup -This is THE Skin Care makeup. Jane was the first to introduce mineral makeup. It is made with minerals and pigments that allow the skin to breathe. Her products provide anti-inflammatory, weight-less coverage, it’s a foundation, powder and concealer all in one. The products will not clog pores, carry a lowallergy risk, contain no talc or parabens or synthetic ingredients and provide sun protection.

Corrective Skin Therapies – Our medically-advanced peels are custom-designed just for you. Using clinically-proven, professional products by BioMedic® and SkinMedica®, we deliver great results when our peels are routinely combined with a prescribed, at-home skin care regime.

In addition to the above, remember to always wear sunscreen. The number one case of premature aging and wrinkles is sun damage. Make better food choices reduce your intake of junk food, Watch foods high in fat and sugars. Hydrate drink up to 8 glasses of water a day.Moisturize its one of the most important things to prevent sagging and dull aging skin. Use oil-based products that retain water on the outer layers of the skin.

Stephen M. Miller, MD, PC, FACS
8435 S Eastern Ave
Las Vegas NV 89123
Phone: (702) 369-1001

Cosmetic Surgery Financing in Today’s Market

As the market for cosmetic surgery and non-surgical procedures grows, patients are always searching for new, innovative ways to pay for their treatments.

WHAT THEY FINANCE
You can wrap up all of your surgery-related costs and cover it with your AHCL loan!
American HealthCare Lending finances treatments, procedures, medications, anesthesia, facility fees, recovery care, surgical garments, travel and lodging, etc.

HOW TO OBTAIN AN AHCL LOAN
It’s easy. Go to www.drstephenmiller.com, click on the AHCL logo and get started with your pre-approval process. Enter your information and our provider number. You’ll receive an email decision upon approval and funding within minutes. Then just select one of the loans offered and verify your personal information. Loans are funded directly to the bank account of the individual listed on the loan.

OTHER PAYMENT OPTIONS TODAY
Dr Stephen Miller still offers traditional payment options such as cash, cashier’s checks, Visa, MasterCard, Discover, American Express and lay-a-way plans. In addition, if you’re interested in opening a heath care-related credit card, we also participate with Care Credit which offers 0% interest rate for 6 and 12 months and 14.9% interest on extended payment options for 24 to 60 months.

Stephen M. Miller, MD, PC, FACS
8435 S Eastern Ave
Las Vegas NV 89123
Phone: (702) 369-1001

Dr. Stephen Miller has a keen eye for aesthetic quality. He brings to his Las Vegas plastic surgery practice a unique blend of intense training, surgical excellence, deep compassion, and unparalleled artistic judgment.

Our elegant plastic surgery office in Las Vegas Nevada is the perfect place in which to research your cosmetic surgery procedure. At the office of Dr. Stephen Miller, we have a deep understanding of the important role that physical image plays in life, yet we never lose sight of emotional well being. Our approach to cosmetic surgery integrates both body and mind to promote overall health. Our guiding principle is to treat you with the utmost respect, help you make an educated decision about surgery, and to provide you with the finest medical services in the safest, most professional environment.

Combining artistry with state-of-the-art medical technology, Dr. Stephen Miller offers a comprehensive range of surgical and non-surgical procedures to help you improve your appearance and elevate your self-confidence. Whether you are considering cosmetic or reconstructive surgery at our offices, Dr. Miller and his staff will help you understand your available options. We will work with you personally, to first determine what you wish to achieve cosmetically and then use all of our skills, talents and technological capabilities to help you reach these goals. We will provide unparalleled follow-up services to ensure you realize maximum results as well as peace of mind.

Contact us online or call us at 702-369-1001 to schedule your complimentary consultation.

Stephen M. Miller, MD, PC, FACS
8435 S Eastern Ave
Las Vegas NV 89123
Phone: (702) 369-1001