Dr. Sutton Graham's Blog

Expert Plastic Surgeon

More Fat Grafting, More Areas of the Body

The American Society for Aesthetic Plastic Surgery 2016 annual statistics show some interesting trends.  Three of the five most increased surgical procedures were #1 Fat Graft to the Breast, #3 Buttock Lift and #4 Fat Graft to the Face; they each involve transferring a patient's own fat to an area where enhancement is desired.  Fat grafting offers a way to improve contour without using an artificial implant.  Saline breast implants have an excellent safety record and achieve enhancement that cannot be duplicated by fat.  It is unlikely that this will replace breast implants in the forseeable future, although research is underway.  Fat grafting is excellent for enhancing the buttocks, and used much more commonly than buttock implants.  Facial fat grafting now is quite commonly done along with facelifting.  

Which Procedures Increased the Most in 2016?

The surgical procedures which saw the most increases in 2016 were:  Fat Transfer (fat graft) to the Breast (up 41%), Labiaplasty (up 23%), Buttock Lift (up 21%), Fat Transfer to the Face (up 17%), Breast Implant Removal, Explantation (up 13%)

Top Five For Women and Men

New nationwide statistics are out for 2016 from the American Society of Aesthetic Plastic Surgeons.  Most frequent women's surgeries were Liposuction, Breast Augmentation, Tummy Tuck, Breast Lift / Mastopexy, and Eyelid Surgery / Blepharoplasty comprizing oover 1.1 milllion women.  On the other hand men's top five were Liposuction, Breast Reduction (gynecomstia treatment), Eyelid Surgery, Nose Surgery, and Facelift totaling 144,000 (about 12% of women's total).

Volbella: New Treatment for Lips and Lip Lines.

Jan 25, 2017 — by Dr. Sutton Graham | Comments (0)
Tags: Volbella Lip Enhancement Lip Filler Lip Plumping Younger Lips

 Our practice is offering Volbella XC, specifically designed to enhance your lips and soften the appearance of wrinkles or lines surrounding the mouth ( peri-oral ). This product adds to our ability to help patients achieve natural looking, soft, beautiful lips, while lessening the effects of time on this most improtant area of your face. We are already very experienced with other Allergan products including BotoxCosmetic and fillers Juvederm, Juvederm Ultra, and Voluma. We are glad to see products developed to meet the special needs of our patients, and Volbella is one of these. The manufacturer's research showed that the majority of patients were happy with the lip appearance at one year, but more than a single syringe treatment was frequently needed for that result. At the Aesthetic Center, these treatments and others are available from each of our injectors

Happy Testimonial

Oct 11, 2016 — by Dr. Sutton Graham | Comments (0)

From a recent consultation patient, (with very neat handwriting):  "Great experience!  I was very nervous going in and very comfortable afterwards.. Staff was all very friendly and nice.  Already noted in e-mail survey but Angie is awesome.  I had a second consult scheduled elsewhere and cancelled it after seeing you.  :-) "

Comparing CoolSculpting and Liposuction

Sep 12, 2016 — by Dr. Sutton Graham | Comments (0)

CoolSculpting received FDA approval in 2010, as a nonsurgical fat reduction technique.  Controlled intense cooling is applied to areas of the body to gradually reduce localized fat collections.  Gradual loss of a portion of the fat cells in the area, and measurable reduction in fat thickness occurs.  Studies show approximately 20% reduction in thickness with a single treatment. Multiple treatments in the same area produce additional reduction.  The treatments require patients to lay still on a comfortable adjustable bed.  No medication or anesthesia is needed.  No recovery period, garments or activity limitations are recommended.  It can be used on most of the same areas of the body as liposuction, although there a few limitations.  Neither method significantly tightens loose skin, so other procedures may be more suitable (tummy tuck, neck lift, etc.).  Liposuction can treat or remove a much larger amount of fat.

Breast Implants Over Sixty

Sep 5, 2016 — by Dr. Sutton Graham | Comments (0)

 Many people are surprised to hear that a significant portion of our breast augmentation patients are in their sixties. And this is only first-time breast patients; there are also many that are having re-operation to maintain or improve their enhancement.  It does not surprise us because we see so many women and men who are physically fit and active (tennis, biking, Cross-Fit, rowing, Barre & Pilates, running, etc.).  We are just part of patient's strategy to keep looking and feeling their best.  Tummy tuck and breast lift would be even more common in our experience.

The American Society of Plastic Surgeons 2015 data shows 2% of breast augmentation patients.  Overall 23% of cosmetic surgery procedures were performed on 55+ patients.  The top 5 operations were eyelid tuck (blepharoplasty), facelift, dermabrasion, liposuction and forehead lift.  

Only FDA approved BotoxCosmetic Used

Sep 2, 2016 — by Dr. Sutton Graham | Comments (0)
Tags: Botulinum Toxin Fda Approved Official Name Brand

The local news recently reported on an area medical practice sanctioned by the federal government for using non-FDA approved botulinum toxin.  We want to assure our patients that we only purchase brand-name BOTOXCosmetic from the manufacturer Allergan Corporation.  They assure us that we receive only FDA approved quality product for all of our patients. 


"Best Anesthesia Experience Ever"

Aug 30, 2016 — by Dr. Sutton Graham | Comments (0)
Tags: Local General Anesthesia Oral Sedation Certified

Many people tell us they have no anxiety about our cosmetic surgery, but their only concern is "being put to sleep."  The current possibilities include:

  • local anesthesia alone
  • local with oral sedation
  • local with IV sedation (twilight, MAC)
  • general anesthesia

 Anesthesia for cosmetic surgery has evolved greatly. Most minor procedures are done with local anesthesia and little or no sedation.  Most major procedures are done using general anesthesia, but with techniques and depth of anesthesia adjusted to suit each patient and procedure.  Safety and comfort are our paramount considerations.  There is no higher standard than use of an experienced, board certified MD anesthesiologist.  Use of nurse anesthetists is the most common method in our region, some are supervised by an on-site MD and others are supervised by the plastic surgeon.  We use only MDs. 

Happy First Anniversary: Beth Browne, MD and assistant Caron!

Aug 24, 2016 — by Dr. Sutton Graham | Comments (0)
Tags: Beth Browne Physician Injector Aesthetic Medicine

Happy anniversary Dr. Browne!  One year ago today, Dr. Beth Browne joined our practice.  We want to recognize and celebrate this.  For those of you that haven't met her, she is a skilled and talented physician who limits her practice to the field of aesthetic or cosmetic medicine.  She does not perform cosmetic surgical procedures, which Dr. Graham does.  Her 10+ years have beeen dedicated to using injectable products to enhance women and men's appearance.

Her most common procedure is Botox treatment of active facial muscles, softening wrinkles, frown lines, and creases.  She also does many filler and volume injections, using Juvederm and Voluma.  She is one of the areas most experienced physicians performing these procedures.