Stephanie's Corner

Stephanie's Corner
Notes from Nurse Manager Stephanie Holden


June 3rd, 2014

Dr. Jay Burns’s Awards as a Dallas Plastic Surgeon

Dr. Jay Burns is nationally recognized as a prestigious Dallas plastic surgeon. Board certified in plastic surgery, Dr. Burns has engaged in clinical practice for more than 20 years and, in that time, has also been a part of important industry research. He is the founder of the Vascular Anomalies and Birthmark Clinic at Children’s Medical Center, and he also serves as the medical director of EpiCentre Park Lane and Legacy. All of his hard work has earned him public recognition and many awards throughout the years.

Awards like:

  • Best Doctor in America – “The Best Doctors in America” is a database of physicians who are chosen exclusively by their peers. Dr. Jay Burns has been featured on the list for many years. He was selected for 2009-2010, 2008-2009, 2007-2008, 2005-2006, 2004-2005 and 2003.
  • Pediatric Awards – Dr. Burns received D Magazine’s award for Best Pediatric Specialists: Plastic Surgery/Craniofacial from 2010-2013. His specialization for pediatrics as a Dallas plastic surgeon is a large part of what sets him apart from other physicians.
  • Super Doctor -Texas Monthly creates a list of “Super Doctors” each year featuring superb the state’s best physicians. Dr. Jay Burns was honored on this list from the 2004 through 2010.
  • D Magazine – In addition to his pediatric awards from D Magazine, Dr. Burns has received other honors over the years from D. The magazine has consistently listed him as one of the best Dallas plastic surgeons – he was named from 2003 to 2012.
  • Television Recognition – Dr. Burns has been recognized on several television shows because of his remarkable work. He was featured on the Oprah Winfrey “Medical Miracles” show on November 15, 1999, and he has been a regular guest plastic surgeon on Good Morning Texas. The Debra Duncan Show on KTRK/Channel 13 in Houston has also featured Dr. Burns as a consumer expert.

Dr. Jay Burns is a distinguished Dallas plastic surgeon that has been widely recognized and awarded for his prestigious work. If you’re interested in learning more about plastic surgery or the services Dr. Burns offers, schedule a consultation today by visiting drjayburns.com or calling 214-823-1978.

 

February 6th, 2014

Question and Answers with Dr. Burns

 

Q: I have congenital asymmetric breasts. Do I need a experienced specialist to perform this corrective breast augmentation?

A: Without seeing photographs or doing an examination, it is hard to say what specific treatment you need. However, if you do not have droopy breast and too much assymetry, then most cosmetic surgeons who do breast work could easily handle your issues, say perhaps with different sized implants. However if this is congenital then ptosis (droopy breasts) may be an issue. The good news is that this too can be handled with a breast lift either bilaterally or unilaterally, but scars can not be avoided. Scars can be minimized and strategically placed but often this is the price to adequately correct symmetry and size differences in this situation. Again, all you need is a cosmetic surgeon who has a large experience with both augmentation and breast lifting/reduction surgery and there are many in your area. I recommend you look for a Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery. There are many cosmetic surgeons who claim they are board certified, but I recommend the above credentialling. There are no guarantees, you are only optimizing your chances. I always recommend looking at their results and finding someone you are comfortable with and can communicate to you well. Check references to further optimize your search. Good luck.

 

 

February 27th, 2013

Questions & Answers with Dr. Burns ~Isolated Neck Lifts~

 

Q: Best Procedure for Firming Neck and Chin?

I’m about to turn 50. The skin on my face is relatively firm and in great condition for my age so I don’t need a Facelift.

However, my neck and chin area doesn’t look nearly as good as my face. What are my options for firming up the neck and chin area?

A: Isolated Neck lifts

I do not believe most patients understand that the bands and looseness in the neck are connected to the face, In fact the SMAS (sub muscular aponeurotic system) is a fascia (like grissel on steak) runs from the cheekbone to the clavicle.  It is like a curtain.

It is hard to push a curtain up from below and make it look optimal. It is best to pull a curtain up from the top of the curtain, which is the face. This may not be what you want to hear, but the best way to treat the neck is a facelift in my opinion.

I see many surgeons perform an isolated neck lift because that is what patients want. However I see many patients who have such a procedure that are disappointed. In fact, I see patients who have their neck tightened toward the middle without doing a facelift. This approach can oftentimes actually bring the SMAS layer toward the middle and create a worsening of the jowl area.

I know many patients are afraid of facelifts because of a few bad results they have seen. However a well done face lift usually produces a result that is natural and youthful. A well done facelift actually should be very hard to detect. The ones that are detected are usually only the bad ones.

I would encourage you to go to an experienced Board Certified Plastic Surgeon and discover his or her approach. Thoroughly review their work in before and after photos to achieve a comfort level. Most facelift patients in my practice are extremely satisfied and have a much improved contour in the neck and face.

 

Jay

January 2nd, 2013

Welcome in 2013 with a fresher looking you! 10% off of Sculptra PLUS a $50 rebate per vial from Sculptra Aesthetic!

 


Welcome in 2013 with a fresher looking you!

10% off of all vials of Sculptra PLUS a $50 rebate per vial from Sculptra Aesthetics

Age doesn’t have to look the way it used to. It’s 

more subtle. More gradual. Shouldn’t your anti-age be just as subtle?

Sculptra Aesthetic. Not an overnight miracle. Long lasting. Not a quick-fix. The first facial injectable that gives you subtle results over time. Replacing lost collagen. Giving you a more natural looking appearance without giving you away. A full treatment of Sculptra Aesthetic, an average of three injection sessions over a few months, can last more than two years.* 

So you have more time to see how sensational subtle can be. Discover anti-age for the modern age.

Call us at 214.887.1577

*Individual results and treatment sessions may vary. Clinical trial ended at 25 months.

November 26th, 2012

Questions & Answers with Dr. Burns


Q:  My waist is around 30 inches, I want to make my waist smaller.  What procedures will I need to accomplish that?

A: Making waists smaller

I have been doing plastic surgery for 25 years and have never had a specific number goal to waist size. Realize that your pelvis and bone structure will determine your smallest waist size limit.

However, if you want to make your waist smaller there are two ways to do that.

  1. liposuction of love handles and waist. If you have fat you can grab in your hands in these areas, specifically lower abdomen, then you can suction it and reduce waist circumference. With your height and weight you must not have too much, if any fat in these areas.
  2. abdominal wall tightening in conjunction with a tummy tuck. This would be indicated if you abdomen has loosened due to pregnancies

Hope this helps. One more thought. I don’t have any photos of you which would help, but at the end of the day, be sure to not be too hard on yourself. Your weight and height seems in line from a strictly numbers standpoint.

October 15th, 2012

Questions & Answers with Dr. Burns~

I Want To Get A Facelift. I Had Sculptra Last Year Will That Be a Problem?

To answer your question simply, it should not be a problem. Ideally I love to do the face lift first then assess volume issues later the practical reality is that as common as fillers are, we do facelift in filler patients all the time.

Many patients who want to hold off or even avoid a facelift use fillers as a substitute. However, I always tell patients to remember some basic logical principles. Fillers simply add volume, so they are best utilized where volume loss occurs. That usually occurs in the temples and cheeks as we age.

The reason that smile lines get more pronounced is by gravity causing the cheek to fold over the upper lip and mouth area. Smile lines are not caused by having volume loss limited to this area. Placing filler in this area will certainly lessen the line but causes more volume in this area which has never been there before. Just know that if you change areas instead of restore areas you will, by definition, look differently. That may or may not be desirable but you must consider it, at least. If small volumes are placed subtly then a desired improvement can be achieved, but at some point the smile and animation movements in the cheek begin to look “different”. Friends and family can pick up these changes and if severe, anyone can tell. I say this only to caution other readers to “be careful” about overuse of fillers.

I prefer to do a facelift and get the structures returned to the appropriate natural position, then if the volume loss that occurs with aging is significan’t then it can be addressed by fillers in the cheek and temple. This gives a natural, youthful appearance.

Good luck with your surgery. The filler issue can be overcome. I would encourage you to find a good board certified surgeon that you can trust and communicate with.

August 21st, 2012

Questions & Answers with Dr. Burns

Q: Should I get a full tummy tuck or mini tuck?

A:  In general I believe muscle tightening is recommended if
there is muscle laxity usually due to pregnancy or massive weight fluctuations.
A full tummy tuck consists of muscle tightening and removal of all the skin below the belly button and creation of a new, more youthful belly button. 
If there is significant excess skin only, with some of this laxity above the belly button as well, then a skin only abdominoplasty is an option with creation of a new belly button (umbilicus) and no muscle tightening is needed. 
In rare cases, with a flat abdomen and very little loose skin located primarily below the umbilicus, can a mini- tuck be recommended. Personally, I see very few patients who need this. 
Above all else, I would not recommend muscle tightening limited to the area below the belly button. This almost always creates fullness above the belly button and an unsatisfactory result. 
In general, most women with multiple pregnancies need a full tummy tuck. No woman would prefer the scar or the discomfort of a full tummy tuck, but the bottom line is if you want the result, it is like most things in life, there is a price to pay for quality results. Please keep in mind that a full tummy tuck is common and met with very very high patient satisfaction. The flat youthful abdomen usually far outweighs the scars and temporary discomfort.

July 24th, 2012

An interesting drawing of aging~


(Source:  ASAPS)

July 12th, 2012

Questions & Answers with Dr. Burns~

Q: One of my choices for a Plastic Surgeon is not a Board Certified Plastic Surgeon yet. Should I go with her anyway?

A: Should board certification be a requirement for choosing a Plastic Surgeon-

You raise a great question. I am Board Certified Plastic Surgeon but my full answer may surprise you. On one hand,  I absolutely believe you should use a Plastic Surgeon certified by the American Board of Plastic Surgery(ABPS). On the other hand this does not guarantee you of a great result. It only enhances your odds. Even among ABPS approved surgeons, you should review photos, experience, and recommendations, if possible. This will further enhance your odds of a successful outcome.

Chances are that every surgeon you visit will show you board certification of some type. ER Docs, Neurologists, Ob-Gyn’s, Internists, among others can take weekend courses and get certificates, but only certification by the ABMS is the gold standard in Plastic Surgery. Many surgeons call themselves “plastic surgeons” deceptively.  The gold standard governing body regarding certifying specialties is the American Board of Medical Specialties(ABMS). Ask if their specialty certificate is recognized by the ABMS. Certainly the ABPS is a recognized specialty, which allows you to know that a certain high level of training and testing has been completed successfully.

I find it quite telling that many patients will choose non certified physicians based primarily on cost / cut rate deals. I see many patients in my office who wish they had never had these cut rate “deals”.

With regard to your specific case, you are dealing with a “board eligible” Plastic surgeon instead of Board Certified Plastic surgeon. They have received training but there is not way to tell fund of knowledge until they pass their board. The probably will but you can’t be sure. Also you know for sure that they have had less than 1 to 2 years experience. They may have great bedside manner and ability, but there is just no way to be sure. IF they have great before and after photos and you like them, then that goes a long way to choosing the right surgeon.

There are no guarantees in choosing the right surgeon for you. You can only optimize your chances by keeping in mind the considerations above. The final choice is yours.