Dr. Moulton-Barrett's Blog

The very low bikini incision: How to do this safely

The real low bikini ‘smile’ incision combined with an under surface vertical 6 pack muscle ‘corseting’ can be safely carried out with a few important things organized in advance. First of all, the use of a rented surgical bed, allows the back and the knees lifted up in the ‘beach chair position’. After about 3 weeks most patient will be able to extent their abdomen and the bed can be returned. A subcutaneous pain pump is inserted at the time of surgery. This device which delivers local anesthetic, similar to the medication dentists use, for a about one week. That means a patient can stand up and walk around with little or no pain. The use of oral muscle relaxants such as ‘flexeril’ means that muscle spasm which accounts for the majority of pain in the first few days can be significantly reduced and the patient can sleep in the beach chair position. Finally, the use of a trained Nurse’s Aid, who carefully escorts the patient home from surgery, will ensure that during the first 24 hours: the patient will be trained in the use of a deep breathing device to keep the lungs open, walk the patient to keep the leg veins pumping, educate the family on the importance of keeping the back of the bed in a ‘beach -chair’ position in order to avoid unnecessary tension on the bikini closure and the Nurse’s Aid checks on the surgical area, the blood pressure, the oxygen levels and the heart rate during the first day and night after surgery in the comfort of the patient’s home.

Eyebrow Lifts and Other Plastic Surgery is Becoming More Fashionable for Men

man-797455_1280It wasn’t long ago that most men wouldn’t have even considered getting an eyebrow lift. This was unfortunate, because men deal with the same consequences of aging that women do – and the same simple procedures can help them look their best. These days, the tides are changing. An article by the University of Utah Health Care titled When cosmetic surgery is an option for men describes how and why the trends are changing.

The author writes, “Procedures such as eyebrow lifts and eyelid lifts, which rejuvenate how guys look and feel, are becoming more and more accepted among men. In fact, in 2012, eyelid surgery was the second most popular plastic surgery among males with 29,050 men undergoing the surgery that year, according to the American Society of Plastic Surgeons.

“The reason that they state when they come in is that they need to look their best in a competitive job market,” said Cori Agarwal, M.D., a plastic surgeon with University of Utah Health Care. “Sometimes they’re competing with people who are 10 years younger than them, and they want to look more youthful.” While more men are getting plastic surgery — men make up 15 percent of patients nationwide — many men still don’t realize all the options that exist to help boost their confidence and freshen up their countenance.

“I think people sometimes think that cosmetic surgery is just for looking good, but it’s really for quality of life,” Agarwal said. “It’s for feeling comfortable in your body and looking on the outside like you feel on the inside.” In an eyelid lift — or blepharoplasty — a surgeon removes some of the hanging skin on the upper eyelid that drapes over the brow down toward the eyelashes. Often, an eyebrow lift is done in conjunction with an eyelid lift, and it can be performed one of two ways. The procedure has two effects. One is that it makes people look more refreshed, like they’ve gotten a good night’s sleep.”

There’s no question that we’re all living more competitive times, career wise, then we were a few decades ago. At Rex Moulton-Barret, MD we’ve seen men come in for brow lifts, facelifts, liposuction, and a host of other cosmetic procedures. Visit us today to work with a board certified surgeon who treats every patient with expertise and compassion.

Incredible Nonprofit Group Supports Women with Breast Reconstruction

Female FigureBreast reconstructions can be huge for the emotional healing of women who’ve had their breasts removed but that doesn’t mean they’re without emotional complications too. We’re happy to see an Amblecote-founded group take on an important role. An article in the Dudley News titled Rainbow Breast Reconstruction Group celebrates 10 years of supporting the borough’s women tells the story of this incredible UK support group.

Dan Sharp writes, “A much-loved breast reconstruction support group has marked ten years of helping women across the borough. Rainbow Breast Reconstruction Group, which was formed in Amblecote, held a special anniversary party at its White House Cancer Support base, which included the last official mayoral visit from Dudley’s outgoing first citizen Councillor Steve Waltho.

Also among the guests at the anniversary event were local businessman and philanthropist Geoff Hill, who has been a major supporter of the group throughout its history. The group was set up in 2006 after a chance meeting at a checkout at Sainsbury’s in Withymoor Village. Denise Hudson and Debbie Barnett had both undergone reconstructive surgery following breast cancer and soon became good friends.

The pair had provided support to each other and shared their experiences, and although there was a breast cancer groups in the borough, there was not a group specifically for ladies who had been through breast reconstruction. So Denise and Debbie decided to create their own group for women who have had, or are considering, reconstructive surgery.

The success of the support group, as well as Denise’s now disbanded charity which raised money for the breast reconstruction unit at Russells Hall Hospital, were celebrated at the recent event. Denise said: “It was a very successful evening and I thought it would provide a god opportunity to raise awareness of not just the work and support our group offers, but that of the White House.

“When we had the charity we raised more than £60,000 from our walks at Bodenham Arboretum, but they got so big and popular that they were too hard to run and organize all by myself, so I unfortunately had to disband it last year. “But the group is still going strong which was always the main thing. We have definitely helped more than 100 ladies over the 10 years, but the best part for me is when the ladies who have been supported come back to our meetings for a chat with the new members.”

This is a wonderful service. When you work with Rex Moulton-Barrett, MD for your breast reconstruction, we’ll provide you with a wealth of resources to make the experience as positive and stress-free as possible.

Trauma Team Saves More Than a Life: They Save Limbs Too

P1010030In a story in the Stanford Medicine New Center, we learn that saving a child’s life is often only part of the battle: in many traumas there’s some serious reconstruction needed to save limbs too. The article titled Stanford Trauma Center saves boy’s hand — and life gives the details of one such case.

Erin Digitale writes, “When the emergency call came on the evening of Oct. 19, 2015, doctors on Stanford’s pediatric trauma team realized the case heading their way could hardly be worse. Ten-year-old Elijah Olivas was being helicoptered from central California to Stanford Medicine’s emergency department after being ejected from a moving car during an accident. He had serious head injuries, and his right hand had been severed at the wrist. The team immediately began planning how to save Elijah’s hand — and his life.

“We knew that when Elijah arrived, we’d need to get him to the operating room as quickly as possible but also as safely as possible,” said orthopedic surgeon Garet Comer, MD, one of several-dozen experts from the Level 1-certified pediatric trauma center who cared for Elijah. “Elijah had a potentially life-threatening cranial injury, and we had to ensure that there were no other life-threatening bodily injuries before taking him to the operating room,” said pediatric neurosurgeon Samuel Cheshier, MD, PhD. “It was incredibly important because being thrown from a car could have caused a severe bowel or aortic injury, for instance.”

Any injury to a child can be a serious one. Whether it’s a life-threatening cranial injury or a burn, there are many traumas that lead to the need for pediatric plastic surgery. At the offices of Rex Moulton-Barrett, MD, we can help with a wide variety of surgeries for children including cleft lip and palate repair, macrostomia, congenital limb surgery, and microtia ear reconstruction surgery.

When it comes to your children, you demand a surgeon you can trust and that’s exactly what you’ll get. Rex E. Moulton Barret, M.D. is known and acknowledged throughout the world. He’s board certified by both the American Board of Otolaryngology-Head and Neck Surgery and the American Board of Plastic and Reconstructive Surgery.

If you have questions or concerns, or you simply want to schedule your own consultation, reach out to us today.

Advances In Burn Reconstruction Give Woman New Hope

SurgeryHealing from burns is both a physical and emotional healing process. A woman in Eastern Pennsylvania has been dealing with the burn healing process for many years. The options available have improved drastically since she first started her procedures. Today, a qualified office could fix these issues more quickly and with less pain. In Health Beat: Healing burn scars, Melanie Falcon writes:

“Hailey Woodall is still dealing with the aftermath of an accident that happened 12 years ago. When Hailey was 19 months old, she spilled a pot of scalding water on herself. “I kind of just grabbed it because I was trying to look up like that, and tilted it onto myself,” Hailey said. Hailey burned 40 percent of her body. “It was horrific. I said I wouldn’t wish it on my worst enemy to go through that,” said Tiffany Woodall, Hailey’s mom. Hailey spent months in the hospital and had numerous skin graft procedures, but years later, her burn scars were still causing problems. “Part of the process of scarring is the scars contract,” said Dr. Bahar Bassiri Gharb, a plastic surgeon at the Cleveland Clinic. Hailey’s scars were affecting the growth of her breast and preventing movement in her arm, so Gharb put a saline-filled expander under Hailey’s normal skin to gradually stretch it out and grow new skin. After a few months, she took the expander out, removed Hailey’s old scars and used the new skin to cover the area. “So with this surgery, we removed half of Hailey’s scars and covered them with normal skin,” Gharb explained. Now, Hailey can raise her arms. “I can go all the way up and before I could hardly go like this,” said Hailey. And she’s got her confidence back. “She’s just so much happier, and she smiles more,” her mom said. Hailey still needs at least two more surgeries to fix her scars. The tissue expansion procedure she had is also commonly used during breast reconstruction.

This is a process that will be ongoing for Hailey. It’s unfortunate that burn reconstruction wasn’t as advanced a decade ago compared to where it is today. As a result, he breasts haven’t grown as they would have without her burns. At Rex Moulton-Barrett, MD, we can help with a wide range of reconstructive surgery including pediatric surgery. Call our offices today for your consultation.

3 Summer Treatments to Try to Look Your Best This Season

Woman on BeachSummer is on its way and it’s time to do what you can to look and feel your best. An article by a local news station titled 3 New Treatments to Look Fabulous This Summer has three ideas to help you get started. Authors Holly Morgan and Elyse Johnson lay out the options nicely.

1. Get the perfect eyebrows

“This will get you the perfect brows. It’s basically a micro-blade that creates hair strokes on the face and is very detailed. It takes about two hours, but it looks exactly like hair strokes. This procedure is replaced tattooing brows on and isn’t painful. Microblading costs about $5,000, but lasts about two years.”

2. Consider a silkpeel

“This will leave you with glowing skin and is the new upgraded microdermabrasion. It’s a medical grade procedure that’s going to exfoliate the skin, while infusing medical grade serum into the skin. This procedure runs around $150 and is pretty much painless.”

3. Get a modern chemical peel

“Normally this procedure scares people away because they’re afraid of burning, peeling, and hurting. Newer generation chemical peels are very comfortable, have minimal down time or peeling and are really effective. Peels can treat anything. They’re going to treat pigment, tighten your skin, shrink your pores and fine lines.”

If you’re considering a chemical peel or a plastic surgery, make sure you choose a surgeon you can trust. When you work with Rex E. Moulton Barrett, M.D., you’re working with a plastic surgeon who’s known throughout the world and is acknowledged as one of the best. He’s board certified with the American Board of Plastic and Reconstructive Surgery as well as the American Board of Otolaryngology-Head and Neck Surgery.

Do you want a consultation to see what the best summer procedures will be for you? Contact our office today. We offer a wide range of services and can customize a plan specifically for your needs.

Why Cleft Lip and Palate Repair Surgery is so Vital

Revision-Cleft-2.2The discussion of plastic surgery often revolves around cosmetic improvements. Many people argue about the morality of cosmetic surgery but there is so much more to the industry.

Plastic surgery is extremely important when it comes to solving health problems the world over. One of those problems is cleft lip and palate. Many children all across the globe suffer from this crippling condition. Plastic surgery offers a life changing option to improve these children’s lives.

The International Business Times explores this very topic in a recent article titled “Cleft Lip And Palate In Ghana: How Repair Surgery Can Change Lives, Boost Local Economies.” Morgan Windsor of the International Business Times writes, “To tackle the crisis, a growing number of healthcare workers are hoping to persuade governments in Africa to help spread awareness and cover the cost of treatment by making the case that doing so would boost the continent’s struggling economies. A study recently published in the World Journal of Surgery found that, at a cost of $250, a cleft repair operation can boost local economies around the world by as much as $50,000 per patient as that individual goes on to lead a full, productive life, free of health complications and stigma. Those who have the surgery typically then receive an education, get a job, start a family and thus contribute to economic productivity. This triggers a ripple effect that has salutary effects not only on the patients but also on entire communities and regions, experts said.”

Perhaps the most effective way to convey the importance of cleft lip and palate repair surgery is through a firsthand account from someone who has suffered from the affliction.

Net Doctor provides just that in a recent article titled “What it’s like to be born with a cleft lip or palate in developing countries.” Natalie Healey of Net Doctor writes, “Thanks to medical advancements, cleft lip and palate are rarely an issue for babies born in developed countries. But children around the world are not always so lucky… When a young woman gave birth to a baby boy with a facial deformity in a village near Kumasi, Ghana, terrified locals carried him to the river for sacrifice to the Gods. Luckily, a man named Alex stepped in and stopped them before taking the child to Accra, the capital, to a surgeon named Dr Solomon Obiri-Yeboah who performed a simple and transformative procedure on the baby to repair his cleft lip and palate.”

If you are considering cleft lip and palate repair surgery for your child, you need a surgeon you can trust. Rex E. Moulton Barrett, M.D. is board certified with The American Board of Plastic and Reconstructive Surgery and The American Board of Otolaryngology-Head and Neck Surgery.

For more information on the procedure, contact us for a consultation.

Breast Reduction Stories

SurgeryAs we move forward as a society, certain stigmas around surgery are starting to dissipate. This is especially true when it comes to breast reduction surgeries. A number of famous entertainment personalities have come out and shared their stories and proudly discussed the procedure with major media outlets.

This is huge because countless women throughout the country and the world are suffering from things like back injuries because they are in need of breast reduction surgery. Stigmas often prevent them from getting the procedure, which only exacerbates the problem.

In addition to entertainers, non famous women are beginning to share their powerful stories as well. This is perhaps even more significant than the stars because it gives inspiration to regular women looking to address the problem.

Consider a recent article for the Huffington Post titled “What to Expect 1 Year After Breast Reduction Surgery.” Kadia Blagrove of the Huffington Post writes, “I made a YouTube video about all things breast reduction and I spoke a little bit about scar treatment. I started using silicone strips almost immediately after surgery but I found them to be impractical. I had to apply these sticker to my boobs day and night, washing them in-between wears. I couldn’t deal, so I moved on to ScarAway gel which was more convenient. I have to admit, after 3 months of using both strips and gel, I didn’t see the amazing results I saw in reviews. I eventually started to slack on my scar regimen. But I’m back on track now. I’ve been using Mederma for a month now. Let see what happens… Having such heavy large breasts caused me to have severe lower back pain. The surgery certainly helped relieve the pain and pressure, but due to the many years of this issue I still get some flare ups every now and then. Breast reduction surgery will help fix back pain significantly but it may not get rid of the pain completely. Seeing a chiropractor, stretching, and doing yoga has definitely helps me maintain a pain-free back.”

If you are considering breast reduction surgery, you can count on great results from Rex E. Moulton Barrett, M.D., who is board certified with The American Board of Plastic and Reconstructive Surgery and The American Board of Otolaryngology-Head and Neck Surgery.

Dr. Moulton Barrett offers a number of breast reduction surgery options. To figure out what will work best for you, contact us for a consultation.

Answering Questions About CoolSculpting

CoolSculptingMany people have questions about coolsculpting. Vogue aims to answer these questions in a recent article titled “Does Fat Freezing Work? Two Experts Weigh In on CoolSculpting.”

Mackenzie Wagoner of Vogue writes, “Blame it on bikini season or the forthcoming gala circuit, but recently, at dinner parties across the country, a topic has been on the tips of tongues: CoolSculpting. Not an entirely new technology, the fat-freezing procedure formally called cryolipolysis was first discovered after, rumor has it, doctors noticed that children who ate a lot of ice pops experienced fat degradation in their cheeks. ‘Fat is more temperature-sensitive than your skin,’ explains UCLA professor and plastic surgeon Jason Roostaeian. ‘It goes through the cell death process before your skin does.’ CoolSculpting was first approved by the FDA in 2010, but recently gained attention when it was rebranded from minor spot treatment to a noninvasive alternative to liposuction, promising to eviscerate love handles and bra bulge with the wave of a cooling paddle. Sound too good to be true? According to Roostaeian and Manhattan-based CoolSculpting guru Jeannel Astarita, the technology works. Here, they discuss the ins and outs of fat freezing, from weight loss to health risks… CoolSculpting procedures use rounded paddles in one of four sizes to suction your skin and fat ‘like a vacuum,’ says Dr. Roostaeian. While you sit in a reclined chair for up to two hours, cooling panels set to work crystallizing your fat cells. ‘It’s a mild discomfort that people seem to tolerate pretty well,’ he says. ‘[You experience] suction and cooling sensations that eventually go numb.’ In fact, the procedural setting is so relaxed that patients can bring laptops to do work, enjoy a movie, or simply nap while the machine goes to work… Above all, emphasizes Roostaeian, CoolSculpting is ‘for someone who is looking for mild improvements,’ explaining that it’s not designed for one-stop-shop major fat removal like liposuction. When clients come to Astarita for a consultation, she considers ‘their age, skin quality—will it rebound? Will it look good after volume is removed?—and how thick or pinchable their tissue is,’ before approving them for treatment, because the suction panels can only treat the tissue it can access. ‘If someone has thick, firm tissue,’ explains Astarita, ‘I won’t be able to give them a wow result.’”

When it comes to body contouring, you need a surgeon you can trust. Rex E. Moulton-Barrett, M.D. is internationally known and acknowledged. He is board certified with The American Board of Plastic and Reconstructive Surgery and The American Board of Otolaryngology-Head and Neck Surgery.

Dr. Moulton Barrett offers a wide variety of body contouring procedures, including tummy tucks, arm lifts, thigh lifts, CoolSculpting, and much more.

If you’re considering body contouring, contact us for a consultation.

Plastic Surgery Trending in the UAE

Plastic Surgery Trending in the UAEPlastic surgery is becoming increasingly embraced by the global community. Consider a recent article for the Khaleej Times titled “Plastic surgery on the rise in UAE.”

Jasmine Al Kuttab of the Khaleej Times writes, “Plastic surgery has been a rising trend in the UAE as men and women seek to find what they hope is their most ideal face and body. However, it is not just the middle-aged patients seeking cosmetic procedures now. Today, patients as young as 18 are also approaching plastic surgeons asking them to create their most idealistic self. Creating the idealistic human, might somewhat be perceived as a form of art. Many of those who speak of plastic surgery today, often ambiguously relate it to the greatest artists, sculptures and painters of all time. In fact, one can take a look back at the Italian Renaissance era, when artistic geniuses like Michelangelo, carved the most idealistic human forms. Whether it was a soft and feminine face with a luscious and curvaceous body, or a muscular jaw-line on a dominating figure, as depicted on the statue of David, all carved out of marble, of course. Although such geniuses were able to carve the most ultimate figures on blocks of stone as their chosen medium, surgeons today can also try to mimic such figures – in a way or two, but on the medium of a human body. Khaleej Times spoke to two world-renowned plastic surgeons based in the UAE, as well as an Emirati psychologist and hypnotherapist, on the rise of cosmetic surgery and its impact. Dr Abdulbaqi Alkhatib, consultant, plastic surgery, and the head of the plastic surgery department at Burjeel Hospital in Abu Dhabi, says plastic surgery has certainly been a rising trend in the UAE, particularly among the youth. Dr Alkhatib, who is also the founder and chairman of the Iraqi Cleft, Lip and Palate Centre, and previously the head of plastic surgery department at Zayed Military Hospital, says media is one of the leading causes of the rise in plastic surgery. ‘The media often tries to represent the most idealistic people, who may in fact not even exist in the same way the media portrays them online, in magazines and on television.’”

If you are considering plastic surgery, you need a surgeon you can trust. Rex E. Moulton Barrett, M.D. is internationally known and acknowledged. He is board certified with The American Board of Plastic and Reconstructive Surgery and The American Board of Otolaryngology-Head and Neck Surgery.

Contact our office for a consultation.