If you’ve experienced significant weight loss or took advantage of bariatric surgery, congratulations for taking steps to be healthier. You may now have excess skin or fat that you would like to eliminate to restore the attractive shape and proportions of your face and body to showcase your hard work and the new you. Surgeries can remove loose, sagging skin from your arms, breasts, abdomen, legs, and other areas of your body to create more attractive contours. These procedures may leave scars, but most patients believe this is an acceptable tradeoff for their improved appearance.

• Arm Lift (brachioplasty)
• Body Lift (belt lipectomy)
• Breast Lift (mastopexy)
• Thigh Lift (thighplasty)
• Tummy Tuck (abdominoplasty)

Mommy Makeovers are ideal for moms who want to look and feel their best! A Mommy Makeover can include a combination of surgical procedures to help you put you back into beautiful form following childbearing. A Mommy Makeover includes a tummy tuck to remove excess skin or fat from the abdomen and tightening abdominal muscles to maintain the contour and shape of your waistline and support your healthy lifestyle. You can also improve sagging breasts after childbearing through breast augmentation or breast lift procedures. Frequently, these two procedures are combined for a Mommy Makeover. Liposuction may also be valuable for moms who want to improve the contours of their hips, sides, and other areas that diet and exercise cannot address after childbearing.

Cosmetic surgery is not only for women. Men from all walks of life and of all ages want to look their best and are requesting cosmetic surgery to look young and fit. We offer a number of surgical procedures for men that can dramatically improve your appearance. This includes a more proportional nose; a leaner, younger looking face; a trim and fit waistline; and a more defined, masculine contour. Here are some of the common procedures for men:

• Gynecomastia
• Liposuction
• Neck Lift

The Aesthetic Center by Kaiser Permanente brings a strong aesthetic sense into every surgical procedure, blending medical expertise with artistry. Everyone’s body is different and the surgeons use different procedures to help patients look and feel their best with a more defined and attractive shape.

• Arm Lift (brachioplasty)
• Body Lift (belt lipectomy)
• Body Contouring with Liposuction
• Thigh Lift (thighplasty)
• Tummy Tuck (abdominoplasty)

If you’re considering breast surgery, you may be like others who are dissatisfied with the size and shape of their breasts and the way their clothing fits. We offer solutions to enhance the appearance of breasts, including breast lifts for sagging breasts and implants for small or asymmetrical breasts. Heavy breasts can also be reduced through surgery. The plastic surgeons offer procedures that can be performed in combination with other procedures to make your breasts more proportionate and aesthetically pleasing. Click on the links for more information.

• Breast Augmentation with and without a lift (breast augmentation mammoplasty)
• Breast Lift (breast mastopexy)
• Breast Implants Exchange with and without a capsulectomy
• Breast Implants
  • Saline
  • Silicone Gel
  • Highly Cohesive Silicone Gel “gummy bears”

We will help you put your best face forward with surgical procedures that can revitalize your appearance. Surgeries can take years off your face and neck and create a more vibrant look that exudes more vitality and energy.

• Brow Lift, Endoscopic (endoscopic brow lift)
• Ear Tuck (otoplasty)
• Eyelid Tuck: Upper, lower and both upper and lower (blepharoplasty)
• Face and Neck Lift (rhytidectory and platysmaplasty)
• Fat Grafting
• Lip Augmentation

Aging, exposure to sun, disease, injury, heredity, and your lifestyle can make skin less resilient. Collagen replacers help to restore the youthfulness to your skin’s texture and elasticity.

Collagen is the most abundant protein found in humans and animals, and provides support to skin, muscle, tendons, and bones. Collagen replacement therapy is a safe, non-surgical procedure that replenishes depleted collagen. There is virtually no downtime for recovery after the procedure. We use Sculptra^® Aesthetic, which has earned the nickname of “liquid facelift” because of its effectiveness in creating a fuller, more youthful appearance, which can last for up to two years.

The collagen used for the injections are similar to human collagen in our bodies and is ideal for those who want to refresh their appearance. Sculptra^® Aesthetic addresses the beginning signs of aging by filling out wrinkles and scars, smooth crow’s feet, frown lines and smile lines, change the border and fullness of lips, and plump up areas of the face.

Many have a “double chin” and may feel self-conscious about this. It may not be because you are overweight and need to lose weight. Even if you have tried dieting and exercise and are successful in bringing your weight down, you may still have a double chin. We use KYBELLA®, a synthetic acid to get rid of fat below your chin. This same acid occurs naturally in our bodies to help break down and absorb the fat that we eat. KYBELLA® is injected into the fat beneath the chin to destroy fat cells to reduce fullness under the chin.

An injection typically takes between 15 to 20 minutes. The number of monthly injections will depend upon an individual. The good news is that one series of treatment is all you may need because once these fat cells are destroyed, they no longer can store or accumulate fat.

Facial lines and wrinkles can become more pronounced as we age because there is less fat beneath the outer layer of our skin. As we get older, our facial muscles are closer to the skin’s surface and are facial skin stretches more, making lines even more apparent. Other factors that affect our skin are exposure to the sun, hereditary, and our lifestyle.

Derma fillers such as Juvéderm® and Restylane® help to diminish facial lines and restore volume and fullness in the face and address early signs of aging. These derma fillers are made with hyaluronic acid, a natural substance in our bodies, which can bring dramatic, immediate improvements to your appearance. Hyaluronic acid is found in high concentrations in soft connective tissues such as cartilage and joint fluids. It is also injected into aching joins to relieve arthritis pain.

These derma fillers are effective in filling in acne scars, crow’s feet at the corner of our eyes, deep smile lines, frown lines between the eyebrows, worry lines across the forehead, and scars from burns, acne or wounds. Derma fillers also can make cheeks and lips appear fuller. The results can last from several months to several years depending on the filler used and the individual patient.

Recovery time varies for each patient and depend upon the type of filler injected. You can resume most activities immediately, but you should avoid intense physical activity for up to two days to minimize swelling and bruising.

Facial peels help to improve the skin’s appearance on your face. A chemical solution strips away the outer layer of the skin to reveal new, smoother skin that is less wrinkled. The process helps reduce fine lines around the eyes and mouth, wrinkles from sun damage or aging, mild scars, certain types of acne, and age spots, freckles or dark patches.

During this outpatient procedure, many experience a burning or stinging sensation that can last for up to about 10 minutes. It may feel like a sunburn after the procedure, and your skin will become more sensitive to the sun, so you should use sunscreen to protect your skin. Deeper peels may require pain medication and bandages to protect your skin. We can help you determine follow-up procedures, including scheduling additional peels at certain intervals, depending upon the depth of the peel.

We invite you to make an appointment for a complimentary consultation for a facial peel so that we can answer your questions regarding the procedure.

Laser treatments are ideal for those who want an effective way to remove or improve the appearance of facial wrinkles, scars from acne or surgeries, pigment changes in the skin or other skin irregularities. Our state-of-art laser is located at Mapunapuna Medical Office on an outpatient basis.

Using short, concentrated pulsating beams of light directed at the skin’s surface, laser treatments remove skin layers through a procedure known as lasabrasion, laser peel or laser vaporization. This uses lasers to peel away the skin’s surface. Some laser treatments affect only the deeper layers of the skin to tighten and smooth the skin’s surface.

These pulses may sting and feel like burning. When treatment is completed, your face is dressed or ointment is applied to reduce redness or swelling.

The time to recover from laser treatment will vary, depending upon the size and depth of the area that has been treated. Follow-up doctor visits will be important to ensure the healing process is proceeding well.

Veins in your legs can be unsightly and can affect anyone at any age. In the past, covering them with pants or stockings, or enduring painful injections or invasive surgery were the only options. Laser light makes veins less visible without harming the surrounding areas of your legs. We do leg vein removal procedures quickly, easily, and with minimal discomfort to you. Since it involves no incisions and no downtime, you can be get back on your feet and back to your youthful appearance in no time!

Microdermabrasion is a non-chemical, non-invasive procedure that uses microcrystals to exfoliate your skin’s surface to reveal fresh, healthier-looking skin. The procedure, which lasts about a half-hour, involves gently sanding your skin with a minimally abrasive instrument. A vacuum typically pulls the crystals and removes the outermost layer of dead skin as the sanding process is underway.

Microdermabrasion also helps to thicken your collagen, which results in a younger looking complexion. Collagen is a protein in your skin that’s abundant when you’re a child and makes skin appear taut and smooth. Collagen production declines as we age, resulting in looser, uneven skin tones. The procedure also stimulates the production of a new, underlying layer of skin cells with higher levels of collagen and elastin, for a younger-looking complexion.

Consultations on microdermabrasion are complimentary, so be sure to make an appointment to allow our healthcare professionals to answer your questions. Ideal candidates for microdermabrasion are those with fine facial lines or wrinkles, age spots, sun damage, uneven pigmentation, clogged pores, skin texture problems, or minor scars. Patients with rosacea or acne may also benefit from microdermabrasion treatments. Deeper facial wrinkles and other conditions may require other types of procedures such as dermabrasion, laser skin tightening, or face lifts.

There is usually a series of microdermabrasion treatments. There is no down time or recovery period following microdermabrasion. Any discomfort experienced following a microdermabrasion procedure is usually temporary. Any redness and swelling should last for only a few hours. The exfoliating process may continue for several days following the procedure. After your treatment, your healthcare provider may recommend a special moisturizer or facial product to enhance the results.

To eliminate the hassle of shaving, tweezing, or waxing, permanent hair removal may be an option. Lasers are targeted a hair follicles to remove unwanted hair permanently, while protecting the surrounding skin. It is ideal for removing unwanted hair from the face, leg, arm, underarm, bikini line, and other areas.

Photo rejuvenation is a skin treatment that uses lasers to address uneven skin pigmentation from sun damage, brown spots, and freckles, and minimizes pore size and fine lines. It is also ideal for those with vascular abnormalities such as redness, broken capillaries, spider veins, and rosacea.

The process reverses the effects associated with aging such as wrinkles, spots, and uneven textures by inducing “wounds” on the skin while also encouraging new skin cells. Photo rejuvenation stimulates dormant skin cells, and promotes new collagen growth.

Longer eyelashes can dramatically change the appearance of your eyes. Eyelash enhancers can help you grow longer lashes. Safety should be your foremost concern when selecting eyelash enhancer because they may contain chemicals that can cause serious side effects to your eyes.

We offer our patients Latisse®, a product of Allergen, the only prescription eyelash growth serum clinically proven to lengthen eyelashes. Be sure to make an appointment with our healthcare professional to fully understand how the product can work for you. Your consultation is $54, and required before a prescription can be provided to a patient. This provides a measure of safety and ensures you know how to use the product properly for the best results. For more information about the product, visit the Latisse® website at www.latisse.com.

Laser skin resurfacing offers a way to erase imperfections on your face and body, without surgery and long recovery times. We will help you restore your skin to its youthfulness quickly and easily. It’s ideal for those want to eliminate age spots, sun damage, acne scars, stretch marks, surgical scars, wrinkles, and uneven skin tone and texture. In just one therapy, you’ll be amazed at how the laser treatment takes care of deep lines and wrinkles and generates new, healthier, smoother skin.

We are proud to offer cosmetic treatments to improve the appearance of moderate to severe frown lines between the brows and to help erase crow’s feet lines. Our experienced providers will take the time to understand your treatment goals and recommend a treatment plan that is best for you.

Crow’s feet lines and frown lines between your brows are created from repeated muscle contractions from years of frowning and squinting. BOTOX^® Cosmetic and Dysport^® can erase those lines.

As with all procedures, safety is paramount. We are proud to offer patients BOTOX^® Cosmetic and Dysport^® treatments and the experience of our expert team to provide you with immediate visible results.

The safety and efficacy of BOTOX^® Cosmetic and Dysport^® has been evaluated in numerous clinical trials as well as in hundreds of peer-reviewed articles in scientific and medical journals. BOTOX^® Cosmetic and Dysport^® are approved for cosmetic use in nearly 80 countries. Having your treatment with us provides assurance the procedure will be done properly.

Injections with BOTOX^® Cosmetic or Dysport^® work beneath the skin’s surface to temporarily reduce these muscle contraction to help smooth the appearance of moderate to severe frown lines between the eyebrows without changing or affecting the rest of your face. Your smile and other facial expressions will still appear natural. The injections feel like a pinch and the procedure takes minutes. Results from one treatment of BOTOX^® Cosmetic or Dysport^® will last up to four months. The majority of patients see improvement in just two to seven days after treatment.

There is little to no downtime for patients after treatment of either BOTOX^® Cosmetic or Dysport^®. You should be able to resume your activities right away. Results vary with individuals, but generally, you will see a reduction in the appearance of frown lines and crow’s feet within days, and the results generally last up to four months.