USA Plastic Surgery – In the Media

THE BEST DOCTORS IN DALLAS PROFILES
2007

COSMETIC PLASTIC SURGERY

Dr. Steven J. White of USA Plastic Surgery specializes in all aspects of cosmetic surgery of the face, breast, and body. He is one of the few plastic surgeons in the United States certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology/Head and Neck Surgery (ENT). This rare distinction is the result of many years of intensive study and training. His commitment to excellence has been recognized by his peers who selected him as a "Texas Super Doctor" (Texas Monthly) as well as one of the "Best Doctors in Dallas" (D Magazine).

Known for the quality of his results as well as the personal care he provides, Dr. White is dedicated to seeking the best outcome for every patient. He believes precise surgical technique is essential to achieve exceptional results. Combining innovative instruments and techniques with state-of-the-art technology allows Dr. White to offer his patients better results with less discomfort and rapid recovery.

Dr. Steven J. White enjoys travel, tennis, skiing, and scuba diving. An avid art collector, he also enjoys theater and opera. He serves on the board of Fort Worth Opera as well as the board of the Texas Institute for Surgery at Presbyterian Hospital of Dallas. Dr. White is a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery as well as numerous other medical societies.

EDUCATION:
B.S., Baylor University; M.D., Baylor College of Medicine; Internship, University of Texas Southwestern Medical Center; Residencies, University of Texas Southwestern Medical Center, Baylor College of Medicine

Hot Mamas
by Dawn McMullan

When diet and exercise didn't do the trick, three Dallas moms chose plastic surgery to get back their pre-baby bodies. Now they look better than ever.

Dr. Steven J. White calls is the "postpartum perk-up" or the "mommy makeover."

Tummy tuck. Breast implants and/or a lift. Liposuction around the thighs and hips. All the procedures that get rid of the stuff those sweet little bundles of joy leave behind on their way out.

Local plastic surgeons have seen a significant increase in women having post-baby procedures in the last five years. Breast augmentation was the top surgical cosmetic procedure for women last year for the first time, according to the American Society for Aesthetic Plastic Surgery. Liposuction was second; abdominoplasty (or tummy tuck) was fourth.

But if we work hard enough, can't we get rid of the baby fat? Not necessarily. Some women accept the changes in their bodies as a rite of passage into motherhood. These days, though, more moms are choosing surgery instead.

"It's not a sign of defeat to have a tummy tuck," says Dr. White, who does more of them than anything else at his practice, USA Plastic Surgery in Dallas. "One of my patients weighted 110 and taught Pilates and yoga. Loose skin won't go away. Muscles will only tighten so much."

A friend of White's once used a bag of balloons to describe it. She laid one on the counter, never blown up. She then blew up a balloon and deflated it, laying it on the counter. Then another one, twice, and did the same thing. Each got bigger as it lay in its deflated state. "This is what happened to my tummy after two kids," White remembers the woman telling her husband.

Surgeons generally recommend waiting to have surgery until you've had your last baby and at least three to six months after you're done breast-feeding. Having surgery when your youngest is close to 3 and can get in and out of his car seat makes things much easier. Ideally, you should have tried diet and exercise, but maybe you've hit a plateau, and you're within 10 to 20 pounds of a realistic weight goal. The more fit you are going into surgery, the better your results.

Bikini Body, Revisited

"I just wanted the same form I had before. I'd try on 15 things, and nothing looked right because my nipples were at my waist."
—Shannon Bush

After Shannon Bush's second child was born, her breast looked like golf balls at the end of a pair of tube socks. Not exactly the figure she remembered from her beach days in Mexico.

And that was okay. Really. Vanity wasn't the main reason Bush decided to have a breast lift. She simply wanted her clothes to fit again.

"Nothing fit me at all anymore," the Lakewood stay-at-home mom remembers. "When I wore my old bras, I had all this skin laying in these big, giant cups. I couldn't wear dresses I used to wear. I'd try on 15 things, and nothing looked right because my nipples were at my waist."

Back to Her Old (and Improved) Self

When Beth Hughes was in high school, her mom got a tummy tuck.

"I didn't even really know what it was," Hughes remembers. "I kind of knew what she did, but she never showed me. She described muscle repair more than skin removal. I was fit and in pretty good shape before I had kids, so I didn't think much about it."

Hughes, who is 5-foot-9, weighted 145 pounds before she had kids and got up to 203 with her first pregnancy. The 29-year-old Keller resident - who dedicates most of her time to her 4-year-old son and 2-year-old daughter - joined Weight Watchers, ran, and lifted weights. She got down to 170 between kids, then down to 150 after her second pregnancy.

But her stomach still looked like it had stretched enough to hold a watermelon, then tried to shrink back up. Which it had. Twice.

"It was hard because I am young," she says. "I worked so hard losing the weight, yet I would look around at my friends and everyone ast the gym, and everyone was so tight and toned, especially in the mid-section. I couldn't lose that much more weight. I was shrinking, but my stomach wasn't."

Hughes' mid-section was her main concern, but she also had some sagging and asymmetry with her breasts. And, while she was considering cosmetic surgery, she figured her thighs could use a little work, too.

She met with Dr. White. Her goal: "Just put me back together."

She decided to do a tummy tuck, liposuction on her thighs, and a breast lift. She did it all at once in March, after lining up two weeks of family help with her kids. She trained for the surgery like she would for an athletic event. Her theory was that if she was in good shape going in, her recovery would be easier, which is true, surgeons say.

Before the surgery, Hughes was a size 10-12. Now, although she weighs the same, she's a 6-8. Her waist went from 31.5 inches to 26. Not only did Dr. White remove extra skin from around her waist, but he also tightened the muscles.

"I look better than before I had the kids," she says, pulling out honeymoon pictures as proof. "I feel almost completely normal. I'd kind of gotten to a point when it was time for me again. I don't want to be the martyr mother who turns around when my daughter is 15 and says, 'Oh, I let myself go.' I wanted to get myself back to where I felt like I was on the inside."

How to Get a Flat Tummy

You Could Undergo Tummy Tuck

The abdomen muscles can get stretched to a point where exercise can't help.

Years of weight fluctuations and pregnancy can leave you wieth a bulging belly, but if loss of elasticity prevents the skin from bouncing back and abdominal muscles are stretched to the point where exercise can't help surgical intervention may be your only recourse. From liposuction to body lift procedures, there is a full spectrum of surgical treatments to address problems of the abdomen.

Who it's for

Women who don't plan on additional pregnancies and are at or near their ideal wieght with excess skin and/or prominent pooch due to pregnancy or significant weight loss.

Who it's not for

A tummy tuck is not a means of losing weight. Patients should also make a commitment to maintaining a stable weight after surgery in order to maintain results. "A tummy tuck is not for someone who has nice, firm skin and extra fat," says Rockville, Maryland, plastic surgeon Roger Friedman, MD. "To address that problem, liposuction is a better option."

The details

Through one incision in the pubic area that varies from a few inches to one that goes from hip to hip (and possibly another around the belly button), your plastic surgeon can tighten slack muscles and eliminate excess skin. Liposuction can be incorporated to address stubborn fat deposits. For women who delivered via cesarean section, the scar is often removed during a tummy tuck and likely replaced with a less obvious one.

DR. WHITE'S PATIENT WAS FEATURED IN NEW BEAUTY
CLICK TO SEE MORE PHOTOS OF THIS PATIENT

A Beautiful Bust
by Dr. Steven J. White

The Latest Advancement

What is Optimized Rapid Recovery Breast Augmentation?

This seven-step breast implant program is the culmination of more than a decade of experience by Dr. White, which allows him to optimize every aspect of the procedure.

His goal is to create the most beautiful breasts for each patient. The operation seems deceptively simple - making the breasts bigger by putting in implants. Achieving exceptional results, however, requires detailed pre-op planning, precise surgical technique and careful follow-up. Dr. White's "Optimized, Rapid Recovery" Breast Augmentation does just that in a series of seven steps.

Step One

Involves listening carefully to understand what the patient is hoping to achieve. Does she want a natural look which is proportionate to her body? Is she afraid she will be too big - or does she instead want the largest size that still looks natural for her body? Does she want to avoid the "stuck-on" look?

Step Two

Occurs when Dr. White takes several measurements of the breast and chest, paying close attention to asymmetries of the breasts, which is surprisingly common. Selecting the proper size implants is one of the most important aspects of breast implant surgery. Dr. White believes this is best achieved by matching the implant to the patient's tissues and chest wall and then adjusting the size according to the patient's desires.

The Three

Is comprehensive patient education. Every patient is thoroughly informed about the procedure and what to expect before and after surgery.

Step Four

Involves precise surgical technique to create the "space" or "pocket" under the muscle for the implant. Dr. White's specially designed instruments allow him to use the smallest incision to minimize the scar. Drains are not necessary since he avoids blunt dissection. Instead, he performs a precise dissection to minimize bleeding, bruising and pain, allowing for rapid recovery.

Step Five

Is when Dr. White uses "sizes" to carefully match the implant to the patient's tissues and chest wall to create the most natural look for each patient.

Step Six

Is to sculpt or shape the breast tissue (when needed) over the implant to achieve the prettiest breasts.

Step Seven

Is the last but also one of the most important: the follow-up care. Dr. White has developed a comprehensive pos-top program to allow for rapid recovery and exceptional results. His surgical technique avoids bruising and minimizes pain so that his patients can begin arm range-of-motion exercises on the day of surgery. Many of his patients feel so good they go shopping or out to lunch the day after surgery.

Optimized Rapid Recovery

Breast Augmentation

Dr. White specializes in all aspects of cosmetic surgery of the face, breast, and body. He is one of the few plastic surgeons in the U.S. who is certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology - Head and Neck Surgery (ENT). His commitment to excellence has been recognized by his peers who selected him as a "Texas Super Doctor" in Texas Monthly as well as one of the "Best Doctors in Dallas" in D Magazine.

Known for the quality fo his results as well as the personal care he provides, Dr. White is dedicated to seeking the best outcome for every patient. He believes in making a difference "one patient at a time." Personal attention is not a catch phrase - it is a practice philosophy. It is his focus on each individual that sets him apart.

TEXAS SUPER DOCTORS 2006

TOP DOCTORS IN TEXAS

Steven J. White, MD

USA Plastic Surgery

Presbyterian Hospital
Professional Building 3 8230 Walnut Hill Lane Suite 814 Dallas, TX 75231
Tel: 214-696-6676
Fax: 214-696-1477
www.usaplasticsurgery.com

Specialties:
Cosmetic Plastic Surgery

Dr. Steven J. White of USA Plastic Surgery specializes in all aspects of cosmetic surgery of the face, breast, and body. He is one of the few plastic surgeons in the United States certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology/Head and Neck Surgery (ENT). This rare distinction is the result of many years of intensive study and training. His commitment to excellence has been recognized by his peers who selected him as a "Texas Super Doctor" (Texas Monthly) as well as one of the "Best Doctors in Dallas" (D Magazine).

Known for the quality of his results as well as the personal care he provides, Dr. White is dedicated to seeking the best outcome for every patient. He believes precise surgical technique is essential to achieve exceptional results. Combining innovative instruments and techniques with state-of-the-art technology allows Dr. White to offer his patients better results with less discomfort and rapid recovery.

Your Mirror: Friend or Foe?

by Jennifer Hayes

If you answered the latter, you're not alone. More than 9.27 million cosmetic plastic surgery procedures were performed in the United States in 2004, and those who had them spent more than $8 billion on their procedures. It's a safe bet they didn't get along with their mirror, either.

If you're ready to finally kiss and make up with the mirror, cosmetic surgery might be the answer for you, too. For the first time, cosmetic surgery is more of a badge of honor than something to hide from your friends. A nip here and a tuck there simply means you value your youthful appearance and want to maintain it as long as possible. In short, you want to look as good as you feel.

If your wish list looks something like this - Angelina Jolie's lips; Cameron Diaz's cheekbones; Jennifer Aniston's eyes; Terri Hatcher's waist - you might to put down your paper and pen and discuss the reality of the list with an experienced cosmetic surgeon.

Although the thought of these beautiful features combined seems perfect, it's really not, say local cosmetic surgeons. Genetics play a major role in everyone's appearance and body shape. Taking bits and pieces from other people you admire isn't going to make you look related to them, much less exactly like them. In fact, the results could be anything but flattering. The goal of cosmetic surgery should be to enhance what you do have so that you look like yourself, only better.

Abdominoplasty

Sometimes all the stomach crunches in the world won't get rid of a protruding abdomen. If this sounds familiar, especially after a pregnancy or significant weight loss, the solution may be a tummy tuck, or abdominoplasty. This is a major surgical procedure that removes excess skin and fat from the middle and lower abdomen and tightens the muscles of the abdominal wall to dramatically reduce the appearance of a protruding abdomen.

Traditional tummy tuck techniques may result in an unnatural, operated look, particularly in the upper abdomen and around the umbilicus, or belly button. Dr. Steven J. White, a board-certified plastic surgeon with USA Plastic Surgery, uses several techniques to obtain a more natural-looking umbilicus. These techniques take more time in surgery; however, he believes the final result is worth this extra effort. For most patients, the scar is well hidden beneath the bikini line.

A tummy tuck can provide an immediate and significant improvement," Dr. White says. "Patients are often amazed by the results. Refined techniques combined with careful follow-up allow patients a quick recovery. Women usually drop several dress sizes, and men go down several pant sizes."

Breast Lift

A breast lift, or mastopexy, is a procedure often performed to restore the youthful appearance to the breast after pregnancy or weight loss. Lifting the breast, elevating the nipple, and decreasing the size of the areola create this more youthful look. Breast reduction is a similar procedure except that the breast is also reduced in size. With both procedures, great care should be taken to sculpt the breast into the most aesthetically pleasing shape. Results are permanent but may be affected by significant weight gain, aging, or pregnancy.

Brow Lift

Also called a forehead lift, the procedure can eliminate lines and wrinkles in the brow - the same line that cause people to ask if you're tired or angry when you're not. Until recently, the only way to perform the surgery was to make a large incision at the top of the head, pull the skin back, and remove the excess skin. This left an unsightly scar that could be seen through thin hair or when hair was wet or blown by the wind. Today's endoscopic brow lifts result in a much more desirable outcome. Endoscopic brow lifts allow surgeons to make small incision in the hair line where a small camera is inserted which helps them look inside to raise the eyebrows. Once the brows are repositioned, sutures are placed on the inside, leaving minimal scarring. Results usually last five to ten years.

Recovery time is usually about two to four weeks, with final results apparent in up to two months.

Chemical Peel

Wrinkles and fine lines around the mouth and on the forehead and cheek areas can be improved with chemical peels, a non-invasive way to "turn back the clock."

With most types of peels, a chemical solution (such as alphy hydroxy acids, tricholoracetic acid, or phenol as a peeling agent) is applied to the entire face or to specific problem areas to peel away the skin's top layers, allowing for new cell growth that produces a smoother, tighter, younger-looking skin surface. Most patients prefer several light- to medium-depth peels over a one-time intense peel for reduced risk and shorter recovery times. Chemical peels can restore wrinkled, blemished, unevenly pigmented, or sun-damaged facial skin.

Recovery time is approximately two weeks, but the maturation of the new skin and lightening of the pinkness may take up to six months.

Facelifts

Reversing the aging process through facial rejuvenation is increasingly popular as more people want to look as young as they feel.

"To achieve the most natural results, a combination of procedures is often indicated so an individualized approach is best," says Dr. White. "Attention to detail is especially important in facial surgery due to the complicated anatomy. The goal of any facial rejuvenation procedure should be to create long-lasting, natural results as inconspicuously as possible. A bad face lift is obvious to all. A good facelift is known to one, but admired by many."

Facelifts can improve the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of the face and neck. While facelifts can be performed in various ways depending on the surgeon's preference and the patient's needs, in general, the skin is separated from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The surgeon then tightens the underlying muscle and tissue, pulls the skin back, and removes the excess.

Results of a facelift typically last five to ten years. Recovery time for a facelift is usually one to three weeks, with final results apparent in about two months. Incision lines continue to refine for one year.

THE BEST DOCTORS IN DALLAS
THE TOP 643 PHYSICIANS IN 40 SPECIALTIES, AS VOTED BY THEIR PEERS

How We Did It

D Magazine mailed a letter to nearly 6,000 local doctors, encouraging them to visit www.dmagazine.com to cast their votes for the Best Doctors in Dallas. In our confidential online poll, we asked them to name two physicians they would send their patients or loved one to in 40 specialties. Only those with a valid Texas medical license were eligible.

An outside marketing firm tallied the results, and a panel of esteemed local physicians reviewed the list prior to publication. This list is designed with the patient in mind; therefore under the guidance of the panel, we did not include specialties in which the patient has little or no say, such as anesthesiology or pathology. Nor did we include pediatrics, which is vast enough to warrant its own feature story (last published in July 2004). We also admit that these specialties are broad in some instances. This list is extensive but by no means inclusive. If you don't see your doctor on the list, and it is someone you like and trust, you should stick with him.

COSMETIC/RECONSTRUCTIVE SURGERY

Dr. Steven J. White of USA Plastic Surgery specializes in all aspects of cosmetic surgery of the face, breast, and body. He is one of the few plastic surgeons in the United States certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology/Head and Neck Surgery (ENT). This rare distinction is the result of many years of intensive study and training. His commitment to excellence has been recognized by his peers who selected him as a "Texas Super Doctor" (Texas Monthly) as well as one of the "Best Doctors in Dallas" (D Magazine).

Known for the quality of his results as well as the personal care he provides, Dr. White is dedicated to seeking the best outcome for every patient. He believes precise surgical technique is essential to achieve exceptional results. Combining innovative instruments and techniques with state-of-the-art technology allows Dr. White to offer his patients better results with less discomfort and rapid recovery.

Dr. Steven J. White enjoys travel, tennis, skiing, and scuba diving. An avid art collector, he also enjoys theater and opera. He serves on the board of Fort Worth Opera as well as the board of the Texas Institute for Surgery at Presbyterian Hospital of Dallas. Dr. White is a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery as well as numerous other medical societies.

EDUCATION:
B.S., Baylor University; M.D., Baylor College of Medicine; Internship, University of Texas Southwestern Medical Center; Residencies, University of Texas Southwestern Medical Center, Baylor College of Medicine

ASK THE EXPERT:
"OPTIMIZED, RAPID RECOVERY" BREAST AUGMENTATION
By Steven J White, MD

Dr. White specializes in all aspects of cosmetic of the face, breast, and body. He is one of the few plastic surgeons in the United States certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology - Head and Neck Surgery (ENT). His commitment to excellence has been recognized by his peers who elected him as a "Texas Super Doctor" in Texas Monthly as well as one of the "Best Doctors in Dallas" in D Magazine. Known for the quality of his results as well as the personal care he provides, Dr. White is dedicated to seeking the best outcome for every patient. He believes in making a difference "one patient at a time." Personal attention is not a catchphrase - it is a practice philosophy. It is his focus on each individual that sets him apart.

Breast Implants

Dr. Steven J White with USA Plastic Surgery offers the latest advance in breast implants: the "Optimized, Rapid Recovery" Breast Augmentation. This 7-step breast implant program is the culmination of over a decade of experience by Dr. White which allows him to optimize every aspect of the procedure. His goal is to create the most beautiful breasts for each patient. The operation seems deceptively simple - making the breasts bigger by putting in implants. Achieving exceptional results, however, requires detailed pre-op planning, precise surgical technique, and careful follow-up. Dr. White's "Optimized, Rapid Recovery" Breast Augmentation does just that ... in a series of 7 steps.

Step one involves listening carefully to understand what the patient is hoping to achieve. Does she want a natural look which is proportionate for her body? Is she afraid she will be too big - or does she instead want the largest size which still looks natural for her body? Does she want to avoid the "stuck-on" look?

Step two occurs when Dr. White takes several measurements of the breasts and chest, paying close attention to asymmetries of the breasts, which is surprisingly common. Selecting the proper size implants is one of the most important aspects of breast implant surgery. Dr. White believes this is best achieved by matching the implant to the patient's tissues and chest wall and then adjusting the size according to the patient's desires.

Step three is comprehensive patient education. Every patient is thoroughly informed about the procedure and what to expect before and after surgery.

The next three steps occur during surgery. Patient safety and natural-appearing results are Dr. White's primary goals. To optimize patient safety, he only uses doctors - not nurses or CRNAs - for anesthesia. Step four involves precise surgical technique to create the "space" or "pocket" under the muscle for the implant. Dr. White's specially-designed instruments allow him to use the smallest incision to minimize the scar. Drains are not necessary since he avoids blunt dissection. Instead, he performs a precise dissection to minimize bleeding, bruising, and pain which allows for a rapid recovery. Step five is when Dr. White uses "sizers" to carefully match the implant to the patient's tissues and chest wall to create the most natural look for each patient. Step six is to sculpt or shape the beast tissue (when needed) over the implant to achieve the prettiest breasts.

Step seven is the last but also one of the most important: the follow-up care. Dr. White has developed a comprehensive post-op program to allow for rapid recovery and exceptional results. His surgical technique avoids bruising and minimizes pain so that his patients can begin arm range-of-motion exercises the day of surgery. Many of his patients feel so good they go shopping or out to lunch the day after surgery.

THE BENEFITS OF BREAST ENHANCEMENT

Blame it on Venus. Ever since our ancient ancestors first carved the goddess in stone, the female breast has been one of the defining characteristics of beauty, femininity and sexuality. Yet it's not just the desire for size that keeps area cosmetic surgeons in demand. There are a few other good aesthetic and practical reasons to explain why enhancement works.

Implants Boost Esteem

Curves are core to femininity. A fuller bustline makes for a sultry shape. Women can improve general body fitness by working out and choosing food carefully, but it generally takes a little outside intervention to increase breast size. Enlargement (also known as augmentation mammoplasty) can replace the fullness lost from aging, nursing infants and losing weight.

Research, Research, Research

A woman's body is her temple. To achieve personal goals, many specialists recommend that patients-to-be learn about the procedures and their practitioners. Seek a cosmetic surgeon who has the following credentials and meets other conditions, including:

• Certification by the American Board of Plastic Surgery (this requires a minimum of five years of intensive surgical training following medical school, including a plastic surgery residency program and comprehensive oral and written examinations).
• Operating privileges at an accredited hospital (a hospital review committee carefully evaluates the surgeon's education, experience and talent for your potential surgery).
• References from satisfied patients.
• A comfortable initial consultation. You should feel confident about your surgeon's technical skills, aesthetic judgment and ability to communicate clearly.

Steven J. White, M.D., of USA Plastic Surgery in Dallas, has performed breast surgeries for 12 years. During the Dallas Cosmetic Expo in September, he offered two presentations: "The Art of Breast Augmentation" and "The Art of Breast Enhancement." Dr. White says that the goal of the process should be "To provide the most beautiful pair of breasts for the individual, taking into account the rest of her body," he says. "Ideally, you want others to think, 'Wow, she looks fantastic! Did she or didn't she? I can't tell.' I always strive to achieve a very natural look - the best it can be for each individual."

Lifts Recapture Youth

Sag is such an ugly word! Fortunately, some patients say that a lift known as a mastopexy can work wonders. For breasts that have lost their perk after pregnancy, nursing, weight gain and loss, or simply from a few years of gravitational pull, a lift raises them back up. Nipples are repositioned to the center. Incisions follow the natural lines, excess skin is removed and the breasts are shaped to youthful glory.

Augmentation Balances Asymmetry

For many women, one breast is significantly smaller than the other. Symmetry restores confidence, making the patient more comfortable and simplifying clothing selection.

Reduction Benefits Both Men and Women

For those whose cups runneth over, a reduction is both an aesthetic and therapeutic advantage. A little whittling creates a leaner physique, as well as reducing strain on the back and shoulders. Gynecomastia, a condition in which men develop abnormally large breasts, also causes a number of men to opt for reduction. Other men - interested in using all of the resources at their disposal to look their best - have similar procedures to tighten flabby or sagging muscles in the chest area.

Procedures on the Rise

According to the American Society for Plastic Surgeons, breast augmentations were up 10 percent from 2004 and 37 percent from 2000. Lifts were up 22 percent from 2004 and a notable 76 percent from 2000. And breast reductions for men also were up by 17 percent from 2004.

Shape of Things to Come

The term plastic surgery is derived from the Greek word plasticos, meaning to mold or shape. No Barbie parts involved! Capable surgeons use their expertise to mold the body into its ideal state.

Scar Tactics

Modern enhancements leave barely a mark. A small incision is made either under the breast below the crease, around the areola's lower edge or, in rare cases, in the armpit.

ASK THE EXPERTS
BREAST IMPLANTS EXPERT

If you've experienced physical changes due to pregnancy, weight loss, or breast feeding, or simply want to enhance the natural shape of your breasts, consider the benefits that breast implants can bring to your daily life. Whether for increased self-confidence or simply because they never developed to their expectations, thousands of women desire larger, fuller, or more shapely breasts.

Optimized, Rapid Recovery

Dallas' own Dr. Steven J. White of USA Plastic Surgery offers the latest advancements in breast implants. His recommended seven-step breast implant program is the culmination of more than a decade of experience that allows him to optimize every aspect of the procedure. His goal is to create the most beautiful breasts for each patient. The operation seems deceptively simple - enhancing the breasts by using implants; however, achieving exceptional results requires detailed pre-op planning, precise surgical technique, and careful follow-up.

Step 1: Listening to You

Your Doctor should listen carefully to understand what the patient is hoping to achieve. Do you want a natural look that is proportionate to your body, or are you interested in increasing to the largest size that will still work with your body type?

Step 2: Measurements

After you have communicated your surgical needs to your doctor, he will then take several measurements, paying close attention to any asymmetries of the breast. Selecting the proper implant size is one of the most important aspects of breast-implant surgery. Dr. White believes that this is best achieved by matching the implant to the patient's tissues and chest wall before he adjusts the size according to the patient's desires.

Step 3: Patient Education

Your doctor should thoroughly educate you about your upcoming procedure and what to expect before and after surgery. Patient safety and natural-appearing results are Dr. White's primary goals; to optimize his patient's upmost comfort and safety, he uses only doctors - not nurses or CRNAs - to give anesthesia.

Step 4: Surgical Techniques

Your doctor should use precise techniques to create the space or pocket under the muscle for the implant. Dr. White's specially designed instruments allow him to use the smallest incision to minimize any scarring. Rather than using drains, he performs a precise dissection to minimize bleeding, bruising, and pain and aid in rapid recovery.

Step 5: Natural Looks

Make sure your doctor uses sizers to carefully match the implant to your tissue or chest wall to create the most natural look.

Step 6: Shaping

Finally, your surgeon should sculpt and shape the breast tissue (when needed) over the implant to achieve attractive breasts.

Step 7: Follow-Up Care

Possibly one of the most important steps, a comprehensive post-op program allows for rapid recovery and exceptional results. Dr. White's own surgical technique avoids bruising and minimizes pain so that his patients can go shopping or out to lunch the next day.

The Right Doctor

Make sure that the surgeon you choose is board-certified by the American Board of Plastic Surgery and in good standing with the American Society of Plastic Surgeons; surgeons with this certification have completed approved training and examinations in plastic surgery including cosmetic and reconstructive procedures. Always ask whether the surgery will be performed in the hospital, outpatient surgery facility, or in the doctor's office. Once your surgery is complete, your surgeon will ask you to visit for periodic checkups to ensure long-term results and address any questions or concerns you may have.

TOP DOCS 2005
MEET THE BEST DOCTORS IN DALLAS

Dr. Steven J. White of USA Plastic Surgery specializes in all aspects of cosmetic surgery of the face, breast, and body. He is one of the few plastic surgeons in the United States certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology/Head and Neck Surgery (ENT). This rare distinction is the result of many years of intensive study and training. His commitment to excellence has been recognized by his peers who selected him as a "Texas Super Doctor" (Texas Monthly) as well as one of the "Best Doctors in Dallas" (D Magazine).

Known for the quality of his results as well as the personal care he provides, Dr. White is dedicated to seeking the best outcome for every patient. He believes precise surgical technique is essential to achieve exceptional results. Combining innovative instruments and techniques with state-of-the-art technology allows Dr. White to offer his patients better results with less discomfort and rapid recovery.

Dr. Steven J. White enjoys travel, tennis, skiing, and scuba diving. An avid art collector, he also enjoys theater and opera. He serves on the board of Fort Worth Opera as well as the board of the Texas Institute for Surgery at Presbyterian Hospital of Dallas. Dr. White is a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery as well as numerous other medical societies.

EDUCATION:
B.S., Baylor University; M.D., Baylor College of Medicine; Internship, University of Texas Southwestern Medical Center; Residencies, University of Texas Southwestern Medical Center, Baylor College of Medicine

TEXAS SUPER DOCTORS^TM 2005

HOW TEXAS SUPER DOCTORS WERE SELECTED

When doctors get sick, who do they call? If you or a loved one has special medical needs, wouldn't it be nice to know who medical professionals trust and hold in the highest regard? You could ask them yourself. But to save you some time, Key Professional Media asked them for you.

In Spring 2005, Key Professional Media asked more than 45,000 Texan doctors, nurse practitioners and nurse managers: "To whom would you refer a loved one or one of your patients for medical diagnosis and /or treatment?"

After tallying their replies, the research team also identified Texas doctors who had achieved special recognition from their peers or had demonstrated other indications of expertise in their specialties. The researchers also made sure each physician is properly licensed and has no history of disciplinary action.
...

USA PLASTIC SURGERY:
ATTENTION TO DETAIL
PRECISE SURGICAL TECHNIQUE
EXCEPTIONAL RESULTS

Dr. Steven J. White founded USA Plastic Surgery based on his commitment to excellence. He specializes in all aspects of cosmetic surgery of the face, breast, and body. Dr. White believes in making a difference "one patient at a time." Personal attention is not a catchphrase—it is a practice philosophy. It is his focus on each individual that sets him apart.

Dr. White enjoys spending time with his patients. During the initial consultation, he listens carefully to their concerns and goals for surgery. He strongly believes in patient education and wants his patients to be well informed about what to expect before, during, and after surgery.

Known for the quality of his results as well as the personal care he provides, Dr. White is dedicated to seeking the best outcome for every patient. He does not like the "overdone, operated look." Instead, he prefers a more natural, artistic approach. Combining innovative instruments and techniques with state-of-the-art technology allows Dr. White to offer his patients better results with less discomfort and rapid recovery.

There are no shortcuts to knowledge and experience. Dr. Steven J. White is one of the few plastic surgeons in the United States certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology / Head and Neck Surgery (ENT). This rare distinction is the result of many years of intensive study and training. His reputation for excellence has been recognized by his peers who selected him as a "Texas Super Doctor" in Texas Monthly as well as one of the "Best Doctors in Dallas" in D Magazine.

Dr. White enjoys travel, tennis, skiing, and scuba diving. An avid art collector, he also enjoys theater and opera. He serves on the Board of Fort Worth Opera as well as the Board of the Texas Institute for Surgery at Presbyterian Hospital of Dallas. Dr. White is member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery as well as numerous other medical societies.

Seek the expert advice, personal concern, and trusted experience of a surgeon whose primary goals are patient safety and natural appearing results. Visit usaplasticsurgery.com to see hundreds of before and after photos, read patient comments, and discover the possibilities. We believe you will agree... Dr. White is the intelligent choice to enhance your image.

COSMETIC SURGERY
White, Steven J., Dallas, 214-696-6676

I WANT A TIGHTER TUMMY

TUCK IT

A complete tummy tuck involves making an incision near the pubic hairline, from hipbone to hipbone, yet the incision is "placed low so it is hidden by a bikini", says Dallas plastic surgeon Steven White, M.D. If necessary, sagging or separated vertical muscles in the abdomen are tightened with permanent, internal sutures. Abdominal fat is reduced using liposuction or excision and then the skin and tissue are pulled down so that excess skin can be removed. Liposuction in the upper abdomen can further improve shape overall. If needed, a new "hole" is created in the skin for the navel, then the skin and underlying tissue is stitched together at the incision. In many patients, depending on the amount of excess skin, a modified tummy tuck with a smaller incision and without an incision around the navel may be possible. Dr White adds, "Dramatic results are often seen with a tummy tuck since it narrows the waist, tightens the tummy and removes excess skin and fat."

DR. WHITE'S PATIENT WAS FEATURED IN NEW BEAUTY
CLICK TO SEE MORE PHOTOS OF THIS PATIENT
 

TURNING BACK THE CLOCK

ABOUT GYNECOMASTIA

Though rarely discussed, gynecomastia (male breast enlargement) affects 40 to 60 percent of men at some point in their lives, according to ASAPS. The condition may be due to increases in fat, actual breast tissue or a combination of both. A medical evaluation is imperative before proceeding with surgery.

"Advanced technology and techniques have significantly improved the treatment of gynecomastia. In the past, surgical treatment involved cutting out excess breast tissue, but today, this is often unnecessary," says Dallas plastic surgeon Steven J. White, MD. If excess breast tissue is mostly comprised of fat, "many surgeons now prefer to use liposuction to improve the chest contour," he explains. Liposuction is the solution of choice since it allows a quick recovery, less scarring and a lower risk of side effects like nerve injury, hematoma, or contour deformity. In terms of results, dramatic improvement is frequently seen after liposuction," adds Dr. White.

DR. WHITE'S PATIENT WAS FEATURED IN NEW MAN
CLICK TO SEE MORE PHOTOS OF THIS PATIENT
 

Click to read Dr. White's chapter in Medicine Men

NEW YEAR, NEW LOOK

A NEW LOOK
If you have been considering changing your look with plastic surgery, you can choose from a variety of procedures to sculpt your face, breast, and body. If you opt for the latter, you can choose from a variety of procedure to sculpt your features. Ear re-shaping, otoplasty, is a rewarding plastic surgery procedure that can correct prominent ears and boost self-confidence. Dr. Steven J. White, with USA Plastic Surgery in Dallas, said otoplasty should involve much more than simply "pinning the ears back." A combination of specific techniques is frequently necessary to create natural-appearing ears.

If the years have left their mark upon your face, facial rejuvenation provides a way to turn back the clock on the aging process. Whether removing the excess skin and fat around the eyes through eyelid surgery, lifting the brows and smoothening the forehead wrinkles with a brow lift, or sculpting the face and neck with a face lift, facial rejuvenation helps patients look and feel younger. "Attention to detail is especially important in facial surgery due to the complicated anatomy, and a well-trained surgeon with an artistic sense and a conservative approach is a must. The goal is to create long-lasting, natural results as inconspicuously as possible," said Dr. White.

PLASTIC SURGERY
Nasal Surgery
Improving breathing, allergies, and appearance

Do you suffer from congestion, drainage, or difficulty breathing through your nose? Do you snore? Are you bothered by nasal allergies? Do you find yourself dependent on nasal sprays or antihistamines like Claritin or Allegra to get relief? Have your allergies gotten worse since you moved to North Texas? If so, then surgery to improve how your nose works (functional nasal surgery) may be the answer for you.

Septoplasty straightens the nasal septum, while Turbinoplasty decreases the size of the nasal turbinates to improve both breathing and allergies. These procedures may be performed together or separately. Since these procedures are done to the inside of the nose to treat nasal symptoms and improve function, they are usually covered by insurance.

Are you concerned with how your nose looks? Do you feel your nose is crooked, too big or too small, too long or too short, too wide or too narrow? Are you bothered by a hump or depression of the bridge or a boxy or pinched tip? Have you suffered a broken nose in the past? Do you feel like your nose doesn't fit your face? If so, then you are not alone. Rhinoplasty, or nose reshaping, has become one of the most popular plastic surgery procedures as increasing numbers of men and women seek to improve their appearance. A new nose can provide a tremendous boost in one's self-confidence and self-esteem. Surgery to change the outside of the nose to improve appearance is generally considered a cosmetic procedure. When Rhinoplasty is combined with Septoplasty and Turbinoplasty, amazing results can be achieved, improving breathing, allergies and appearance.

Rhinoplasty is often considered the most difficult operation in plastic surgery. A poor result from nasal surgery cannot be simply "covered up," since the nose is a focal point of the face. A combination of procedures is often indicated so an individualized approach is best. A well-trained surgeon with an artistic sense is a must. Dr. White's dual background in plastic surgery and ear, nose, and throat surgery (Otolaryngology) has provided him extensive experience in nasal surgery. Dr. White's goals in rhinoplasty are not only to improve the patient's ability to breathe through the nose, but also to create a nose that appears natural and is in balance with the patient's other facial features.

PLASTIC SURGERY:
WHAT TO KNOW BEFORE YOU GO UNDER THE KNIFE...

More people than ever are electing to have plastic surgery. Between 2000 and 2004, the number of people having plastic surgery jumped by 24 percent and the number continues to rise, according to the American Society of Plastic Surgeons.

"The hype surrounding plastic surgery reality television shows has also helped to promote plastic surgery, said Steven J. White MD, a board certified plastic surgeon with USA Plastic Surgery in Dallas.

"There's a greater awareness of what the possibilities can be with plastic surgery, and there is a greater acceptance by the public to have plastic surgery."

But is that really a good thing?

Dr. White says it is—when plastic surgery is done right.

THE FIRST DECISION

"Television tends to emphasize how many procedures can be done at one time, rather than stressing the importance of doing each operation well," Dr. White says.

But here are steps you can take to ensure you are finding the best surgeon for you. The first is finding a physician who is certified by the American Board of Plastic Surgery. You can be assured that an ABPS-certified doctor has graduated from an accredited medial school, has completed at least a three-year residency in general surgery and at least a two-year residency in plastic surgery. The doctor must also complete written and oral exams to be certified.
...
Finding someone you feel comfortable with is also important. You should feel open to talking about your goals and expectations with your surgeon. "A good doctor may not always tell you what you want to hear, but should advise you on what they believe will best help you to achieve the look you desire," Dr. White said.

DR. WHITE'S PATIENT WAS FEATURED IN FORT WORTH, TEXAS
CLICK TO SEE MORE PHOTOS OF THIS PATIENT

DR. WHITE'S PATIENT WAS FEATURED IN FORT WORTH, TEXAS
CLICK TO SEE MORE PHOTOS OF THIS PATIENT
 

KEEPING UP APPEARANCES

The 2005 cosmetic plastic surgery reference guide
By Jennifer Hayes

Abdominoplasty. For some people, all the crunches in the world won't get rid of their belly. If you are one of these people, especially if you've been pregnant or lost a significant amount of weight, the solution may be a tummy tuck. This is major surgery that removes excess skin and fat from the middle and lower abdomen and tightens the stomach muscles to reduce a protruding abdomen. A new procedure called a belt lipectomy often works for people who have lost a lot of weight but still have loose skin. It tightens the skin around the abdomen and back. The mini-abdominoplasty is performed through a short C-section-type incision. This can be a good choice for women who have lost muscle and skin tone after having children.

"Patients are often amazed at the dramatic results that can be achieved," says Dr. Steven J. White with USA Plastic Surgery. "A tummy tuck can provide an immediate and significant improvement by combining muscle tightening with the removal of excess skin and fat. Women usually drop several dress sizes and men several pant sizes. I tell patients that it's not the surgery that's going to cost them—it's the new wardrobe."
...

Q. How can I make sure my recovery from my plastic surgery procedure is as short as possible?

A. Advances in instruments and techniques have allowed not only safer procedures but also quicker recovery times. One of the most important factors influencing a patient's recovery is the way the surgeon performs the procedure. Precise dissection and meticulous attention to detail are critical to achieve the best results and minimize tissue trauma. This means less bleeding and bruising, as well as less pain, which translates into a faster and better recovery. Precision surgery takes a little longer to perform, but the results are well worth the extra effort, both in the final result and in the patient's recovery and overall experience. - Dr Steven J. White, USA Plastic Surgery
 

TEXAS SUPER DOCTORS^TM 2004

HOW TEXAS SUPER DOCTORS WERE SELECTED

When doctors get sick, who do they call? If you or a loved one has special medical needs, wouldn't it be nice to know who medical professionals trust and hold in the highest regard? You could ask them yourself. But to save you some time, Key Professional Media asked them for you.

In Spring 2004, KPM asked more than 52,000 Texan physicians: "To whom would you refer a loved one or one of your patients for medical diagnosis and /or treatment?" After tallying their replies, the research team also identified Texas doctors who had achieved special recognition from their peers or had demonstrated other indications of expertise in their specialties. The researchers also made sure each physician is properly licensed and has no history of disciplinary action.
...

COSMETIC SURGERY
White, Steven J., Dallas, 214-696-6676
 

IMAGE 2005

By Jennifer Hayes

Find out if the surgeon you are considering will perform the surgery in an accredited facility and employs a well-trained, specializes staff of nurses and anesthesiologists. For instance, Dr. Steven J. White, a plastic surgeon with USA Plastic Surgery in Dallas, uses doctors (anesthesiologists) rather than nurses (CRNAs) for anesthesia, and he operates in fully accredited hospitals and surgery centers. His reason is simple: safety. "I believe the goal of plastic surgery is to safely create long-lasting changes which appear natural, not overdone," White says. "the surgeon's focus should be to optimize each procedure to obtain the best results. This means taking the time to do each procedure well, rather than rushing through multiple procedures. Patients safety and the quality of the final result should be the guiding principles for every operation."

White offers the following tips for finding a plastic surgeon who has only your best interests in mind.

• Look for a plastic surgeon whose philosophy is in line with your goals. Are you looking for the cheapest or the best? No one wants a discount brain surgeon or heart surgeon. Likewise, you should be careful not to chose a discount plastic surgeon. The old adage "you get what you pay for" is still true. Select a surgeon based on quality, not price.
• Evaluate the surgeon's commitment to patient care as well as the quality of his or her results. One of the best ways to learn about plastic surgeons is to visit their web sites. Pay attention to the before and after photos of the surgeon's own patients to assess the quality of their work, and read the patient comments about the care they received.
• Meet with the surgeon. The consultation should be a time for you to explain what you hope to achieve and get recommendations. This is also the time for you to interview the doctor. Does the surgeon take the time to really listen to you and answer all of your questions, or do you feel rushed? Does the surgeon explain things in a way that is easy to understand, or do you just get to talk to the nurse? Recognize that the amount of the time the doctor spends with you before surgery is often indicative of the time he will spend seeing you for follow-up visits. After surgery, do you see the doctor or just the nurse? How many times will you have to return as you heal? These are important questions to consider as you decide which doctor is right for you.

Medical Profile

Steven J. White, M.D.
USA Plastic Surgery

Steven J. White, M.D. is one of the few plastic surgeons in the United States certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology/Head and Neck Surgery. He specializes in cosmetic surgery of the face and body and is an active member of the American Society of Plastic Surgeons.

Dr. White enjoys spending time with his patients. During the initial consultation, he listens carefully to their concerns and goals for surgery. He enjoys teaching and believes it's important for patients to be well-informed about what to expect before, during and after surgery.

He is committed to obtaining the best results with each operation he performs. Careful attention to detail during surgery allows for natural appearing results thereby avoiding the "overdone, operated look." Almost any operation can be performed quickly; however, performing a task to the best of one's ability generally takes some time. Dr. White believes it's worth this extra effort to obtain the best results.

New advanced techniques used by Dr. White allow for faster patient recovery with less bruising and swelling. Patients thus experience less discomfort and are able to return to work more quickly.

Seek the expert advice, personal concern and trusted experience of a surgeon whose primary goals are patient safety and natural appearing results. We believe you will agree... Dr. White is the intelligent choice to enhance your image.

Please visit our website at usaplasticsurgery.com. Our office is in Dallas at Presbyterian Hospital in Suite 814 of Professional Building 3. For more information, please call 214.696.6676 or toll free 1.866.Dr.White.