Dr. Behmand's Blog

Breast Augmentation Surgery Walnut Creek Dr. Ramin Behmand

Patients who are good candidates for breast augmentations are those who have either small breasts in the age after puberty or have had what we call involution micromastia, meaning loss of breast volume either with weight loss or after childbirth and breast feeding. If there is not any significant breast droop after breast feeding then it could be addressed with breast augmentation alone. But if there is significant breast droop, whether related to weight loss or having had a child and breastfeeding, then a breast lift may be necessary. The combination of breast lift and breast augmentation together can bring not only the breasts up but also increase the volume of the breast so that the breasts are more perky and have a better overall natural appearance.

Breast Augmentation Lift Reduction Walnut Creek California

Patients who seek breast surgery usually fall in one of three categories. One, they may have breasts that are too small and do not bring the right balance to their body. Two, they may have had drooping of their breasts, which they no longer find attractive either in clothes or out of clothes, and three, are patients who have problems with large breasts that really get in the way of their daily activities. All three groups have one thing in common and that is an imbalance of the chest with the rest of the body. The appropriate operation for these patients is to bring that balance back to the body.

Plastic Surgery After Weight Loss East Bay California

A rapidly growing area of plastic surgery is post-bariatric removal of excess skin through plastic surgery. Patients who have lost 70, 80, 100, and 150 pounds, will be able to now have the areas of loose skin that does not go away after this type of weight loss, removed surgically. This could be a tummy tuck, it could be removal of excess skin from the arms, it could involve a breast lift, it could involve a face lift, it could involve an entire lower body lift. Whatever the procedure may be the goal is to remove the excess skin and bring the ideal contour back to that area of the body.

Liposuction Surgery Walnut Creek California Dr. Ramin Behmand

Over the past ten to fifteen years liposuction has transformed to being simply removing fat from parts of the body to body contouring. We now use liposuction in a much finer way to reshape areas where it is difficult to lose fatty tissue and shape that area in an ideal form. Liposuction is not a means of weight loss. The best candidates for liposuction are those who generally have a fit shape and good tone of their skin and would benefit from decreasing the fatty tissue in select areas such as the waist, the hips, outer thighs, inner thighs, even posterior thighs, or the back. All these areas would benefit from a re-contouring with liposuction.

Tummy Tuck Surgery Abdominoplasty Walnut Creek California

Having a child is probably one of the most wonderful things that happens to most people and most mothers in our lives. But no one really wants to be reminded by looking at their body that they’ve had a child. The effects of having a child usually are separation of the stomach muscles and stretching of the skin with leaving stretch marks and excess fatty tissue of the stomach, usually below the belly button, but sometimes above the belly button as well. Exercise and being in shape generally does not help with improving post childbirth excess abdominal tissue. A tummy tuck is aimed at removing this excess tissue, tightening and re-approximating the stomach muscles such that the pre-pregnancy state is restored. Because of the extent of tissue that needs to be removed often after childbirth. The mini-tummy tuck procedure is often not a procedure for which many women who have had children are a candidate. A select few are candidates for it and would benefit from it. The remainder of the patients would benefit from a tummy tuck procedure, which can also be combined with liposuction to enhance the results and the type of waistline it can provide.

Otoplasty Ear Reshaping Surgery East Bay California

Ear reshaping surgery is focused on correcting several deformities of the ear that can cause prominence or noticeable ears in a person. These corrections are often done at a younger age or as an adult. And then it is my job to explain to them what we can do and what the limitations may be. Then, taking all this together, we come up with a surgical plan that will deliver what the patient’s goal is from the surgery.

Laser Skin Resurfacing San Francisco Walnut Creek California

Patients often ask me what is the difference between a face lift and facial laser resurfacing. A face lift lifts the deeper tissues of the face into position but it does not remove the fine wrinkles of the superficial skin that we may see in the mirrors. So the laser resurfacing takes care of these fine wrinkles and often laser resurfacing may be a good complement to be done at the same time or in a staged type procedure after a face lift to get the ideal contour and shape of the face.

Rhinoplasty Nose Surgery Candidates East Bay California

Patients who come to me for rhinoplasty surgery generally have a very good idea of what they don’t like about their nose. It may be a bump on the back of their nose, it may be a poorly defined tip or a bulbous tip, it may be poor tip definition, or a drooping tip, or even a wide nose. We discuss their concerns and I then discuss with them what the surgical possibilities are. If there are limitations we go over those and then we come up with a surgical plan which will allow me to deliver them the goal that they have for this operation.
The ultimate goal from rhinoplasty or nose surgery is to bring a natural balance to the face for that patient’s facial features and bring about the harmony that you would expect among the facial features.

Rhinoplasty Nose Surgery Walnut Creek Dr. Ramin Behmand

Rhinoplasty or nose surgery, yet better known as a nose job, is one of the most intricate operations that we perform in plastic surgery. The nose has a central position on the face, it affects the appearance of the eye and the relationship of the structures of the face. The goal in this operation is to bring overall balance to nose as an individual structure and also to the face by reshaping the nose. Also during the same operation we want to ensure that breathing remains good out of the nose and easy for the patient after the surgery or if breathing is not good before surgery that the right operation is done for inside of the nose, such as a septoplasty or removal of areas enlarged within the nose so that breathing can be easier for the patient after the nose surgery operation.

Browlift with Eyelid Surgery Blepharoplasty San Francisco California

A brow lift or an endoscopic brow lift and upper eyelid surgery often complement each other very well in that the brow lift is done first, putting the brows in the right position, and then that is followed by an upper eyelid surgery to remove any remaining excess skin or fatty tissue. Wrinkles around the eyes are a tell-tale sign of aging. At the same time, brows that are coming down too far cause your eyelids to appear heavy and tired. There is a distinction between these two operations. The aging eyelids may have excess skin, laxity of the muscles and the tissues around the eye which can be tightened. Also, some of the fatty tissue on which the eye itself sits may start protruding and create puffiness around the eye. Many people notice that in the mornings. These can be repositioned to give a more smooth contour to the lower eyelid, to remove the excess skin from the upper eyelid, and to give an overall better shape and position to the eyelids. If you have ptosis of the brow or drooping of the brow it causes heaviness of the upper eyelids and it’s not really corrected by the upper eyelid surgery. The operation for elevating the brow or a brow lift is significantly less invasive now than it was in the past for an incision would be created from ear to ear over the scalp. Today we make small incisions, no more than about a quarter of an inch large, in the scalp, and use cameras and surgical equipment to lift the brows under the skin and put them in the ideal position that we want.

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Ramin A. Behmand, MD, FACS
1776 Ygnacio Valley Rd., Suite 108
Walnut Creek, California 94598
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Phone: (925) 939-9200

To learn more about plastic surgery, contact our Walnut Creek practice near San Francisco.