Sutton L. Graham, II, MD
Now that we live longer, healthier lives, it's natural to want to look as good as possible. Plastic surgery and non-surgical procedures today present many options for looking your best. We are proud of our reputation for combining exceptional personal care, surgical skill and comprehensive options. We count on you being able to tell your friends and family that your result is beautiful and you had the best experience of any medical office you've encountered.
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Meet Dr. Sutton Graham
Extensive B&A photo collection on my personal website, www.ExpertPlasticSurgeon.com/photogallery.
From your first contact with our staff, we think you will be impressed. Dr. Graham sees to it that all patients receive personal attention and detailed information about the procedures they're considering. We encourage you to review our detailed practice website before your consultation (www.ExpertPlasticSurgeon.com)
During a consultation with us you'll meet our experienced staff, review important medical history, learn about the procedures and how they'll benefit you, see numerous before and after photographs, and evaluate the areas of concern. You'll receive recommendations to achieve your goals, based on our extensive experience. We'll provide you a detailed, personalized booklet of information for your review, along with fee, payment and financing information.
We welcome you back for additional time discussing any questions with Dr. Graham or our nurse, if needed.
Patients considering facial cosmetic procedures will have the opportunity to meet our skin care specialists (esthetician). She'll advise you on skin care for maintenance or care before and after surgery.
Breast Implant Removal
Breast Implant Removal
Buttock Lift with Augmentation
Chemical Peels, IPL, Fractional CO2 Laser Treatments
Cleft Lip and Palate Repair
Cosmetic Surgery & Computer Imaging
Laser Hair Removal
Laser Skin Resurfacing
Lip Augmentation / Enhancement
Male Breast Reduction
Spider Vein Treatment
Tram Flap Breast Reconstruction
Ask a Surgeon
Dr. Sutton Graham participates in the ASPS Ask A Surgeon service. View responses to public questions below.
Curious about lip injectionsLip Augmentation / Enhancement
You are right to consider safety in your quest to have more attractive lips. Hyaluronic acid filler products such as Juvederm or Restylane are excellent choices, and they are widely used by experienced injectors. Seek the setting of a board certified plastic surgeon rather than a med spa or mall provider. Ask about their credentials, and if a nurse injector is used, is the supervising physician in-house? Show them your prominent blood vessels and ask how they are protected during your proposed treatment. Ask the injector to discuss the vascular anatomy of the lip. Ask if they have the enzyme hyaluronidase on hand. If you are satisfied with their knowledge and expertise, your should be safe to go ahead and have lip enhancement.
What can I do for thin lips and uneven mouth?Lip Augmentation / Enhancement
Yes, your photos demonstrate some changes. You might be able to benefit from some well done work with injectable filler such as Juvaderm (hyaluronic acid). There a variety of products your plastic surgeon might employ and should discuss them with you. It should be possible to improve lip contour and symmetry, and enhance the balance of the upper and lower lips. My thoughts are that your lower lip actually looks great, but I can see why you might like the upper vermilion to have a little more rounded fullness and more vertical height. The philtrum is difficult to evaluate in the photos I can see, but in-person evaluation is always best. A lip lift can shorten the vertical length of one's lip, and hide the scar along the base of the nostrils. This can be done with local anesthesia, with minimal down-time and recovery. Seek an experienced board-certified plastic surgeon in your area. Review their website photos for examples of their work and carefully discuss your expectations.
Are there ..Liposuction
There may be, and one might find them in university plastic surgery training programs. These programs have resident training clinics which allow plastic surgeons-in-training to provide low or no cost services to deserving patients. Most plastic surgery residents have already completed 3-5 years of surgical training before specializing in plastic surgery. Try contacting your nearest university medical center. Best Wishes
Boob job on one side?Breast Reduction
Hello, and your issue isn't really that odd. Many, many women develop breast asymmetry, although your sounds rather prominent. You are probably completely developed, and it is reasonable to consider plastic surgery to achieve better symmetry. Reduction of the larger breast is often the best option in the situation you describe. And yes, that should be less expensive than work on two breasts. Personal recommendations would be based on your in-person exam so contact a local board certified plastic surgeon and schedule a consult. Best Wishes
Gynecomastia issue: Tissue removed through incision, still little swollen/puffy on one side. hematomBreast Reduction
Questions like this are so common. In our practice we encourage patients like you to call us anytime, and frequently we schedule them for a quick recheck within 12-24 hours. That way we can determine if there is any cause for concern and address it right away. Your best approach would be to call your plastic surgeon, discuss your concerns with their staff and let them guide you. You are very early in the recovery and healing process, so plenty of improvement can be expected. Best Wishes.
In our practice, breast reduction patients do not have any routine overnight hospital stay. Your surgeon may have individual concerns for you as a patient, considering your medical history, and could adapt the plan accordingly. Discuss these and other questions with him or her during your consultation. Breast reduction is an extremely rewarding procedure which brings great lifestyle and personal satisfaction. Enjoy.
Tummy tucks can provide great benefits, but expectations are occasionally high. In our practice we occasionally see women and men who had a surgeon do a tummy tuck but were disappointed with the limited improvement. Their underlying problem related to excessive subcutaneous and intra-abdominal (internal) body fat. The tummy tuck tightened the lower abdominal skin and removed that fat, but it didn't improve the overall tummy contour. To get a truly reshaped tummy, it was necessary to loose a major amount of weight. Afterward their surgeon could have really improved the abdominal wall, skin and fat. And they would have seen a more dramatic improvement. As the other plastic surgeons have mentioned, for safety and cosmetic reasons, patients in your situation should consider 35-40 pound weight loss before your procedure.
The simple answer is: if your skin tone is good, then liposuction may be best procedure for you. If skin is loose, particularly if there is overlap above the pubic area, then tummy tuck should be done, and often combined with liposuction. These can give you the best body coutouring. You are right to consider a board certified plastic surgeon for this assessment and for procedures. Ideal weight does not have to be achieved for success, but your shouldn't have these procedures before undergoing major weight loss. Plan them afterward.
Breast ReductionBreast Reduction
In general any woman with back, neck and shoulder pain and breasts DD size or larger can benefit from breast reduction. Insurance requirements vary, but in our area most do not require primary care referral to consult with a board certified plastic surgeon (but it is a good idea). Your plastic surgeon will perform a history and physical, document the findings and send them to your insurance company for their approval. Some insurance companies will not cover your procedure, but your surgeon can offer affordable self-pay quotes that will still allow you to feel the benefits of proportional breast size and lifted shape.
smooth vs textured implantsBreast Augmentation
Before you pick your implant, pick your experienced, trusted, board-certified plastic surgeon in your area. Then bring your detailed questions to your consultation. After a proper history and examination, he or she can discuss their recommendations for your breast augmentation, including implant placement, implant fill material (silicone gel or saline), type, size and possibly surface texture. Implant characteristics vary too much to be able to make a simple answer to your good question. And your breast and body features may make much more difference in breast softness than any choice of implant. The simplest answer is, "it's complicated." Enjoy your consults and results!
We see many patients whose needs and wants have changed since having breast implants, so implant removal is always an option. Since you have a number of physiologic symptoms which you may attribute to your implants, you have plenty of reason to have them removed. With all that has changed, the breasts will not look as they did before augmentation surgery. During your plastic surgeon consult, you and your surgeon can discuss alternatives such as lifting the remaining breast tissue (mastopexy) if needed.
Reverse abdominoplastyTummy Tuck
Reverse Abdominoplasty is an uncommon procedure, but is appropriate for occasional patients. The determination is made after an in-person examination and discussion. As far as incorporating a breast lift, this decision should be individualized. You are obviously doing your research, and best wishes.
Jaw droopingDermal Fillers
You are correct that tooth loss, and associated jaw bone loss can contribute to facial contour changes. After ten years, the implant can restore chewing function and subtly improve appearance, but it will probably not overcome drooping along the jawline. After full recovery from your dental procedure, you would best have a consultation with a board certified plastic surgeon. He or she can assess your condition and make recommendations to give you your best appearance.
Recovery periodArm Lift
Arm Lift is also known as brachioplasty or arm tuck. It involves surgical removal of loose and excessive skin and fat from the inner portion of the upper arm. Many patients have lost weight, but that is not necessary. Alternative procedures include liposuction or CoolSculpting, but they do not provide equivalent results as Arm Lift. Both arms are usually done at the same time, typically in a accredited sterile operating facility, which may be part of a plastic surgeon's office. Your recovery depends on your level of activity and occupation, but generally patients return to an office job after one week, resume moderate exercise after three weeks, and wear compression wraps for the first three weeks. Full healing takes a few months, but the overall result is easily visible a 2 months post-op. Be sure to consult board certified plastic surgeons to have all your questions answered.
Discouraged. What can I do?Tummy Tuck
You ask a great question. When patients present with questions like this, plastic surgeons strive to help them get better and better. During your consultation(s), he or she will evaluate your current issues, your efforts at change, and the results of your earlier procedures. You will learn whether plastic surgery can help you achieve your goals. And possibly get suggestions about things to try outside of surgery. Call and make an appointment with your established surgeon and/or another expert.
How Do I Get That Raised Eyebrow Effect?Botulinum Toxin
Botox placed beneath the outer brow can raise that portion of the brow slightly, about one millimeter. It is usually necessary to avoid placing Botox in the lifting muscle above the eyebrow as well. You mentioned that your lids are becoming a bit heavier. If this is a concern, then discuss this with a plastic surgeon, and consider eyelid tuck. This can often can be done under local anesthesia with minimal downtime and will give excellent improvement. If brow droop is the major cause of your changes, then browlift may be the best way to spend what you currently dedicate to Botox. The consultation will help you decide which treatment methods are best for you personally.
Consultation costsBreast Augmentation
It's good that you're doing your research. Some patients have a procedure after visiting a single surgeon, although many we see have visited on or two others to make their decision. Ideally you will pick a pleasant, experienced, understanding surgeon whose office facility and staff are enjoyable as well. Board certification in plastic surgery and membership in this American Society of Plastic Surgeons are a starting point. A surgeon and practice that emphasize the types of procedures you seek is a plus (facial aesthetics, scar revision, rhinoplasty, body contouring, etc.). Before and after photos that show results you are comfortable with is a nice consideration. A good reputation with other physicians in your area (ask your primary care doctor). Ask plenty of questions and listen carefully to the answers. Best wishes on your quest.
I tell patients there are two sides to this discussion. If you can achieve your planned body weight before reduction, your chosen plastic surgeon can give you the best final result. On the other hand, breast reduction now will allow you to be so much more active without discomfort, that many choose reduction first and work on weight loss goals afterward. Discuss your individual situation with your surgeon to help with your decision.
Planning to recieve a reductionBreast Reduction
An excellent and common question. Yes, each breast reduction includes a breast lift as well. The way I explain this to patients is: "Imagine leaving the nipple attached to the breast tissue, but lifting the skin away starting at the bottom. The peripheral excess breast tissue is removed, leaving the appropriate core amount. This core is lifted internally and sutured. The now excess skin is removed from the lower breast, and the scars hidden." Our goal is to give you a proportional, lifted breast while maintaining sensation and possible function, for those that want to go on to breast feeding. Almost every patient tells us they wish they had had the procedure sooner!
Breast reduction or lift?Breast Reduction
Yes. The general answer to the question you pose is yes, breast reduction or breast lift will help these problems. If a breast reduction is done, the lift is always included. The breasts are less heavy, making activities more comfortable. Size can be made proportional for your frame and preferences. Breast lift alone is a more limited procedure that would lift but not reduce the size of heavy breasts. That procedure is less likely to help the symptoms you describe. Interview a board certified plastic surgeon for the best information.