Tired of being told your symptoms are normal?

How ThermiVa has helped me after child birth:

meagan 3

I am a 32 year old full time working mom of a beautiful three year old little boy.  Pregnancy and child birth changed a lot about my body.  Some of the things are easy fixes and other I had come to accept as the new normal, like being nervous if I felt a big sneeze coming on. All of which is a small price to pay for the joys of being a mom.  One of my favorite things about my job is hearing about all the new up and coming treatments available and being in the know before the general public.  Our staff at Ponte Vedra Plastic Surgery started receiving education on a new treatment called ThermiVa…vaginal rejuvenation.  I remember when I heard vaginal rejuvenation I thought to myself “Wow  I never thought that would need rejuvenating.”  I went through the training and while intrigued I was hesitant because  let’s be honest that might be a little bit of an awkward experience.  So I put it in the back of my mind and didn’t really start seriously considering it until my coworker, Beth, shared her experience with me after her treatments.  She was literally singing its praises and gave me all the details.  So I decided to give it a try.  I figured if I had one treatment and it was just too awkward that I didn’t have to have another one.  So I made my appointment and saw Suzanne, our nurse practitioner at the Nocatee office.  It was anything but awkward.  She made me feel extremely comfortable throughout the whole experience and I saw an improvement after my first treatment.  I had two other treatments after that each 4 weeks apart, and will have yearly touch up treatments.  I no longer get nervous before a sneeze, and my husband even commented he noticed a difference.  This amazing new treatment has allowed me to no longer have to accept the changes pregnancy and child birth caused.

Written by Meagan Heineman


Call Ponte vedra Plastic Surgery today to schedule your appointment (904) 273-6200



Is A Facelift Right For You?

A rhytidectomy, more commonly known as a facelift, is a procedure that can take years off of your face and help you feel more confident and attractive. While this procedure isn’t right for everyone, it does come with many benefits. Keep reading to learn more about the procedure and find out if it is a good option for you.

How does a facelift work?

As people get older skin sags and extra fat deposits can leave you looking older and heavier than you feel. During a traditional facelift, incisions are made near the hairline and the skin is raised from the face so that the underlying tissues can be tightened and repositioned. Excess skin is also removed during the procedure. Facelifts are usually used to correct issues with the lower two thirds of the face, but if you’d like to address other areas, facelifts can often be combined with other cosmetic procedures such as neck lifts, blepharoplasty, brow lifts, and skin treatments.

Who is a good candidate for a facelift?

A facelift is just one of many cosmetic procedures available. Your doctor can help you explore your options and choose a procedure that suits you. A facelift isn’t the right option for everyone.

The following people should consider alternatives:

  • People who are still quite young and just want to make small improvements • People who aren’t comfortable undergoing surgery.
  • People who only want to improve one thing—for example patients should consider dermal fillers if they just want to get fuller lips.

Good candidates for a facelift include:

  • People who’d like to see significant improvement—other cosmetic treatments provide more subtle results.
  • People who want to improve many areas of the face, not just one specific aspect.
  • People who are comfortable with surgery and healthy enough to undergo the procedure. A rhytidectomy is usually performed under general anesthesia to minimize pain and discomfort.
  • People who want long-term results—while alternatives such as Botox and dermal fillers can improve your skin, patients need repeat treatments to maintain their appearance. A facelift provides longer lasting results.

If you’d like to learn more about facelifts and other cosmetic treatments schedule a consultation at Ponte Vedra Plastic Surgery.

Methods to Force Your Skin to Improve and Repair Itself!


kim Kim Lindsey, Aesthetician 

Q: What is a good anti-aging product regimen?

A: Topical key elements for healthy skin are as an important regimen as your daily oral dose of vitamins. Everyone should be using a medical grade foundation of topical products beginning with a good cleanser, toner, topical vitamin A, C, antioxidants, peptides, growth factors and sunscreen.

Q: What is the average topically applied product penetration rate?

A: The approximate amount is in the region of only 7-10%.

Q: How can I improve the product penetration rate?

A: Our skin has a layer of dead cells piling up as a barrier to the world. Getting through this barrier and exfoliation the dead cells off is a key to increasing the penetration rate of products. This can be done utilizing scrubs, masques, microdermabrasion, using a cosmetic beauty roller and chemical peels.

Q: What is a cosmetic beauty roller?

A: This is a rolling micro needling device that can be used regularly at home to comfortably penetrate the dead skin cells by creating microscopic holes (0.2-0.3mm) allowing for more than 80 % better product penetration! This home treatment will increase your product results dramatically.

Q: How is Medical Micro Needling different than using a home beauty roller?

A: A cosmetic roller is designed primarily to increase your product penetration rate while a Medical Micro Needling treatment is a non-ablative way to force the skin’s natural ability to create new cell turnover, collagen, and elastin for a healthier, younger looking skin. This is done by stimulating a wound healing cascade caused by controlled injury with micro needles that range from a depth of 0.5-3.0mm depending on the condition you are treating. This treatment can be comfortably done by your Aesthetician after applying a topical numbing cream. The down time is typically only a few hours of appearing as you have a sunburn.

Q: How do Chemical Peels help improve skin?

A: A chemical peel is a controlled and safe way to injure the sluggish dead skin, stimulating rejuvenation of collagen effecting your overall complexion and skin quality. Your Aesthetician chooses from a variety of safe acids that are specifically designed to encourage new cell turnover and slough off old dead and damaged skin cells. The down time is depending on the strength of the peel, and your regeneration rate. The average person may experience some degree of peeling, redness, and tightness of the treated areas for approximately 5-7 days. Many clinical treatments like chemical peels and micro needling will achieve more effective results after a series of 3.

For more information on a professional, personalized skin care regimen contact a qualified Aesthetician at www.pvps.com or give us a call at 904-273-6200

*reference The Concise Guide to Dermal Needling, Expanded Medical Edition by Dr. Lance Setterfield, M.D.  1.11.16kl


Taking Care Of The Skin Near Your Eyes

Taking good care of the skin near your eyes can keep you from looking tired and stressed. It can also help you avoid wrinkles and noticeable signs of aging. The following tips can help you look young and refreshed.

Makeup Tips

The following makeup tips can help you keep the thinner, fragile skin near your eyes healthier:

  • Be very gentle when applying makeup near your eyes: Avoid pushing to hard or pulling on the skin. In most cases, it is best to use a brush to apply the makeup, but if you do use your hands, use your ring finger, since you’re likely to apply less pressure with that finger than your index or middle finger.
  • Always remove your makeup at night: Leaving your makeup on while you sleep can lead to skin irritation, breakouts, and infection. Once again it is important to be gentle. When you’re washing makeup off near your eyes, use a soft cloth, cleanser, or petroleum jelly.
  • Replace your eye makeup every 3 months: Germs that build up in your makeup can harm your eyes and the nearby skin. In most cases you should replace mascara, concealer, eye liner, and eye shadow approximately 3 months after you open them.

Lifestyle Tips

  • Limit alcohol and caffeine consumption, since they can dry out your skin. Instead, drink plenty of water throughout the day to keep your skin hydrated.
  • Make sleep a priority. Without enough sleep, you’re likely to have bloodshot itchy eyes. You’re also more likely to wake up with dark circles and puffiness around your eyes. This can make you look tired, stressed, and old.

Cosmetic Treatments

Cosmetic treatments can also help you protect the skin near your eyes. The simplest option is eye cream with the nutrients needed to protect the thin, fragile skin around your eyes. In most cases you should invest in special eye cream in addition to your regular face moisturizer.

Botox is another cosmetic treatment that can help improve the skin around your eyes. It can be used to reduce the appearance of wrinkles and crow’s feet that make you look older.

As you age, the skin around your eyes is more likely to droop and sag. Sagging skin on your eyelids could interfere with vision, and bagginess under the eyes can make you look old and tired even when you’re well rested. Blepharoplasty is an option for removing the excess skin and giving you younger looking, more open eyes. Schedule a consultation at Ponte Vedra Plastic Surgery to learn more.

In Search of the Holy Grail

Weight ScaleFor decades there has been a relentless search for effortless weight loss and painless cosmetic surgery. We might call these goals the “holy grail” of plastic surgery. Last year Americans spent over $11 billion on surgical and non-surgical cosmetic procedures and the potential market is likely much, much larger. The only thing that holds many of us back is the effort, pain and recovery typically required to improve/reshape our bodies. Without a doubt, there are tremendous profits to be made by anyone that can produce consistent results with minimal effort, pain and downtime. And wherever there are big profits to be made there will invariably be snake-oil salesmen trying to get a piece of the action. I cannot stress too strongly that it is a “buyer beware” market out there. Remember what your mother always said: “If it sounds too good to be true…..it probably is.”

With that warning out of the way, let’s look at where the search stands today.

I think the hottest area of research right now is the search for a non-invasive technique or technology that will remove fat without the need for surgery or anesthesia. There are several companies currently touting such technologies…and ALL are fiercely competing for our hard-earned dollars with big promises and multi-million dollar marketing campaigns. Let’s take a look at a few of them one at a time:

1. Cold lasers: This technology, most prominently marketed as Zerona and Lipo Light, uses non-invasive low level laser therapy(LLLT), or “cold laser” therapy, to purportedly disrupt the cell membranes of fat cells, essentially deflating them. Your body then eliminates the fat cell contents. Zerona has been modestly successful marketing their laser technology in conjunction with diet and exercise programs making it difficult to determine the true cause of any positive results.

2. Cryolipolysis: This technology, most widely marketed as Coolsculpting by Zeltiq, uses targeted cooling of the fat tissue, sparing injury to the overlying skin, in an attempt to kill fat cells. This technology, like Zerona, has been FDA approved for fat reduction, but experience to date is mixed. Our understanding is that patient satisfaction rates are in the 40-50% range. At $1000-3000/treatment, the challenge will be how to deal with the 50-60% of patients that are unhappy!

3. Ultrasound: Ultrasonic energy has been used for decades in medicine to treat various maladies such as solid tumors and kidney stones. Now it is being promoted as a way to break up fat cells without injury to the skin. The most promising and exciting technology is a type of focused ultrasonic energy called HIFU, or High Intensity Focused Ultrasound. Early studies seem to indicate modest success in carefully selected patients. While we have not yet committed to this technology, we believe it is exciting and are anxious to see results from second and third generation products.

4. Radiofrequency: While not marketed specifically for fat, I include this technology here because of its prevalence in the aesthetic marketplace. Most popularly known as Thermage, this technology is promoted as a way to tighten loose skin by transferring energy via radiofrequency waves to the deep layers of the skin. As with the other technologies listed above, results to date have been modest at best. I have seen many disappointed patients that have spent thousands on this technology only to end up in our office for a facelift.

So where does this leave us? As disappointing as it sounds, it’s not all bad. Future generations of one or more of the technologies listed above may prove to be more promising. Currently, there is no shortage of research going on with all of these and more. Unfortunately the holy grail, though perhaps on the horizon, continues to elude us. So for now I must still warn: “Buyer Beware”.

C. Cayce Rumsey III, M.D.

Doctor Rumsey is a founding partner of Ponte Vedra Plastic Surgery and is current President of the Florida Society of Plastic Surgeons.

What to Do About Drooping Skin After Drastic Weight Loss

Losing a large amount of weight is no easy feat.  If you haven’t done so already, you should take a moment to stop and congratulate yourself on all your hard work! Thanks to your efforts, there’s no doubt that you are healthier and that you feel better about yourself as well. However, if you’re like a lot of people, you’ve been left with one very big problem that you may or may not have anticipated when you first started out on your amazing journey. While you may be able to fit into the clothing that you always dreamed of wearing, you may be at a place where you’re not comfortable wearing it because of excess skin. Why Does Excess Skin Occur? Oftentimes when people lose large amounts of weight, their skin doesn’t simply snap back into place the way you might expect due to skin elasticity loss. The fat may disappear, but the stretched out skin can remain, sometimes causing the same issues with their self esteem that the extra weight caused in the first place. Your very unique skin elasticity can be affected by a number of factors. One of the biggest of these is age, as skin naturally loses elasticity as you get older. The other is genetics. What Can I Do About Sagging Excess Skin? Regardless of the reasons for your problem, there are certain things you can do. Diet can help you to a certain extent. Drinking plenty of water and keeping “junk” food intake to a minimum may lead to reduction in the appearance of excess skin over time. However, body contouring through plastic surgery is often a more effective option in the long run, especially if you’re looking at a lot of skin or a high degree of sag. A plastic surgeon can effectively make sagging skin from weight loss a thing of the past forever. Your surgeon can also do additional body contouring to make improvements to remaining fat deposits or stretch marks. Recovery time for this type of surgery is generally quite reasonable and many people are back to regular activities in just a few weeks. Ask your plastic surgeon about the possibilities today!