Saturday, February 27, 2010

FREE Informational

Laser Seminar!


March 24th

Gather your friends for an informative evening on the LATEST ADVANCES IN

ANTI-AGING TECHNOLOGY TO Tighten, Restore and Brighten your skin with Fraxel and remove fat while tightening your skin with SmartLipo.

Pearl Plastic Surgery invites you to a FREE Informational Seminar about

Fraxel Restore laser treatment

an FDA approved Procedure to treat aging & sun-damaged skin

SmartLipo Laser Body Contouring

an FDA approved alternative to traditional liposuction

Open House

5pm – 7pm

With presentations at 5:30pm and 6:30pm

There will be a drawing for free Fraxel treatments,

Door Prizes & light refreshments.

Each participant will receive huge discounts off all

Fraxel treatments and SmartLipo procedures!

Bring a friend, no RSVP required!

First 10 people to RSVP will receive a free gift!

253.759.4522 or

Tuesday, February 9, 2010

Join us for our 1st Anniversary Open House on Wed 2/17 from 11am-6pm!

Wednesday February 17, 2010

11am – 6pm

Stop by our 1st Anniversary!

Fantastic specials, great food & prizes!

Pearl Plastic Surgery
Dr. Chris Nichols
6002 North Westgate Blvd. Suite 160
Tacoma, WA 98406

Tuesday, January 12, 2010

Congratulations to Dr. Nichols for scoring 95th percentile on the Plastic Surgery Board Exam!!!

Congratulations to Dr. Chris Nichols for scoring 95th percentile on the Plastic Surgery Board Exam!!!

Tuesday, December 29, 2009

The Truth About Plastic Surgery: Fact or Myth? (Part II)

By Dr. Chris Nichols, Plastic & Reconstructive Surgeon
Tacoma, WA

Cellulite can be permanently removed or treated.
Myth: Endermologie, Mesotherapy, Acoustic Wave Treatment, creams such as RevitaShape and Revitol and other products and devices that claim to treat cellulite are absolutely temporary. Cellulite is superficial fat which is trapped within the connective tissue attachments of the skin to the deeper tissues. Genes greatly determine if you will develop cellulite and unfortunately most women have some cellulite regardless of their weight. If you want to estimate how much cellulite you will have, assessing your grandmother, mother or aunts may be a good clue. No known durable, proven treatment for cellulite exists.

Sculptra, the latest FDA approved treatment for anti-aging, is the same as other fillers.
Myth: Sculptra is not a hyalluronic acid like Juvederm and Restylane and works in a much different manner to treat fine lines and wrinkles. Sculptra is Poly-L-Lactic Acid (PLA), which has been used to make absorbable surgical suture materials for decades. Sculptra works differently from other injectable products. Tiny particles of PLA are diluted in a suspension of sterile water, carefully injected under in the skin, and then molded for optimal results. These particles of PLA then stimulate the formation of new collagen in the skin, adding volume over time. Sculptra injections do not cause instant changes like the hyaluronic acid products, but rather stimulate collagen growth over a period of several weeks to months. Typically Sculptra requires 3-4 treatments to achieve optimal results, but the results have been shown to last greater than 2 years.

Fillers such as Juvederm and Restylane and Botox are just as good as a facelift.
Truth: No fillers or Botox/Dysport can exactly achieve the results of a surgical facelift, however, the combination of Botox/Dysport and fillers can help postpone the appearance of aging. Botox can smooth the forehead while lifting and shaping the brows. Fillers can help fill in deeper lines and wrinkles and also plump up the lips and cheeks. The short term cost for fillers and Botox/Dysport is much less, however the results are not permanent, but can last up to a year or more and require little down-time compared to a surgical procedure.

Facelifts such as The Thread Lift or Lifestyle Lift are exactly the same as a traditional facelift.
Myth: Marketed as short in-office procedures with minimal recovery time, these types of facelifts are extremely temporary and many patients have been disfigured or experienced severe complications from procedures like these. The results are temporary since they don’t do anything to the deeper layers of skin and muscle tissue. If you’re looking for a more long lasting result, then a traditional facelift is the way to go. Remember to find a legitimate cosmetic surgeon, who is trained in this procedure and operates in a sterile operating room under general anesthesia. You may not be back at work the next day,day; however your results will last for years.

Botox vs. Dysport: They are the same thing.
Truth: Both are essentially purified forms of botulinum toxin A, which paralyze the nerve it is injected into. Botox is a solution, while Dysport is a suspension. Dysport can start to act faster in some people. Botox has been FDA approved in this country for years, while Dysport received FDA approval in 2009, however has been used in Europe for many years.

Why pay more for Botox or Dysport at a doctor’s office? It cost much less at a spa or salon.
Myth: The old saying is, you get what you pay for! The price of Botox is set by the manufacturer Allergan Medical and the price for Dysport is set by Medicis. If you are offered Botox or Dysport at huge discount, chances are it’s not from either manufacturer and could be a very diluted form or perhaps something that is not even real Botox or Dysport at all. When you are injected by a non-medical professional, such as in a salon or spa, the injector probably has insufficient or even no training, which can result in problems like asymmetry and droopy eyelids or brows. Facial anatomy knowledge is extremely important in minimizing the highly publicized negative outcomes. You should only be injected by a licensed and trained physician or nurse who specifically knows facial anatomy.

Fraxel (fractional laser skin rejuvenation) can give you the effect of a facelift non-surgically.
Myth: Despite a lot of advertising to the contrary, fractional lasers are not skin-tightening devices. However, they can be a good choice to correct sun damage, discoloration, fine lines and even acne scars. A small percentage of patients may achieve some skin tightening, but this is not a predictable benefit. While fractional lasers offer minimal down-time, they re quire several sessions compared to other types of lasers in order to offer more visible results. The rule of thumb is: the shorter the recovery time, the less improvement you can expect.

Thursday, December 17, 2009

Some Holiday Fun!

Happy Holidays from Dr. Chris Nichols and the Staff at Pearl Plastic Surgery!

Tuesday, November 24, 2009

The Truth About Plastic Surgery: Fact or Myth? (Part I)

By Dr. Chris Nichols, Plastic & Reconstructive Surgeon
Tacoma, WA

Aging is strictly genetic.
Truth: Genes and heredity are partly responsible for the way you will age,age; however, aging is directly related to our lifestyle, diet, exercise regimen, smoking habits, the environment and location in which we live. Excessive sun exposure, smoking and obesity are major causes of premature aging. Following a healthy diet, exercising regularly and wearing sunscreen every day will help delay the aging process.

Anti-aging creams will prevent you from aging.
Fact: Tretinoin, aka Retin-A in prescription strength, works by forcing skin cells to renew more quickly. With long-term use, it can improve fine lines and wrinkles, acne, smooth the skin and remove age spots. Sunscreen containing both UVA and UVB protection is vital in anti-aging. If used in conjunction with Retin-A, you can best minimize the visible signs of aging, however the aging process can never be completely stopped.

Silicone breast implants are dangerous to your health.
Myth: International long term studies have consistently shown and proven that both saline and silicone implants are safe and do not cause cancer or rheumatoid diseases. All breast implants have been rigorously evaluated by the FDA and are FDA approved. Both saline and silicone implants, contain a shell that is made of silicone. Both have a tested lifetime of 10-15 years. Silicone gel implants require a commitment of having a mammogram at 3 years after implantation and every 2 years thereafter for detection of leaks which may not be clinically evident in comparison to a saline deflation.

Breast implants will soon be replaced with fat injections.
Myth: At this point in time, fat injections for breast enlargement are truly experimental and have inconsistent results. Fat injections, aka fat grafting, will definitely not replace saline or silicone gel implants any time in the near future, but can be useful in making small modifications to breast size and contour. Fat injection into the breast tissue may cause changes that could confuse mammogram interpretation and are currently being evaluated in ongoing clinical research. Fat grafting can be extremely useful after breast cancer reconstruction to correct small amounts of asymmetry or rippling.

SmartLipo (laser liposuction) is different from traditional liposuction.
Fact: SmartLipoSM is a minimally invasive procedure that permanently destroys fat cells, improving overall body shape by permanently removing unwanted fat and tightening skin. Laser technology liquefies the fat cells while smoothing and tightening the skin that often remains a bit loose after traditional liposuction. SmartLipoSM is meant for areas that do not respond to diet or exercise. Different from traditional liposuction, SmartLipoSM uses a laser fiber to direct energy to fat cells, causing them to rupture and drain away as liquid. Simultaneously, tissue around the area coagulates, resulting in overall tighter skin tissue. SmartLipo is performed in our office, does not require general anesthesia and has minimal downtime compared to traditional liposuction. The most important thing to remember when considering liposuction is to choose a surgeon who has had specialized training in liposuction, as there are many unqualified physicians out there who are not trained in the anatomy or technique and are promise results and recovery that seem too good to be true.

Check back for Part II!

Breast Screening Guidelines Position Statement from Dr. Nichols

Following the recent publication of the US Preventative Services Task Force guidelines on 11/16/2009, there has been a flurry of publicity about the need for mammograms and breast self examination in the 40-49 year age-group. As a member of the local breast cancer tumor board, I wanted to comment on the local viewpoint here in Tacoma and Pierce County. Locally we have unanimously agreed with the position of many prominent national and regional organizations (including the National Cancer Institute, the American Cancer Society, and the Seattle Cancer Care Alliance) to suggest that women continue with existing breast imaging and exam guidelines listed below. I have personally have treated many patients in the 40-49 year age-group who have had life threatening breast cancers detected on mammogram or self-exam. Also, in discussion with my radiology colleagues it is noteworthy to point out that greater than 70 cancers have been mammographically detected in members of this age group so far this year.

I would like to make this information available to patients that may be considering mammograms and self exams the existing widely recognized guidelines are:

• Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health.
• Clinical breast exam (CBE) should be part of a periodic health exam, about every three years for women in their 20s and 30s and every year for woman 40 and over.
• Women should know how their breasts normally feel and report any breast change promptly to their health care providers. Breast self-exam (BSE) is an option for women starting in their 20s.
• Woman at high risk (greater than 20 percent lifetime risk) should get an MRI and a mammogram every year. Women at moderately increased risk (15 percent to 20 percent lifetime risk) should talk with their doctors about the benefits and limitations of adding MRI screening to their yearly mammogram. Yearly MRI screening is not recommended for women whose lifetime risk of breast cancer is less than 15 percent.

For additional information please refer to:

The Carol Milgard Breast Center
4525 S 19th St
Tacoma, WA 98405-1106

The American Society of Breast Surgeons

Tuesday, November 17, 2009

Sculptra and Obagi Event - Wed 11/18/09 from 3-7pm

Dr. Chris Nichols
Pearl Plastic Surgery
A Free Informational Seminar
Sculptra Aesthetic and Obagi Medical

Dr. Chris Nichols will present information about the latest FDA approved cosmetic filler, Sculptra Aesthetic, along with other fillers and Botox/Dysport including differences, treatment areas and pros and cons. Dr. Nichols will also provide information on cosmetic facial procedures and answer all of the questions you have may have.
This is a free event, so bring your friend! For each friend, up to 4, you bring that is a new patient to our office, you will receive a $25 gift certificate for any service we provide.
PRIZES & Discount: First 2 people to buy a kit (2 vials) of Sculptra Aesthetic the night of the Seminar, gets 1 vial free! 20% off all Obagi Medical Skin Care Products!

Where: Pearl Plastic Surgery
6002 North Westgate Blvd. Suite 160
Tacoma, WA 98406

When: Wednesday November 18th

Time: Open House from 3 – 7pm with lectures at 4pm & 6pm

RSVP: No need, just show up with your friends

*Discounts will be offered tonight only! No exceptions.


Sponsored by Sculptra Aesthetic and Obagi Medical

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