Dr. Stephen Mulholland's Plastic Surgery Blog

Botox: 3 Problems You Didn’t Realize It Can Treat

January 14th, 2015
Botox Toronto

Before and after photo of a patient who received Botox Injectable

With selfies practically engrained in our culture now, plastic surgeons have seen an increase in patients coming in for non-surgical and surgical procedures over the past year. A study by the American Academy of Facial Plastic and Reconstructive Surgery revealed that 1 in 3 plastic surgeons saw an increase in requests for procedures due to patients being more self-aware of their looks on social media. Keeping these observations in mind, the surgeons also noted an increase in rhinoplasty, hair transplants and eyelid surgery.

People want to look good—for selfies or to just maintain their youth—and they will do what it takes to achieve it. The latest statistics on plastic surgery trends shows that three quarters of all procedures performed in 2013 were minimally invasive. Unsurprisingly, Botox was the most popular non-surgical procedure performed. While most of these injections were most likely for cosmetic reasons, Botox can treat 3 other common problems millions of people deal with.

Botox Treats Migraines

If you’ve ever had a migraine, you know that they’re not fun or pleasant at all. Migraines differ from regular headaches in that the pain is much more intense and can involve nausea, vomiting and sensitivity to sound and light. Migraine episodes can last for a few hours.

The FDA approved Botox as a treatment option for chronic migraines in 2010. According to Healthline, injections can be made to specific points along the nose bridge, temples, neck, forehead and the back of the head. It can take from 10-14 days after the treatments to feel relief. Usually, Botox treatments for migraines are performed once every 3 months.

Botox Controls Overactive Bladders

Some people have urinary incontinence, which is the loss of bladder control. This problem could be minor or severe. You could cough or let out a sneeze and that triggers urine to come out. Or, you could have a really strong urge to urinate without getting to the washroom in time. Things like childbirth, pregnancy and menopause can cause urinary incontinence. All this means that women are more likely to experience this problem more than men.

Urinary incontinence could be so problematic and embarrassing for some people that treatment is required. Botox injections to the bladder muscle temporarily treat these overactive bladder symptoms. Results last for about 9 months.

Source: YouTube. Dr. Mulholland talks about Botox and performs it on a patient in this clip.

Botox Reduces Your Excessive Sweating

Most of us sweat more than we would want to when it’s summertime. For some people, though, sweating excessively is a problem regardless of the season or weather. This condition is called hyperhidrosis—about 3% of the world’s population lives with this common condition.

Those who sweat excessively can see sweat in multiple areas of their body such as the armpits, hands, feet or forehead. To temporarily treat the sweating, an injection of Botox is inserted to the problem area. By doing this, chemical signals from the nerves that stimulate sweat glands are blocked. This 10-minute treatment can leave you sweat-free in that area for up to 6 months.

Get Free Botox

Botox isn’t just for pretty faces after all. Sure, it can temporarily erase some wrinkles here and there but there are tons of other things Botox can do for you. If you’ve been thinking about getting treatments, now is the perfect time to do it.

We’re offering free Botox at SpaMedica. Buy any package (they’re all 30% off) and receive 30 units of free Botox. This promotion runs until February 15, 2015 so book your appointment now.

Liposuction: 3 Things You Have To Know About It

January 7th, 2015
Before and after photos of a liposuction patient

Before and after photos of a liposuction patient

Some people would say liposuction is the “easy” way to lose some weight. On the surface, sure, it looks like the procedure is a great way to trim up and shed off pounds. I mean, what’s the point of going on a hardcore diet and exercising everyday when you can avoid all that stuff by getting liposuction?

This is a super common misconception. First off, liposuction  is not a “quick” way to lose weight. It’s actually not a weight loss method. Also, it’s not a procedure where you go in, get some fat taken out and your results will automatically appear within the next day.

There’s maintenance and things you’ll have to consider when it comes to diet and lifestyle to keep your liposuction results. Dr. Mulholland, a Toronto plastic surgeon, shares his expertise on what you should expect to do after liposuction so things don’t come as a surprise.

A balanced, healthy diet will help your body heal quickly after liposuction

This idea is the same for any other surgery. Having a healthy diet (don’t be too hard on yourself by restricting calories though) helps your body heal fast and without complications. Gradual weight loss of less than 20 pounds will also benefit your liposuction results. The areas and contours you’ve gained will shrink and enhance your overall looks. Weight gain, of course, can sabotage your liposuction results. Not only will the fat return to the areas you’ve had treated, fat can also travel and accumulate in areas where you normally didn’t have.

What your diet should be like depends on your own individual health. Your liposuction surgeon is in the best position to recommend what your diet should be after the procedure.

Dr. Mulholland appeared on Cityline to discuss and perform BodyTite Liposuction.

You can return back to regular activities soon after liposuction.

“Patients can return to relatively low-impact activities the day after the procedure,” says Dr. Mulholland. With energy-assisted liposuction procedures like BodyTite or SmartLipo, the risks of pain, bruising and swelling are reduced. This provides patients with a faster opportunity to get back to regular activities. Some patients have had liposuction on multiple areas of their body and can go back to very light activities the next day. It’s not a bad idea to have 2-3 days dedicated to resting and recovery after liposuction, though.

If you’re into active physical activities like running and weight training, you’ll have to wait 4-6 weeks after your procedure to jump back into these activities.

Weight fluctuation is common after liposuction

As mentioned earlier, liposuction is not a way to lose weight. It’s a way to help you shape up contours and remove unwanted fat from pockets of your body that you don’t want. Dr. Mulholland says to focus on your contours and the inches you’ve lost, not your weight.

With that noted, you will lose some weight after liposuction. It’s also possible to see your weight fluctuate. Some reasons that cause weight gain are related to the stress of surgery and stress hormones—this shows up in the form of water weight. However, it’s a good idea to have a close follow-up with your liposuction surgeon to make sure everything’s fine if you have any worries about your weight.

These are just some of the things to consider before you decide to take the plunge and have liposuction. Do your research, pick a board-certified plastic surgeon with years of experience and don’t be afraid to ask questions. Leave a comment or book a consultation online if you have any questions about liposuction.

Stretch Marks: 4 Things People Get Wrong About It

December 18th, 2014

Stretch marks
Stretch marks are basically the best self-esteem destroyers, especially when beach season rolls in and everyone’s half naked. Tons of people have them and I could say without real statistical evidence that they all despise them. I’m sad to say that stretch marks cannot be rid of permanently. But there are ways to reduce the look of it. Before seeing how you can treat stretch marks, learn more about stretch marks before you try to conquer this annoying problem.Oh sweet, sweet stretch marks. They’re large and coloured in bold shades of red, purple or white. They hang around on tummies, thighs and hips permanently. They’re reliable little scars because they’ll always be there on your body even when you don’t want them to.

Stretch Marks Are Usually White or Silver

When stretch marks are just starting to appear on your body, they can look red or purple. Purple or red stretch marks occur when your skin is expanding and when there are micro tears in the skin’s collagen and elastin. With more blood vessels in your injured skin, that’s why stretch marks appear red or purple. These colours could last for months or years after the stretch marks first showed up (Awesome. Not.)

If you have older or mature stretch marks, they look white or silver. This happens after blood vessels fade and when there’s no longer an inflammatory response. More mature stretch marks have less collagen and elastin compared to non-affected skin.

Getting a Good Tan Removes Stretch Marks

Tanning won’t remove your stretch marks. White and silver stretch marks don’t tan the same way as unaffected skin. The first layer of your skin turns darker, but your stretch marks will stay the same. The colour doesn’t change, so white stretch marks stand out even more against tanned skin.

Plus, if you are basking in the sun, make sure you’re wearing SPF sunscreen. Too much sun exposure can damage your skin’s collagen and that’s’ the last thing you want if stretch marks are your concern.

Weight Loss Gets Rid of Stretch Marks

Stretch marks are considered scars so they’ll still be there when you drop pounds. Stretch marks usually occur due to a few things that cause the skin to stretch: pregnancy, weight gain and weight loss.

Thin People Are Immune to Stretch Marks

It doesn’t matter how big or small you are—people of all sizes can have stretch marks. When people go through puberty, a stage where hormones are rapidly changing, stretch marks can form. Even if a thin person has an impossibly fast metabolism and never gains weight, hormonal imbalances causes stretch marks.

Body builders who are notoriously fit and built can also sport some stretch marks. These marks are usually seen on the upper chest or shoulder areas.

Stretch mark reduction

Reduce Your Stretch Marks With These Treatments

Physcians use fractional lasers and radiofrequency devices such as Enerjet. During this treatment, the Enerjet applicator is applied on the skin where the stretch marks are. The Enerjet propels solubilized soft tissue fillers like Restylane and Juvederm across the skin.

This product is evenly distributed within and under the stretch mark to make them smooth and tight. There aren’t any needles used and there’s no pain. It’s a 30-45 minute treatment depending on how much needs to be treated.

Different methods and devices are used to reduce the looks of stretch marks. A series of treatments need to be performed for the best results. These programs usually take 3-6 months to finish since each treatment is separated by a few weeks. Expect to see 30-75% improvement in your red, purple or white stretch marks.

Curious for more information? Read more on stretch mark reduction treatments.

The Reason Why You Shouldn’t Get Plastic Surgery

December 15th, 2014
A happy couple

A happy couple

What do you do to fix a failing relationship? You know when you start fighting more often—even about the littlest things—and when you’re just not happy with your partner anymore, there’s something wrong. So do you start wearing sexy lingerie? Take a vacation? Break the usual routines and go out for actual dates that don’t involve watching TV and eating on the couch?

Why You Shouldn’t Get Plastic Surgery

Some people would go as far as getting plastic surgery to improve their looks to make their partners happier. Yes, getting plastic surgery is incredibly common now but it’s still a decision that should be carefully considered. Getting a rhinoplasty or breast augmentation to look more attractive to please your partner shouldn’t be the main reason of surgery.

Plastic surgeons do see people who come and request for procedures because their partner said they should get some work done. In these situations, plastic surgeons aren’t just doctors; they’re like therapists who listen to this person’s situation and thoughts. Surgeons usually say patients should be doing procedures for themselves and not for others. If a surgeon feels the client is seeking surgery for reasons like repairing a relationship or winning back an ex-lover, they can refuse to perform procedures on them.

Women Seek Surgery on Their Own

Of course, not everyone gets a little cosmetic work done to please their partners. Dr. Mulholland, a plastic surgeon from Toronto, has had many female patients in their 40s and 50s come in for treatments for themselves. “These women aren’t looking to be on the cover of magazines or to support a failing marriage. They want to look and feel their best, and they do so with the help of these relatively safe procedures and dieting. They have to go into it with realistic expectations and full disclosure of information,” he says.

A Quarter of Men Want Their Partners to Get Surgery

Lots of women will get some work done out of their own choices and desires to improve their looks. But what happens when your partner thinks that you should get plastic surgery? In this survey, 24% of British men admitted they wanted their partners to have cosmetic surgery to improve their looks.

The top 5 treatments men said they wanted their partner to have included:

24% of surveyed British men said they wanted their partners to get plastic surgery to improve their looks. Rhinoplasty was the 4th most popular choice.

24% of surveyed British men said they wanted their partners to get plastic surgery to improve their looks. Rhinoplasty was the 4th most popular choice.

Do It for Yourself

Only 10% of these men said they would actually tell their partners. You would think the main reason men wouldn’t admit their opinions are to avoid hurting their partners’ feelings, but that’s not the case. The main reason 76% of the men wouldn’t say anything is because “they don’t think their looks could be improved” even after surgery.

We think these results are quite revealing. It wouldn’t be true to say a romantic partner’s opinions of your looks don’t matter at all. But someone else’s desires to change your appearance for their own needs shouldn’t be your main reason to seek surgery. Changing something on your body or face should stem from your personal choices to feel more confident and happy overall. Afterall, there’s risk, recovery time and it can be expensive if you haven’t budgeted for plastic surgery.

We’d hate to sound cynical, but here it is. You don’t want to breakup with your partner but still live with a nose or super large implants that you didn’t want in the first place. You are the one who will live with and see yourself everyday—make sure it’s your decision and not somebody’s else’s.

Why Teens Want Plastic Surgery More Than Ever

December 12th, 2014

SpaMedica Toronto talks about why teens seek plastic surgery

Plastic surgery is already a controversial issue for some people. But, what do you think about teenagers getting cosmetic work done? It’s happening, and the numbers are increasing. In 2013, the total cosmetic procedures performed on teens from 13-19 years old were 219,564 according to the American Society of Plastic Surgeons.

Large portions of the cosmetic procedures were ear surgery and breast reduction in males. Other notable procedures were breast augmentation and eyelid surgery. As for minimally invasive procedures, popular treatments were Botox injections and laser hair removal.

Why Teens Want Plastic Surgery

Teens are deciding on plastic surgery based on their desire to “look normal”. Issues like bullying and low self-esteem influences young people to consider cosmetic procedures to fit in with their peers. Some teens also feel the need to conform to what is perceived as attractive by the media and in most cases these days, social media. In our world of image filters and extreme Photoshop editing of pictures, it’s easy to see why teens compare themselves to pictures of people who look so flawless with their wrinkles, curves, blemishes and whatever imperfections edited.

Ears that stick out too far, crooked features or breasts that are too small are all concerns of teenagers. In fact, ear surgery is performed on children as young as five years old. The Ontario medicare system covers the surgery for people under the age of 18. Parents initiate these procedures for their kids at young ages so the kids don’t have to endure teasing. As for teens that have surgeries before heading to university, it’s a perfect time to “start fresh” with a new look in a different environment. Considering that teens need parental consent for plastic surgery, their parents have to approve of this drastic decision before it happens.

Parents Would Allow Their Teens to Have Plastic Surgery

Many people say they would approve their kids having plastic surgery. RealSelf, a large online community for sharing and learning about cosmetic surgeries and treatments, conducted a survey of more than 650 people. The poll asked if they would allow their child to undergo a procedure to decrease or prevent bullying. The results showed that 68% of those surveyed said yes, while 32% said no.

Still, when it comes to teens and plastic surgery, plastic surgeons are on the fence with this topic. “Performing cosmetic procedures in teenagers is something I try to avoid. I find it is difficult to come to terms with a confident sense of self during teenage years without complicating it with cosmetic plastic surgery, either surgical or non-surgical,” says Dr. Mulholland, a Toronto plastic surgeon.

Going about this subject is really tricky when teens are still mentally and physically developing. It’s incredibly common, and perhaps expected, that teens would feel insecure about certain aspects of themselves. It’s a phase that can pass, and that’s why some doctors would rather not perform surgery until the patient is older and has a better sense of self. But the reality is that although one doctor could refuse to perform surgery on teens, it’s not difficult to move on and find a doctor who will.

Source: Originally posted on Blogger

5 Essential Tips About Laser Hair Removal

November 26th, 2014


Hot, summer days are long gone (unless you’re heading on vacation…lucky you!) and showing bare skin is no longer an option. Even if you don’t want to admit it, ladies aren’t shaving their legs as often anymore because they’re hidden in pants or leggings in the winter. But imagine if you don’t have to bother buying razors and shaving unwanted hair a few times a week once the summer hits? Laser hair removal in Toronto gives you that option.

It’s affordable, faster and better than ever. It spares you the time of constantly grooming and worrying about stubble showing on your legs. So, here are our 5 essential laser hair removal tips for you to know before you book your treatments:

  1. Lasers remove body hair faster than before

Better and faster lasers are now available so that body hair removal is much faster. Even men with hairy backs can have their hair removed in 20 minutes. The Vectus laser at SpaMedica is fast enough to get rid of a man’s chest and back hair in 20 minutes. Clients see 80% of their hair removed after 4-5 treatments. Permanent hair removal is possible in just a few treatments.

  1. Different lasers are used for different skin types

In the past, laser hair removal for dark skin types was considered risky. Lack of training and availability of the right techniques and lasers for dark skin types was the problem. Since dark skin has more melanin, there’s higher risk of scarring or blistering if the treatment isn’t performed well. Now, lasers and trained professionals are able to target and treat hairs on dark skin safely. Longer wavelengths and a variety of lasers are used for Asian, black and olive skin types.

Picture Source – Spamedica website

  1. Men are big consumers of laser hair removal

It’s always assumed that men just don’t do cosmetic procedures. That’s not the case, especially when it comes to laser hair removal in Toronto. Men typically drop in for sessions to remove unwanted hair from their chests and backs. It’s a super common treatment for men—a report from 2013 shows that 190,546 procedures were performed on men. Facial hair may be in, but body hair? Not so much.

  1. Licensed individuals should perform laser hair removal for safest results

It seems like you can get this treatment done in just about any corner in the city. Many businesses and even nail salons offer laser hair removal in Toronto. Prices may be cheap or these places offer Groupons or promotional values—that doesn’t mean you’ll get the best results. There should be licensed staff or doctors present at a proper medi-spa. That’s often not the case when visiting businesses that falsely advertise themselves as medi-spas. The person who’s handling powerful and scorching lasers could be unlicensed or inexperienced. Not a good thought to have, in our opinion.

  1. Have treatment at a clinic to access multiple lasers for efficient hair removal

Avoid booking your laser hair removal Toronto sessions at an obscure place. Do your research and visit a medi-spa or clinic that has board licensed doctors or dermatologists. You’ll have more confidence that these people know what they’re doing. If there was a chance of complication, they’re experienced and trained enough to advise you on your next steps. Properly equipped facilities will also have several lasers to treat different skin types and hairs.


Take these tips and consider them when you’re researching where to have your treatments done. Don’t be afraid to ask the practitioner questions because the more you know, the better you’ll be prepared.

Celebrities Reveal Their Opinions on Plastic Surgery

November 20th, 2014

Celebrities reveal their opinions on plastic surgery

Hollywood celebrities are often the targets of media scrutiny when it comes to plastic surgery. Since they’re in the spotlight so often, it’s easy for the public to discuss or quite often attack celebrities for possibly having cosmetic tweaks. Maintaining appearance and beauty is a no-brainer as a celebrity—it’s an industry filled with high amounts of pressure to look attractive, regardless of age. Below are some quotes and different perspectives from various celebrities on the subject of plastic surgery.

Celebrities’ Views on Plastic Surgery

Scarlett on Plastic Surgery

“I definitely believe in plastic surgery. I don’t want to be an old hag. There’s no fun in that.”
– Scarlett Johansson




Lauren on Plastic Surgery

“Everyone has that friend who’s every day, like, ‘I hate my nose, I hate my nose, I hate my nose.’ You either need to come to peace with it and be like, alright, I hate it, but it’s part of me – or change it. So I’m not against plastic surgery, I’m against plastic surgery when it doesn’t really need to be done.”
– Lauren Conrad



Emma on Plastic Surgery

“Sexy when I was younger always meant boobs, and I’ve never had boobs in my life – so I always felt that sexy was out of the question for me. I used to really want to be that kind of voluptuous girl, and I’ve just kid of embraced that I’m not.”
– Emma Roberts on the topic of feeling sexy and breasts




Kim on Plastic Surgery

“I’m totally not against plastic surgery. I’ve tried Botox before. That’s the only thing that I’ve done.”
– Kim Kardashian




Patti on Plastic Surgery

“We’re all getting plastic surgery. Come on, this is the game here, and HDTV exaggerates all the features. Yeah, I’m proud of it, because we’re all doing it. Nobody’s talking about it.”
– Patti Stanger




Sharon on Plastic Surgery

“I’m not big on plastic surgery for me but I don’t fault it for someone who wants it for them. You have to do what makes you feel good, but it’s not my thing.”

“If you want to have plastic surgery or cosmetic surgery, live it up; go ahead and have it. But if you don’t want to have it, don’t have it.”
Sharon Stone



Kaley on Plastic surgery

“It’s one of the best things I’ve ever done. I love them. I’m super happy. I would do it again in a heart beat.”
– Kaley Cuoco-Sweeting on having breast implants




Sofia on Plastic Surgery

“I don’t want plastic surgery or fillers or Botox.”
– Sofia Vergara





Shannen on Plastic Surgery

“I have never had anything done. I’ve been asked if I had breast implants. Whether I did or not, it’s nobody’s business but my own.”
– Shannen Doherty




Kate on plastic surgery

“Plastic surgery and breast implants are fine for people who want that, if it makes them feel better about who they are. But, it makes these people, actors especially, fantasy figures for a fantasy world. Acting is about being real being honest.”
– Kate Winslet




Tyra on plastic surgery

“I am totally against plastic surgery. A lot of people think I have breast implants because I have the biggest boobs in the business. But I was a 34C when I was 17…They stay up when I wear a push-up bra. But if people could see me when I come home and take off my bra, how could they think these are fake?”
– Tyra Banks



Tia on plastic surgery

“Beauty lasts five minutes. Maybe longer if you have a good plastic surgeon.”
– Tia Carrere





Vince on plastic surgery

“Man, I have had so much plastic surgery, I don’t even recognize myself, sometimes. If I catch a glimpse in a window or something, I think it is someone else.”
– Vince Neil

Cosmetic Treatments to Consider at Age 30, 40 and 50

November 19th, 2014

Cosmetic treatments for when you're 30, 40 and 50

You don’t have to wait until you’re in your 60s to start doing cosmetic treatments and tweaks. More women and men are delving into non-surgical and surgical enhancements at younger ages. The American Society for Aesthetic Plastic Surgery reports that people between ages 19-34 made up 27% of the total surgical procedures performed in 2013. Meanwhile, pre-juvenation is also in—this refers to people in their 20s who have Botox injections or dermal fillers to avoid looking old before even getting old.

If you think cosmetic enhancements at 20 is not right you, starting at a later age is no problem. Dr. Zel Krajden, a Toronto cosmetic surgeon, discusses what treatments women can look into as they see signs of ageing or skin impurities arise in their 30s, 40s and 50s.

What treatments to consider at age 30

Dr. Krajden says early signs of facial ageing usually start when women are in their 30s. That’s when they see fine lines, pigment changes or large pores. “This is often the effects of sun damage, thin skin or weight fluctuations,” he says. To prevent these things from happening, he suggests that wearing sunscreen, not smoking and having a good diet is a good preventative measure.

If you’re already seeing sun damage or fine lines on your skin, Dr. Krajden suggests having a photo facial. “It is a light-based treatment and it helps to improve things like irregular pigmentation—usually darker spots, fine lines and large pores around the nose and forehead areas,” he says. You’ll be in and out of the clinic within an hour. To get the best results, five separate treatments are recommended. Photo facials cost $2,000 and up depending on how many treatments are needed.

What treatments to consider at age 40

More dramatic changes start to happen when you hit your 40s. “I call it the three Ds—descent, deflation and skin deterioration,” says Dr. Krajden. People see changes at different ages, but generally, people do see at least two of the three Ds happening in their 40s.

As you age, you lose facial fat. This means your cheekbones and jawline aren’t as prominent. Instead of having soft facial features, they may look more harsh and aged.

Botox would be the top recommended treatment to treat these changes in your face. “Botox is the most common injectable procedure in North America today. It’s been on the market for 20 years. You can treat all types of different problems with just Botox alone,” says Dr. Krajden.

Fillers, such as Voluma, are also great at restoring facial anatomy and structure. They can help to reshape the cheekbones, marionette lines or the jawline area. The results from Botox last about six months while fillers can last from one to two years.

When you’re approaching your late 40s, you might be considering eye-based procedures. With older age comes some extra skin and fatty tissue. This skin could also be thin. “You can have what’s called an eyelift or a blepharoplasty to contour that extra skin,” says Dr. Krajden.

What treatments to consider in your 50s

You can choose from non-surgical or more surgical options to address any face or skin concerns. By your 50s, your skin will see more descent and more soft tissue in the facial area. If you want to stick to the non-surgical route, FaceTite—a heat-based technique—helps improve the areas around your lower eyelids and it also tighten up marionette lines. Injections of fillers can also restore more volume and shape to the face. Through non-surgical treatments, you can expect to look five to seven years younger.

For a more permanent and dramatic change, a surgical facelift can lift and tighten your face.

This is a general outline of common ageing signs women see when they at different ages. Book your consultation online now if you’re interested in facial rejuvenation.

Cut These Foods & Habits to Avoid Bloating

November 17th, 2014

Cut These Foods & Habits to Avoid Bloating

With the approach of the holidays, it’s inevitable that extravagant feasts and dinners will be happening all month long. The abundance of food may satisfy our appetites but our bellies will likely be feeling heavy and bloated.

This feeling of bloating isn’t just reserved for holidays and special occasions though. It’s a very common problem to deal with feeling bloated even after eating regular-sized meals.

What is bloating?

According to Dr. Syed Thiwan of UNC School of Medicine, abdominal bloating affects 10-30% of people. When a person is bloated, their abdomen feels full and it could appear visibly swollen. For others, the swollen appearance isn’t present but they still feel tight and uncomfortable in their abdomen. Other symptoms such as excessive gas, pain and abdominal rumbling can accompany bloating. These symptoms could be more severe for some people to the point where it interferes with work and social activities.

Food & Habits that Cause Bloating

While bloating can be a sign of many serious conditions such as celiac disease or ovarian cancer, quite a few foods and habits also contribute to this uncomfortable feeling.


They’re delicious, healthy and high in vitamins but certain vegetables cause bloating. Cauliflower, cabbage, beans, onions and broccoli are known to naturally produce gas which expands in your gastrointestinal tract. Raw vegetables are also culprits of bloating if you eat too much of them.

Processed Food

Frozen meals may be convenient when you have no time (or just too lazy) to cook but they’re notoriously high in sodium. Consuming high-sodium meals will leave you feeling heavy and bloated.

Carbonated and High-acid Beverages

The carbon dioxide in the bubbles from pops and carbonated water create gas in the stomach. Acidic drinks like coffee and alcohol can also irritate your GI tract which causes bloating.


People who are lactose intolerant cannot properly digest dairy products like milk, cheese or yogurt. When this undigested lactose moves through the colon, things like gas and bloating can happen. These symptoms typically develop in the teenage or adult years.

Eating too fast

Leading busy lives makes it harder to fit in some time to sit down, relax and enjoy your food. When you eat too fast, your food isn’t chewed and broken down properly for the stomach. Swallowing more air with your food is more likely to happen when you eat quickly. Eating meals in a hurry runs the risk of having much of that meal undigested properly.

Chewing Gum

When you chew gum, you’re swallowing air bubbles. Gum can also contain artificial sweeteners which can lead to swelling. If you’re chewing gum to freshen up your breath, consider having some peppermint candies instead.

Try cutting down the consumption or habits of these things listed above and see if it relieves your bloating.

Doctor’s Opinion: What To Expect After Your Breast Augmentation

November 12th, 2014

What to expect after your breast augmentation

The decision to have breast augmentation is a big one for women. And when you do decide to go through with it, there are some things happening within your body, such as swelling or bruising, after the procedure. This can be alarming and make patients anxious. However, these events are quite normal and expected after breast augmentation. Dr. Mulholland takes some time to answer some patients’ questions regarding breast implants.

Question: I am 5’5″ and about 150 pounds. I am presently a 34/36A and would like to be a DD or DDD. I have seen 2 plastic surgeons and they both suggested over, crease incision. One surgeon suggested 415 while the other suggested 515 HP silicone (gummy bear). I would like some advice on this.

Dr. Mulholland: Your desire to be a DD or larger may be anatomically possible. The difficulty with breast augmentation surgery is trying to visualize the aesthetic outcome of the volume selection for your breast implant. You will have saltwater or saline round or teardrop or cohesive gel round or teardrop breast implant device options that will in all likelihood be placed under the pectoralis major muscle through an inframammary incision if they are cohesive gel implants. They are periareolar and inframammary incisions if you select saline. To visualize and simulate the aesthetic outcome, I would highly recommend you seek a plastic surgeon that has expertise using the VECTRA 3D® imaging station.

The VECTRA 3D® takes your photograph in three dimensions and allows you to select various implant sizes to see a very accurate representation of the three-dimensional changes that the selected implant will provide following the augmentation. The use of pre-operative, simulated imaging has removed one of the greatest variables, which is uncertainty about the aesthetic outcome of the actual breast implant selected. As long as your anatomical measurements and skin elasticity allow for the various sizes that you desire, breast imaging will help you pinpoint which implant works best for your sense of figure, shape and proportion.

The decision to do breast augmentation surgery and change your figure, shape and form is a big one. I believe it would be worthwhile for you to do breast imaging to help you confirm the form and breast implant size, shape and volume that you find most attractive.

Question: I am on day 5 of recovery after breast augmentation. I got 500 cc gummy implant under the muscle through my armpit. I feel extreme sensitivity when touching under my breast. There is a ton of pressure when I stand up and it burns when I touch the area. I can touch all other areas of the breast, and I don’t have much bruising, just average swelling. Is this normal?

Dr. Mulholland: Following breast augmentation, many patients will experience swelling, pain and discomfort. In addition, there are many sensory nerves in the soft tissue of the chest and these nerves may become irritated by the surgery and lead to extreme sensitivity, hypersensitivity and even lack of sensitivity. In general, the sensory nerves tend to return to their normal resting state and this degree of pain and discomfort improves. The feeling of weight under the breast area is very common until your soft tissue has a chance to accommodate to the breast implant and supportive internal collagen tissue forms around the implant to provide internal support.

There are physiological processes that can increase sensitivity, such as a soft tissue infection and my best advice would be to seek consultation with your operative surgeon, as they are in the best position to identify any concerns and issues that may compromise your healing. In all probability, this will resolve and you will have an excellent result.

Question: I am 4 weeks post-op with high profile cohesive gel implants 290 cc under the muscle. I was very tight right after surgery. Everything was improving for the better until last week. I started to have a sore dull pain in my upper left breast. At this same time, I noticed when I bring my left arm in to the centre of my body or over to my right side, I can feel the implant move on the left side. Is this normal? I was very active prior to surgery doing chest press & flys regularly.

Dr. Mulholland: From the photos submitted and clinical description of your sensation, it appears that as you move the arm the breast implant itself is moving and this is quite normal. Over the weeks following breast implant surgery, the breast implants themselves generally soften the pocket and move naturally with your breast gland and muscular movement, such as the pectoralis major, arm and other chest muscles.

In general, it is not alarming that this would happen and it is quite expected. Of course, there can be underlying physiologic and pathologic concerns that would best be ruled out by your operative plastic surgeons. They are in the best position to assess your current concerns based upon their knowledge of the operative anatomy and how the procedure was performed.I would strongly suggest you visit with your surgeon to reassure yourself and him or her that this is healing uneventfully.