Plastic Surgery News


Bridalplasty for Brides and Mothers of the Bride

Beauty Zen

A lot of planning goes into a Wedding – from the invitations, to the dress, to the décor and food. For many brides, this is the most important day of their lives. That is why so many have begun opting for pre-wedding cosmetic procedures as their ‘something new’. These procedures, coined Bridalplasty, are becoming more and more popular amongst brides and their mothers. Today, we are going to go over some of these procedures worth considering before your own wedding bells chime.

Facial Plastic Surgeries

Eyelid surgery, facelifts, and lip enhancements are just some of the procedures that many brides are choosing to undergo before their big day. Mothers of the Bride, especially, are seeing the benefits from facial surgery – giving themselves a more youthful look for their daughter’s wedding. One thing to remember about these procedures is that they are invasive, so some recovery time will be needed to allow for swelling and bruising to dissipate.

Breast Procedures

For many women, this procedure is always something they’ve considered, and now that they are a bride, they have a good motivator to proceed. Breast implants and lifts are a great way to help you feel and look your best in your wedding dress. It is important to remember that whether you choose to enhance or lift, aspects of your breasts may also be altered, like your areolas (dark skin around the nipple). Also, you will want to make sure you have at least a month of recovery time before putting that gown on to allow for healing.

Liposuction and Body Contouring

Despite exercise and dieting, some brides still fail to see the results they want in time for their wedding. You should feel like a princess on your big day, on the inside and out. This is why liposuction and body contouring have become popular procedures in Bridalplasty to help brides look their best. The difference between these two procedures is that body sculpting removes excess and loose skin from extreme weight loss, whereas, liposuction will target and remove fat from certain areas of the body. This is another procedure that should be done at least a month before the wedding so swelling and bruising can recede.

Injectables and Fillers

If you are a bride or mother of the bride looking for a less invasive procedure that will still smooth out wrinkles and rejuvenate the face before the big day, then injectables and fillers like Botox, would be a great route to take. These procedures will take a few weeks to completely heal, so give yourself some time before your big day to do so.


Every bride deserves to look as beautiful and special as they feel inside on their wedding day. If you are considering one or all of these procedures, please feel free to connect with us so we can set up a consultation!


Cheers to your big day,
CARE Plastic Surgery


Moving Towards the Future: The Latest Trends in Plastic Surgery

Heavenly beauty

According to the American Society of Plastic Surgeons (ASPS), in 2013, 15 million cosmetic surgeries were performed in the United States, a 30% increase from 2012. Some factors that have influenced the increase in cosmetic surgery procedures are advanced technology, new devices, and new products such as Juvéderm Voluma. These technological innovations provide more options for patients to fulfill their aesthetic goals. In addition to cosmetic and minimally invasive procedures being on the rise, facial rejuvenation procedures have increased in popularity with more Americans wanting facelifts, forehead lifts, eyelid surgery, fillers, and peels.

13.4 million of cosmetic procedures performed in 2013 were minimally invasive procedures. Since 2000, Botox injections have jumped 700% and hyaluronic acid facial fillers have jumped 18% since 2012.The most common minimally invasive procedures performed in 2013 were:

-Botox= 6.3 million injections, 3% increase from 2012

-Chemical peels= 1.2 million peels, 3% increase from 2012

-Soft tissue fillers= 2.2 million fillers, 13% increase from 2012

Two of the most popular cosmetic procedures in 2013 were butt augmentations with fat grafting and neck lifts. Last year, 10,000 butt augmentations were performed which resulted in a 16 percent increase from 2012. Some of the most popular cosmetic procedures performed in 2013 were:

-Breast augmentation procedures: 290,000 procedures, a 1% increase from 2012.72% of the breast augmentation procedures used silicone implants. The technological advancements made on breast implants have provided women with more natural feeling and natural looking breasts.

-Face Lifts: 133,000 procedures, 6% increase from 2012

-Neck Lifts: 55,000 procedures, 6% increase from 2012

-Eyelid Surgery: 216,000 procedures , 6% increase from 2012

-Breast Augmentation: 290,000 procedures, 1 % increase from 2012


Last but certainly not least, 96,000 breast reconstruction procedures were performed in 2013. This numerical figure marks a 4% increase from 2012. As much as breast reconstruction procedures are increasing in the United States, educational and geographical disparities are still associated with them. Less than 20% of breast cancer patients do not have breast reconstruction procedures because they are either not informed about their options, or are not in a region that has practicing breast reconstruction surgeons.

All of the cosmetic, reconstructive, and minimally invasive procedures mentioned above are available at CARE Plastic Surgery by double-board certified plastic and reconstructive surgeon, Dr. Brian S. Coan. If you are interested in scheduling a consultation or would like further information about any of these procedures, please contact the CARE office at 919-484-4884. We look forward to hearing from you soon!

A Spotlight on Health Disparities: Breast Reconstruction Accessibility

The Women’s Health and Cancer Rights Act of 1998 conditions that insurance companies that offer mastectomy coverage must also provide coverage for all stages of breast reconstruction. Since 1998, there has been a dearth of scholarship regarding the percentage of women getting breast reconstruction procedures and factors influencing the increase, until now that is.

Led by Dr. Reshma Jagsi, associate chairwoman of the Department of Radiation Oncology at the University of Michigan, a recent study found that while more women are receiving breast reconstruction procedures, there is a huge variation on where breast reconstruction procedures are performed. For example, about 80% of women in Washington, D.C. receive breast reconstruction procedures in comparison to 18% of women in North Dakota.


The spotlight placed on the increase of women receiving breast reconstruction procedures is one that should be and is celebrated. However, one cannot help but feel sympathy or empathy for the women who: 1. do not have accessibility to plastic and reconstructive surgeons who perform breast reconstruction procedures due to their geography and 2. are not being referred to reconstructive surgeons due to their geography. The intellect, creativity, teamwork, and resourcefulness exhibited by medical professionals to advance breast reconstruction methods and techniques, are the same traits needed to provide greater accessibility and resources for women in areas with less accessibility to breast reconstruction surgeons.

In this study, Jagsi reviewed data for over 20,000 women who had received a mastectomy during the nine year period from 1998 to 2007. The rate of women receiving breast reconstruction procedures in the U.S. has increased greatly from 46% in 1998 to 63% in 2007. The increase in the amount of mastectomies and double mastectomies is due to such factors as advances in reconstructive techniques and greater knowledge about information and surgeons. Furthermore, The trend of women having more implant-based surgeries as opposed to autologous surgeries (using one’s tissue from other body areas),  is due to reduced fear and stigmas associated with implants, and celebrity narratives about their personal health experiences.


Dr. Brian S. Coan is a plastic and reconstructive surgeon that offers breast reconstruction procedures across North Carolina, primarily The Triangle, and Alamance County. For the past five years, he has served at Alamance Regional Hospital as the first and only plastic surgeon that performs breast reconstruction procedures either with or without implant(s). If you are considering breast reconstruction, we encourage you to schedule a breast reconstruction consultation with Dr. Coan, or discuss your options with the CARE insurance coordinator, Jamie Anderson, by calling the CARE office at 919-484-4884. It’s a call you won’t regret.


Melanoma On the Rise for Women & Young Adults


Skin cancer and melanoma, the most fatal form of skin cancer that can spread to other bodily organs, are the most common malignancies in the U.S. They are also the most prevalent among middle-aged Americans.

Every year, more than two million Americans are diagnosed with non-melanoma skin cancer. Yearly, Melanoma affects about 77,000 people and kills about 9,500. More than 50 percent of invasive melanoma cases are diagnosed for individuals between the ages of 45 and 64. Over the past 40 years, cases of melanoma have increased drastically among individuals between the ages of 40 through 60, with women in their 40s being the most impacted.

This data was collected by dermatologist Dr. Jerry Brewer at the Mayo Clinic in Rochester, Minnesota from the Rochester Epidemiology Project. He analyzed data for individuals between the ages of 40 and 60 from 1970 to 2009. Across the 39 years of data, women ages 40 through 50 showed the highest rates of skin cancer and melanoma rates.

In addition to biological factors, some of the environmental and cultural practices that have influenced the increase of middle aged Americans being impacted by melanoma is the association of “being tan with being fit and even successful.”  The cases of individuals being impacted by skin cancer and melanoma are also increasing among young adults. Last year, Dr. Brewer led a study that found young adults between the ages of 18 through 39 were increasingly being impacted by melanoma.


On the bright side, as the number of individuals impacted by skin cancer and melanoma increases, the number of skin cancer-related deaths also decreases. According to Dr. Brewer, some of the factors that have influenced increased survival rates are more regular screenings, additional public awareness, and the detection of skin cancer at earlier stages.

CARE Plastic Surgery is committed to providing its patients and surrounding community with educational resources to combat and prevent the effects of melanoma and skin cancer. One of the best ways to combat melanoma is to wear SPF daily and limit one’s time in the sun. CARE is a proud provider of an array of sunscreens/SPFs to keep your skin protected against harmful sunrays. Please call the CARE office at 919-484-4884 to schedule a complimentary skincare analysis with our Medical Aesthetician, Rose Thornton.

***Reference Article:

Dismantling the “House of Cards” on Botox


Whether you spent your Valentine’s Day with your significant other over dinner, or you spent it solo over strawberry ice cream while watching Netflix, CARE Plastic Surgery hopes you had a fantastic Valentine’s Day. Speaking of Netflix, we’re sure a few of you spent Valentine’s Day watching the Season 2 premiere of Netflix’s first original drama, House of Cards. You can’t miss lead actress Robin Wright in her authentic and raw portrayal as the wife to actor Kevin Spacey. 47-year old Wright is most famous for her film roles in Forrest Gump (1994) and The Princess Bride (1987). While Wright’s actions and words on the screen are hauntingly pure and authentic, her comments about the use of Botox in Hollywood in a recent interview with The Telegraph are anything but.

Whether taken out of context by a journalist or truly what she believes, Wright made the following commentary about Botox usage in Hollywood and its use by famous actors and actresses, saying:

“It’s just the tiniest sprinkle of Botox twice a year. I think most women do 10 units, but that freezes the face and you can’t move it. This is just one unit, and it’s just sprinkled here and there to take the edge off . . .Perhaps it’s not wise to put that in a magazine? But I ain’t hiding anything.”

CARE Plastic Surgery, P.A. is committed to providing its patients with outcomes-based and scientifically grounded information that realistically aids you in your aesthetic choices. We are choosing to take the stance that Wright’s comments regarding Botox were taken out of context because “10 units” has very little effect on most, if not all, women. In fact, the amount of Botox that an individual needs varies based on muscle activity and age. For instance, the amount of Botox that an individual who has been receiving Botox treatments since s/he was 20, in comparison to an individual who starts receiving Botox units in their latter 40s varies based on many biological and environmental factors.

Unlike such fillers as Juvéderm, Sculptra, or Juvéderm Voluma that fill deep lines in the mid to lower sections of the face, Botox is an injectable that softens the lines that make wrinkles. About 40 million Botox injections are performed worldwide and it is the number one procedure performed by board certified surgeons across the country. While many celebrities deny getting Botox injections, such actresses as Jenny McCarthy and Courtney Cox admittedly use and endorse the positive results of Botox.

botox-bold-logoBotox is primarily used to treat lines adjacent to the outer areas of the eyes (crow’s feet), lines on the forehead (glabellar lines), and lines between the eye brows (typically referred to as the 11’s). Botox can also provide a minimal eyebrow lift. Most individuals get Botox about every 3 months which totals to four times a year. For you twenty somethings, getting Botox treatments is a great preventative measure for the rate at which you start getting and seeing fine lines and wrinkles. On average, Most women 20 somethings need about 20-50 units, BUT remember that the number of units needed varies based on muscle activity and age. Most women in their 40s and 50s (Wright’s age group) need about 45-55 units.

The only way to truly determine how many Botox units you’ll need is to schedule a Botox consultation at CARE Plastic Surgery, P.A. At your consultation with double-board certified plastic and reconstructive surgeon, Dr. Brian S. Coan, you and him will discuss what areas you wish to treat and jointly discuss which injectable and/or fillers will aid you in achieving the aesthetic look you desire. CARE is motivated by providing its patients with outcomes that aim to leave you looking and feeling empowered. Call CARE today at 919-484-4884 to schedule your injectable consultation TODAY! We look forward to hearing from you soon.

***Reference Article:

Men & Plastic Surgery

Men. Plastic Surgery. These two words may seem distant, but they definitely make a productive couple. According to the American Society of Plastic Surgeons, about 10% of cosmetic surgeries are done on men in the United States. In the article “Why Do Men Get Plastic Surgery? Ask Women,” scholar, Madeline Vann, identifies some of the most popular procedures done by men as liposuctions and gynecomastia (male breast reduction). While there are a plethora of reasons as to why a man would desire plastic surgery, according to Dr. Bob Murphy, the President of the American Society of Plastic Surgeons, some of the main reasons why men get plastic surgery are:

1. Emphasis on appearing young in our society

2. Stress to be physically attractive to romantic partners

3. Competition in the job market

Vann remarks that it is more difficult to get a man to have a cosmetic procedure than a woman, because men are not used to such drastic physical changes as women. She also identifies how men prefer procedures that provide more subtle changes. For example, Fabb explains that men would prefer Botox injections to get rid of fine lines and wrinkles as opposed to a total facelift. She reasons that a cosmetic procedure such as a facelift is more aesthetically obvious and requires greater recovery time as opposed to Botox.

As the title of this article says, this is the subjective opinion of a reporter as to factors that influence men to have cosmetic surgery procedures. Furthermore the journalist is a woman offering insight on the reasoning of men. The opinions of this reporter are not representative of CARE as a whole. However, this article does break the stereotype that cosmetic surgery is primarily done by women, and social stigmas associated with men having cosmetic procedures for personal or professional reasons. This article further represents how many of the factors that influence men to have cosmetic surgery are also shared by women.

Article Referenced:

Cosmetic Procedural Trends in 2014

January has come and gone and February is here people!  Did you know that each year, the number of cosmetic procedures performed in the U.S. increases by about 7 percent? Some of the factors contributing to increased rates, are:

  1. Less invasive treatments

  2. More effective procedures

  3. Convenience

  4. Advanced technology

In this blog post, we are excited to inform you about two trends that are taking off in the cosmetic surgery arena for 2014 and beyond.

CARE is beyond thrilled to be one of the first plastic surgery practices in North Carolina to offer Juvéderm Voluma. Recently approved by the FDA, Voluma is a long-time filler that adds volume to mid-face areas, primarily the cheeks and the temples in front of the ears. For those of you looking for procedures that have long-lasting results with minimal upkeep, Voluma may be the treatment for you. With Voluma you won’t need multiple injections over a period of time to witness an aesthetic change. In addition to Voluma having an immediate effect, it can last up to two years. Juvéderm Voluma is a New Year gift to the cosmetic industry that you don’t wanna miss.

In addition to new fillers hitting the market, there is a growing trend for more natural looking breasts with breast enhancement surgeries. Over the past few years, there has been a push towards silicone implants that are teardrop-shaped because they give a more natural appearance. This trend is one that CARE Plastic Surgery supports. Dr. Coan believes in providing his patients with a conservative, natural look that takes into account the aesthetic goals of the patient.

We encourage you to book a consultation for a filler or injectable treatment, such as Juvéderm Voluma, or a cosmetic procedure today at (919)484-4884. We look forward to hearing from you soon!

Rose Explains It All: Eyebrow and Eyelash Tinting

I know I may be a little late but HAPPY NEW YEAR!!!! I am thrilled to be bringing in the New Year by letting you all know about two additions to the CARE medical aesthetic services. I’m happy to say you can schedule an appointment TODAY for eyebrow tinting AND eyelash tinting. For those of you who have never had either treatment done, this is a must-read blog post for you. If you’ve had it before, you can do one of the following actions: continue to read, stop and schedule an appointment right now, OR click one of the icons at the bottom of the page and share this article with your social network.

Alright, so why would someone want or need their eyebrows or eyelashes tinted.  The following are some reasons why:

-If you’re sensitive to such products as mascara or eye liner but like how these products look. To be quite frank, eyelash tinting is a great alternative to mascara because it shows the full length of your natural lashes.

-If you’re an athlete, especially a swimmer, and are not prone to water-proof mascara.

-If you’re just too darn busy to put on eye make-up (myself included sometimes), but love how it makes your eyes look.

-If your eyebrow hairs or eyelashes are fine, thinning, and/or faint in color, eyelash and eyebrow tinting may be for you.

-And LAST but certainly not least, if you just want an enhanced countenance that exudes how fabulous you feel on the inside.

Now that you know some of the benefits of eyelash and eyebrow tinting, I’m sure you’re wondering about details for the actual treatments. Both treatments take about 15 to 20 minutes and can be done individually or in combination.

Eyelash tinting makes it appear as though you are wearing mascara. The entire lash tinting process takes about 15 to 20 minutes. Because lash tinting is done with vegetable-oil based dyes, it is not permanent and lasts about 3 to 5 weeks. Eyelash tinting is a great option for individuals with blond lashes who want a bolder eye appearance. Unlike mascara or eyeliner that can smudge or run and has to be applied daily, tinted eyelashes give you the appearance of wearing mascara without the daily maintenance.

Moreover, eyebrow tinting provides your eyes with an enhanced frame that makes them appear larger and more penetrating. Eyebrow tinting is perfect for those of us that love habitually dying our hair. Repeat after me, “I cannot forget to dye my eyebrows when I dye my hair.” When dying your eyebrows, it is best to choose a color that compliments not only your new hair color, but also your skin tone and personality.

So now that I’ve given you a rundown of the essentials of eyelash and eyebrow tinting, please call the CARE office at 919-484-4884 to schedule you appointment today. We look forward to hearing from you soon.

*Photos Courtesy of Gbengabills Soyinka

Flowers of Appreciation

We’ve said it a million times and we’ll say it again, we have the BEST patients ever! This week, two patients gave the CARE staff  a floral thank you for the excellent service they’ve received at CARE. We are grateful for floral decorations that add a joyful holiday zest to our office’s decor. For all the kind gifts and words we receive from our patients, we can’t thank them enough for the joy and kindness they bring to our office with each visit. Thank you!

The New Frontier of Military Lipo


In light of Veteran’s Day, we want to acknowledge and thank every man and woman that serves in the armed forces. The fields of the armed services, nutrition, and plastic surgery may seem paradoxical, but are definitely correlated. As the armed services are steadily reducing the number of troops in Afghanistan and decreasing budgets are tightening defense spending, men and women in service who don’t meet performance, behavioral, or physical standards are being removed and replaced.

Many women and men in the armed services have resorted to the euphemism “military lipo” a.k.a. liposuction as an extreme means to past the “tape test.” The “tape test” uses a ratio of the circumference of one’s neck and waist to determine an individual’s body fat percentage. It is inferred that the bigger the waist, the higher the body fat percentage.

Troops that fail the tape test spend months in rigorous exercise and nutrition programs. According to the Associated Press, failing the tape test once can stall promotion and failing the test three times can lead to being discharged. In fact, in the past three years, the number of enlisted soldiers taken out of service for not meeting physical fitness standards has almost quadrupled.

An army spokesperson remarked that even though an individual with a higher body fat percentage may perform well on physical fitness tests, a higher body fat percentage is typically associated with higher risks for other medical conditions such as heart disease and cancer.

There is great debate between army officials and medical professionals concerning whether or not the tape test is an appropriate means to measure fitness. Armed service officials say the tape test is administered only after service members have not met other physical fitness standards, such as the requirements for height and weight. It is argued that the tape test does not fully take into account an individual’s genetics and those that have a higher muscle mass.