02 May Fantastic Surgeon, Great Reputation, Excellent Experience. I Feel Like a Million Bucks!

I’m not usually a review writer, but after my experience with Dr. Sieveking, I felt he was worthy of the praise he truly deserves. Not only is Dr. Sieveking a fantastic (Nashville native, Vanderbilt and Stanford-trained) surgeon (which is apparent to anyone who does their research on his education), but his bedside manner was impeccable. He is kind hearted, patiently & thoroughly answered all of my questions, and seemed to truly care about my concerns. I had a facelift with Dr. Sieveking after he was referred to me by 2 different friends in Belle Meade whom had (truly) excellent results and had nothing but great things to say about he and his staff. Upon my visit, I was told that Dr. Sieveking’s nurses have been with him for over 8 years and are top-notch, and easy to talk to. My surgical process and fees were outlined clearly and considerately, and after meeting with 3 doctors before making a decision, it was clear to me that Dr. Sieveking was my surgeon. I’m so glad I made that decision (as are my 2 friends, who celebrate our finally getting our aging faces back to their more youthful state!) I feel so thankful and thrilled that I made this choice and took the advice of my friends whom, themselves, had the results to prove his expertise. Two of us recently went to a reunion and people couldn’t believe how well we’d “held up”…if they only knew it was at the hands of one of Nashville’s best. Dr. Sieveking, if you ever read this – I am so thankful!! See you at my 2-month followup! – I’d recommend you to anyone out there who wants truly quality surgery with a truly caring surgeon & staff.When Dr. Orcutt (his partner) retires, (which is rumored, I guess!) that practice will remain in the hands of one of the best out there.Thanks, Dr. Nick!



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20 Apr Board Certification Matters

When you or a family member is considering a plastic surgeon, you want a highly qualified doctor dedicated to providing outstanding care. Procedures as simple as Botox, Laser Facial Treatments and Filler to Face Lifts, Tummy Tucks, Breast Augmentations and Body lifts all require the focus and training of experts and are Board Certified.  When you choose a doctor who is Board Certified by one of the ABMS Member Boards, you can be confident he or she meets nationally recognized standards for education, knowledge, experience and skills to provide high quality care in a specific medical specialty. Board Certification goes above and beyond basic medical licensure.

A History of High Standards

Since 1933, the ABMS Member Boards have been certifying doctors to help assure patients as well as hospitals, health plans, insurers and the government that these doctors are qualified to provide expert health care in an ever-expanding number of medical specialties and subspecialties. With the guidance and support of ABMS, each of our 24 Member Boards is responsible for developing and implementing the educational and professional standards for quality practice in a particular medical specialty or subspecialty, as well as for evaluating candidates for Board Certification.

A Lifetime of Learning

ABMS is nationally recognized for the high standards our Member Boards set to certify doctors in various medical specialties. And to make sure Board Certified doctors continuously refresh and expand their knowledge, our Member Boards have also established the ABMS Maintenance of Certification® program for career-long self-assessment, learning and improvement activities.


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06 Mar Cosmetic Surgery Trends of 2015

WASHINGTON, Dec. 9, 2014 /PRNewswire/ — As 2014 draws to a close, facial plastic surgeons are gleaning their crystal balls to predict what we will see more of and less of in 2015.

And we will surely see more of nips and tucks. “We expect the interest in cosmetic procedures — both surgical and non-surgical — to continue to climb in 2015 due to the improving economy, increased consumer awareness and a growing comfort level with the safety of cosmetic treatments,” says Dr. Stephen Park, facial plastic surgeon and president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). The stigma of getting a little work done is so last decade.

Here’s what else we can anticipate in facial plastic surgery in 2015:

Blurred Lines

The line between cosmetic and reconstructive facial plastic surgery will fade. “Today someone who wants a rhinoplasty for functional reasons may also desire a cosmetic benefit, and people who opt for the procedure to correct a bump or another concern also want to breathe better,” says Dr. Park.

It’s All About the Combination

In 2015, one plus one will equal five or more as facial plastic surgeons learn that stacking procedures – whether fillers plus neurotoxins to smooth wrinkles or laser-assisted drug delivery to ensure that an active ingredient effectively reaches its target tissue – can exponentially increase the benefits of individual stand alone therapies.

Smile, You’re Still on Facebook

The selfie trend shows no sign of expiring in 2015. Growing numbers of teens to seniors are seeing themselves all over social media, and are more cognizant of their appearance on these networks. Expect an uptick in requests for rhinoplasty, eyelid rejuvenation and neck contouring and other facial plastic surgery procedures based on these images and the social media era.

On Golden Pond

Seventy is the new 50 and there is nothing stopping today’s active seniors from looking as young as they feel and act. “It is increasingly common for women and men in their 60s and 70s to seek out the expertise of facial plastic surgeons to maintain a youthful appearance. As less invasive techniques continue to evolve, coupled with people living better and longer, there is really no maximum age for cosmetic procedures anymore,” said Dr. Park. A recent study showing that even octogenerians are at no higher risk for complications from cosmetic surgery when compared to their younger counterparts will likely encourage even more seniors to seek cosmetic enhancements in the New Year.

Bright Eyes

Advances in rejuvenating the delicate eyelid area are exploding. Procedures to brighten aging eyes and rehabilitate lower eyelid bags and crepey skin will soar in 2015. “When it comes to rejuvenation procedures, blepharoplasty often offers the most bang for the buck. The surgery can be performed in an accredited ambulatory surgery center under local anesthesia by a board certified facial plastic surgeon. It can take years off your face, with minimal risks, side effects and recovery time,” said Dr. Park. For patients wishing to avoid surgery, there is a myriad of non-surgical treatments that can also be effective in this area.

Fat Still Phat

Fat grafting will continue to be the biggest game in 2015 thanks to refinements in harvesting techniques as well as more reliable, reproducible results with or without facial surgery. “Research on the power of stem cells and growth factors found in fat will also help confirm the place for fat in the facial plastic surgery hall of fame,” says Dr. Park.

The Small Stuff

Facial plastic surgeons are seeing more patients asking for little tweaks that can have a big impact on their overall appearance and self esteem. For example, earlobe reduction, injecting fillers into creases in front of the ears and into the hollows of the face such as the temples and jawline, using energy based devices to remove moles and birthmarks, lifting the upper lip through hidden incisions under the nostrils, as well as soft lifts using resorbable suture material to gently lift up sagging cheeks, brows and jowls.

Coming Soon to a Syringe Near You

While no one knows exactly when the FDA will act, many facial plastic surgeons are bullish about a new fat-melting injection to help reduce the appearance of double chins, as well as a new topical form of BOTOX®. The FDA nod could come some time in 2015. Stay tuned.

The American Academy of Facial Plastic and Reconstructive Surgery is the world’s largest specialty association for facial plastic surgery.  It represents more than 2,700 facial plastic and reconstructive surgeons throughout the world. The AAFPRS is a National Medical Specialty Society of the American Medical Association (AMA), and holds an official seat in both the AMA House of Delegates and the American College of Surgeons board of governors. AAFPRS members are board certified surgeons whose focus is surgery of the face, head, and neck. AAFPRS members subscribe to a code of ethics. In addition, the AAFPRS provide consumers with free information and brochures and a list of qualified facial plastic surgeons in their area by visiting the AAFPRS website, www.AAFPRS.org.

SOURCE The American Academy of Facial Plastic and Reconstructive Surgery

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16 Feb Plastic Surgery Trends – Liposuction, Botox, Augmentations & Tummy Tucks

The 2014 plastic-surgery statistics will be released later today by the American Society for Aesthetic Plastic Surgery (ASAPS). Thanks to an advance peek, I can report that butts are getting bigger, while breasts are getting smaller.

Buttock augmentations are up 86 percent over 2013. Michael C. Edwards, a plastic surgeon and the president of the ASAPS notes that most women don’t want giant backsides, they just want more shapely ones. The other big news is breast revisions, which are up 30.4 percent. Many attribute that rise to aging implants in need of replacement, along with many women’s desire to switch from saline to silicone-gel-filled implants, which may not have been available when they originally had surgery. What’s more, insiders say most of these women are exchanging their old implants for smaller replacements.

The other news in the numbers is a five percent drop in overall procedures: 10,663,607 in 2014, down from 11,419,610 in 2013. The decrease was mostly in minimally-invasive procedures like Botox and fillers. No explanation for this was offered by the ASAPS, but could it be what I call injection fatigue? Many women I’ve spoken to don’t want to return again and again for refills. Surgical procedures fell only 1.5 percent from 1,883,048 to 1,764,956, a drop that the number crunchers say is not statistically significant.

Fat—and getting rid of it—is still a high priority. In recent years the top surgical procedures for women have flipped back and forth between breast implants and liposuction. In 2014, liposuction held the number one spot, followed by breast augmentation (down 8.5 percent), tummy tuck, blepharoplasty (or eye lift), and in fifth place, the breast lift. Facelifts are in eighth place.

Liposuction may still be king (or is it queen?) in the surgical department, but non-surgical fat reduction with devices such as CoolSculpting and VASERshape rose a whopping 42.7 percent, from 94,922 in 2013 to 135,448 in 2014. That number could rise even more this year if ATX-101, an injection for fat reduction under the chin, gets FDA clearance, which it’s expected to receive.

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20 Jan What to Expect During a Breast Augmentation Consultation

The number one rule in a breast augmentation consultation is to listen to what the patient expects to get out of the surgery. After my patients have had the opportunity to tell me their goals for undergoing breast surgery, I talk to them about potential risks and benefits of the procedure, healing times, and potential need for future surgeries. Future plans of pregnancy and breast feeding are also addressed, as is a history of breast disease and a personal or family history of breast cancer. This initial part of the interview generally takes about 20 to 30 minutes.

Following the initial proceedings, I perform a thorough examination of the patient. The examination will elicit any asymmetries in the breasts and any abnormal lumps or masses that need to be addressed. During the exam, measurements are taken to document the natural dimensions of the breast, chest cavity, and shoulder breadth. All these measurements are used during the breast implant selection process to determine a list of implants that will fit the patient. It is important to make sure an implant fits the patient and not make the patient fit a particular implant. This ensures that the ultimate results are natural-looking. Additionally, it helps reduce any long-term complications that can result from breast augmentation surgery. Once an implant has been selected, I will help the patient determine ideal incision locations and optimal implant placements in relation to muscles and tissues, all based on their unique goals.

At the end of the consultation, I will answer any further questions or address any concerns the patient may have. It is my goal for every patient leave my office with a comprehensive understanding of what a breast augmentation entails, as well as what it can achieve for them.

Contact Sieveking Plastic Surgery

For more information on breast augmentation, or to schedule a consultation with Dr. Nicholas Sieveking, please contact our office today.

Nashville Breast Augmentation, breast surgery nashville

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02 Jan Breast Implant Selection for Your Breast Augmentation Surgery

Once the decision to receive a breast augmentation has been made, the next step is generally to determine the type, size, and shape of the patient’s breast implants. Due to the magnitude of this decision, I’ve provided a few of my recommendations for selecting breast implants.

Breast Implant Options

Silicone implants will always give a softer look and feel when compared to saline. They are very durable and should last a very long time. They do not need to be replaced every 10 years, and patients do not need MRI scans every three years. Silicone implants are very safe, and in my opinion, safer than saline implants which tend to rupture on average at 15 years. Silicone implants are also filled in the factory under completely sterile conditions. Saline implants are filled in the operating rooms where the possibility of trace contamination of the saline fluid exists.

If the surgeon plans on using a natural-fitting implant and does not try to make the patient’s breasts too big, smooth round silicone implants will give the most natural look and feel with the fewest long-term problems. Although “teardrop” shaped or anatomical implants sound like the most natural-looking implants, they are actually harder and don’t move like a natural breast. They also have a strong potential for mal-position where the thicker part of the implant shifts to the wrong part of the breast.

My key to achieving a natural-looking and complication-free result is to pay attention to the patient’s natural dimensions and use an implant that fits the patient; never make the patient fit an implant that is too large.

Why Size Matters

My breast augmentation patients choose me because I am known in Nashville for getting natural-looking results by using appropriately-sized implants. Typically, if someone wants to look really big and fake, they don’t come to me. Once women are done having children, the goal is generally to set back the clock and make the breast more perky and firm, not extraordinarily large. I try to get the point across to all my patients that breast implants may very well last a lifetime. One has to get a result that makes them happy now, and keeps them happy for 40 years or more. Going too big is not going to satisfy that goal.

Remember, if you go too big in the beginning, it is a more involved surgery with more scars and more risks to reduce the breast size later. If a patient, by chance, wants to be a “little bigger” after their initial breast implant surgery, that is a easy and relatively inexpensive procedure, without extra scars.

Contact Sieveking Plastic Surgery

For more information on breast implants, or to schedule a breast augmentation consultation with Dr. Nicholas Sieveking, please contact our office today.

Nashville breast augmentation, breast augmentation, nashville breast surgery

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01 Jan Plastic Surgery Without Going Under The Knife: New Cutting Edge

Check out this article with Beauty World News Article by Kim West.

Plastic Surgery Without Going Under The Knife: New Cutting Edge

‘ThermiTight’ Treatment Combats Signs Of Aging

Always wanted to look younger, but been afraid of going under the knife? You’re not alone. Thankfully getting older is getting easier due to new thinking and technologies – it is no longer necessary to have a facelift to look younger. In fact, there has been recent back lash from Hollywood A-listers to the old “nip and tucked” look.

Droves of Hollywood’s most beautiful are coming out against surgery including Sharon Stone (age 56), Jamie Lee Curtis (age 55), Emma Thompson (age 55) and Julia Roberts (age 46), and Jennifer Aniston (age 45).

But if you want a little “touch-up” without the scaples, consider this new treatment to get over your plastic surgery fears.

ThermiTight is a non-invasive treatment that safely treats the cause of skin laxity. Instead of surgery, tiny probes are inserted under the skin to “inject” heat to the tissues which cause sagging skin.

“The procedure works uses radiofrequency energy which is applied directly to the target tissues causing immediate shrinkage,” explained New York City facial plastic surgeon Dr. Yael Halaas.

“This is the desired effect because as you age, your skin loses collagen, elastin, and skin’s supportive connective tissue, causing skin to sag. This procedure is making huge waves in the quest for younger-looking, tighter, and firmer skin.”

As of right now, Dr. Halaas says the most popular areas ThermiTight is used on are the neck and jowls.

So who is this treatment best suited for?

“Anyone struggling with loose, sagging skin or unwanted pockets of fat that simply won’t respond to traditional diet and exercise efforts is an excellent candidate for a ThermiTight procedure,” said Dr. Halaas.

And of course the price is another major point to factor into your cosmeitc procedure plans. Typically, one treatment costs between $3,500 and $5,000, but can last up to several years.

But the money might be worth it for many. Patients see results after a single, pain-free treatment and there’s little to no downtime. One treatment takes less than an hour.

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17 Dec Thermi cleared by FDA


Check out the FDA approved article regarding thermi from Happi.com.

ThermiAesthetics, creator of the ThermiRF temperature controlled radio frequency system, has received 510(k) clearance from the US Food and Drug Administration (FDA) for dermatological and general surgical applications in soft tissue and nerves. – See more at: http://www.happi.com/contents/view_breaking-news/2013-12-23/fda-approves-thermirf/#sthash.KSvxBbMc.dpuf

ThermiAesthetics, creator of the ThermiRF temperature controlled radio frequency system, has received 510(k) clearance from the US Food and Drug Administration (FDA) for dermatological and general surgical applications in soft tissue and nerves. ThermiRF is the first aesthetic technology that applies the “science of heat” using temperature as a clinical endpoint enabling plastic surgeons and aesthetic physicians to precisely heat soft tissue and nerves to achieve desired aesthetic outcomes. ThermiRF is the first aesthetic device to deploy simultaneous dual monitoring of tissue temperature (internal and external) using advanced infrared imaging for precision treatments and unparalleled safety.

“This FDA Clearance establishes ThermiRF as a safe and effective device for the treatment of nerves and soft tissue, using thermistor-regulated delivery of energy for aesthetic applications,” said Paul Herchman, CEO of ThermiAesthetics. “Our unique technology has provided surgeons with access to an important and versatile platform, including both micro-surgical and non-invasive tools. We are excited to continue our penetration into the U.S. market and begin expansion of the ThermiRF solution to physicians worldwide.”

Since its pre-commercial introduction in the United States in 2012, general plastic and facial plastic surgeons, dermatologists and cosmetic surgeons from the United States and Canada have used ThermiRF in a variety of clinical areas. ThermiRF applications are targeted towards patients seeking an “in-between” solution for various aesthetic complaints. There is growing demand from baby boomers who are seeking advanced solutions which fall “in-between” non-invasive treatments and major surgery.

Brian M. Kinney, MD, a board-certified plastic surgeon, said, “Today’s aging baby boomers are asking for minimally invasive alternatives to traditional cosmetic surgery, but understand the limitations of topical, non-invasive approaches. ThermiRF allows me to provide safe and effective ‘in-between’ solutions for patients who are asking for longer lasting treatments for frown lines, wrinkles of the face or neck, or who desire to avoid or delay getting a facelift.  Now I have a tool which allows me to readily address these needs.”

More info: www.thermi.com

See more at: http://www.happi.com/contents/view_breaking-news/2013-12-23/fda-approves-thermirf/#sthash.KSvxBbMc.dpuf

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11 Nov Interview With Medical Aesthetician Jenny Burnley on Non-Surgical Skin Care Treatments


Jenny Burnley, one of our medical aestheticians here at Sieveking Plastic Surgery, has a wide range of experience in the field of cosmetic skin care and aesthetic enhancement. Recently, Jenny was interviewed for Yahoo! Voices about non-surgical treatments that can give one a more youthful and revitalized appearance. To illustrate how the initial skin care consultation process works, Jenny had the interviewer go through the same steps as her patients—using a machine that analyzes the face and produces a Visia™ Facial Assessment Report. This complexion analysis works to identify specific areas that could be improved by non-surgical cosmetic enhancement treatments. The Visia™ system is even able to measure a person’s eyelash length and density. Once the assessment is complete, Jenny is able to tell her patients how their face compares to the average person of the same age. By taking into account each patient’s unique skin type and color, she is then able to customize procedures such as skin tightening laser treatments so that there is little to no downtime afterward.

During the interview, Jenny also discusses her relationships with her celebrity clients, and how many of her new clients arrive at Sieveking Plastic Surgery by word-of-mouth referral. Her 16 years of experience in the field of cosmetic skin care has provided her with a reputation she is proud of and the expertise to take years off of your appearance.

Please click here to read the full interview. To learn more about the non-surgical cosmetic treatments offered by Sieveking Plastic Surgery, please contact our office today.

Nashville breast augmentation and breast surgery

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06 Nov Going Deeper, a New Approach to Skin Tightening with Thermi

We found this fabulous article about skin tightening from Thermi.com.  Check it out:

Going Deeper, a New Approach to Skin Tightening: Integrating the Use of Skin Thermal Imaging with Subsurface RF Probe Feed Back Loop Heating Douglas Key, M.D.

Background and Objectives
The true target of skin tightening is not just the dermis, but the deeper structures of the hypodermis and fascia. Current methods of laser, ultrasound and radiofrequency (RF) skin tightening are transdermal, and as such are limited as to depth. This study evaluates the safety and efficacy of a method of structural tightening of the skin using a subcutaneous placed radiofrequency (RF) probe guided by Thermal Image Monitoring (TIM).

Study Design and Methods

  • A retrospective analysis of 35 patients was completed on patients having undergone the new procedure ThermiTight™ for submental and jowl tightening.
  • Treated sites included underchin and jowls. Neck banding and jowl laxity were pre-marked along the points of greatest severity.
  • Photographs taken at baseline and between 60 and 180 days post-procedure were assessed by three blinded reviewers. Theywere randomly asked to sort order of sequence of treatment and to rate the photographs using a 4.0 skin laxity scale*.
  • A t-test for paired samples evaluated the mean difference between baseline and post-procedure skin laxity severity scores.  Bland-Altman statistics analyzed the reported mean change in laxity severity scores between each blinded reviewer.

Of the study population, 72.4% of subjects demonstrated a clinical improvement in skin laxity based on combined reviewer laxity scores. Forty-six percent of subjects reported an improvement of one grade or more.

Blinded reviewers reported a statistically significant improvement in skin laxity severity scores. The procedure is shown to be a safe and effective strategy for comprehensive 3-dimensional skin contracture of the jowl and submentum.

The prior existing approaches to non-invasive treatment for skin laxity are transcutaneous thermogenesis – achieved using ultrasound, radiofrequency, or light. These approaches use heat to promote neocollagenesis, denaturation of collagen cross-links, activation of wound healing pathways, contraction of collagen, and increase in collagen fibril size. The clinical results of current transdermal energy delivery are attenuated by factors such as depth, and variably influenced by pigmentation and water content of the skin. These are critical limitations as the collagenous structure of the subcutaneous and underlying superficial fascial compartments are extremely important in restoring the three-dimensional quality of skin we call tightness.

A newly emerging approach that provides precise and controlled subdermal heating in a 3-dimensional approach is “smart” thermistor-controlled subsurface skin tightening.  His approach uses a percutaneous treatment probe to administer radiofrequency-induced heating to all three structural compartments of the skin – dermis, subcutaneous and fascial. Subsurface temperatures are monitored and controlled by a thermistor integrated at the distal tip of the handpiece. Concurrently, epidermal temperatures are monitored using an infrared camera system. Therefore, both dermal and subsurface collagenous tissue reaches therapeutic temperature thresholds necessary for collagen remodeling.

Treatment entry points were created on the left and right lateral sides of the neck just inferior to the jowl, and left and right paracentral in the submentum, immediately superior to the apex of the platysmal bands. Each patient was infiltrated with preheated tumescent solution (37oC) containing 0.17% lidocaine and 1:600,000 epinephrine. A blunt 10 cm long, 18 gauge, percutaneous treatment probe was inserted at an angle nearly parallel to the dermal plane. The distal end of the treatment probe administered the radiofrequency, which possessed a temperature sensor that initiated an automatic feedback loop to allowed surface heating to occur only with the range of default temperature settings. The probe was guided at a deliberate pace, treating a surface area of 3.0 cm2 every two minutes. The clinical endpoint was an epidermal temperature of 42oC, not to exceed 45oC, as measured by a FLIR infrared imaging system. Continue reading.

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