20 Mar Dr. Sieveking Talks Nose Surgery – Rhinoplasty, in Lifeandstylemag.com

Nashville, Tennessee, plastic surgeon Dr. Nicholas Sieveking — who also doesn’t call the actress a patient — agrees, saying the “surgery has left her nasal tip and nostrils uneven and the dorsum [nasal ridge] a bit crooked.”

NOSE – While Debra has never looked anything short of gorgeous, “An apparent rhinoplasty has given her nose an ‘operated on’ look,” observes plastic surgeon Dr. Nicholas Sieveking.

JAWLINE – “It looks as if she’s had fillers in the prejowl area [on either side of the chin] that made her jaw appear more square,” says Nashville’s Dr. Sieveking.

Dr. Sieveking LifeandStyle 2



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20 Feb Eat Your Way To Healthy Skin: How To Diet For Clear Skin Without Blemishes

How To Diet For Clear Skin Without Acne

It’s easy to overlook our gut as the source of skin troubles. But if the well-being of our internal organs and energy levels are determined by what we put in our mouths, why shouldn’t the same be true for our skin?

Our friend and Stanford-trained, board certified plastic surgeon, Dr. Nicholas Sieveking, agrees. An unhealthy gut can often trigger the signs of aging and unhealthy skin that we all look to avoid. “Any disruption can create inflammation, affecting the integrity and protective function of the skin,” Dr. Sieveking explained.

Did you know an unhealthy gut can lead to a drop in the power of the skin to fight infection and inflammation? Research shows that small intestine bacterial overgrowth (SIBO), a condition involving inappropriate growth of bacteria in the small intestine, is ten times more prevalent in people with acne rosacea, and that a correction of gut flora led to marked clinical improvement in their skin conditions.

Dr. Sieveking explained the impact of gut flora in our bodies. The expert shared that altered gut flora can activate the release of substance P — a neuropeptide produced in the gut, brain and skin that plays a major role in inflammatory skin conditions like eczema.

An unhealthy gut can result in many issues such as maldigestion and the malabsorption of proteins, fats, carbs and vitamins, but these problems also show up in our skin. “SIBO can lead to nutritional deficiencies including vitamin B12, as well as vitamins A, D, E and K, which are all critical for optimal skin health and overall good health. An imbalance of stomach acid can result in the overgrowth of ‘bad’ bacteria in the colon, which can lead to acne as well,” the expert noted.

But thankfully, correcting your gut flora and establishing a healthy glow, both on the inside and out, doesn’t need to be complicated. Check back this week to learn the five easy steps you can take to start the healing process.

Source: Eat Your Way To Healthy Skin: How To Diet For Clear Skin Without Blemishes

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20 Jan New Year’s Skin Care Countdown – Fashion Times Part 2

New Treatments To Trim Fat & Rejuvenate Skin For 2016

Who can blame anyone for getting out of their gym routine and into a complete holiday rut? We feast so much during this time of year that fitness can quickly get put on the back-burner. But that glittery party dress for New Year’s has to fit and we have to look fresh-faced, no matter what!

So if you’re in the market for a New Year’s cheat-sheet to slim down and freshen up, consider these cosmetic treatment crib notes, courtesy of Dr. Nicholas Sieveking, a board certified plastic surgeon and director of Ageless Solutions in Nashville, Tennessee.

2 Weeks Before New Year’s – Skin Tightening & Fat Reduction

In the market to spruce up the area around the eyes, neck, jowls, abdomen, upper arms, thighs or love handles? Who isn’t? But if you’re looking for a quick fix, Dr. Sieveking suggests Exilis Elite. This is a new treatment for skin tightening and fat reduction. This FDA-approved treatment is an alternative to liposuction and plastic surgery to achieve smoother, tighter skin, or contouring in certain areas.

This is the latest technology in skin tightening and fat reduction. How does it work? “Collagen production is stimulated and as the area cools, it results in the tightening of the skin,” the physician described. “Patients equate the heat felt during an Exilis treatment to the heat similar to a hot stone massage,” he said. Dr. Sieveking recommends approximately 6 treatments per area. Each session can take 1-2 hours, depending on the size of the area to be treated.

1 Week Before New Year’s – Hydrafacial

What better way to get 2016 ready than by rejuvenating your skin? The HydraFacial is new aesthetic technology. Dr. Sieveking says this isn’t your at-home facial. “This ability to moisturize the skin separates this option from all other skin resurfacing procedures. The HydraFacial treatment removes dead skin cells and extracts impurities while simultaneously bathing the new skin with cleansing, hydrating and moisturizing solutions,” he explained. The treatment is immediately effective and has little to no downtime.

Source: New Year’s Skin Care Countdown: New Treatments To Trim Fat & Rejuvenate Skin For 2016


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06 Jan New Year’s Skin Care Countdown – Fashion Times

Expert Shares New Treatments To Trim Fat & Rejuvenate Skin For 2016

New Year’s Eve is one month away, a fact that can send shivers down a girl’s spine if one is not Instagram ready and that little black dress isn’t quite zipping! With the clock ticking down, how can we get “no filter” ready and slimmer in one month without a strict diet, exercise or surgery? There’s just no time!

We tapped Dr. Nicholas Sieveking, a board certified plastic surgeon and director of Ageless Solutions in Nashville, Tennessee with this exact question. Check out his New Year’s rejuvenation treatment tips for those who are opting for a little beauty pick-me-up to get their New Year’s resolutions started.

One month before New Year’s


Ever heard of these injections? They aren’t Botox! This is a combination of vitamins and amino acids that help the body metabolize fat, detoxify and cleanse the body as well as protect it from free radicals that cause premature aging. “Leucine is an essential amino acid which cannot be produced naturally in the bod, but must be obtained from a dietary source or a supplement,” Dr. Sieveking explained. “Another ingredient, Inositol, helps stabilize blood sugar and prevent food cravings. Consider it as well if you’re looking for a little B12 for energy,” he noted.

Vanquish Fat Removal

If you haven’t had time to hit the gym, fear not. This is a new state of the art, noninvasive fat removal and fat reduction procedure that eliminates unwanted belly fat. “We can vanquish fat reduction using safe RF technology to destroy the fat cells. Vanquish can help you lose 2-4 inches in 4-6 treatments and can eliminate fat without the ‘side effects’ associated with liposuction or gastric bypass,” the doctor explained.

This new procedure does not require anesthesia either, eliminating the risk of infection or the need for recovery time. “The Vanquish procedure takes 30 minutes, so you can return to work immediately without interrupting your lifestyle. I recommend 4 treatments to enjoy the maximum benefits,” the expert suggested..

More on what Dr. Sieveking recommends for the 3-week and 2-week countdown until the ball drops, coming this week!

Source: New Year’s Skin Care Countdown: Expert Shares New Treatments To Trim Fat & Rejuvenate Skin For 2016

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01 Dec JUVÉDERM VOLUMA® XC – Frequently Asked Questions


What is hyaluronic acid (HA)?

Hyaluronic acid (HA) is a naturally occurring, substance found on your skin. As you age, you start to lose HA, which causes the skin to lose structure and volume, contributing to the formation of wrinkles and folds.

What is age-related volume loss?

As you age, it’s not just about lines and wrinkles. Your cheeks lose volume and the skin may begin to sag. This is because of a loss of fullness, or volume, due to the aging process.

JUVÉDERM VOLUMA® XC is the first FDA-approved injectable gel to instantly add volume in the cheek area. It gives you a subtle lift, helping restore contour and a more youthful profile for up to two years with optimal treatment. JUVÉDERM VOLUMA® XC is for patients over the age of 21.


JUVÉDERM VOLUMA® XC injectable gel is for deep injection in the cheek area to correct age-related volume loss in adults over the age of 21.


As you age, your cheeks flatten, and the skin may sag. JUVÉDERM VOLUMA® XC can help temporarily reverse this sign of aging. Your healthcare professional injects the smooth gel into the cheek area to temporarily restore volume lost to aging in people over the age of 21. This gives you an instant lift with natural looking results that can last up to two years with optimal treatment.

Is JUVÉDERM VOLUMA® XC right for me?

JUVÉDERM VOLUMA® XC is used in people over 21 to treat age-related volume loss. JUVÉDERM VOLUMA® XC may be right for you if you notice flattening or sagging skin in the cheek area and want to correct this for a more youthful profile.

You should not use JUVÉDERM VOLUMA® XC if you have a history of severe allergies or severe allergic reactions like anaphylaxis, or if you are allergic to the gram-positive bacterial proteins used to make Hyaluronic Acid in JUVÉDERM VOLUMA® XC or lidocaine.

Your doctor will discuss your medical history and medications with you to see if JUVÉDERM VOLUMA® XC is right for you.

What should I discuss with my doctor before getting treatment with JUVÉDERM VOLUMA® XC?

Tell your doctor if you are pregnant, breastfeeding or have a history of excessive scarring or pigmentation disorders. You should also discuss any medications that can prolong bleeding or therapy used to decrease the body’s immune response you are currently taking.

What is JUVÉDERM VOLUMA® XC approved for?

JUVÉDERM VOLUMA® XC is approved for deep injection in the cheek area to correct age-related volume loss in adults over the age of 21.

Where will JUVÉDERM VOLUMA® XC be injected?

JUVÉDERM VOLUMA® XC is injected into the cheek area. It temporarily restores volume lost to aging in the cheek area.

What makes JUVÉDERM VOLUMA® XC different from other dermal fillers?

JUVÉDERM VOLUMA® XC injectable gel is the first and only filler FDA-approved to instantly add volume to the cheek area. It helps correct age-related volume loss, creating contour and a subtle lift for a more youthful profile for up to 2 years with optimal treatment. JUVÉDERM VOLUMA® XC uses VYCROSS™ technology—a unique manufacturing process.

How is JUVÉDERM VOLUMA® XC injectable gel used in treatment?

Your doctor injects JUVÉDERM VOLUMA® XC injectable gel into your cheek using a needle. Following the injection, your healthcare professional may gently massage the treated areas. JUVÉDERM VOLUMA® XC instantly adds volume to create contour and lift to the appleas of the cheeks for a more youtful profile. JUVÉDERM VOLUMA® XC is forumated with lidocaine (a type of anesthetic) to help numb the treatment area.

What will treatment with JUVÉDERM VOLUMA® XC injectable gel accomplish?

JUVÉDERM VOLUMA® XC injectable gel instantly adds volume to the cheek areas to address age-related volume loss. It creates contour and a subtle lift. With optimal treatment, the results can last up to two years. Ask your doctor what you should expect from your initial treatment and when another appointment is recommended.

Is treatment with JUVÉDERM VOLUMA® XC injectable gel painful?

JUVÉDERM VOLUMA® XC contains lidocaine (a type of anesthetic) to help numb the treatment site. Your doctor may also choose to numb the treatment area with a topical or other injected numbing agent to further minimize discomfort.

What kind of doctor can provide treatment with JUVÉDERM VOLUMA® XC injectable gel?

It is recommended that you choose a doctor specifically trained in the administration of JUVÉDERM VOLUMA® XC.

How long does JUVÉDERM VOLUMA® XC last?

The natural-looking results of JUVÉDERM VOLUMA® XC lasts up to two years with optimal treatment. Results may vary.

What are the possible side effects of JUVÉDERM VOLUMA® XC injectable gel?

In a clinical study, most side effects were moderate in nature, and generally lasted 2 to 4 weeks. The most common side effects include temporary reactions at the treatment site such as tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. These side effects are consistent with other facial-injection procedures. Although most side effects will resolve with time, some side effects may persist longer than 30 days. Your doctor may choose to treat them with medications, such as antibiotics, steroids, or hyaluronidase (an enzyme that breaks down HA). As with all skin-injection procedures, there is a risk of infection. Rarely, vision abnormalities have been reported after treatment with JUVÉDERM VOLUMA® XC.

What is JUVÉDERM VOLUMA® XC made of?

JUVÉDERM VOLUMA® XC contains a modified Hyaluronic Acid, called HA for short. This HA is derived from a naturally occurring complex sugar.

What should I expect following the procedure?

In the clinical study, the most common side effects of JUVÉDERM VOLUMA® XC were temporary reactions at the treatment site. Such reactions include terness, swelling, firmness, lumps or bumps, bruising, pain, redness, discoloration, and itching. These side effects were usually moderate in severity and did not require treatment. These side effects generally lasted 2 to 4 weeks. Because JUVÉDERM VOLUMA® XC treatment is non-surgical, you may return to your normal activities 24 hours after treatment.

Within that window, it is also recommended to avoid strenuous exercise and extended exposure to the sun and heat.

Your doctor will also tell you what to expect following treatment with JUVÉDERM VOLUMA® XC.

At what age do people usually begin to get JUVÉDERM VOLUMA® XC treatment?

Each person is different and will be assessed in an office visit with his or her doctor. JUVÉDERM VOLUMA® XC is approved for use in people over the age of 21.

People treated in the JUVÉDERM VOLUMA® XC clinical study ranged in age from 35 to 65 years old. JUVÉDERM VOLUMA® XC has not been studied in people under age 35 or over age 65.

Can treatment with JUVÉDERM® XC and JUVÉDERM VOLUMA® XC be administered at the same time?

JUVÉDERM® XC and JUVÉDERM VOLUMA® XC are approved to treat different areas of the face. Talk to your doctor about the options for being treated with the dermal filler that’s right for you.

What is the difference between JUVÉDERM® XC and JUVÉDERM VOLUMA® XC?

JUVÉDERM® XC and JUVÉDERM VOLUMA® XC are approved to treat different areas of the face.

JUVÉDERM® XC is a non-surgical filler your doctor uses to instantly smooth out moderate to severe lines along the sides of your nose and mouth. Natural-looking results may last up to one year with optimal treatment.

JUVÉDERM VOLUMA® XC is the first injectable gel that is FDA-approved to instantly correct age-related volume loss in the cheek area for people over 21. It adds volume, creating contour and lift for up to two years with optimal treatment.


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24 Jun Cosmetic Surgery is Real Surgery

Cosmetic Surgery is Real Surgery. Do it Right the First Time. Find a Surgeon You Can Trust.

We’ve seen a rise in the number of people traveling abroad to have plastic surgery. The cheaper costs may be tempting, but consider the risks. Download our free white paper on the dangers of medical tourism and get the facts from a trusted source. Plastic surgery is best performed by a qualified board-certified plastic surgeon. Use our free Find a Surgeon tool to find an ASPS Member Surgeon near you.

5 Things You Should Know About Plastic Surgery Tourism

1. Cosmetic surgery is real surgery and has some risks

Every surgery, including cosmetic surgery, has some risks involved. These risks may increase during vacation-related plastic surgery.

2. Vacation-related activities may compromise your health after having a procedure

Cosmetic surgery trips are marketed as vacations, but vacation activities should be avoided after surgery in order to ensure proper healing and reduce the risk of complications.

3. Travel + surgery significantly increases risk of complications

Did you know that long flights or surgery can increase the potential risk of developing pulmonary embolism and blood clots?

4. You may not be legally protected in the U.S.

There are no U.S. laws that protect patients or mandate the training and qualifications of physicians who perform plastic surgery outside the United States. There may be no legal recourse if surgical negligence occurs.

5. Bargain surgery may not be a bargain

Patients can incur additional costs for revision surgeries and complications that may total more than the cost of the initial operation if originally performed in the U.S.

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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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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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10 Sep Nashville Plastic Surgeon Offers a Look Inside the Facelift Process

Nashville plastic surgery, facelift, Clinic of Ageless Solutions, Nashville plastic surgeon, Dr. Nicholas Sieveking

Dr. Nicholas Sieveking explains the details of the facelift procedure, covering the consultation process through the recovery period.

Nashville, TN – Board certified plastic surgeon Dr. Nicholas Sieveking is known as one of the top facelift surgeons in the region, offering safe, reliable and natural-looking results. At his Nashville plastic surgery practice, he addresses cosmetic facial concerns on an individualized basis, choosing the best procedure based on the unique needs of each patient. He believes that following a “cookie cutter” approach will only lead to bad results. Dr. Sieveking says his techniques are always based on achieving the optimal outcome for each individual.

According to Dr. Sieveking, any age can benefit from good skin care practices, such as avoiding the sun, using physician-recommended products and undergoing light skin peels and office-based laser procedures. While these can help slow down the aging process, he explains that cosmetic concerns go beyond the scope of non-surgical treatment. Factors such as age, genetics, smoking, and excessive weight loss all influence when the point of surgical treatment becomes necessary. In regards to his facelift patients, Dr. Sieveking has performed the surgery on patients ranging from age 38 to 85, although he says the average patient is typically around age 55.

When patients need a more thorough treatment for their cosmetic facial concerns, Dr. Sieveking considers their candidacy for the facelift procedure. Generally, if a patient is in good health and has a low risk for surgery complications, Dr. Sieveking considers them a candidate for facial cosmetic surgery. However, he finds it imperative that patients fully understand the commitment of such a procedure. To maintain the surgical results, he says patients should be dedicated to living a healthy lifestyle through good nutrition, exercise, smoking cessation, and good skin care. At Sieveking Plastic Surgery, Dr. Sieveking says he has invested in the most advanced cosmetic lasers and skin care products to help prepare his patients for surgery and maintain their unparalleled results for many years after their procedures. He adds that his three licensed Medical Aestheticians are the best in the South, and often work seven days a week to keep up with the demand at his office and ensure timely care and convenience for all of his patients.

With his comprehensive laser and skin care center, as well as his Clinic of Ageless Solutions, Dr. Sieveking is able to choose the most effective therapies for a patient’s needs. Once he determines a patient requires surgical attention to correct cosmetic concerns, Dr. Sieveking will adapt his surgical technique to address such factors as age, gender, skin quality and sun damage. As a result of his thorough consultation process and approach to Anti-Aging therapies, Dr. Sieveking says his patients can expect to see more natural-looking, youthful appearance that stands the test of time. In addition to looking great on the outside, he adds that his patients experience an inner-healing and vibrancy to complete the rejuvenation process.

Following the facelift surgery, Dr. Sieveking’s patients tend to resume their normal schedule within two to three weeks. Preparing patients mentally and physically as well as using gentle, meticulous surgical techniques helps minimize bruising, swelling, and down-time for all of Dr. Sieveking’s patients. The Nashville plastic surgeon explains that results can continue to appear over three to six months, including skin tightening, jaw line contouring and softened appearance of scars. In the end, Dr. Sieveking hopes not only to rejuvenate his patients’ cosmetic appearance, but renew their overall self-confidence.

About Nicholas E. Sieveking

Dr. Nicholas Sieveking completed his General Surgery and Plastic Surgery training at Stanford University in Palo Alto, California and continued his training in Brazil under Ivo Pitanguy and Ewaldo Bolivar de Souza Pinto, two of the world’s plastic surgery leaders. Following his studies, Dr. Sieveking joined Dr. Thomas Orcutt’s Nashville plastic surgery practice. Since Dr. Orcutt’s retirement, Dr. Sieveking has maintained his own successful plastic surgery practice as well as an anti-aging wellness clinic. He is available for interview upon request.

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