Dr. Tosan Ehanire

Products And Services

• Breast Augmentation

  Breast augmentation surgery is one of the most popular cosmetic procedures performed across the globe today. It may be requested by women in their 20s looking to enhance their appearance and older women wanting to restore youthful curves to their figure. Many women decide to undergo breast augmentation after having children to reverse the changes that occur during pregnancy and breastfeeding. Whatever your reasons for pursuing breast augmentation might be, the surgeons and staff at Austin Plastic & Reconstrucive Surgery will help you achieve your goals. WHY SHOULD YOU CONSIDER BREAST AUGMENTATION? There are numerous reasons why a woman might choose breast augmentation for herself, from correcting asymmetrical breasts to feeling more confident in her clothing. No matter what your motivation might be for wanting this procedure, our surgeons know the result can go far beyond the physical. Women may enjoy increased self-confidence, and some studies even suggest a higher quality of life overall for women that are happy with the results of their procedure. Both Dr. Fisher and Dr. Kurtovic often meet women who choose the surgery to restore volume lost due to aging, pregnancy, weight loss or genetics to produce a proportionate look and that boost in confidence many women want. working mothers, Dr. Fisher and Dr. Kurtovic understand the challenges in scheduling time to do something just for yourself. She has designed the Weekend Breast Augmentation to help busy women get the enhancement they want without an extended recovery period afterward. Our Weekend Breast Augmentation employs modern technologies during surgery that result in minimal discomfort and faster recovery. Many of our patients book their operations on a Thursday or Friday and can return to work the following Monday. This approach to breast surgery is an excellent choice for women who have work or family responsibilities that prohibit them from taking two or more weeks to heal after their procedure. Even if you schedule your breast augmentation surgery earlier on in the week, you will still be able to benefit from the shorter and more comfortable recovery period that our proprietary techniques provide. RESTORE YOUR SHAPE WITH BREAST IMPLANTS While having children is a beautiful, life-changing experience, it also produces many dramatic changes to the body. Some of these changes can be naturally reversed once the baby is born while others will linger indefinitely. Sagging, as well as a deflated shape of the breasts, can affect a woman's appearance and self-esteem. Our surgeons will work with you to reverse the changes and restore your youthful, pre-baby body as closely as possible. MAKING THE RIGHT CHOICE IN BREAST AUGMENTATION Breast augmentation is primarily about addressing size, but that is not the only goal to be achieved during this surgery. At Austin Plastic & Reconstructive Survery, we recognize that a patient's desire is often not just to add volume but to enhance the body proportions with a natural look. Our commitment is to not only creating fuller breasts but breasts that look beautiful—an approach she refers to as aesthetic breast augmentation. The aim is to produce a result that is naturally attractive while adding curves according to the patient's specifications. That understanding, coupled with Dr. Fisher and Dr. Kurtovic's years of extensive experience working with a range of modern implants on a variety of body types, provides the foundation for safe, personalized, and long-lasting results. YOUR SURGERY EXPERIENCE The breast augmentation consists of a series of steps that work together to produce the beautiful outcome you want: YOUR CONSULTATION Every breast augmentation starts with a thorough consultation. We will use this time to get to know you, your body and your goals. This appointment is the ideal time to ask any questions you may have about breast augmentation, and together you will develop a safe plan to deliver your desired results. The consultation also involves a physical examination, at which time she will take breast measurements and assess your current breast tissue. You will receive a free quote the day of the consultation. Austin Plastic & Reconstrucive Surgery is run entirely by women, ensuring all our breast patients feel comfortable discussing their concerns and undergoing the entire surgical process. We feature a warm, reassuring environment that puts our patients at ease. If you are unsure as you begin the process, our team will guide you every step of the way.

  Video: Breast Augmentation

• Breast Lift

  Aging, pregnancy, nursing and weight change can cause your breasts to sag and appear deflated over time. These developments can profoundly impact your appearance and your self-confidence, as well as the fit of your clothing. If you are trying to hide your breasts under baggy clothing or avoiding the beach or pool because of embarrassment over your upper body profile, surgery may be the right solution for you. A mastopexy or breast lift can reshape and restore volume to your breasts so you look and feel more youthful. As mothers, Dr. Christine Fisher and Dr. Silvia Kurtovic understand all too well how changes to the breasts can affect a woman's appearance and self-esteem. She and her team of female professionals strive to make sure every patient that comes to their office looking for breast enhancement receives the personalized care necessary to ensure that she has a positive experience and to get superior results. Youthful breasts tend to be perky and prominent, but skin can stretch over time as gravity pulls the breasts downward, causing them to point toward the ground instead of outward and upward. Significant fluctuations in size can also cause sagging as breasts lose volume—such as after massive weight loss or when a baby no longer nurses—but the excess skin remains, leading to loose, floppy-looking breasts. Each woman has her own reasons for wanting to choose a breast lift, but the surgery is a common choice for patients who want to regain confidence and be able to wear bras and tops that look and feel good—not just clothes that support sagging breasts. We understands that this is a particular problem for mothers, who may enjoy motherhood but not the toll it takes on their bodies. A breast lift is a practical option for women who are in generally good health, are nonsmokers, have finished having children, and have a desire to restore youthful perkiness to their breasts. The surgery addresses the following concerns: Breasts that droop and sag, a problem known as ptosis Breasts that have lost their youthful volume and adopted a deflated appearance, especially in the upper breast Nipples that point downward or sit low on the breast beneath the breast crease Areolas that have stretched and enlarged, creating a matronly appearance Loose skin hanging from the sides of the breasts that exacerbates the sagging effect One breast that hangs lower than the other For some patients, the addition of breast augmentation using a breast implant may be necessary to achieve the desired results, but for many, a youthful and full breast shape can be achieved with a lift alone. Patients with heavy, pendulous breasts may also opt to have a reduction at the same time as the lift to create a smaller, more proportionate breast size. We will assess your personal situation to help you create the right surgical plan for you to obtain your aesthetic goals best. Sagging, deflated breasts can make you look older than you feel. By reestablishing the position of the breasts, we can also help restore self-confidence. In fact, a breast lift may be performed alone or in conjunction with a tummy tuck—a combination procedure often referred to as a "Mommy Makeover". Dr. Fisher prefers to think of this surgery as "post-maternity reconstructive surgery" because it restores both the form and function of a woman's body. You will still look like you, only a more refreshed, youthful version of you—perhaps how you looked before you had children. Plus you will enjoy benefits like a strengthened abdominal wall through repair of the gap between the abdominal muscles (diastasis rectus hernia). YOUR BREAST LIFT SURGERY EXPERIENCE The breast lift process begins with an appointment to meet with Dr. Fisher to discuss your plans for your surgery. You will have numerous follow-up visits after surgery, and we are available for questions every day. The process is complete when you come in for your final follow-up appointment. These steps will ensure a positive experience, safe operation and an optimal outcome. YOUR INITIAL BREAST LIFT CONSULTATION During your initial consultation, Dr. Fisher or Dr Kurtovic will discuss your personal goals so that they can customize your procedure. They will also review and discuss your full medical history to ensure surgery will be safe for you. You will have the opportunity to share your concerns and ask any questions you may have so that you feel confident in your decision to move forward with your breast lift once the consultation is over. However, if additional questions arise, you are always welcome to contact our office or meet with our staff again prior to your surgery date. Our goal is to be sure you are comfortable with your surgical choice and fully prepared for your procedure before your surgery day arrives.

  Video: Breast Lift

• Mommy Makeover

  Pregnancy and breastfeeding are some of the most memorable times of your life, but unfortunately, they can also take a permanent toll on your body. Perhaps you are too busy with your kids to notice the signs at first: stretched skin, loose abdominal muscles, and breasts that appear saggy and deflated. However, there will likely be a point when you will look in the mirror and see those changes, which may lead to dissatisfaction with your appearance. Some women report frustration with the fact that even after they lose the baby weight, they still have difficulty finding clothes to fit into their new shape. For these women, there is a Mommy Makeover at Austin Plastic & Reconstructive Surgery. "Mommy Makeover" is a colloquial term for a commonly performed combination of procedures designed to restore both the function and the form of your body after pregnancy and breastfeeding. Often done in a single visit, these procedures are customizable but typically include abdominoplasty (tummy tuck) and breast enhancement through augmentation, a lift, or a combination of the two. In some cases, liposuction is added to the mix to sculpt and refine your result. Both Dr. Fisher and Dr. Kurtovic and their women-led team of experienced professionals will work with you to identify your concerns and create the right Mommy Makeover plan for you that will address all of them.

• Tummy Tuck

  Multiple pregnancies, weight change, and aging can dramatically impact the appearance of your midsection. As mothers themselves, both Dr. Christine Fisher & Dr. Silvia Kurtovic are personally familiar with the effects of pregnancy on a woman's body—and the reality that no amount of postpartum diet and exercise can fully restore a taut, pre-pregnancy abdomen. Surgery, however, such as a tummy tuck at Austin Plastic & Reconstructive Surgery in Austin, TX , can generate significant results. Tummy tuck (abdominoplasty) surgery is specifically intended to correct the look of a sagging belly that is not responsive to diet and exercise, which can occur due to muscle laxity, excess skin, and stubborn pockets of fat. Tummy tucks are an excellent solution for stretched skin around the navel or for loose skin that falls over the lower abdomen or pubic area. A tummy tuck is not intended to address significant body fat or sagging skin elsewhere on the body, though it can be combined with liposuction or other body lift procedures to create balanced results. It is important to note that a tummy tuck is a body contouring procedure, not a weight loss procedure—it cannot be a substitute for diet and exercise. Patients who are at a BMI of 40 or above may not be able to undergo a procedure like an abdominoplasty safely. What’s more, it is best to have your tummy tuck at the end of your weight loss journey because your results will be entirely suited to your new figure and you will not be at risk of further skin sagging.

• Body Lift

  We congratulate patients who have successfully completed a massive weight loss program. It can be disappointing to be left with sagging excess skin and lingering pockets of stubborn fat. A body lift in Austin at Austin Plastic & Reconstrucitve Surgery can help you complete the transformation you've worked hard to accomplish. A body lift is a series of customized cosmetic surgery procedures that work together to address your individual body's areas of concern. It is a major surgical procedure, and as such it is important to choose a surgeon with the artistic skill to deliver an aesthetic result, and who also prioritizes safety, using evidence-based best practices both in the operating room and in postoperative care. Whether or not the body lift surgeries will need to be performed in a hospital setting or as an outpatient, as well as the necessary recovery time, will depend on which procedures are being performed. Many patients can expect two separate sessions to complete their procedures. Some patients will choose to stage their procedures, pairing an arm lift and an abdominoplasty together, and later undergo a thigh lift with a breast lift. During your initial consultation, we will listen to your specific goals, working with you to devise a personal treatment plan.

• Facelift

  By age 40 the elastic fibers in the skin and the underlying deep structures of the face begin to lose elasticity and sag. While the extent of facial aging is influenced by factors such as genetics, weight change, smoking, stress, and sun exposure, the appearance of facial aging is inevitable. However, there are many options for surgical and non-surgical facelift from Austin Plastic & Reconstructive Surery, all designed to address the underlying causes. WHY SHOULD YOU CONSIDER A FACELIFT? Tissues that begin to sag on the face can cause contours to change, leading to the development of jowls and tired eyes with a boxy, deflated facial appearance. This can make you look older than you feel. If you want to restore a youthful, rested facial appearance, a facelift may be a good option. YOUR FACELIFT EXPERIENCE A consultation with Dr. Christine Fisher or Dr. Siliva Kurtovic will allow them to assess your face and learn what you are hoping for in terms of results. For younger patients, she may recommend a liquid facelift, which is a customized combination of non-surgical procedures that tighten, lift, and smooth out the skin on the face. This approach often includes BOTOX® Cosmetic and one or two different fillers, and perhaps a Halo™ laser treatment. While a liquid facelift is a great first step in eradicating the early signs of aging—such as fine lines, wrinkles, and a loss of volume in the cheek area—it is less effective at combating the sagging jowls, deep nasal folds, and excess skin that result from the gradual degeneration of the deeper structures in your face. A surgical facelift addresses the actual underlying causes. To perform a facelift surgery, it begins by making short incisions in your hairline, behind your ears, and hidden inside the ear. Through these openings, she lifts and restores a youthful tautness to the deep muscles of the face and removes excess skin to subtly tighten what is there. Keeping the incision predominately inside the front of the ear results in little to no visible scar. The goal of any facelift procedure is to make you look younger, more rested, and completely natural.

• Neck Lift

  Heredity, significant weight loss, and a history of sun exposure are all factors that can have an adverse effect on your neck, contributing to the problem of loose, hanging skin. These signs of aging can appear in advance of any similar changes to the face, creating an imbalanced look that can be corrected with a neck lift. Austin Plastic & Recontstructive Surgery use several techniques to restore a smooth, youthful contour to patients' neck and jawline. Patients not yet ready for a surgical solution may consider the SkinTyte™ laser to tighten lax skin at the neck in conjunction with Sciton Halo™ laser resurfacing to treat sun-damaged skin. These non-invasive treatments work together to improve facial and neck contours, as well as correct sun damage, fine lines, redness, hyperpigmentation and large pores. Dramatic and lasting improvements can be achieved in days with little to no downtime. If your concerns include double chin, the injectable Kybella® could be for you. Kybella® is the only non-surgical treatment approved by the FDA for treating fullness under the chin. It causes the rapid destruction and absorption of fat, leaving a firm jawline without the necessary recovery time of surgical options, such as liposuction or neck lift surgery. Patients typically require at least two treatments before seeing results, which can be done every six weeks. There is significant swelling of the treated area after the Kybella® injection that lasts for up to a week. After two treatments, the fat deposits below the chin will be reduced in volume and the jawline will show a more youthful definition. For patients desiring a surgical solution, Dr. Fisher or Dr. Kurtovic may perform neck lift surgery. During a neck lift surgery, they make short incisions behind the ear and occasionally inside the front of the ear. Specifics depend on the patient. Then surgically tighten the muscles in the neck, removes excess fat with focused liposuction, and trims excess skin, resulting in a defined, youthful jawline and angle of the neck. The neck lift procedure may be performed alone or in conjunction with a facelift. For young patients with good dermal quality and localized fat under the chin, liposuction alone may be an option. Patients wear a compression garment for one week day and night and for three additional weeks just at night. Some bruising and signs of healing may be visible for 10 to 14 days after surgery.

• Eyelid Surgery

  A blepharoplasty, or eyelid surgery, from Austin Plastic & Reconstructive Surgery is a procedure that can address several problems in the eye area. Changes to the eye area over time may be due to a combination of aging, heredity, and damage to the skin from stress, smoking, or sun damage. Cosmetic problems that develop over time may include excess wrinkled and sagging skin on the eyelids, a drooping lower lid, bags below the eyes, and pockets of fat around the eye that create a permanent appearance of puffiness. Eyelid surgery options will be discussed with you in detail during your initial consultation with Dr. Fisher or Dr. Kurtovic. This time will also allow her to examine your eyelids and determine the degree of laxity that needs correcting on the upper lid, lower lid, or both. During a blepharoplasty, our surgeons will make incisions hidden in the crease on the upper lid and along the lashline of the lower lid. Shewill then trim the sagging skin and fill hollowed areas with fat, providing new, youthful contours. In addition, she may tighten the underlying orbicularis oculi muscle. Blepharoplasty is a common procedure with dramatic results and minimal pain and has hidden scarring. You can expect some mild bruising and swelling but can be back to work in one to two weeks looking rested and refreshed. Eyelid surgery and other cosmetic procedures are performed in an accredited outpatient surgical facility. MAKE THE MOST OF YOUR EYELID SURGERY IN AUSTIN, TX While a blepharoplasty addresses the eyelids themselves, a brow lift is the solution for a drooping forehead that can create a tired look or give your expression a constant scowl. When performed together, brow and eyelid surgery can create a more alert appearance, opening your expressions to be pleasant, youthful, and inviting.

• Fat Graft

  Fat grafting is a non-surgical technique that helps restore volume to the face that's been lost due to age. Fat grafting at Austin Plastic & Reconstructive Surgery uses your own natural fat, typically harvested from the abdomen or thighs, to replace volume deficits in the face, breast, buttocks and other areas. Fat grafting can be an extremely effective facial rejuvenation tool to restore youthful contour to the cheeks, under the eye or along the jawline, or used in conjunction with other cosmetic surgery procedures. During your fat grafting procedure, our surgeons remove a very small amount of fat from your flanks, thigh or abdomen. The fat is then purified and artistically transferred into the areas of the face or body that need added volume. In their practice, Dr. Fisher and Dr. Kurtovic use gentle fat harvest and research-proven purification methods and transfers the fat using a microdroplet technique in multiple layers and directions to three-dimensionally fill the space. This provides the grafted fat with increased blood supply, optimizing graft survival. As a result, there is optimal precision and control of the final aesthetic contour in the area where the fat is grafted. As a research fellow at the McGowan Institute of Regenerative Medicine, Dr. Fisher spent a year studying tissue engineering, stem cell therapies and fat grafting processes in soft tissue reconstructions of the face and body. Her publication examined established techniques related to optimizing fat harvest and purification so that there is a consistently high rate of tissue and stem cell survival post-transfer. There is clinical scientific evidence that there is a stem cell response in the treated area that vastly improves both skin texture and tone. This is clinically useful in areas with a history of radiation injury, such as after cancer treatment. Other available non-surgical treatments for contouring the face besides fat grafting include BOTOX® Cosmetic; dermal fillers such as JUVÉDERM®, RADIESSE® and Belotero® for volume; and Kybella® for fat reduction.

• Injectables

  The injectable options from the medspa at Christine Fisher MD include muscle-relaxing BOTOX® Cosmetic or Dysport® treatment to smooth out dynamic facial wrinkles, fillers to reduce the appearance of lines, and even an injectable formula that reduces the number of fat cells to minimize a double chin. BOTOX® COSMETIC One of the most popular wrinkle-relaxing injectables today, BOTOX® Cosmetic helps to smoothen fine lines without disrupting your natural facial expressions. This highly developed injectable also helps to prevent the formation of lines and wrinkles by “training” the muscles to relax. BOTOX® Cosmetic is highly effective for men and women early in the aging process who are seeking to soften existing lines and maintain a youthful complexion going forward. DERMAL FILLERS Dermal fillers are a quick, easy way to restore fullness and vitality to the face. For those who have experienced facial hollowing and loss of volume over time, dermal fillers can significantly improve and revitalize the contours of the cheeks, chin, eyes, mouth and lips. By restoring the shape of your unique facial structure, dermal fillers can help you achieve a youthful, more symmetrical profile without appearing “overdone.” NON-SURGICAL FACELIFT A non-surgical facelift addresses facial aging on a more holistic scale, targeting wrinkles, sun damage, volume loss, fat deposits and sagging contours. By combining a series of advanced treatments that can include BOTOX®, dermal fillers and laser therapies, and personalizing it to your facial structure, skin type and aesthetic goals, this procedure can transform and truly redefine your appearance – all without surgery. KYBELLA® For those seeking to correct a “double chin” appearance, Kybella® is a minimally invasive, non-surgical method for targeting the stubborn pocket of fat that develops under the face. Kybella®’s deoxycholic acid-based formula attacks the fat cells, causing them to rupture through natural processes. This treatment works to re-shape the area under the chin, creating a slimmer and more attractive profile.

• Laser & Lights

  LASERS AND LIGHTS Austin Cosmetic MedSpa at Christine Fisher MD offers a range of IPL (photofacial) and laser resurfacing treatments. These are performed to treat various skin issues and conditions, including sun damage, rosacea, textural changes, discoloration, acne scarring and more. The most suitable procedure will be determined for you based on your skin type, its current condition and your aesthetic goals. LASER RESURFACING TREATMENTS Austin Cosmetic MedSpa at Christine Fisher MD offers a range of IPL (photofacial) and laser resurfacing treatments. These are performed to treat various skin issues and conditions, including sun damage, rosacea, textural changes, discoloration, acne scarring and more. The most suitable procedure will be determined for you based on your skin type, its current condition and your aesthetic goals. LASER HAIR REDUCTION Laser hair reduction is ideal for those who are tired of waxing, shaving and tweezing and are seeking to escape the burdens of regular self-maintenance. This laser light treatment is quick, offers long-lasting results, and is specifically designed to be thorough and precise. SKIN TIGHTENING As collagen production diminishes and the skin becomes lax with age, the face and body’s natural contours lose their youthful definition. SkinTyte™ is a light-based treatment that delivers energy deep within the skin tissue to stimulate collagen production, helping re-tighten loose skin. This procedure helps to restore a sharper definition and a more refreshed appearance, and can be performed on areas such as the face, neck, abdomen, knees, arms and more. DIVA® VAGINAL REJUVENATION From childbirth to natural hormonal changes, a woman’s body undergoes significant changes over time that can lead to vaginal dryness, uncomfortable intercourse or urinary incontinence. The revolutionary diVa™ vaginal rejuvenation device works to restore youthful elasticity and moisture in the vaginal wall, reducing uncomfortable symptoms and encouraging you to feel more confident about your body.

• Skin Rejuvenation

  CUSTOM FACIALS In between more intensive procedures, our range of customized facials provide ongoing maintenance for clean, clear, healthy skin. These luxurious facials also promote relaxation and peace of mind while your skin is treated using effective products with high concentrations of active ingredients. CHEMICAL PEELS Since fine lines, signs of sun damage, acne and many other common skin concerns lie on the outermost layer of the skin, removing these layers is a simple and effective way to revitalize the entire face. A chemical peel is a non-surgical treatment that exfoliates the skin to reveal a more youthful and radiant complexion. This procedure works to stimulate the body’s natural healing processes, which continues to rejuvenate the area months after treatment. MICRONEEDLING THERAPY WITH SKINPEN® Microneedling is a highly developed therapy that works with the body’s natural processes to stimulate restoration and remodel damaged, blemished and aging skin. By promoting the healing of skin from deep within the dermal structure, this treatment stimulates collagen production to reveal a clearer and more refreshed visage. DERMAPLANING For those with dull-looking skin looking to restore a youthful glow, dermaplaning is a quick and non-invasive method of manual exfoliation that removes the top-most layer of dead skin cells and the tiny vellus hairs (“peach fuzz”) from the face. This treatment stimulates cell turnover and smoothens the surface texture to reveal healthier and softer skin. PLATELET-RICH PLASMA (PRP) Platelets contain beneficial growth factors that are ideal for improving the look and health of the skin. PRP treatment uses components of your own blood to rejuvenate the skin, reducing the appearance of wrinkles and accelerating the healing process after skin treatments. Platelets can either be strategically injected or applied topically onto the treatment area, where they then encourage collagen production and deeply nourish the skin. SCLEROTHERAPY Spider veins and other visible vessels are often the result of genetics, prolonged periods of standing, or exposure to ultraviolet radiation. Sclerotherapy is an injectable treatment that causes redundant blood vessels to collapse and be reabsorbed by the body, resulting in the removal of unsightly dark lines to reveal smoother, younger-looking skin.