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Protecting Your Skin With Quality Products

Your skin is the largest organ you have and taking good care of it is important to maintaining a youthful and vibrant look. Skin care is part of a healthy lifestyle and when you look better, you feel better! Having a good skin care routine with quality products can help prevent acne, remove dead skin cells, and prevent problems down the road.

Everyone’s skin is different, and your skin needs can change as you get older. Some people may need to do more to keep their skin looking healthy. The following products can help create a good, effective routine:

  • Cleanser
  • Toner
  • Moisturizer
  • Sunscreen
  • Exfoliator
  • Serum

Our office is proud to offer SkinMedica, a scientifically based, medical grade skin care line of products. SkinMedica was founded in 1999 by pioneers in the science of skin rejuvenation, including co-founder Dr. Richard Fitzpatrick, a renowned dermatologist.

These products have a higher concentration of active ingredients than over-the-counter products, and have received numerous accolades and awards – the TNS Advanced+ Serum has been ranked Best Growth Factor Product from NewBeauty in both 2020 and 2021, a Best Beauty Splurge in 2020 and Best Breakthrough Product in 2019 by Allure, and the AHA/BHA Exfoliating Cleanser was voted a Best Beauty Buy by InStyle in 2021!

Products with quality ingredients, like SkinMedica, can help improve your skin, prevent environmental damage, help fight the effects of aging, and exceed standards (more refined with fewer impurities).

To learn more about the importance of a quality skin care regimen and what products would benefit you, schedule a consultation today or call our office at (309) 663-1222 or Toll Free at (888) 841-4108.

Dr. Poulter

 

Get to Know
Dr. Jeffrey Poulter →
An experienced plastic surgeon. Dr. Poulter is committed to your beautiful results with minimal discomfort and downtime.

Providing Convenience with Your Care

While plastic surgery is an important decision, we also know that it shouldn’t be a complicated process. That’s why we believe in offering convenience to fit your life – while still providing quality care. We offer a number of services designed to accommodate your life and your schedule.

We offer remote consultations to accommodate you, no matter where you’re located. You can do these online visits from the privacy and comfort of your own home, using your computer or smartphone. Dr. Poulter and a member of our medical team will be on the virtual visit to provide information and answer any questions you have, making sure you feel comfortable and cared for.

We also use Klara, a HIPAA-compliant, secure video technology for patient communication. We can provide quality patient support via secure messaging and video calls, and you can use it to reach us for questions about scheduling, appointments, and more.

Our surgical suite combines the safety of a fully equipped hospital with the comfort and amenities of a high-end spa. It is accredited by the American Association for Accreditation of Ambulatory Surgical Facilities (AAAASF). We utilize the latest equipment and technology while holding ourselves to the highest surgical standards. For your convenience, the Campus at Eastland Medical Plaza also offers a pharmacy, X-ray department, complete medical laboratory, physical therapy department, facility for overnight accommodations for further monitoring (if needed), emergency and intensive care units, and a cafeteria, gift shop, and coffee/smoothie shop.

Dr. Poulter offers state-of-the-art options for safety and comfort such as top-of-the-line patient warming systems and special stockings and compression boots to aid in the prevention of blood clots. He also utilizes a multimodal therapy for pain management, including a long acting (3 day) local anesthesic injected at the time of surgery, and coordinated medications that affect different pain centers. Limiting postoperative pain allows you to heal quicker, prevent postoperative complications, and get back to routine activities sooner.

When it comes to your plastic surgery, we want to make the process as seamless and convenient as possible. If you’ve been thinking about plastic surgery, schedule a consultation with Dr. Poulter today or call our office at (309) 663-1222 or Toll Free at (888) 841-4108.

 

Dr. Poulter

 

Get to Know
Dr. Jeffrey Poulter →
An experienced plastic surgeon. Dr. Poulter is committed to your beautiful results with minimal discomfort and downtime.

How Breast Augmentation Can Help You Feel More Like Yourself After Baby

Having a baby changes nearly every aspect of your life – and your body. Age, heredity, number of pregnancies, length of time and frequency of breastfeeding, and weight fluctuations can all factor in to how the breasts heal after you give birth. To correct those changes, a breast augmentation and/or lift may help restore your confidence.

The hormonal changes that happen during pregnancy and breastfeeding can cause your breasts to swell and increase in size. After you’ve finished breastfeeding, the breasts can return to their normal size or smaller. A breast augmentation will increase the size of your breasts back to their pre-baby size or larger depending on your personal goals. They may stay larger but with some sag to them. A breast lift or cosmetic reduction can return them to your desired shape and size.

Whether your breasts stay larger or go back to a smaller size, you will likely still experience stretching of the skin. As the breasts settle in at their new size, sagging is common. In that case, a breast lift can help reshape your breasts by removing the excess skin and tightening the supporting tissue.

When is the best time to have your surgery after you give birth? If you’re breastfeeding, it’s best to wait 3-6 months after you’ve stopped lactating. If you choose not to breastfeed, you can get your procedure done sooner – right around 3 months. Even if you have met that waiting period, you may still want to delay getting surgery for a bit longer if you are actively losing weight so you and your surgeon can select the best procedures and/or implants for your goal weight body.

If you plan on having more children, it may be best to hold off on your breast surgeries until after you’ve finished – surgery now does not necessarily prevent changes that can come with pregnancies down the road. We recommend discussing your future plans and goals with your surgeon during your consultation process.

A breast augmentation, lift, or both can help you feel confident in your body and restore the shape and fullness to your breasts. If you think a post-partum breast procedure might be for you, schedule a consultation with Dr. Poulter today or call our office at (309) 663-1222 or Toll Free at (888) 841-4108.

Dr. Poulter

 

Get to Know
Dr. Jeffrey Poulter →
An experienced plastic surgeon. Dr. Poulter is committed to your beautiful results with minimal discomfort and downtime.

Lindsay’s Story

When Lindsay* decided to reduce her breast size from an H cup to a C or D cup, she began researching surgeons in the St. Louis area, where she lived. After meeting with one surgeon and sending photos of her goals, the surgeon referred her to Dr. Poulter’s office due to the large breast size. She called Dr. Poulter’s office and they scheduled her consultation within a week.

We think it’s best to hear from our patients to get a first-hand look at what they experienced. Here’s Lindsay’s story, in her own words:

Why did you choose Dr. Poulter’s office?

Lindsay was impressed with the speed they got her scheduled in for a consultation – some of the surgeons she had researched initially would have taken months to even get her in for a meeting. She says “Dr. Poulter was very thorough and detailed in his explanation. I was very comfortable with his experience and his staff!”

What was your experience like?

It was very calming. I used Klara a lot to reach out to Dr. Poulter and his staff, and they responded very quickly! Dr. Poulter was very approachable and knowledgeable. I was scared about the little things, like the blood work. The staff asked me what I was concerned about, and they gave me tips for steps along the way. They made me feel so much better about everything and helped calm me down, and helped me stair-step everything instead of getting overwhelmed by it all.

Dr. Poulter has such a great bedside manner and was so easy to talk to! My husband also felt very at ease with him.

How was your recovery?

It was great! I continued to use Klara for a lot of follow-up questions. I felt fantastic after surgery and had no pain! My husband and I stayed at a hotel right next to Dr. Poulter’s office. His staff had booked it for us – they really took all the hard stuff out.

I had some hypersensitivity but his staff was very helpful whenever I called!


Our patients say it best – making sure their experience is positive is always our top priority, and feedback like Lindsay’s is the outcome we strive for. If you’ve been thinking about plastic surgery, schedule a consultation with Dr. Poulter today or call our office at (309) 663-1222 or Toll Free at (888) 841-4108

*Names have been changed to protect patient privacy

Minimally-Invasive Options to Freshen Up the New Year

If you’re looking for a way to freshen up your appearance in the new year, minimally-invasive options might be the solution! Injectables like Botox and fillers are some of the most popular treatments around, and their popularity has been steadily rising for over a decade. Each one does something different while sharing one thing in common – they’re all minimally-invasive procedures, which means less downtime and a quicker recovery!

Botox is a natural and purified protein that can be used to temporarily weaken and relax the facial lines, minimizing the appearance of lines and wrinkles. This gives the skin a smoother, more refreshed appearance. Areas that respond well to Botox include glabellar lines (the ‘elevens’ between your eyebrows), forehead lines, and crow’s feet. It can also be used in other areas as well on the neck and face, and is even used to treat migraines and other medical conditions.

Another type of injectables are fillers, like Juvederm, Vollure and Volbella. As we age, our bodies produce less collagen, hyaluronic acid, and elastin. Fillers sit under the skin to provide volume and fullness.  They can be used to treat various signs of aging, such as plumping thinning lips, filling in shallow areas on the face, decreasing wrinkles under the eyes, and more. There are also different types of fillers – some act as a structural support to help lift the skin, and some lift and smooth folds and wrinkles by adding a subtle amount of volume. Fillers can be used to treat multiple areas of the face, ears, and neck, and many last for up to two years.

Kybella is the third type of injectable offered at our practice. This product is used to help reduce the appearance of a double chin. It is primarily used under the chin, but can also be used to treat facial fat in the jowls and higher, and can even be used for other areas of unwanted fat such as bra fat, anterior armpit fat, dorsal hump, and for postoperative touch-ups (rarely needed).  With Kybella, once results are achieved, re-treatment is not expected to be required. In this way, it differs from Botox and fillers.

These procedures can treat slightly different problems and are usually used in different areas of the face, so it’s always best to discuss your goals and options with a board-certified plastic surgeon. Dr. Poulter has over 20 years of injectable experience and holds the Master Injector designation from Allergan.  Schedule a consultation to discuss what’s best for you!

 

Dr. Poulter

 

Get to Know
Dr. Jeffrey Poulter →
An experienced plastic surgeon. Dr. Poulter is committed to your beautiful results with minimal discomfort and downtime.

Your Experience With Dr. Poulter, Master Injector

Botox has now been on the market for over 20 years. This incredible discovery was first used as a treatment to help children with cerebral palsy have release of their contracted necks and extremities. It then became a popular treatment for cosmetic purposes and is the number one non-surgical treatment in plastic surgery because it works.

I was an early adopter of the treatment and spent additional time and effort to earn the Master Injector designation from Allergan. I have attended intensive small group sessions with their world renowned physicians and had their trainers come to my office for one-on-one sessions, learning the finer points of facial rejuvenation with Botox as well as the Juvederm line of fillers.

I have always believed in treating the whole face and looking for ways to enhance the patient’s results with some of the more innovative uses of Botox, such as the DAO muscles (which make your mouth point downwards into a frown), the platysmal bands (the vertical cords that appear in the neck as you age), and upper lip. I have also used Botox to treat frontal origin migraine headaches and facial asymmetry following Bell’s Palsy, stroke, or muscle spasm.

One of the key advantages of having me care for you with Botox injections is that I am a surgeon injector. That means not only can I inject your areas of concern but have also operated on those muscles. When you come to me for your Botox injections, I understand the variations in muscle anatomy and take the time to evaluate the function this variation produces so your injections are individualized to your specific needs. I can also advise when Botox might not be the best answer and perhaps surgery would provide a better result.

For the last 20 years, I have had excellent results from my Botox treatments and done little to change the concentration of product injected. In August 2021, one of the Allergan Institute master injector trainers came to my office for a personalized session and revealed the results of their most recent research regarding the effectiveness of Botox. The evidence shows that although my concentration and dosing of Botox was effective, I could improve my patients’ results by adding a few more units while at the same time increasing the concentration in each syringe.

We have made this suggested adjustment and are waiting for the first round of patients to return after improving our technique. Studies show that more units at a higher concentration will provide better control of the muscles being injected and provide a longer lasting result. Some of my patients have been able to reduce the number of syringes they require to get the result they desire, while some of my early Botox patients have needed additional doses to maintain their results, and the increased number of units has helped them as well.

Next year will be my 36th year as a physician and my 30th year in my plastic surgery practice here in Central Illinois. Although I was trained in filler injections during my residency, I have still been using Botox for facial rejuvenation for over 20 years. Having an experienced surgeon injector do your Botox procedure makes a difference in your results.

I love what I do and want the very best outcomes for my patients. I am so grateful and honored to be able to care for those from Central Illinois and beyond!

Dr. Poulter

 

Get to Know
Dr. Jeffrey Poulter →
An experienced plastic surgeon. Dr. Poulter is committed to your beautiful results with minimal discomfort and downtime.

Dr. Poulter’s Allergan Training Experience

On Monday, August 30th, Rhonda Foley (certified national trainer for Allergan Institute) flew in from Omaha for an advanced masters training session for lip augmentation. Her trip was sponsored by Allergan, the makers of Botox, and the Juvederm series of fillers. Rhonda has extensive experience in aesthetic medicine and came to our office to share some advanced techniques in lip and perioral enhancement with fillers.

I truly love my facial aesthetic injection practice and continue to strive to provide the best results for my patients. The last two years (excluding COVID), I have had masters class trainers come to my office to help keep me at my best. Each of the two years before that, I traveled to Chicago to participate in Dr. de Maio’s invitation-only master classes for aesthetic physicians. Although I have almost 30 years of experience with fillers, I also know I can always learn more to further improve my techniques.

Our morning with Rhonda Foley went extremely well! We had selected four models who were interested in lip and facial rejuvenation and enhancement. Rhonda and I had a very enlightening discussion even before we got started, and although we both treat many of the same areas around the lips and mouth, she fills the areas around the lips first to provide support to the mouth and then enhances the lips last. The results for the first three patients were clear, as the whole lower third of their faces looked incredible after I had injected them using this new strategy.

The first patient we treated has been coming to me for Botox treatments for several years and had worked up the nerve to have her lips enhanced. Rhonda showed me a way to enhance the upper aspect of nasolabial folds (the ‘parentheses’) and the middle layer of the upper and lower lip while also providing numbing to the lips without distorting the tissues like local anesthesia injections can. We ended up using two syringes of Juvederm just on the supporting structures and one to her lips. She was extremely pleased with her results and had very little discomfort.

The second patient was the mother of one of my staff members. She had never had any injectables and was very nervous and quiet. She was treated to Botox on the lines of the sides of her eyes and in between the eyes. She had no forehead wrinkles at all, and when asked to elevate her eyebrows, they raised again without wrinkling the forehead skin, so she did not need Botox there. We treated her cheeks with Voluma to provide a nice projection to her lateral cheekbones and fill the indentation in front of the jowl area. It was able to reposition some of her facial soft tissue that had descended with time and gravity. We completed her rejuvenation with Juvederm injected into the perioral and lip area. She is also very happy and can’t wait to return in two weeks for a follow-up with full makeup on to really reveal the rejuvenation.

I had seen the third patient in a consultation the week before and recognized a difficult lip to enhance, so I recommended she wait to be treated until our advanced lip training day so I could glean any fine points Rhonda could add to give her an even better result. This patient had very thin lips with transverse lines in the lower lip that would require a moderate-to-significant amount of fill, and she did not want significantly larger lips. Rhonda helped me rejuvenate her lips in a novel way, by layering a fuller bodied Juvederm Ultra deep, and Volbella very superficially, as this filler integrates into the tissue very well, smoothing without adding excessive volume. The injections worked wonderfully. I used a routine Botox procedure in her ‘crows feet’ (smile lines) and 11’s between her eyes, but her forehead required a change of standard technique. I injected high on the forehead and laterally, and did a Micro-tox type of treatment, just in the skin, to the remainder of the forehead to maintain function of the muscles that elevate the eyebrows. She appreciated the time, effort, and thoughtfulness put into her treatment!

The last patient was a very cheerful, mature college student that had talked with her parents about wanting to try a lip filler. With their approval, she came in for a fuller look to her lips rather than being significantly bigger. Before filling her lips, I placed Voluma deep on her cheekbones in the “Top Model Line” (TML, as de Maio refers to it). This subtle but amazingly small amount of filler added a dimension to her cheeks that were able to complete the balancing done including her lips and eyes. Her youthful lips needed no surrounding support and we used Juvederm to provide just the right amount of fill and fullness she was looking for.

During our session with Rhonda, I learned at least 4 new ways to enhance my technique in facial rejuvenation with Botox and fillers. Not only did she help improve my results, we are also able to enhance your lips with less discomfort. We will be posting the four patients’ before and after photos very soon to let you see the transformations for yourselves. Please call my office to make your appointment for facial rejuvenation (309-663-1222) or go online at drpoulter.com to contact us and learn more about my practice.

Living Your Breast Life After Reduction Surgery

Breasts come in all shapes and sizes, but sometimes large breasts can interfere with your lifestyle goals and daily activities, or cause you to feel self-conscious. If you can relate to this scenario, a breast reduction might help manage symptoms resulting from large breasts.

Good breast reduction candidates are those who are in good health and are confident in wanting to reduce their breast size. Some signs that you may benefit from a breast reduction include:

  • Persistent back, shoulder or neck pain that does not get better with other treatments
  • Poor posture due to large breast size
  • Indentations from bra straps
  • Arm numbness or tingling
  • Limitations in physical activity due to breast size
  • Persistent skin irritation beneath the breast crease

A breast reduction surgery involves removing skin and breast tissue, then reshaping and lifting the breast to achieve a smaller, more proportional size. The amount of tissue removed depends on many factors, such as your initial breast size and blood supply to your nipple. It’s been estimated that for every 100 – 300 grams of tissue removed, your breast will decrease approximately one bra cup size. A board-certified surgeon will be able to determine the amount of tissue that can be removed safely.

It is recommended to wait until the breasts are fully developed before undergoing this procedure. In teenage patients with significant symptoms, consultations are done with the patient and the patient’s parents/guardians to determine the best steps. Some women may opt to wait until they are done having children, as well.

Breast sensation can sometimes be decreased (numbness) or increased (more sensitivity) following surgery. As with breastfeeding, certain reduction techniques may better preserve nipple sensation. During your consultation, you can discuss with your surgeon about what your expected sensory outcome might be.

After surgery, you’ll go home with dressings over your breasts and possibly small drains in the incisions. You will also be given a surgical bra – this helps minimize swelling as the breasts heal. Swelling will decrease over the first few weeks; at that time, you will be able to see the final result of your procedure. The incision line may take longer to heal, and it’s important to follow your doctor’s instructions on proper wound care. Scars from the procedure may appear redder in the beginning and fade over time, and heal over the course of a year or so.

 

If you think you may benefit from the results of a breast reduction, schedule a consultation with Dr. Poulter today or call our office at (309) 663-1222 or Toll Free at (888) 841-4108.

What to Know Before Surgery

When you‘re thinking about cosmetic surgery, it’s important to know what questions to ask. Confirming that your surgeon is certified by the American Board of Plastic Surgery helps serve as a warranty for the type of training they have received.

The initial consultation is a time for you to meet with potential surgeons (or members of their team) and get your questions answered. A few things to ask are:

  • Am I a good candidate for this procedure? Why or why not?
  • Are there treatments other than surgery that might work just as well or better for me?
  • How many times have you done this procedure? What were the results?
  • Can you share before and after photos or diagrams to help me understand the procedure?
  • Can the desired effect be accomplished in one procedure, or do you anticipate multiple procedures?
  • Will the results be permanent? If not, how long will they last?
  • What are the possible complications?
  • How will my progress be monitored after surgery? What follow-up care will I need? How long of a recovery period can I expect?
  • How much will the procedure cost?
  • What type of anesthetic will be used? How will it affect me?

When it comes to anesthesia, Dr. Poulter’s current multimodal pain therapy uses local anesthetic as the main component. Instead of being delivered in a little ball through a catheter, the local is injected into the area to be numbed, and it lasts for three days! This benefits the patient in many ways.

During the surgery, less anesthesia is needed to keep the patient asleep and comfortable throughout the case. This makes them less likely to be nauseated upon coming out of the anesthetic. Second, it keeps the pain pathway from developing, which helps block postoperative pain.

The pain pathway is also blocked by having the patients take a cough medicine and Gabapentin several hours before surgery. In studies, the medication in cough syrup was shown to minimize the need for narcotics following tonsillectomies in children. Liposuction patients receive IV Tylenol immediately before starting the procedure as well, also to block the pathway.

Another medication taken on schedule is regular Tylenol, taken every 8 hours. This controls most of our patients’ discomfort from the earliest postoperative period. When separated from the usual
combination of Norco or Percocet, the patient needs (and receives) less opioid, limiting its side effects of nausea and constipation.

Finally, the PRN, or as-needed meds, are a muscle relaxant and the lowest dose oxycodone. Taken separately, they offer the strongest medications to control breakthrough pain that a few patients experience. This usually contains the breakthrough pain, with an even smaller number of patients requiring the minimal number of opioids prescribed.

Managing postoperative pain allows patients to get back to their routine activities sooner, heal quicker and prevent postoperative complications. Schedule a consultation with Dr. Poulter today or call our office at (309) 663-1222 or Toll Free at (888) 841-4108.

Take Time For Yourself With Minimally-Invasive Options

Botox and dermal fillers are some of the most popular treatments around, and their popularity has been steadily rising for over a decade. Despite their popularity, there’s still some confusion in what they are and how they work, and how they can affect your appearance.

There are three main types of injectables. Neuromodulators, like Botox, are used to temporarily weaken and relax the facial lines, minimizing the appearance of lines and wrinkles. Areas that respond well to Botox include glabellar lines (the ‘elevens’ between your eyebrows), forehead lines, and crow’s feet. It can also be used in other areas as well on the neck and face; your board- certified plastic surgeon can help determine what is best for you.

The second type are dermal fillers, like Juvederm, Vollure and Volbella. These injectables sit under the skin to provide volume and fullness to the skin. As we age, our bodies produce less collagen, hyaluronic acid, and elastin. Fillers can be used to treat various signs of aging, such as plumping thinning lips, filling in shallow areas on the face, decreasing wrinkles under the eyes, and more. There are also different types of fillers – some act as a structural support to help lift the skin, and some lift and smooth folds and wrinkles by adding a subtle amount of volume. Fillers can be used to treat multiple areas of the face, ears, and neck, and many last for up to two years.

Kybella is the third type of injectable which helps reduce your double chin. It is primarily used under the chin, but can also be used to treat facial fat in the jowls and higher, and can even be used for other areas of unwanted fat such as bra fat, anterior armpit fat, dorsal hump, and for postoperative touch-ups (rarely needed).  With Kybella, once results are achieved, re-treatment is not expected to be required; in this way, it differs from Botox and fillers.

It’s always best to discuss your goals and options with a board-certified plastic surgeon. These procedures can treat slightly different problems and are usually used in different areas of the face. Dr. Poulter has over 25 years of injectable experience and holds the Master Injector designation from Allergan. Schedule a consultation to discuss what’s best for you!