November 12th, 2013
On Friday November 8th Bitar Cosmetic Surgery Institute helped support the Marine Corps, at Henderson Hall Battalion celebrate their 238th birthday. We got to take part in the cutting of the cake ceremony with the Commanding officer for Henderson Hall. Bitar Cosmetic Surgery Institute has always been a strong supporter of men and women in the military and their families. This Veterans day we want a chance to honor those who serve us by offering free facials for all active duty military and their spouses. We also want all of our existing and future patients to know that we offer an exclusive 20 % to all active duty service members and spouses on any service every day.
Please contact our offices at 703-206-0506
October 8th, 2013
Melasma, commonly replacement therapy/contraceptives or as a reaction to medications or cosmetics. Melanocytes, pigment producing cells in the skin, are stimulated by estrogen and progesterone to produce pigment in response to sun exposure. Less commonly, men can also develop Melasma. The condition occasionally improves after pregnancy in women. There are two primary forms of Melasma, epidermal and dermal. The epidermal form of Melasma is more superficial in the skin, can be diagnosed with special lighting, and is more responsive to treatment. The dermal form of melisma is deeper in the skin and more resistant to treatment.
The management of Melasma includes preventive measures such as limiting sun exposure from 10:00 A.M. to 2:00 P.M., wearing a wide brimmed hat, and applying sunscreen with an SPF of 30 or greater. Sunscreen requires re-application every 3-4 hours or sooner if you are sweating or swimming. Your sunscreen should include zinc oxide, titanium dioxide or avobenzone (parsol 1789) to block both UVA and UVB rays. Corrective measures include using bleaching creams such as hydroquinone, arbutase, azaleic acid or kojic acid. Tretinoin, chemical peels and microdermabrasion can help with exfoliation. Combination medicines, such as Triluma®, which includes tretinoin, hydroquinone and a steroid, can be convenient and effective. Prescription strength skin care systems such as Obagi Nuderm® can also be helpful in some patients. Certain types of lasers such as Sciton’s ProFractional Erbium, MicroLaser Peel, or Broad Band Light can be effective in some forms of Melasma but they can also worsen the condition in others.
If conservative topical measures are not effective, then more definitive treatment may be required such as pigment removing chemical peels such as the Melanage® Peel. This peel combines tretinoin and arbutase to synergistically clear existing pigment and suppress pigment producing cells. It is typically followed by a maintenance cream of similar ingredients at a lower dose and the preventive measures listed above. While Melasma is a vexing, chronic condition without a cure, it can be effectively managed with an organized approach to skin care.
Robert F. Centeno M.D., F.A.C.S., Board Certified Plastic Surgeon
Dana Cloud, Medical Aesthetician
Bitar Cosmetic Surgery Institute,
Fairfax & Manassas, VA
July 25th, 2013
On Tuesday July 24th, Dr. Centeno and I got to visit Salon 46 in Alexandria, VA. The shop has been opened for about a year and has already achieved great success and notoriety within the community. Dr. Centeno and I had the pleasure of meeting with one of Salon 46′s owner’s Cindy Wagner and several members of the charming staff. Salon 46 offers quality customer service, healthy and artistic hair care in a beautiful salon setting. Cindy and Tricia Wagner actually named the Salon after their dad who served 27 years in the Marines and flew a helicopter called the CH-46 (or 46 for short). The Bitar Cosmetic Surgery Institute looks forward to future collaborative efforts with this great business. -April Stettner
July 17th, 2013
Dr. Centeno and I had a chance to have lunch with Dr. Louie-Ng and Dr. Maute at Lake Manassas Women’s Health Associates.
Manassas Women’s Health Associate’s is a comprehensive obstetrics/gynecology practice with special emphasis on personal, one-on-one attention with patients.
That personalized one on one care is a shared philosophy at the Institute as well.
Dr. Centeno and I always enjoy meeting fellow premier providers and sharing mutual experiences within the health care field.
July 17th, 2013
Dr. Centeno and I visited the charming office of Radiance Med Spa in Old Towne Alexandria on Tuesday June 25, 2013.
Co-owners Catherine Corcoran and Barbara Toliver are licensed medical professionals who offer highly specialized skin rejuvenation procedures in a relaxing, upscale spa environment.
Dr. Centeno was able to highlight some of his areas of expertise for Catherine and Barbara.
The Bitar Cosmetic Surgery Institute looks forward to future collaborative events with Radiance Med Spa.
July 15th, 2013
Dr Centeno recently attended the Sciton Laser Summit in Chicago, IL on July 12-14. As a Sciton Luminary, he was able to learn about the latest advancements in laser treatment of aging and sun damaged skin. He also had the opportunity to participate in faculty round table discussions on future treatments for hyperhidrosis…excessive armpit sweating, scar management, and cellulite.
All of those treatments are available at the institute NOW.
Ask about what one of the most advanced aesthetic lasers, the Sciton Joule, can do for you! 703-206-0506
June 20th, 2013
When considering breast augmentation, a patient must decide what size breast implants to get. Many women base their decision solely on the larger bra size they are trying to achieve, making the process seem fairly simple. However, according to recent statistics, about one third of all breast implant removal procedures are performed due to the patient’s dissatisfaction with the size of their new breasts.
Until a patient has actually “tried on” their ideal breast size, they may not know what implant size will look and feel best on their body. Giving your implants a trial run can help you consider factors you may not have thought of, including how the implants look and feel with your height, weight, and your natural breast size and shape. Luckily there are some simple tricks and tips you can easily perform to help give a better idea of actual results.
The Rice Test
To help patients more accurately experience their options with implant size, we at the Bitar Cosmetic Surgery Institute recommend the rice test. The rice test is a simple experiment that involves rice and a pair of non-Ziploc® plastic bags (plain sandwich baggies). Refer to the chart below to determine how much rice to fill each baggie with to equal the implant size you are considering. If you’re not sure yet, just experiment. Measure the appropriate amount, fill two bags with the rice, and insert them into your bra. Your newly-achieved bra size will depend on the size of your natural breast combined with the size of the implant (bag of rice).
Breast Implant Measurements
Some may think that “stuffing” their bra with an actual breast implant would be a more accurate simulation of what size your new breasts would be, but an implant does not conform to the outside of the body as well as rice. The rice test, in combination with the advice of a board certified plastic surgeon, can help you make the best decision regarding the right breast implant size for you.
Prospective breast augmentation patients should also view their surgeon’s breast augmentation before and after photos and compare their natural breast shape and size – as well as the results they desire – to their surgeon’s past patients.
For prospective patients who are also experiencing sagging breasts, a breast lift with augmentation may be a more suitable procedure. Dr. Bitar or Dr. Centeno can help you with all the decisions regarding your breast augmentation surgery during your initial consultation at their Fairfax or Manassas, VA location. For more information, please call (703) 206-0506.
June 12th, 2013
Yesterday afternoon Dr. Centeno and I had the pleasure of having lunch with the Bull Run Family Practice. Bull Run Family Medicine is a full-service family medicine practice with a staff focused on their patients individual care and comfort. They have three locations; Manassas, South Riding and Woodbridge. We were able to visit their South Riding location and meet with Dr. Perez, Dr. Patel, and Dr. Feldmann. The doctors and friendly staff made us feel right at home, and we look forward to working with them in the future.
*left to right Dr. Feldmann, Dr. Patel, and Dr. Perez
May 8th, 2013
“Cellulite” is a common condition affecting eight out of ten women in the U.S. It is caused by shortened fibrous attachments to thinned skin and uneven fat deposits. These findings result in an uneven appearance to the skin commonly referred to by women as dimples, dents, bulges, or cellulite. The thigh and buttock regions are most commonly affected in women of any weight and fitness level. This condition can be concerning to many women and cause them to avoid shorts, skirts and swim suits during the warmer months of the year. While many temporary potions & lotions have been advocated to reduce cellulite, lasting results until now have been elusive.
CelluSmooth™, developed by the highly regarded Sciton® Corporation, is the latest generation laser technology designed to address all three components of cellulite. The Bitar Institute is the first Cosmetic Surgery Center in the Washington D.C/MD/NOVA Metropolitan region and only one of three on the entire east coast to currently offer this innovative technology. The Institute also serves as a “Center of Excellence” training center. The Sciton Joule Laser, has been consistently ranked as the leading aesthetic laser on the market, and includes proprietary “M3” technology designed to treat the fibrous bands, thin loose skin, and uneven fat deposits that cause cellulite. This treatment can be comfortably accomplished under local anesthesia in the privacy of the office with minimal downtime.
Good candidates for this procedure will have mild to moderate cellulite of the front, side or back of the thighs or buttocks and be in good health. A laser wand is used to comfortably treat the cellulite usually through one small 2-3 mm needle incision on each side. After surgery a compressive dressing and garment is worn to aid in recovery. Patients are asked to refrain from heavy exercise but can resume normal activities or work almost immediately. Mild to moderate swelling and bruising can be expected. Pain is minimal and well controlled with Tylenol or prescription pain pills. While immediate improvement may be seen, final results take three to six months to be achieved due to the body’s healing mechanisms.
If mild to moderate cellulite is a concern, CelluSmooth™ can deliver lasting contour improvement to the affected area.
The procedure is accomplished in about a third of the time as compared to other laser cellulite treatments.
Shorter treatment times results in quicker recovery, minimal scarring, and minimal downtime. Procedure details can be viewed at http://vimeo.com/63286147. For more information visit www.bitarinstitute.com/cellusmooth or call 703-206-0506 to schedule a consultation.
Robert F. Centeno M.D., M.B.A., F.A.C.S.
Board Certified Plastic Surgeon
May 1st, 2013
Botox, helped to fuel the increase; over 6 million Botox injections were performed in 2012, up 8 percent since 2011. This begs the question – if economic times are so tough, why are so many people choosing to spend their money on their appearance?
A nationwide survey by MetLife suggests that Generation Y (those born between the 1970s and the early 2000s) has a different set of values than those associated with the traditional American Dream. The data revealed that Americans seem to be increasingly less concerned with the previous generations’ ideals of success, e.g. getting married, buying a house, having a family, and building wealth. Rather, they are focused on the new “do it yourself” American Dream: valuing the achievement of personal fulfillment over financial success. Someone who has the choice between getting a nose job or putting money toward a downpayment for a house may choose the former simply because they believe it can make their life more enjoyable. The press release of the 2011 annual MetLife study stated:
“Americans no longer place importance on traditional elements of the Dream: 70 percent say you don’t have to be wealthy to achieve the Dream; 65 percent say you don’t need a college degree; 71 percent and 70 percent, respectively, say marriage and children aren’t essential; 59 percent say you don’t have to own a home. Instead, Americans say that a sense of personal fulfillment is key in assessing whether they have achieved the Dream.”
Essentially, Americans want to do what makes them feel good. When used for the right reasons, cosmetic surgery is a worthy investment that has the potential to significantly increase a person’s confidence and improve their overall quality of life. Whether it’s a breast reduction, tummy tuck, scar revision, or other cosmetic procedure, Dr. Bitar can help you achieve your aesthetic goals.
If you are interested in a cosmetic procedure around the Fairfax, Alexandria, McLean, or Reston areas, contact the Bitar Cosmetic Surgery Institute to schedule a consultation. Please feel free to call (703) 206-0506 or fill out our online request form today.