Dr Lundeby speaks about Shape!

Dr. John Lundeby is the Owner and Medical Director of Shape Cosmetic Surgery & MedSpa. He is Triple Board Certified in Cosmetic Surgery, Facial Cosmetic Surgery and in Surgery. He is a Fellow of the American College of Surgeons and the American Academy of Cosmetic Surgery. John Lundeby decided to become a doctor at an early age. Growing up in a small town, he was inspired by the local doctor. That old fashioned rural doctor did it all, performed surgeries, delivered babies, treated sick children and set broken bones. “He was a big influence on me,” states Dr. Lundeby. “He always took excellent care of his patients. I chose to become a surgeon because I’ve always been interested in mechanical things and am good with my hands. Cosmetic surgery allows me to work directly with my patients, help them achieve their aesthetic goals, and really take care of them the right way—without having to fight insurance companies or medical bureaucracy telling me my patients don’t need what I consider necessary care.”

Practicing medicine the old fashioned way—truly taking care of patients; talking to them in language they can understand rather than medical jargon; really listening to them to understand their needs—that’s the way Dr. John Lundeby manages his office. Dr. Lundeby believes in doing things the right way, so he focuses exclusively on cosmetic surgery and foregoes performing other types of surgeries. He also believes in providing old fashioned service to his patients. While he doesn’t make house calls, he does offer a fully AAAHC accredited in-office surgical suite, relieving patients of the hassle and added cost of a hospital or surgical center visit.

Shape Cosmetic Surgery offers a full spectrum of cosmetic surgery procedures while the MedSpa provides a full menu of non-surgical, aesthetic treatments. Cosmetic surgical procedures for the face include: face lifts; brow lifts; chin implants; lip implants; lip lifts; eyelid surgery, otoplasty (ear surgery) and for fat reduction under the chin (double chin), Dr. Lundeby offers CoolSculpting®.

CoolSculpting is a new, non-invasive liposuction alternative procedure to gently and effectively reduce fat in targeted areas of the body. It is the only FDA-cleared, non-surgical fat reduction treatment that uses controlled cooling to eliminate stubborn fat that resists all efforts of diet and exercise. CoolSculpting freezes the fat without surgery. The results are proven, noticeable, and lasting, so patients look great from every angle. “We currently have five CoolSculpting machines,” says Dr. Lundeby. “We plan to add one more next year. The results of our CoolSculpting are amazing. It produces results nearly as good as liposuction without the need for anesthesia or downtime.”

Other procedures available at Shape include breast augmentation; breast augmentation with lift, breast lift; breast revision; and breast reduction. In addition, Shape offers many body transforming surgeries such as: Mommy Makeovers, tummy tuck, Brazilian Butt Lift, arm lifts, body lifts, thigh lifts, liposuction, and surgical vaginal rejuvenation or labiaplasty. Other procedures include fat transfer plastic surgery to enhance facial and body contours; Cellulaze, a minimally invasive laser-assisted procedure that attacks the structural problems beneath the skin which cause cellulite. Cellulaze is clinically proven to increase the skin’s natural thickness for a smoother, healthier look that lasts.

The MedSpa offers facials & waxing; facial peels; fractional CO2 laser skin resurfacing; micro-dermabrasion; laser hair removal; IPA laser treatment for skin rejuvenation; laser vein treatment; and Genesis™ Photo rejuvenation for reduction of acne, redness and pore size. Botox® Cosmetic as well as Juvéderm® XC dermal filler are available. Liquid Facelift is also offered for a non-surgical procedure which subtly restores natural facial contours and volume erasing years from a patient’s face. This procedure may also be used to complement a surgical facelift to restore natural 3-dimensional contours to the face.

Additional non-surgical services include Thermi™ radio frequency (RF) treatments. Shape is pleased to offer ThermiTight®, ThermiSmooth® and ThermiVa® treatments. ThermiTight is a minimally invasive treatment which uses RF to generate gentle heat applied sub-dermally to tighten skin. ThermiTight is used to treat skin laxity and sculpt the body. ThermiSmooth delivers precise, gentle heat to the surface of the skin to non-invasively smooth skin and stimulate new collagen production. Patients often say it feels like a warm massage. Patients will see smoother, thicker skin following treatment.

ThermiVa is only for the ladies, but their partners will be pleased, as well. ThermiVa tightens vaginal tissue and strengthens the structural support. It is an ideal treatment modality for many of the problems plaguing premenopausal and menopausal women such as urinary incontinence, painful intercourse, vulvovaginal laxity, labial appearance, and loss of vaginal lubrication and sensation. ThermiVa provides a non-hormonal treatment modality with excellent results which are immediately apparent, with little risk, no pain, and no recovery downtime. The treatment is non-surgical and is performed in office eliminating the need to go to a surgery center or hospital. While significant benefits are experienced after a single treatment, a series of three treatments over the course of three months may be necessary to achieve optimum results.

“I’m very impressed with the results of ThermiVa treatment,” states Dr. Lundeby. “Mild urinary stress incontinence was corrected after a single treatment. The patient also had improved vaginal tightness and sensation. This provides us with an excellent non-surgical option for patients seeking vaginal rejuvenation.”

There is a stigma with some who feel cosmetic procedures are selfish or vain. Dr. Lundeby explains, “Having a cosmetic procedure done is about investing in yourself and your appearance. It is nothing to feel guilty about. Improving their appearance makes a person feel better about themselves and increases their self-confidence. It improves their quality of life.”

Your future is what you choose to make it. Contact Dr. John Lundeby at Shape Cosmetic Surgery & MedSpa to schedule your free consultation today and let them help you Shape Your Life. There are three inland Northwest locations to serve you: Spokane, WA (509) 458-SKIN; Coeur d’Alene, ID (208) 415-5602, or Kennewick, WA (509) 735-2636.

Breast Capsular Contracture Information

Breast Capsular Contracture Information

When an implant is inserted the body reacts by forming a lining of natural scar tissue around the implant called the capsule. In some cases the capsule begins to harden, shrink and than squeezes the implant that it surrounds. Regular massage of the implants daily after breast augmentation surgery helps the breast implant capsule remain larger than the implant, allowing the implant to move naturally and feel soft. Though the exact causes of capsular contracture are largely unknown, there are factors that can contribute to this complication, including:

Seroma (the development of extra fluid around implant)
Hematoma (bleeding around implant)

Prevention Of Breast Capsular Contracture

During your first post-operative follow-up visit at Shape, your surgeon will demonstrate the massage technique that you should perform to ensure your breast maintain a natural look and feel. For the first few days after surgery you may experience tenderness and soreness while performing your breast massage, this will get better within a few weeks.

Perform Daily Breast Massage – Starting post – operative day one, breast implant massage should be started and continue for the life of the implants.

How to perform breast massage:

Massage Implant Upward – Twice daily massage the implants upward, massage upward until you see the implant move 1-2 inches upward. Perform this massage ten times, twice daily, for the life of your implants.

Massage Implant Inward – Twice daily massage the implants inward, massage inward until you see the implants move 1-2 inches inward. Perform this massage ten times, twice daily, for the life of your implants.

Unless instructed by your surgeon, it is not necessary to massage breast implants outward or downward, due to gravity will do this naturally.

Signs Of Possible Breast Capsular Contracture

Implant Movement is Reduced During Massage – During massage you notice an implant does not move as it normally had during prior breast massage.

Firmness of the Breast – You notice unnatural breast firmness with both or one breast.

Different Shape of Breast – One or more breast starts to have a different shape than normal.

One Implant Appears Higher – One or more implants appears to be higher than it normally appears on chest.

Treatment Of Breast Capsular Contracture

Depending upon the severity the breast can feel firm or hard, become distorted, and begin to cause pain. To cure or treat capsular contracture there are both surgical and non-surgical options. If you experience any of these symptoms please call 509-458-7546 to schedule a follow-up appointment as soon as possible with your surgeon at Shape Cosmetic Surgery & MedSpa.

Non-Surgical Treatment

Prescribed Antibiotics – Antibiotics may help reduce the progress of capsular contracture.

External Ultrasound – May help reduce swelling and inflammation and does not involve any major risks.

Singular Medication – This anti-inflammatory used in the treatment of asthma has shown, in minor studies, to help regress capsular contracture.

Surgical Treatment

Open Capsulotomy – The capsule surrounding the implant is surgically cut open in order to release the implant. After this is done, however, there is a chance of contracture occurring again.
Open Capsulectomy – This is generally the most successful, as well as the most intensive, form of treatment. The entire capsule is removed, allowing new tissue to form around the implant. Placement: Also if the implant is placed above the muscle the surgeon may place it underneath the muscle during capsulectomy in the hopes of better results.

Please call us at 509-458-7546 regarding any questions or concerns.

Cosmetic vs Plastic Surgery-What’s the Difference?

If you’ve always thought cosmetic surgery and plastic surgery were one in the same, you’re not alone. A significant number of plastic surgeons choose to focus their practice on cosmetic surgery, and as such, the terms are often used interchangeably. But this is not technically correct. Cosmetic surgery and plastic surgery are closely related specialties, but they are not the same.

For more information please visit The American Board of Cosmetic Surgery http://www.americanboardcosmeticsurgery.org

Cosmetic Surgery & Plastic Surgery Have Different Goals

While both cosmetic surgery and plastic surgery deal with improving a patient’s body, the overarching philosophies guiding the training, research, and goals for patient outcomes are different.

Cosmetic Surgery: Focused on Enhancing Appearance

The procedures, techniques, and principles of cosmetic surgery are entirely focused on enhancing a patient’s appearance. Improving aesthetic appeal, symmetry, and proportion are the key goals. Cosmetic surgery can be performed on all areas of the head, neck, and body. Because the treated areas function properly, cosmetic surgery is elective. Cosmetic surgery is practiced by doctors from a variety of medical fields, including plastic surgeons.

The scope of cosmetic surgery procedures includes:

  • Breast Enhancement: Augmentation, Lift, Reduction
  • Facial Contouring: Rhinoplasty, Chin, or Cheek Enhancement
  • Facial Rejuvenation: Facelift, Eyelid Lift, Neck Lift, Brow Lift
  • Body Contouring: Tummy Tuck, Liposuction, Male Breast Reduction Treatment
  • Skin Rejuvenation: Laser Resurfacing, Botox®, Filler Treatments

Plastic Surgery: Focused on Repairing Defects to Reconstruct a Normal Function & Appearance

Plastic surgery is defined as a surgical specialty dedicated to reconstruction of facial and body defects due to birth disorders, trauma, burns, and disease. Plastic surgery is intended to correct dysfunctional areas of the body and is reconstructive in nature. While many plastic surgeons choose to complete additional training and perform cosmetic surgery as well, the basis of their surgical training remains reconstructive plastic surgery. In fact, in 1999, the American Society of Plastic and Reconstructive Surgeons changed its name to the American Society of Plastic Surgeons to more strongly communicate the message that “plastic and reconstructive surgeons are one in the same.”¹

Examples of plastic surgery procedures:

  • Breast Reconstruction
  • Burn Repair Surgery
  • Congenital Defect Repair: Cleft Palate, Extremity Defect Repair
  • Lower Extremity Reconstruction
  • Hand Surgery
  • Scar Revision Surgery

Cosmetic Surgery Training is Obtained Separately from Plastic Surgery Training

As cosmetic surgery and plastic surgery each have distinct practice goals built around a specific procedure set, it only follows that the training and certification process for a board certified cosmetic surgeon will look very different from that of a board certified plastic surgeon.

Plastic surgery training is completed through a post-graduate residency program

Physicians who become board certified in plastic surgery must complete a general surgery residency plus another 2 years in plastic surgery. Residency programs in plastic surgery may include cosmetic surgery as a portion of a surgeon’s training, but typically do not include training on every cosmetic procedure.

Therefore the title “board certified plastic surgeon” indicates a certain level training and experience with respect to plastic surgery, but it does not indicate the same thing with respect to cosmetic surgery, as the residency training required to become board certified in plastic surgery may not include training with respect to many common cosmetic procedures.² Nor does it tell you that the doctor has more or less cosmetic surgery training than a physician board certified in another specialty.

Cosmetic surgery training is completed primarily after residency training

There are currently no residency programs in the United States devoted exclusively to cosmetic surgery. Because of this, cosmetic surgeons primarily obtain training and experience after completing their residency training. This is done by completing a post-residency fellowship.

Board certified cosmetic surgeons are residency trained + fellowship trained in cosmetic surgery

The training, experience, and knowledge required to become a board certified cosmetic surgeon reflects specialization above and beyond what it takes to become board certified in a related discipline, such as plastic surgery. Each surgeon who is board certified by the American Board of Cosmetic Surgery has completed a 1 year fellowship training exclusively in cosmetic surgery. During this fellowship, surgeons receive thorough training in all cosmetic surgery procedures of the face, breast, and body, plus non-surgical cosmetic treatments, performing a minimum of 300 individual cosmetic surgery procedures. This fellowship training is in addition to completing a 3-5 year residency program in a related discipline.

Because any licensed physician can legally perform cosmetic surgery, regardless of how they received cosmetic surgery training, it is extremely important to do your research when choosing a cosmetic surgeon. To find the most qualified doctor for a specific cosmetic procedure, you must compare doctors’ overall (residency and post-residency) training, experience, and proven competence with respect to that specific cosmetic procedure.

²Morrison, M.Sc., Colin, A Survey of Cosmetic Surgery Training in Plastic Surgery Programs in the United States, Plastic and Reconstructive Surgery- Journal of the American Society of Plastic Surgeons, pp.1570-1578, 2008.



Shape joins The Coeur d’Alene Resort!

Shape Cosmetic Surgery is proud to announce a third location to better serve our patients from North Idaho.  In addition to our locations in Spokane and Kennewick, Washington, we can now be found adjacent The Spa Coeur d’Alene in the Coeur d’Alene Resort.

We are very pleased to offer our patients a full suite of exclusively cosmetic plastic surgery services at the Resort location, just as we do at both other locations.  Whether one needs surgical treatment, Botox, Juvederm, other laser treatments, or advanced skin care, success begins with Shape at the Coeur d’Alene Resort.

Contact us at (208) 415-5602 or come in and see us at the Resort location at 115 S. 2nd in Coeur d’Alene.  For this New Year, we wish you the very best.  For your New Year’s resolution, Resolve at the Resort with Shape.

Yours in good health and improved appearance,

John P. Lundeby, MD, FACS, FAACS