Skin Care Do’s and Don’t

Napa Solano Plastic Surgery offers some essential suggestions for taking the best care and protecting your skin to preserve a healthful, youthful look. These hints address application procedures and are divided into ones that you should do and others that you shouldn’t.


  • Apply facial products by density from thinnest to thickest. For example, if you use a light, easily absorbed water or oil-based serum, it should be applied first. Next might be a tretinoin to clarify skin pores, and finally, apply your moisturizer.
  • When applying more than one product, allow one to two minutes for the prior product to dry before adding the next.
  • While applying your products to your facial area, make sure you extend the applications down to your neck and décolletage.
  • Develop both morning and evening application routines. For example, you’re A.M. application might consist of a cleanser, toner, Vitamin C, hydroquinone, moisturizer, and an SPF protection product.

Your P.M. routine may involve a cleanser, toner, serum ((hyaluronic acid, growth factors, niacinamide, etc.), tretinoin, and moisturizer.

  • Make sure you always read the ingredients in the products you use to verify the concentration and instructions for applying.
  • Too much exposure to direct sunlight is your skin’s worst nightmare. Always reapply sunscreen every two hours.


  • Don’t neglect the area under your eyes. A quality eye serum offers the best results.
  • Don’t over-exfoliate or pull on your skin excessively while applying your products. Be gentle to your skin, especially around the eyes.
  • Don’t forget to pay close attention to any product’s storage instructions and shelf-life.
  • Don’t forget to apply sunscreen to your ears and other areas that may be exposed.

Protecting your skin from the hazards of too much sunlight is your most important strategy. Let your SPF products always be part of your skincare regimen.

Napa Solano Plastic Surgery

Aging is inevitable, and we all wish to live long, happy lives and look healthy. A methodical skincare routine effectively maintains that healthy, youthful glow well into your latter decades.

The highly regarded physicians and technicians at Napa Solano Plastic Surgery recognize additional ways to keep your skin looking and feeling its best as time passes.

Skin resurfacing or chemical peel is Napa Solano’s less invasive option designed to counter the effects of sun exposure and damage, causing it to wrinkle, develop “age” spots and even cause the individual to appear fatigued.


TCA Chemical Peel

Napa Solano’s TCA (trichloroacetic acid) chemical peel is a physician-administered deep resurfacing facial procedure that is effective for removing wrinkles, uneven pigmentation, sun damage spots, blemishes, and superficial acne scars.

This procedure is more aggressive and successful than the exfoliative peels offered by many non-physicians everywhere. While not as aggressive as a laser resurfacing process, the procedure demands a shorter recovery time and is performed while the patient is under only mild oral sedation.

During the very safe TCA chemical peel procedure, which can be performed in Napa Solano’s Medical Spa setting, the physician applies the TCA chemical, after which the patient returns home for a five-to-seven-day recovery during which the outer layer of skin will peel away gently.

Learn more about Napa Solano Plastic Surgery’s various options for skin enhancement and their professional staff of physicians and technicians by visiting the company’s website. While online, you may request a private consultation with one of the professionals.

Or, you may phone Napa Solano Plastic Surgery to schedule a consultation at  (707) 258-6053.

Tretinoin vs. Retinol

When researching information regarding anti-aging solutions for facial wrinkles, you are likely to see references to two products: Tretinoin and Retinol. The two are commonly used and belong to the same class of chemical compounds, although they exhibit differing strength levels. Both products fall into the category of “retinoids” intended to “turnover” skin cells, stimulate collagen production, and reduce discoloration.

Note that tretinoin is sometimes referred to as Retin-A and, as a result, is often confused with retinol. But the products have very different strengths, are administered in specific circumstances, and can have notably different side effects.

How Do These Applications Work to Improve Facial Appearance?

While possessing different levels of strength, retinol and tretinoin stimulate the “turnover” or replacement of skin cells by exfoliating the top layers to reveal newer and smoother skin beneath. They both encourage the production of collagen and elasticity to yield a more youthful appearance. These will also reduce discoloration from sunspots.


Retinol is considered the less aggressive of the two substances, readily available over the counter from a drugstore, aesthetician, or dermatologist. The product is a better solution for those with sensitive skin and is often used by cosmetic dermatologists to address fine lines and wrinkles.  

The dermatologists at Napa Solano Plastic Surgery recommend implementing retinol applications by starting slow, with the lowest concentration once a week, two times a week, every other day, then daily as tolerated. Applications remove the existing skin cells that are replaced by new ones that generate a fresher, restored appearance. Side effects are usually minimal with this product.

This is currently not FDA regulated.


Tretinoin is 20 times more potent than retinol. Available only by prescription, tretinoin may have some significant side effects, including skin redness, dryness, peeling, stinging, and sun sensitivity. Because of the products’ aggressiveness, users are advised to interrupt daily applications for a day or two when peeling and redness become excessive. Or users may dilute the tretinoin by mixing it with a regular skin moisturizer. They also should be sure to wear sunblock with the use of tretinoin.

Tretinoin currently is FDA-approved.

Which Product is Better?

Since no single approach is suitable for everyone, consulting an experienced dermatologist is the best first step. The less aggressive choice, retinol, is better for those with very dry or sensitive skin.

While either product can be effective for improving lines and wrinkles, more severe cases of acne are best treated with doctor-prescribed tretinoin.

Always begin slowly with either product and pay close attention to any side effects that may occur. Make sure to continue using moisturizer at all times.

And always wear sunscreen with either product, as the products will soon reveal a new, fresh skin layer that the sun’s harmful rays can damage.

Consult with Experts

The professional, licensed dermatologists, aestheticians, and trained staff at Napa Solano Plastic Surgery and Medispa are eager to assist with any skin or appearance-related issues you may be experiencing.

To learn more about Napa Solano Plastic Surgery’s procedures and reviews or to schedule a professional and private consultation, visit the clinic’s website.

Or you may phone Napa Solano Plastic Surgery at (707)-258-6053.



Diastasis Recti, Can Exercises Treat This?

Recently, High School Musical Actress Ashley Tisdale shared her post-partum journey with diastasis recti. This is a condition in which rectus abdominis muscle or six pack muscle get stretched overtime usually due to pregnancy, weight fluctuation, heavy weight lifting.

Common signs and symptoms associated with diastasis recti include

  • Bulging of the abdomen
  • Weakness of abdominal muscle
  • Softness, “floppiness” around belly button
  • Difficulty with lifting, walking
  • Pain during sex
  • Pelvic or hip pain
  • Lower back pain
  • Poor posture
  • Incontinence of urine with cough or sneeze
  • Constipation

Depending on the severity of the separation, treatment can range from core strengthening exercises, non-invasive muscle tightening procedures, to surgically tightening the muscle with sutures as seen in some tummy tucks.

If you are experiencing symptoms or emotional distress due to diastasis recti, you should consult with a plastic surgeon to be evaluated and treated appropriately. The team at Napa Solano Plastic Surgery are available to setup a consultation request to talk with you about what you might need.

Eye bags vs. Festoons

Do you have some swelling around your eyes and wondering what it could be from and how to get rid of them? Well first step is to understand if you have eyebags or festoons. A plastic surgeon would be the best person to accurately diagnose which one you have.

Eyebags are swelling and puffiness right under the water lines. Festoons are swelling and puffiness under the eyelids and the cheek area. Doctors are finding that the reasons for eyebags are mostly due to aging. Fats under the eyes become bulging, ligaments and muscles support these fats are loosening. Surgery will help to remove, rearrange fat, tighten muscle and ligaments and remove excess skin. All swelling and puffiness under the eyelids in the cheek area are termed malar bags.

Some patients have systemic disease like lupus, thyroid, etc…that cause retained water and swelling in the under eyes and cheeks. This is called malar edema. These patients can be best treated with diuretics and addressing their underlying diseases.

Some patients are born with festoons where they have extra fat under the eyes muscles that retain fluid, laxity of muscle around the eyes and very prominent ligaments or attachment of muscles and fats to the bone. These cases are called congenital festoons or malar mounds. These cases are treated with surgery (remove excess fat, skin, tighten muscle, remove ligaments).

Lastly but also the most common is acquired festoons or puffiness in the cheeks due to aging, filler injections, etc. These patients need surgery as mentioned above in congenital festoons. Not all festoons are created equal. Patients with this problem need to find a specialist to be accurately diagnosed and treated accordingly. There is no one solution to all malar bags.

The plastic surgeons at Napa Solano Plastic Surgery are available to set up a consultation if you are looking to talk about your options for the different facial procedures they offer.

Check out our Facial Procedures and Request Your Consultation

New recommendation for implant screening imaging

Breast implants are medical devices placed under breast tissue or muscle to increase breast size or to replace breast tissue that have been removed from cancer. There are two types of implants approved for used in the U.S.: saline and silicone. Both shells are made up of silicone and can be smooth or textured. Because of the recent link between breast implant-associated anaplastic large cell lymphoma (BIA- ALCL) and textured implants, the FDA has recommended against the use of textured implants.

BIA-ALCL presents as swelling and accumulation of fluids after many years of implant placement. It is associated with textured implants with extremely rare incidence 1 out of 30, 000 patients. It is a type of non-Hodgkin lymphoma but is more local and can be treated successfully with removal of breast implants and scar tissue around it. No chemoradiation is needed. 

Breast Implant Illnesses is described as fatigue, memory loss, rash, “brain fog,” and joint pain by some patients with implants. The exact relationship is unclear at this time.

Patient who are considering having breast implants should be aware of these rare potential risks associated with implants. To ensure that patients have all necessary information to make an informed decision about having implants, plastic surgeons should provide patients with a boxed warning, a patient decision checklist, and a patient information booklet/brochure specific to the breast implant prior to implantation. For those patients who decide to have breast implants, a patient device card should also be provided to patients after surgery. 

Patients should have their first ultrasound or MRI at 5-6 years after initial implant surgery and then every 2-3 years thereafter. If patients have symptoms at any time or uncertain ultrasound results for breast implant rupture, an MRI is recommended.

Boxed warning includes

  • Breast implants are not considered lifetime devices
  • The chance of developing complications increases over time
  • Some complications will require more surgery
  • Breast implants have been associated with the development of a cancer of the immune system called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)
  • BIA-ALCL occurs more commonly in patients with textured breast implants than smooth implants, and deaths have occurred from BIA-ALCL
  • Breast implants have been associated with systemic symptoms

Patient Decision Checklist 

  • Situations in which the device should not be used or implanted
  • Considerations for a successful breast implant candidate
  • Risks of undergoing breast implant surgery
  • Importance of appropriate physician education, training and experience
  • Risk of BIA-ALCL
  • Risk of systemic symptoms
  • Discussion of options other than breast implants, as appropriate

1 For more information, see
2 For more information and meeting materials, see calendar/march-25-26-2019-general-and-plastic-surgery-devices-panel-medical-devices-advisory-committee.
3 Ibid.

Considering breast implants? Reach out to the doctors at Napa Solano Plastic Surgery and schedule your consult to discuss your options today.

Breast Implant Illnesses, What does the evidence show?

Breast implant illness (BII) is a collection of symptoms reported by some patients which they attribute to breast implants. These symptoms may include joint and muscle pain or weakness, memory and concentration problems, chronic pain, depression, fatigue, chronic flu-like symptoms, migraines or rashes and skin problems.

No causal link between BII and breast implants has been identified. Some potential etiologies that have been hypothesized to be associated with BII include heavy metals, microbes, microbial toxins, cytokines, alternate causation (vitamin D deficiency, thy­roid issues, heavy metals from previous tattoos or diet, and preexisting anxiety or depression or connective tissue disease). Although women who develop these symptoms can’t be certain that their symptoms were caused by breast implants, several studies indicate that some women see most of their symptoms improve partially or completely after having their implants and capsules (scars around implants) removed.

Studies look at patient reported symptoms and biospecimens did not find a link between BII and implants. Specifically, a recent series study compares breast implant women with symptoms to those with implants and no symptoms and women who have no implants but undergo breast lift showed that

  • Patients who self-report BII show improvement in symptoms after removal regardless of the type of capsulectomy (scar surrounds implants) performed.
  • There is not a significant risk of heavy metal exposure from breast implants, either saline or silicone.
  1. American Society of Plastic Surgeons.
  2. Glicksman C, McGuire P, Kadin M, et al. Part 1: Impact of capsulectomy type on post-explantation systemic symptom improvement: Findings from the ASERF systemic symptoms in women-biospecimen analysis study. Aesth Surg J.2021 Dec.
  3. Wixtrom R, Glicksman C, Kadin M, Lawrence M, Haws M, Ferenz S, Sung J, McGuire P. Heavy Metals in Breast Implant Capsules and Breast Tissue: Findings from the Systemic Symptoms in Women-Biospecimen Analysis Study: Part 2. Aesthet Surg J. 2022 Apr 26:sjac106. doi: 10.1093/asj/sjac106. Epub ahead of print. PMID: 35474526.


Patients with these symptoms are recommended to discuss with their surgeons about a full work up and the need for implant removal.

If you have any questions, the doctors at Napa Solano Plastic Surgery are happy to set up a consult with you to discuss your options, concerns and questions.