Zinsser Plastic Surgery Blog

There are many aspects involved in the transition process from one gender to another. For many individuals going through this process, transgender top surgery is an important way to help you look and feel like the person you truly are.

Top surgery is a specific type of transgender surgery that involves reshaping the chest area. This procedure can be performed on individuals who would like to achieve a more masculine chest appearance as well as on individuals who are looking for a more feminine chest appearance.

Male-to-Female Transgender Top Surgery

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A facelift turns back the hands of time by rejuvenating the skin and tissues of your face. With age, these structures begin to sag and lose elasticity. A facelift procedure lifts and re-shapes those drooping tissues so you will look younger and refreshed.

If you are…

Dr. John Zinsser is an experienced plastic surgeon in Richmond, VA. Dr. Zinsser is certified by the American Board of Plastic Surgery. From early in his career, Dr. Zinsser was interested in the depth and breadth of the plastic surgery field. He has many years of experience, and he’ll help you decide whether a face, breast, body or skin treatment will meet your goals.

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How is Axolotl™ used and what skin conditions can it improve?

Axolotl™ was originally developed for orthopedic problems such as fractures, ligament tears and strains, as well as wound healing for burns and chronic ulcerations.  Its tissue regeneration benefits were so impressive that it was natural to expand into cosmetic use.  Anyone with aging concerns would benefit from Axolotl topically and injected.  It can be used like a filler to generate collagen and elastin growth.  It is also an excellent option for correcting acne scarring and surgical scars in conjunction with microneedling or laser.  Axolotl™ can also be used aesthetically for hair restoration.

We have…

Sculptra® Q&A

By Sarah Burchett, PA-C

April 2019

What is Sculptra® and how is it different from fillers like Restylane®?

Sculptra® is a unique filler that stimulates your skin to produce its own collagen.  It is made of tiny filaments of poly-L-lactic acid, which is also used to make dissolvable sutures.  It was originally developed to treat AIDs patients who experienced lipodystrophy, or fat wasting, and appeared gaunt and emaciated in the face.

Sculptra® is not hyaluronic acid.  Therefore, it does not plump immediately.  Sculptra® is done in a series of three treatments spaced 4-6 weeks apart.  …

Using Botox® for Hyperhidrosis

Did you know that hyperhidrosis, or excessive sweating, can be treated with Botox® or Dysport®?  A recent study estimates that almost 5% of the United States population, or more than 15 million people, are living with hyperhidrosis.  Patients may not mention excessive sweating during their healthcare visits if they don’t realize it can be treated.  Usually, a topical aluminum antiperspirant is tried first.  This usually helps in the short term, but then loses effectiveness in the long term.  When topicals cannot control the sweating, patients may be interested in trying Botox® or Dysport® as their next treatment option.

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You can do what with Botox®?

A conversational blog with Sarah Burchett, PA-C

My regular patients are all familiar with the great benefits of regular Botox® or Dysport® treatments in the forehead and crow’s feet to help maintain a pleasant expression and smooth skin. But you may not have heard of some of these less familiar areas where neurotoxins can be used cosmetically. I want to share some of my favorite “off-label” tricks that some of my patients have fallen in love with, and you may find them perfect for your face, too!

The DAO (Depressor Anguli Oris)

The DAO muscle runs from each corner of your mouth at…

Differences between Botox® and Dysport®

A conversational blog with Sarah Burchett, PA-C

Most patients are very familiar with the name “Botox®,” as it was the first FDA approved neurotoxin for cosmetic use, and has practically become a household name due to frequent mention in the media.  However, other FDA-approved neurotoxins, called Dysport® and Xeomin®, are also on the market.  All neurotoxins reduce muscle movement where they are injected, which is how they soften wrinkles that are caused by repetitive facial expressions.    So, what are the differences between these products? 

Here’s the technical part for my science nerds out there!  Botox®, Dysport®, and…

How Much Filler Do I Need?

A conversational blog with Sarah Burchett, PA-C

One of the biggest reasons that patients are underwhelmed with the results of dermal fillers is that they simply don’t use enough.  Sometimes, this is the fault of the injector for not recommending the amount of filler required to achieve the patient’s goals.  Other times, patients are trying to be economical and choose to do a smaller amount of filler than what is recommended.  In my practice, there have been several patients who decided to start with fewer syringes than what was recommended, and they end up liking the result but wanting to add more because they have…