Our team works with patients to provide a personalized treatment plan to help reverse the visible signs of aging and sun damage, tighten skin, remove unwanted hair, and more. Our goal is to help our patients achieve healthier bodies, minds, and spirits by addressing their skin care needs and goals. We’ll help you look and feel wonderful!
St. Vincent also provides VeinSolutions, an innovative approach to vein care, including varicose and spider veins. We’ve treated over 100,000 patients for venous disease and have more than 75 years of combined experience treating only veins. Contact VeinSolutions today and find out why more doctors refer not only their patients to VeinSolutions, but also their own family members.
Now locations in Carmel and Fishers!
Carmel, IN 46032
Our professional care team has chosen advanced technology, medically-tested treatments and beneficial therapeutic products.
Take years off your face with this simple, non-surgical treatment. Botox Cosmetic treatment can temporarily smooth moderate to severe frown lines and lasts up to four months.
Spend less time fussing with shaving and waxing. Offered for both men and women, laser hair removal is the solution to permanently remove hair from all parts of the body. Using the Cutera CoolGlide technology, skin is left cool to the touch.
Advanced intense pulsated light (IPL) technology treats sun spots, tiny veins, rosacea, acne and diffuses redness. The Cutera LimeLight’s non-invasive approach to skin rejuvenation targets areas with pulsated light that goes deeper than traditional IPL, with better results seen after one to three treatments.
Treat wrinkles, large pores, skin texture, acne, rosacea, scars and redness with this non-invasive laser treatment. Laser Genesis offers advanced technology that has been scientifically proven to produce new collagen, resulting in the restoration in the skin’s youthful glow. Treatments are typically described as relaxing and therapeutic.
Facial telangiectasia and unsightly blood vessels caused by sun damage, smoking, heredity, hormones or other factors can affect both men and women. The Cutera CoolGlide removes veins from all parts of the body, including the face and legs. Laser treatments of both facial and leg veins can provide a safe, effective method of treatments and requires no painful injections.
The latest in skin fitness. Skin is tightened with this non-surgical procedure using a safe infrared light that heats the dermis deep beneath your skin’s surface. Titan can be used on any area of the body and on any skin type or age.
Remove skin’s dull surface with a customized chemical peel. Perfect for acne, rosacea, fine lines, wrinkles and achieving that all-over healthy glow. The intensity of the peels varies, but all achieve one result—smoother, softer skin texture.
Remove unwanted hair with this temporary form of hair removal. Hair is removed directly from the root, allowing the results to last for 3–8 weeks.
SKINnovations offers a full line of skin care products including:
Pendleton Health Center
3041 W. US Highway 36
Pendleton, IN 46064
The Skin Spa at Pendleton Health Center is a full-service, aesthetic practice with the unique advantage of a board-certified physician Julie Tillman, MD performing your treatment
Our dedicated, professional care team has carefully chosen proven, advanced technology, medically-tested treatments and beneficial therapeutic products.
Take years off your face with this simple, nonsurgical treatment. Botox Cosmetic treatment can temporarily smooth lines around the forehead and eyes
Restore your skin’s volume and smooth wrinkles and folds on your face. Your natural, youthful glow returns with convenient and immediate results. Juvederm is a smooth gel filler for the folds around your nose, mouth and cheeks.
Professional grade, home skin care program outlined by our professional staff. glotherapeutics is designed for people with specific skin types, including acne, rosacea, dry skin or to reverse the general effects of aging.
Advanced pharmaceutical-grade ingredients, high-pigmented minerals and broad spectrum, UV protection cosmetics.
The first and only FDA-approved prescription treatment used to grow eyelashes, making them longer, thicker and darker.
Remove skin’s dull surface with a customized chemical peel. Improves tone, clarity and texture by gently removing the damaged outer layers of the skin’s surface
VeinSolutions™ currently utilizes the radiofrequency VNUS Closure® procedure. This procedure is a minimally invasive treatment alternative for patients with a condition known as superficial venous reflux, which often results in varicose veins and other painful symptoms. Approximately 25 million people suffer from venous reflux. It’s is the treatment of choice to traditional vein stripping surgery.
The Closure procedure is an outpatient treatment performed in the outpatient department of the hospital, or surgical center. Local, regional, or general anesthesia may be used during the procedure. A thin catheter is inserted into the damaged vein through a small opening. The catheter delivers radiofrequency (RF) energy to the vein wall, causing it to heat, collapse and seal shut. Once the diseased vein is closed, other healthy veins take over and empty blood from the legs. As normal return flow is re-established, your symptoms should improve noticeably. Following the procedure, the catheter is removed, a compression bandage placed over the insertion site and your leg to aid healing. Recovery time varies, but most patients are walking the same day and return to work within three to five days.
Sclerotherapy is an injection treatment used to eliminate spider veins and reticular veins. These treatments are considered cosmetic and are not a covered benefit through your insurance provider. Patients can resume normal activities immediately after treatment. All of the sclerotherapy solutions are FDA approved, safe, effective and virtually pain-free. Several treatments may be necessary to achieve the desired outcome. Plan to schedule your treatment sessions four to six weeks apart, so it may take several months to achieve your optimal results.
Without needles or incisions, laser/light therapy treats facial spider veins, rosacea, and vascular birthmarks such as port wine stains and hemangiomas. Successful treatment of facial lesions may be accomplished with as little as one treatment but usually requires two to three treatments. The number of treatments needed to successfully treat vascular birthmarks varies depending on their size and density. The treatment is tolerated by most people with minimal discomfort. Patient preparation requires the area being treated be without sun exposure or the use of sunless tanning products for four weeks before and after each treatment.
If your vein procedure is medically necessary, we are happy to file your insurance for you. You will be responsible for your co-pays and deductibles. VeinSolutions encourages you to have a thorough understanding of your insurance benefits.
Heredity, pregnancy, occupation, obesity, age, trauma
Increased pressure on the leg veins, added pressure on the legs due to weight gain, increases in the amount of blood in the body, various hormonal changes
When veins are working properly, they return blood to the heart for reoxygenization. When their valves fail, leak or are damaged, some of the blood flows in a backward direction instead of toward the heart where is may collect in a pool. This can cause the veins to become distended, and that’s when you can get symptoms such as pain, burning, itching, throbbing and fatigue.
Varicose veins may also limit your ability to work or your capacity for leisure activities. Left untreated, varicose veins may cause serious health issues such as venous leg ulcers, skin discolorations or blood clots.
Spider veins are the ones you see closer to the skin’s surface that may appear small, threadlike and wispy. They may appear red or purple in color; however, reticular veins or “feeder” veins may appear bluish-green and can have a marbled appearance. Spider veins and reticular veins are generally considered a cosmetic condition and usually not covered by insurance.
Facial spider veins range in size from small, wispy red and purple veins to larger blue-green veins. The small veins are commonly seen on the nose, cheeks and chin. The larger veins may be found in the temple area, around the eyes and along the jaw line. These veins typically do not cause pain and are considered cosmetic.
Common vascular birthmarks are port-wine stains and hemangiomas. Port-wine stains, which are dark red or purple, consist of superficial and deep dilated capillaries in the skin and most often occur on the face but can appear anywhere on the body.
Rosacea begins as flushing and redness on the face, across the cheeks, nose, and forehead but can also affect the neck and chest. Other characteristics of rosacea may be dilation of the superficial blood vessels on the face with small red bumps.
86th Street/Naab Road, Indianapolis
Carmel Hospital & Women's Center
St. Vincent has a comprehensive Breast Care program including many breast reconstruction options. Breast Surgeons at both St. Vincent Breast Care Centers can arrange the consultation with a St. Vincent Plastic Surgeon Breast Reconstruction Specialist. For more information or to schedule an appointment call 317-338-4303.
St. Vincent now offers breast cancer survivors who have a mastectomy more breast reconstruction options. Your St. Vincent Cancer Care team includes a plastic surgeon that specializes in breast reconstruction, and along with the breast surgeon, will explain the different types of breast reconstruction. Many factors are considered including the stage and size of the breast cancer tumor; if the skin, nipple or chest wall is involved; whether radiation therapy is needed after surgery; and other risk factors such as diabetes and smoking history. This topic can be very emotional and in our experience, taking a holistic approach that balances the physical, mental and spiritual needs of each woman makes a difference in the long run. At St. Vincent educating all involved is a very important first step. Breast Reconstruction is life-changing for many women and their families, in a positive way, but it's not for everyone. Talk to our St. Vincent Breast Navigator to begin the conversation -- call 317-338-3900.
Dr. Robert M. Paul, board-certified by the American Board of Surgery, is an experienced micro-surgeon. He received his training at the Indiana University School of Medicine with extensive experience doing all types of breast reconstruction procedures, including breast implants, local/regional muscle flap reconstruction, the DIEP flap procedure, SIEF, as well as, symmetry procedures and revisional surgery. He is part of the St. Vincent Physician Medical Group and supports St. Vincent's Comprehensive Breast Care Services in Indianapolis and Carmel. Dr. Paul works closely with all the St. Vincent breast surgeons, radiation oncologists and medical oncologists. His experience includes performing life-changing reconstructive and cosmetic procedures to help Indiana military veterans, breast cancer survivors and children with disabilities regain a healthier body image.
"As a surgeon, I specialize in micro-surgical procedures that are complex and involve the delicate dissection of tiny blood vessels from donor tissue and fine suturing techniques. As a problem solver, I tailor plastic surgery- breast reconstruction procedures for the individual needs of our patients. Today we have so many more options to give our patients, especially breast cancer survivors." -- Robert M. Paul, MD, a plastic surgeon specializing in breast reconstruction
The timing of reconstruction varies -- one-stage, staged, or delayed reconstruction – based on the needs of each patient. In all cases, St. Vincent breast reconstruction surgery is a highly coordinated effort among all of the Cancer Care team members and is determined by your individualized cancer treatment plan. Some of these reconstruction options may also apply to women having prophylactic mastectomies as a result of high risk hereditary breast cancer and ovarian cancer.
One-stage reconstruction is a coordinated surgery that happens as part of the original breast surgery to remove the cancerous tumor. However if radiation therapy is recommended, reconstruction procedures are staged for a later time until the treatment plan is completed and the skin and tissue is healed.
Staged reconstruction is the most common type of reconstruction. At the time of the original breast surgery, a temporary tissue expander is placed under the chest wall to gently inflate and stretch the muscle and skin creating a natural pocket. This step prepares for a breast implant or breast tissue flap procedure.
Delayed reconstruction happens after the cancer treatment plan is completed. There may be several steps in the surgical process depending on the type of reconstruction.
Breast implants are the most common type of reconstruction. This procedure is dependent on stretching the skin and muscle under the chest wall with tissue expanders before one of two types of implants, silicone or saline (salt-water), can be placed. Typically, it can take 3-6 months of gradually inflating the tissue expander before a suitable "pocket" is formed and the implants can be placed. Implants do have some long term risk factors and nationally approximately 30% of women with implants after mastectomy will need additional revisional-surgery.
DIEP Flap breast reconstruction - Dr. Paul is one of a handful of plastic surgeons in Indiana performing DIEP flap micro-surgery. The DIEP procedure may be done at the same time as the mastectomy if no radiation therapy is needed as part of the treatment plan or staged for a later time. The DIEP procedure does not involve tissue expanders, unlike the breast implant procedure. The DIEP flap is comprised of skin and fat tissue (not muscle) that is taken from a horizontal incision in the lower abdomen (near the bikini line) and used to reform a breast after mastectomy. The DIEP procedure is a more complicated surgery that lasts longer than other breast reconstruction surgeries because tiny blood vessels must be dissected in the tissue flap and then reattached with great precision. The result is a reconstructed breast that has a more natural look and feel. Since muscle is not removed, there a lower risk of developing hernias, bulges or weakness at the abdominal site where the flap is remove and the patient essentially gets a "tummy tuck" without sacrificing core muscle strength in the abdomen. After a one sided DIEP procedure, the plastic surgeon may also apply symmetry techniques so both the breasts are similar such as lifts or reductions in the unaffected breast. Women who are very fit and trim with a low BMI are generally not candidates for this procedure.
Regional muscle flap generally refers to the muscle and skin tissue that is taken from the back below the shoulder blades in order to form a breast mound. In a TRAM flap reconstruction the muscle is taken from the abdomen. These patients have decreased muscle strength in that area of the body which may decrease body function and increase the likelihood of developing a hernia post-operatively (from the TRAM procedure). These procedures are used regularly in breast reconstruction and are the most common flap procedures performed.
Fat grafting after reconstruction is common place and is often used to help contour the breast or fill in areas that require additional volumes. A newer technique is called Simultaneous Implant Exchange with Fat or SIEF procedure. In this procedure, the breast mound is recreated from the patient’s own fat that has been gently liposuctioned from the belly, thigh, or buttock and then injected into the breast flaps. As more fat is injected the tissue expander placed at the initial mastectomy surgery is gradually deflated. The SIEF procedure is outpatient and requires multiple operations (4-7) to create a larger breast mound. There is no long term SIEF data currently available; however, plastic surgery case studies have reported promising results.
Note: St. Vincent Surgeons and Plastic Surgeons make every effort to salvage the nipple and areola at the time of the original surgery if it is unaffected by the tumor. There are multiple nipple and areola reconstruction options that are available to patients that have lost these structures during the breast surgery process.
Oncoplastic surgery may be appropriate for some patients at the time of a lumpectomy. Plastic surgery techniques are used to reshape the breast and give it a "lift."
Fat grafting as described in the SIEF procedure is also applicable to some lumpectomy cases to fill in the resection defects.
Most health insurance programs provide coverage for breast reconstruction as a result of mastectomy or lumpectomy due to breast cancer. The St. Vincent Financial Counselor can verify benefits and answer questions about these surgical options. Call 1-800-582-8258 or 317-338-8035.
St. Vincent Cancer Care provides educational programs and support group activities that address breast reconstruction. To learn more, contact a St. Vincent Cancer Care Survivorship Navigator at 317-338-3551.
For Spa Services see SKINnovations: