Millennials VS Boomers in the Cosmetic Surgery World and Where is Gen X?
February 11, 2026 - Rhys Branman, MD
Confused? Me too! As a Little Rock cosmetic surgeon I like to stay informed! Let's define some terms! Wikipedia says, "Gen X is the generation born after the Western post-World War II baby boom describing a generational change from the later Baby Boomer cohort who were born in the late 1950s." Note the word "cohort," which refers to a 10-year span rather than the 20 year span of a whole generation (bet you didn't know that). Unlike the Baby Boomers (born 1946-1964), Gen Xers (born 1965-1980) are more likely to take things slow and easy looking toward reform. They are... 
When you're planning your breast augmentation, you'll quickly discover that there are several breast implant manufacturers to choose from. This naturally leads to questions: Is one brand safer than the others? Will a certain brand give better results? Should you request a specific manufacturer? We're here to help you understand what really matters when it comes to breast implant brands. The brand name matters far less than you might think, and your choice of surgeon will have a much bigger impact on your results and experience. Dr. Branman Uses MENTOR Breast Implants At the Cosmetic Surgery Center, board-certified cosmetic surgeon... 
So, you've been scrolling through social media and noticed something interesting: celebrities are suddenly very open about getting breast augmentation—and they're not going big. In fact, they're going remarkably small. When Brandi Cyrus (yes, Miley's sister) proudly announced her 185cc implants, the conversation around breast augmentation shifted dramatically. The past year has seen a growing transparency about cosmetic procedures—and a clear preference for subtle, natural-looking results. This transparency is refreshing, but it's also raising new questions for women considering breast enhancement: What exactly is a "baby boob job"? Why are smaller implants trending? And most importantly, how do you know... 
Have you recently had Botox or dermal fillers and are wondering whether a little touch-up might be needed? At Cosmetic Surgery Center & Exhale Med Spa in Little Rock, our experienced injector Leslie H. Branman, BSN, RN, CPSN, CANS often fine-tunes her patients’ results or corrects a subtle asymmetry after treatment. So, how soon is too soon to get a touch-up? Here, we break down when to consider a follow-up and what factors determine the right timing for both Botox and filler adjustments. What Is a “Touch-Up”? A touch-up is a targeted follow-up appointment that allows your injector to refine... 
Some of the latest viral skincare trends can do more harm than good, and lead to skin damage, infections, and even permanent scarring. At our Little Rock medspa, we’ve seen it all, and we want to help you avoid DIY disasters. Here are seven skincare trends and treatments you should absolutely avoid, plus safer, professional alternatives that actually work. Sunscreen Contouring Sunscreen contouring involves applying sunscreen only to certain areas of your face while leaving other areas bare, with the goal of creating “natural” contouring through selective tanning. Why it’s dangerous: Deliberately leaving parts of your face unprotected from UV... 
Arkansas’s Only Double-Board Certified Aesthetic Nurse At Cosmetic Surgery Center and Exhale Med Spa, we're proud to highlight our own Leslie H. Branman, BSN, RN, CPSN, CANS, ISPAN-F—our Clinical & Surgical Services Director, Certified Plastic Surgery Nurse, and expert injector. With unmatched credentials and a warm, caring approach, Leslie ensures you're in the best hands for all your injectable needs in Little Rock. Why Leslie Is Little Rock's Premier Injector Leslie holds a distinction no other injector in Arkansas has: she's the only nurse in the state double-board certified as both a Certified Plastic Surgery Nurse (CPSN) and a Certified... 
Many cosmetic surgery procedures, like a breast augmentation or a tummy tuck, are performed under general anesthesia. But a few procedures are simple enough to be performed under local anesthesia, meaning you’re awake, but the treatment area is completely numb, and you stay comfortable. If you’re looking for a less invasive option with a shorter recovery time, board-certified Little Rock cosmetic surgeon Dr. Rhys L. Branman offers several minor procedures in-office under local anesthesia right here at Cosmetic Surgery Center in Little Rock. Here are 3 procedures that Dr. Branman frequently performs under local anesthesia: 1. Submental Liposuction (Under-Chin Lipo)... 
Considering a Little Rock breast lift? This is an ideal procedure to restore youthful shape after pregnancy, weight loss, aging, or for simply improving your breast contour. At Cosmetic Surgery Center in Little Rock, we understand that you may have questions about a breast lift, and we want to make sure you feel fully informed and confident at every step. Here, top Little Rock cosmetic surgeon Dr. Rhys Branman answers some of the most common (and important!) questions his breast lift patients ask. What does “drooping” or “ptosis” mean, and how is it measured? Breast ptosis (pronounced toe-sis) refers to... 
So you’re thinking about hormone replacement therapy (HRT), and wondering, can it really do all they say it can? If you have a hormone deficiency, the answer is likely yes! Bringing your hormones into balance can be life-changing, relieving mood swings and chronic fatigue, among other not-so-fun, and sometimes debilitating, symptoms. However, hormone therapy must be administered by a highly-qualified provider who tailors your treatment to experience the best results. At Exhale Med Spa, our board-certified Women’s Health Nurse Practitioner, Crystal Marcussen, uses advanced hormone analysis to ensure your treatment is completely customized and follows you throughout your treatment. Below,... 
Hype. Beef tallow doesn't live up to the hype. Here’s why. Beef Tallow is essentially fat rendered from cows. It’s rich in fatty acids, vitamins and has great moisturizing properties. However, it also contains oleic acid which can disrupt the skin's barrier. When the skins barrier is compromised, it becomes more vulnerable to irritation and skin sensitivities that could potentially lead to conditions such as eczema & rosacea. How Beef Tallow interacts with your skin Now let’s talk pH. Our skin’s natural pH ranges from 4.5 to 5.5. The pH of Beef Tallow is typically between 6.0 to 7.0 or possibly higher. This means it... 