Total Procedures: 6

Breast Augmentation

Breast augmentation sometimes referred to as a breast aug by patients, involves using breast implants or fat transfer to increase the size of the breasts. This procedure can also restore breast volume lost after weight reduction or pregnancy, achieve a more rounded breast shape or improve natural breast size asymmetry

Breast augmentation is also referred as augmentation mammoplasty. When fat from another part of the patient's body is used to create the improved breast volume, the procedure is referred to as fat transfer breast augmentation.

Candidates for surgery

Breast augmentation is a deeply personal procedure, and it's important that you're doing it for yourself and not for someone else, even if that person has offered to pay for it. Patient satisfaction is high, specifically when they want the procedure themselves.

You may be a candidate for breast augmentation if:

‣  You are physically healthy and you aren't pregnant or breastfeeding
‣  You are bothered by the feeling that your breasts are too small
‣  You are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss or with aging
‣  You are unhappy with the upper part of your breast appearing "empty"
‣  Your breasts are asymmetrical
‣  One or both breasts failed to develop normally or have an elongated shape

Types of breast implants

‣  Saline breast implants : Saline breast implants are filled with sterile salt water. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body
‣  Structured saline breast implants : Structured implants are filled with sterile salt water and contain an inner structure which aims to make the implant feel more natural
‣  Silicone breast implants :
Silicone breast implants are filled with silicone gel. The gel feels a bit more like natural breast tissue. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket. A leaking implant filled with silicone gel will not collapse.
‣  Gummy bear breast implants : Form-stable implants are sometimes referred to as gummy bear breast implants because they maintain their shape even when the implant shell is broken.

Surgical procedure

The first cuts open the skin to expose the breast tissue underneath. Then the implant pocket is formed by separating the breast tissue from supporting muscles and connective tissue. This pocket will be either in front of or behind the outer layer of muscle, depending on what you and your doctor have decided. Finally, the implant is put in place. This will either be an empty container that is filled with saline after insertion, or a fully-formed silicone gel implant, depending on what implant type you have selected
Once the implants are in place, you will be situated in an upright position so that the surgeon can make final adjustments to optimize breast symmetry. To finish up, all of the layers of tissue will be carefully stitched back together with sutures. Drains may also be used to help reduce swelling and discomfort during recovery.
 

Recovery from breast implant surgery

While breast augmentation patients can usually return home the same day, it will be necessary for someone else to provide transportation, as the drugs used for anesthesia take a while to fully wear off. Once you are home and in recovery mode, soreness, swelling, and bruising are to be expected but can be combated with pain medication and compression garments that provide extra support. Your surgeon will give you specifics regarding what to expect in your particular case, but it generally takes a few days or a couple weeks to fully recover, depending on the volume of the implants and the kinds of incisions made, among other factors. You may also need to return to the surgeon at least one more time to have drains or sutures removed, or if you are having any issues with your recovery.

Breast Reconstruction

If you have had a mastectomy because of breast cancer, you may choose to have breast reconstruction. It can restore symmetry between the two breasts by replacing skin, breast tissue and the removed nipple. The amount of reconstruction will depend on the mastectomy and the width, size, and location of the removed tumor

Restoring the breast isn’t considered a cosmetic procedure. It’s reconstructive surgery. Since it’s considered part of the treatment of a disease, the law says insurance providers must provide coverage.

Candidates for surgery

You may be a candidate for breast reconstruction if:
‣  You are able to cope well with your diagnosis and treatment
‣  You do not have additional medical conditions or other illnesses that may impair healing
‣  You have a positive outlook and realistic goals for restoring your breast and body image

Surgical procedure

Step 1 - Anesthesia : Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 - Flap techniques reposition a woman's own muscle : Flap techniques reposition a woman's own muscle, fat and skin to create or cover the breast mound.
Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant. The use of a breast implant for reconstruction almost always requires either a flap technique or tissue expansion. A TRAM flap uses donor muscle, fat and skin from a woman's abdomen to reconstruct the breast. The flap may either remain attached to the original blood supply and be tunneled up through the chest wall, or be completely detached, and formed into a breast mound. Alternatively, your surgeon may choose the DIEP or SGAP flap techniques which do not use muscle but transport tissue to the chest from the abdomen or buttock. A latissimus dorsi flap uses muscle, fat and skin from the back tunneled to the mastectomy site and remains attached to its donor site, leaving blood supply intact. Occasionally, the flap can reconstruct a complete breast mound, but often provides the muscle and tissue necessary to cover and support a breast implant.
Step 3 - Tissue expansion : Tissue expansion stretches healthy skin to provide coverage for a breast implant.
Reconstruction with tissue expansion allows an easier recovery than flap procedures, but it is a more lengthy reconstruction process. It requires many office visits over 4-6 months after placement of the expander to slowly fill the device through an internal valve to expand the skin. A second surgical procedure will be needed to replace the expander if it is not designed to serve as a permanent implant.
Step 4 - Surgical placement of implant : Surgical placement of a breast implant creates a breast mound.
A breast implant can be an addition or alternative to flap techniques. Saline and silicone implants are available for reconstruction. Your surgeon will help you decide what is best for you. Reconstruction with an implant alone usually requires tissue expansion.
Step 5 - Grafting : Grafting and other specialized techniques create a nipple and areola
 

Recovery after breast reconstruction

Following your breast reconstruction surgery gauze or bandages may be applied to your incisions.
 

An elastic bandage or support bra will minimize swelling and support the reconstructed breast. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid.

You will be given specific instructions that may include: How to care for your surgical site(s) following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, specific concerns to look for at the surgical site or in your general health and when to follow up with your plastic surgeon.

Healing will continue for several weeks while swelling decreases and breast shape/position improve. Continue to follow your plastic surgeon's instructions and attend follow-up visits as scheduled.

Eyelid Surgery

Eyelid surgery (also called an eye lift or blepharoplasty), reduces bagginess from lower eyelids and removes excess skin from the upper eyelids.

Candidates for surgery

The best candidates for an eye lift are people who are in good health and who have realistic expectations. If baggy eyelids or droopy eyelids run in your family, you may decide to have the surgery done sooner.

Surgical procedure

An eyelift usually takes about two hours if both upper and lower eyelids are done together. Your doctor will most likely use local anesthesia (a painkiller injected around the eye) with oral sedation.
The surgeon will usually cut along the natural lines of your eyelids. Through these cuts, your surgeon will separate the skin from the underlying tissue and remove the excess fat and skin (and muscle if indicated). Next, the surgeon will close those cuts with very small stitches. The stitches in the upper lids will stay for three to six days. The lower lids may or may not require stitches, depending on the technique used
Surgery on the lower eyelids may be done using one of several techniques. In one method, your surgeon makes a cut inside your lower eyelid to remove fat. That cut won't be visible. Your surgeon can then soften fine lines in the skin using a C02 or erbium laser.
 

Recovery from Eyelid Surgery

After eyelid surgery, you will have stitches in both lids that will remain for a week. It is common to have swelling and occasionally bruising, but your eyelids should look normal within a week or two.

Does Insurance Cover Eyelid Surgery?

Health insurance companies typically don't cover cosmetic procedures. If you are getting eyelid surgery for a medical reason (for instance, because your eyelids are drooping so much that it affects your vision), and if a vision test confirms that, your insurance company may cover it.

Rhinoplasty

Rhinoplasty, commonly referred to as a nose job, is surgery to change the shape of your nose by modifying the bone or cartilage. Rhinoplasty is one of the most common types of plastic surgery

People get rhinoplasty to repair their nose after an injury, to correct breathing problems or a birth defect or because they’re unhappy with the appearance of their nose

Candidates for surgery

‣  Ideal candidates for Rhinoplasty are those who are looking for :
‣  A change in size of nose
‣  A change in angle of nose
‣  Straightening of the bridge of nose
‣  Reshaping of the tip of nose
‣  Narrowing of the nostrils

Surgical procedure

Rhinoplasty can be done in a hospital, a doctors office, or an outpatient surgical facility. Your doctor will use local or general anesthesia. If it’s a simple procedure, you’ll receive local anesthesia to your nose, which will also numb your face. You may also get medication through an IV line that makes you groggy, but you will still be awake.
Once you are numb or unconscious, your surgeon will make cuts between or inside your nostrils. They’ll separate your skin from your cartilage or bone and then start the reshaping. If your new nose needs a small amount of additional cartilage, your doctor may remove some from your ear or deep inside your nose. If more is needed, you might get an implant or a bone graft. A bone graft is an additional bone that’s added to the bone in your nose
The procedure usually takes between one and two hours. If the surgery is complex, it can take longer.
 

Recovery from Rhinoplasty

After surgery, your doctor may place a plastic or metal splint on your nose. The splint will help your nose retain its new shape while it heals. They may also place nasal packs or splints inside your nostrils to stabilize your septum, which is the part of your nose between your nostrils.
 

For a few days after your surgery, you might experience drainage and bleeding. A drip pan, which is a piece of gauze taped below your nose, can absorb blood and mucus. Your doctor will tell you how often to change your drip pad.

Be especially careful about sun exposure. Too much could permanently discolor the skin around your nose. You should be able to return to work or school in a week.

Rhinoplasty can affect the area around your eyes, and you might have temporary numbness, swelling, or discoloration around your eyelids for a few weeks. In rare cases, this can last for six months, and slight swelling could persist even longer. You can apply cold compresses or ice packs to decrease discoloration and swelling.

Tummy Tuck

Abdominoplasty or Tummy tuck is a cosmetic surgery procedure for improving tummy shape by removing excess belly fat, loose skin and tightening the muscle wall. Liposuction of excess fat bulges is also required in most cases and is performed simultaneously.

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

‣ Aging
‣ Heredity
‣ Pregnancy
‣ Prior surgery
‣ Significant fluctuations in weight

Candidates for surgery

A tummy tuck is a highly individualized procedure. You should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.

In general, you may be a good tummy tuck candidate if:
‣  You are physically healthy and at a stable weight
‣  You have realistic expectations
‣  You are a nonsmoker
‣  You are bothered by the appearance of your abdomen

Surgical procedure

Depending on your desired results, this surgery can take anywhere from one to five hours. The complexity of your particular situation also will determine whether you have it completed as an inpatient or outpatient procedure
You will receive general anesthesia, which will put you to sleep during the operation. There are two options for a tummy tuck
Complete abdominoplasty. Your abdomen will be cut from hipbone to hipbone in this procedure, the option for those patients who require the most correction. The incision will be made low, at about the same level as your pubic hair. Your surgeon will then manipulate and contour the skin, tissue, and muscle as needed. Your belly button will have a new opening if you undergo this procedure because it's necessary to free your navel from surrounding tissue. Drainage tubes may be placed under your skin and these will be removed in a few days as your surgeon sees fit
Partial or mini abdominoplasty. Mini-abdominoplasties are often performed on patients whose fat deposits are located below the navel and require shorter incisions. During this procedure, your belly button most likely will not be moved. Your skin will be separated between the line of the incision and your belly button. This type of surgery may also be performed with an endoscope (small camera on the end of a tube). The procedure may only take up to two hours, again, depending on your own personal situation and the complexity of your needs
 

Recovery from Abdominoplasty

There are many factors that play into the speed and effectiveness of your tummy tuck recovery. Things like a smoking habit, post-op activity levels, your body's immune response, and your natural ability to heal all contribute to the process. Varying surgical techniques have been developed to hasten recovery time and reduce complications, but the risk of both minor and major complications still remains
 

First week of recovery: The first week of recovery is usually the most uncomfortable for tummy tuck patients. You can expect our abdomen to be swollen, bruised, and sore. Ice packs can help reduce the swelling, and pain medication will be prescribed to help with pain and soreness during recovery

Second week of recovery: By the second week of recovery you should notice pain beginning to subside and any bruising should begin to fade. Any swelling should also have begun to go down, but it will almost certainly still be present. You should still be following your instructions concerning pain and antibiotic medication, as well as sticking to only light activity.

Third and fourth week of recovery: By the third and fourth week of recovery you may feel pretty much back to normal. At this point, you can usually begin a routine of light exercise. However, even if you feel great, overly strenuous exercises like sit-ups or weight lifting ought to be put off for a few more weeks. Most patients are fully recovered by about week six, and once approved by a doctor, can return to full exercise and activity levels. .Pain, swelling, and bruising should be just about gone between three and four weeks into recovery. At this point, you will probably be advised to stop wearing your compression garment, and you can return to your normal, everyday activities

Abdominoplasty

Abdominoplasty or Tummy tuck is a cosmetic surgery procedure for improving tummy shape by removing excess belly fat, loose skin and tightening the muscle wall. Liposuction of excess fat bulges is also required in most cases and is performed simultaneously.

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

‣ Aging
‣ Heredity
‣ Pregnancy
‣ Prior surgery
‣ Significant fluctuations in weight

Candidates for surgery

A tummy tuck is a highly individualized procedure. You should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.

In general, you may be a good tummy tuck candidate if:
‣  You are physically healthy and at a stable weight
‣  You have realistic expectations
‣  You are a nonsmoker
‣  You are bothered by the appearance of your abdomen

Surgical procedure

Depending on your desired results, this surgery can take anywhere from one to five hours. The complexity of your particular situation also will determine whether you have it completed as an inpatient or outpatient procedure
You will receive general anesthesia, which will put you to sleep during the operation. There are two options for a tummy tuck
Complete abdominoplasty. Your abdomen will be cut from hipbone to hipbone in this procedure, the option for those patients who require the most correction. The incision will be made low, at about the same level as your pubic hair. Your surgeon will then manipulate and contour the skin, tissue, and muscle as needed. Your belly button will have a new opening if you undergo this procedure because it's necessary to free your navel from surrounding tissue. Drainage tubes may be placed under your skin and these will be removed in a few days as your surgeon sees fit
Partial or mini abdominoplasty. Mini-abdominoplasties are often performed on patients whose fat deposits are located below the navel and require shorter incisions. During this procedure, your belly button most likely will not be moved. Your skin will be separated between the line of the incision and your belly button. This type of surgery may also be performed with an endoscope (small camera on the end of a tube). The procedure may only take up to two hours, again, depending on your own personal situation and the complexity of your needs
 

Recovery from Abdominoplasty

There are many factors that play into the speed and effectiveness of your tummy tuck recovery. Things like a smoking habit, post-op activity levels, your body's immune response, and your natural ability to heal all contribute to the process. Varying surgical techniques have been developed to hasten recovery time and reduce complications, but the risk of both minor and major complications still remains
 

First week of recovery: The first week of recovery is usually the most uncomfortable for tummy tuck patients. You can expect our abdomen to be swollen, bruised, and sore. Ice packs can help reduce the swelling, and pain medication will be prescribed to help with pain and soreness during recovery

Second week of recovery: By the second week of recovery you should notice pain beginning to subside and any bruising should begin to fade. Any swelling should also have begun to go down, but it will almost certainly still be present. You should still be following your instructions concerning pain and antibiotic medication, as well as sticking to only light activity.

Third and fourth week of recovery: By the third and fourth week of recovery you may feel pretty much back to normal. At this point, you can usually begin a routine of light exercise. However, even if you feel great, overly strenuous exercises like sit-ups or weight lifting ought to be put off for a few more weeks. Most patients are fully recovered by about week six, and once approved by a doctor, can return to full exercise and activity levels. .Pain, swelling, and bruising should be just about gone between three and four weeks into recovery. At this point, you will probably be advised to stop wearing your compression garment, and you can return to your normal, everyday activities