Monday, March 28, 2011

FAQS About Cosmetic Surgery: FAQS About Forehead Lift

FAQS About Cosmetic Surgery: FAQS About Forehead Lift: "What are some of the most common benefits of this surgery? A forehead lift is usually quite successful at restoring a more youthful, re..."

FAQS About Forehead Lift

What are some of the most common benefits of this surgery?

 A forehead lift is usually quite successful at restoring a more youthful, refreshed look to the area above the eyes. While this procedure cannot stop the aging process, it can often make a person appear to be a decade younger than their actual age.

Most patients are pleased with the results of a forehead lift, no matter which surgical method was used. Often, patients don't realize how much the wrinkled, loose skin on their forehead contributed to the appearance of aging until they see how much younger and more rested they appear after the lift. The eyebrow shape may be improved, horizontal lines are much improved, and even vertical lines may be eliminated.

For a better understanding of how a forehead lift might change your appearance, look into a mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows. Gently draw the skin up to raise the brow and the forehead area. Now smile. What you see is close to what a forehead lift would do for you.

What will happen at the initial consultation?
During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations. He/she will also explain the kind of anesthesia required, surgical facility, and costs.

Your surgeon will begin with a complete medical history and examine your face, including the skin and underlying bone. He/she may also take photos, and give you specific instructions preparing for surgery, including guidelines for eating and drinking, smoking and taking or avoiding vitamins, supplements and medications.

Be sure to tell the surgeon if you have had previous facial surgery, if you smoke, or if you take any drugs or medications, including aspirin, and if you have a tendency to form large scars or keloids.

How is a forehead lift performed?
 Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline, or he/she may use a newer method which employs an endoscope, (a camera-like narrow tube with a bright light on one end) to achieve the desired results with minimal incisions. Before surgery, your hair will parted to reveal the incision line. Hair in front of the incision(s) may be trimmed.

Method #1: Conventional forehead lift (also called a coronal brow lift):

First, the surgeon makes an incision behind the hairline, from ear to ear. For men with a receding hairline, or women with thinning hair, the incision may be placed at the hairline instead, in order to avoid adding more height to the forehead. Next, the skin of the forehead is lifted away from the underlying muscles. The excess skin is trimmed away, and the incision is closed with sutures (stitches), clips or staples. Finally, the surgeon may cover the incision with gauze padding and wrap the head in an elastic bandage. If bandages are used, they can usually be removed a day or two after surgery.

Method #2: Endoscopic forehead lift:

This procedure is often preferred for younger patients who are just beginning to have brow problems. In this procedure, an endoscope is placed under the skin in order to get a clear view of the muscles and tissues under the skin. Then the surgeon inserts another instrument through a separate incision to lift the forehead skin and remove or alter the muscles and underlying tissues. The forehead skin is tacked up in a higher position with temporary screws. The skin will heal in this position and remain there even after the screws are removed.

 Will I need to stay in a hospital?

 A forehead lift can be done in the hospital or in an office surgical suite, depending on your preferences as well as your surgeon’s. Most forehead lifts are performed under local anesthesia (like that used by dentists) combined with a sedative to make you drowsy. You'll be awake but relaxed, and although you may feel some tugging and mild discomfort, you won’t feel any pain. Some surgeons prefer to use general anesthesia, in which case you'll sleep through the entire operation. The longer the procedure is expected to take, the more likely that general anesthesia will be recommended.

You may be allowed to return home within a few hours of the surgery, and spend the night in the comfort of your own home, or it may be necessary to spend the night in the hospital so your recovery process can be monitored by a medical staff.

How much pain is there?

The amount of pain experienced varies from person to person, and depends on the method used. In general, more extensive procedures can give better correction of the aging changes in the face, but at the cost of greater operating time, more risk, longer swelling, slower recovery, and greater cost.


You should discuss your goals, budget, and pain tolerance with your surgeon in order to help him/her determine the procedure, or combination of procedures, that will produce the best results for you.

 What can I expect after surgery?

The post-operative experiences for classic forehead lifts are usually quite different from those that are performed endoscopically.


In either case, you should keep your head elevated for 2 to 3 days after surgery to reduce swelling. You will be able to shower and shampoo your hair within two days, or as soon as the bandage is removed. You will probably be able to return to (sedentary) work within 7 to 10 days, sooner if you’ve opted for the endoscopic forehead lift.

Method #1: Conventional forehead lift:

After this procedure, you may experience some numbness and discomfort around the incision, which can be controlled with prescription medication. If you are prone to headaches, you may be given an additional local anesthetic during surgery as a preventive measure. Swelling may extend to the cheeks and eyes, although this should resolve within 10 to 14 days. As the nerves begin to heal, the numbness may be replaced by itching.

Method #2: Endoscopic forehead lift:

After this procedure, you may experience some numbness, incision discomfort and mild swelling. Incision site pain is usually minimal, but can be controlled with medication, if necessary. Endoscopic forehead lift patients usually experience less of the pain and itching sensations experienced by those who have the classic forehead lift. The stitches or staples used to close the incisions are usually removed within a week, and the temporary fixation screws are removed within two weeks.

What is the recovery period like?
You may feel a bit tired at first, but your energy level will probably return to normal within a week. Most of the visible signs of surgery should fade completely within about three weeks. Minor swelling and bruising can be concealed with special camouflage makeup. For at least 2-3 weeks you should limit strenuous activities such as jogging, bending, heavy housework, sex, or any activity that increases your blood pressure. Prolonged exposure to heat or sun should be limited for several months.

Some hair around the incision may fall out, and hair regrowth may be thinner for several months. Permanent hair loss is rare. Your surgeon will schedule a series of follow-up exams after your surgery. If you have a conventional forehead lift, the numbness on the top of your scalp may be replaced by itching as the nerves heal. These sensations may take as long as six months to fully disappear.

What is the long-term outcome like for most people?


Most people are pleased with the results of a forehead lift, no matter which surgical method was used. Many people only have one lift in a lifetime, while others have a second surgery 7 - 15 years later.

The results of a forehead lift are different for every individual. Remember that a forehead lift cannot stop the aging process, but your forehead will always be smoother and firmer than it would be if you hadn’t had this procedure.

Who is an Ideal candidate?

 

In general, the best candidates for forehead lift are:
  • People with good facial skin elasticity
  • In good physical health
  • Psychologically stable
  • Non-smokers, or able to stop before and during the healing process
  • Wanting to improve the appearance of furrows or frown lines on the forehead
  • Well informed in regard to the procedure’s outcome
  • Having realistic expectations

Note: Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery, may still be good candidates for forehead lift. The surgeon will simply alter the incision location or perform a more conservative operation.

The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he/she considers you an ideal candidate for a forehead lift.

 What the risks and possible complications?

 Bleeding from the cut tissues, leading to bruising and possible accumulations of blood under the skin, is unavoidable in any surgery. It is a tribute to the great skill of today's surgeons that these problems are rare. Complications are usually minor when a forehead lift is performed by a qualified plastic surgeon.

  • In rare cases, the nerves that control eyebrow movement may be injured, resulting in a loss of ability to raise the eyebrows or wrinkle the forehead. Additional surgery may correct the problem.
  • A broad scar may form after surgery. Additional surgery may correct the problem.
  • Some people experience hair loss along the edges of a scar.
  • Loss of feeling commonly occurs along or just beyond the incision line. This is usually temporary, but may become permanent.
  • Infection and bleeding are rare possibilities.
  • If a complication should occur during an endoscopic forehead lift, your surgeon may have to use the conventional, open procedure, which will result in a more extensive scar and a longer recovery period. Such complications estimated at less than 1 percent of all endoscopy procedures.

You can reduce your risk of complications by closely following your surgeon's instructions both before and after surgery.

FAQS About Cosmetic Surgery: FAQS About Breast Reduction

FAQS About Cosmetic Surgery: FAQS About Breast Reduction: "What are some of the most common benefits of breast reduction? Breast reduction is quite successful at reducing the weight of very heav..."

FAQS About Breast Reduction

What are some of the most common benefits of breast reduction?

 Breast reduction is quite successful at reducing the weight of very heavy breasts, making it easier to enjoy an active lifestyle. Many women find that this surgery relieves chronic back, neck, and shoulder pain. The primary benefit of the operation is functional, but you also get a breast lift, which may enhance your appearance and improve your body image.

What will happen at the initial consultation?
During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance. Because this is a highly personal decision, you'll want to take time to discuss all of your concerns and desires, including what size and shape you would like your breasts to be.
Show your doctor pictures of breast sizes you like. You should also tell him/her about any medications you currently are taking, and any health conditions you have.
During the consultation, your surgeon will explain the different options available to you. He/she will explain how your age, the size and shape of your breasts, and the condition of your skin may affect the results. He/she will discuss the breast reduction procedure in detail, explain the risks and limitations, and explain the type of anesthesia that will be used.
The surgeon will then examine and measure your breasts, and photograph them for reference during surgery and afterwards. He/she may also require you to have a mammogram (breast x-ray).

How is breast reduction done?

Most often, the incisions for breast reduction are similar to those used for the "keyhole-anchor" breast lift technique. This procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Excess glandular tissue, fat, and skin are removed, and the nipple and areola are moved into their new position. The surgeon then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. In some cases, techniques can be used that eliminate the long vertical part of the scar.
In most cases, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areolas may have to be completely removed and grafted into a higher position. (This will result in a loss of sensation in the nipple and areolar tissue.)
Liposuction may be also be used in breast reduction. The ultrasound method or liposuction is currently the subject of some controversy due to the possibility of changes in the breast tissue from the ultrasonic waves. The use of standard tumescent liposuction is not quite so problematic. Check with your surgeon at the time of consultation.
The periareolar, or doughnut, breast reduction method may also be effective if there is not a large excess of skin. This method has the advantage of hidden scars; however, it tends to flatten the breast shape a bit. In general, the more skin that is cut, the more it is possible to shape the breast. Therefore, there is a trade-off between the extent of the scars and the extent of the shaping of the breasts. Your doctor will discuss the different methods used for breast reduction and describe the technique that is best for you.

 How long does breast reduction surgery take?

 Breast reduction surgery generally takes about one to three hours per breast, depending on extent of the repair and the techniques being used.

 Do I have to stay in the hospital?

 It depends on your situation. Most breast reduction surgeries are performed as outpatient procedures, allowing you to go home within hours of the operation. However, if an extremely large amount of breast tissue will be removed, the doctor may want you to stay overnight in the hospital where medical personnel can monitor your initial recovery. Breast reduction is most often performed under general anesthesia. In some cases, you may choose to be sedated instead. (This alternative will make you sleepy and comfortable without being completely asleep). Discuss your preferences and options with your surgeon.

How much pain is there?

 Although the surgical incision for this surgery is quite large, it is placed in areas of the breast that are not too sensitive. In addition, due to the fact that the nerves to the breast skin have been stretched out by the weight of the breasts over a long time, the skin is less sensitive. Thus, the pain after surgery is usually easily managed with oral pain medications. Initially, there is discomfort in walking, getting out of bed, and any activity that causes the breasts to move. You may continue to be sore for the first few days after breast reduction surgery.

What can I expect after breast reduction?

Your breasts will be wrapped with gauze bandage, plus a tighter bandage for protection and support. You also may have small drainage tubes coming out of the incisions, to help drain some of the excess fluid.
It is important to take the medication prescribed to you by your doctor. Someone will need to drive you home, and you may need assistance at home over the next couple of days.
If your breast skin is very dry following surgery, you can apply a moisturizer, but be sure to keep the suture (stitches) area dry

What is the recovery period like?

Your bandages will be removed after a day or two, and you will continue wearing a surgical bra around the clock for several weeks, until the swelling and bruising subside. The stitches will be removed in one to three weeks.
Light activities can be resumed within a few days, although your chest will be sore. You may also be instructed to avoid sex for a week or more, since sexual arousal can cause your incisions to swell. Routine physical activity and exercising (especially lifting, pulling, and pushing motions) should be avoided for at least 6 weeks. This will help the scars to heal. Your doctor will advise you on the level of physical activity that is appropriate for you.
Some women experience random, shooting pains for a few months, especially around the time of menstruation. Expect some loss of feeling in your nipples and breast skin, caused by swelling. This usually fades over the first few weeks, but occasionally lasts a year or more.

What is the long-term outcome like for most people?

Of all plastic surgery procedures, breast reduction has the most immediate dramatic results. The chronic physical discomfort is gone, the body is better proportioned, and clothes fit better. Some women find that as much as they have desired these changes, they need time to adjust to their new body image. After this adjustment period, most women are very happy with the results.
Your surgeon will make the incisions as inconspicuous as possible, but the scarring from breast reduction surgery is fairly extensive and permanent. These scars are long, and they remain pink or brown for several years. For some women, the scars become wider; but for others, they fade and become less noticeable. (Poor healing and wider scars are more common in smokers.) Fortunately, the scars are placed in areas that are not seen unless you are topless, and can be hidden by most bathing suits.
Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples.

How long do the results last?

 The breasts will remain smaller longer than they would have been if breast reduction had not been performed. Unfortunately, gravity continues to work, and the breasts will sag again with time. In addition, the remaining breast tissue will continue to respond like any breast tissue: it will get bigger if you gain weight, take hormones, get pregnant, etc.

 Who is an Ideal candidate?

 In general, the best candidates for breast reduction are women:

  • 18 years of age or older
  • Mature enough to fully understand the procedure
  • Whose activities are limited due to large breasts
  • Experiencing physical discomfort due to large breasts
  • Not currently pregnant or breastfeeding
  • Not intending to breastfeed in the future
  • In good physical and psychological health
  • Wanting to improve their appearance and/or comfort
  • Realistic in their expectations

The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he/she considers you an ideal candidate for breast reduction surgery.

 What are the possible risks and complication?
All surgery has some potential risks, including the risks of bleeding, reaction to the anesthetic, and infection. With a breast reduction, serious complications are quite rare, but there is often significant blood loss due to the magnitude of the surgery. In addition, small areas of infection or delayed healing in the incisions are not uncommon. There is also a possibility of developing small sores around the nipples, which can be treated with antibiotic creams. If you carefully follow all your surgeon's instructions both before and after the surgery, you can minimize the risks.
Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die.
Cigarette smoking decreases blood flow to the skin and subcutaneous tissues (just under the skin) that carry blood flow and leads to an increased risk of the skin scabbing, and can lead to permanent scarring as well.

FAQS About Cosmetic Surgery: FAQS About Breast Lift Surgery

FAQS About Cosmetic Surgery: FAQS About Breast Lift Surgery: "What are some of the most common benefits of breast lift surgery? A breast lift can successfully reposition saggy, droopy breasts into firme..."

FAQS About Breast Lift Surgery

What are some of the most common benefits of breast lift surgery?
A breast lift can successfully reposition saggy, droopy breasts into firmer, shapelier ones that are located higher on a woman's chest. As a result, a better-proportioned body is produced, enhancing the patient's appearance and potentially elevating their self-esteem.
What will happen at the initial consultation?
During the consultation, you and your surgeon will discuss the changes that you would like to make to your appearance. Because plastic surgery is a highly personal decision, you'll want to take time to address all of your concerns and desires.
At this time, your doctor should explain the breast lift surgery procedure, including what kind of anesthesia he/she will be using. Your medical history should then be discussed, and a visual examination performed.
Your surgeon should also measure your breasts and take photographs, and he/she may possibly require a mammogram (breast x-ray). The physician should also discuss the new placement of your nipples and ask if you want to reduce the size of your areolas (the darker skin around once the surgery is scheduled, you should receive specific pre-surgery instructions on what you may eat and drink, and whether or not you should smoke. the nipples).
How is breast lift surgery done?
Several different techniques can be used during breast lift surgery, depending on the degree of sagging that you experience. Breast lift surgery consists of removing excess skin from around the areola, and possibly also from the bottom of the breast, and then tightening the skin. The insertion of breast implants for additional volume and smoothing of the skin may also be required for an optimal outcome. With these surgical steps, the position of the nipple, areola, and breasts can be elevated to a more youthful position.
The specific breast lift techniques may vary, but they generally fall into two categories: the concentric (or doughnut) mastopexy for women with smaller and less droopy breasts, and the more common anchor-shaped mastopexy. In general, the more tissue that is cut, the more shaping that is possible. For women who experience extensive sagging, the skin has stretched so much that a smaller incision will not remove enough tissue to lift the breast. In these cases, the larger incision is necessary.
The Concentric (doughnut) Breast Lift:
For women with smaller and less severely drooping breasts, this procedure (which requires fewer incisions) may be possible. In some instances, the physician may administer a local anesthesia with a sedative instead of general anesthesia.
Concentric circles (like a doughnut) around the areola are drawn and cut. The doughnut-shaped skin around the areola is removed and the nipple and areola repositioned higher. Then, the outer skin is stitched around the areola. Sometimes the skin that is sewn to the areola may wrinkle because there is more skin than needed. Often, the wrinkling will subside in just a few weeks to months after surgery as the skin envelope adapts to the new shape and weight of the tissues.
If your surgeon does not think that this technique will produce the desired results, he/she may instead elect to make a cut that descends from the areola down to the bottom fold of the breast where it meets the chest. A strip of skin is removed along this cut and the two sides stitched together. Even with this additional vertical cut, these breast lift scars are less extensive than the more common anchor-shaped breast lift.
Anchor-shaped Breast Lift:
For women with larger or more severely drooping, sagging breasts, the anchor-shaped breast lift surgery is more effective.
The physician will draw a key-hole shape above the nipple and areola. At the bottom of the key-hole, he/she will draw an anchor shape from the right to the left side of the breast.
The skin in the (upper cross-hatched) area of the "anchor" will be removed along with some excess breast tissue. The nipple and areola are moved up to the (lower cross-hatched) "key-hole," then the skin is sutured around the areola, vertically down to the chest, and side to side along the newly-created bottom fold of the breast
How long does the breast lift procedure take?
Breast lift surgery usually takes about one to three hours to complete. The length of the procedure varies according to the technique used.
Do I have to stay in the hospital?
Usually, breast lift surgery is performed in a surgical suite on an outpatient basis, so an overnight visit isn't necessary. This allows you to return home within a few hours of the surgery, and spend the night in the comfort of your own home. However, if a large amount of tissue is removed from the breasts, it may be necessary to spend the night in the hospital so your recovery process can be monitored by a medical staff.
Most often, breast lift surgery is carried out under general anesthesia. If the procedure requires fewer incisions, a patient may be given a local anesthetic combined with intravenous sedation under observed anesthesia care.
What can I expect after a breast lift?
After the operation, you will notice an immediate and dramatic change in the shape of your breasts. Most women are very pleased with what they see after surgery. Some numbness is normal after surgery and may persist permanently.
What is the recovery period like?
Your breasts will probably be sore for two or three days. The pain is greatest within the first 48 hours, but improves with each day and can typically be relieved by pain medications.
The gauze dressing will be removed after a couple of days, and the stitches are removed about two weeks after breast lift surgery. Your breasts will be bruised, and you may experience temporary numbness around the nipples as well as random shooting pains. These conditions generally subside within several weeks.
For the first few days, you need to limit your activities and movement in order to prevent breaking the stitches and stretching the breast lift scars. Most women can return to work about two weeks later, although overhead lifting and strenuous movements should be avoided for several weeks to ensure proper healing. Your physician will provide you with a schedule for resuming your normal routines.
You will wear a surgical bra that supplies support to your breasts for a few weeks to a couple of months after your breast lift surgery (an under wire bra is not recommended as it may cause a blister on the delicate postoperative tissues).
Most bruising, swelling, pain, and loss of sensation should subside within three to six weeks. However, it may take up to a year for your breasts to settle completely into their new look and feel. Over time, your breast lift scars will fade but may remain red and bumpy for many months.
Finally, you should continue with monthly self-examinations for breast cancer as well as regular mammograms as advised by your doctor.
What is the long-term outcome like for most people?
After the surgery, the breasts are fuller and shapelier. Breast lift surgery generally yields faint lines where the surgical incisions were made. You may also notice slight size or shape differences between your breasts. It is important to keep in mind that the body is never completely symmetrical.
A breast lift will not keep you firm forever. Your breasts, however, will be more youthful and full than they would have been without the surgery. The effects of gravity, pregnancy, and weight changes will continue to affect your breasts over time.
 Who is an Ideal candidate?
In general, the best candidates for breast lift surgery are women:
  • 18 years of age or older
  • With stretched skin
  • With less breast volume than they had in previous years
  • Not intending to lose a great deal of weight, get pregnant, or breastfeed
  • Not currently pregnant or breastfeeding
  • In good health
  • Wanting to improve their appearance
  • Realistic in their expectations
The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he/she considers you an ideal candidate for breast lift surgery.
 What are the possible complication and risks?
No surgical procedure is completely risk-free. There is the potential for complications associated with any surgery involving anesthesia, including complications such as bleeding, and infection. The patient is also susceptible to:
  • Permanent and noticeable scarring
  • Unevenly aligned nipples, mismatched breasts
  • Sores or numbness around the nipples
  • Dead tissue around the nipple and areola (rare)
Perhaps the most common risks are the quality of healing and your acceptance of the resulting scars. With a breast lift, the most significant tradeoff for better-positioned breasts is the appearance and permanence of the surgical scars that may take some time before they flatten and become pale.

FAQS About Cosmetic Surgery: FAQS About Breast Augmentation

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FAQS About Cosmetic Surgery: FAQS About Brow Lift

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FAQS About Cosmetic Surgery: FAQS About Facelift

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FAQS About Cosmetic Surgery: FAQS About Rhinoplasty

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FAQS About Cosmetic Surgery: FAQS About Otoplasty

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FAQS About Cosmetic Surgery: FAQS About Blepharoplasty

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FAQS About Breast Augmentation

What are some of the most common benefits of breast augmentation?
Cosmetic breast surgery, or breast augmentation, is a successful way to enhance the breasts, producing a larger and fuller bust. The goal is to augment the breasts for natural-looking, enhanced results. Either saline or silicone gel implants can be used for enhancement.
What will happen at the initial consultation?
During the consultation, you and your surgeon will discuss the changes that you would like to make in your appearance.
Because breast enlargement surgery is a highly personal decision, you'll want to take time to discuss all of your concerns and desires, including your desired breast size. Show your doctor breast augmentation photos to help him/her determine which breast implant size will best achieve your preferred results.
He/she will also explain the different options available to you, including incision type, location of the implant, type of breast implant, and whether a breast lift may also be beneficial.
Your doctor should also explain the anesthesia he/she will be using during your procedure. You should tell him/her about any medications you currently are taking, and any health conditions you have. Be sure to ask all the questions you have about the surgery, and request to view breast augmentation before and after photos of the doctor's recent patients. Also ask for, and follow up on, patient references.
How is breast augmentation done?
The breast augmentation procedure consists of making an incision, creating a pocket in the chest/breast area, and placing a breast implant.
An incision may be made in any one of the following places: the crease below the breast, around the areola, under the armpit, or through the navel.
Breast implants can be placed either under the chest muscle or above, directly under the breasts. Placement considerations include the anatomy of your breasts, soreness after surgery, exercise activities (upper body strength and conditioning sports such as weightlifting, tennis, volleyball and others), and possible interference with mammograms.
Both silicone gel and saline breast implants can be used to augment the breasts. Silicone breast implants are comprised of a cohesive gel, and saline of a saltwater solution. Each of these types of breast implants has its benefits, and the ones that you select will depend on your preference, your body, and the doctor's recommendation.
Most likely, the anesthesia you receive will be general, although some doctors use a local anesthetic along with a sedative. Anesthesia type should be discussed with your doctor during the initial consultation.
How long does breast augmentation surgery take?
Breast augmentation usually takes about one to three hours to complete. The length of the procedure varies according to the technique used, the placement of the implants, the patient's anatomy, and type of anesthesia used.
Most breast enhancement surgery is performed in a surgical suite as an outpatient procedure you'll be able to return home within a few hours of the surgery.


How much pain is there?
Breast augmentation stretches the tissues, and can be painful. This is especially true when the implants are placed under the muscle and in young women who have never had children. The pain is greatest within the first 48 hours, but improves with each day and can be somewhat relieved by pain medications.
When you wake up you will feel tired, sore, and stiff. It is important to take the medication prescribed to you by your doctor.
In spite of the initial discomfort that accompanies surgical breast enhancements, most women report that the soreness they experience is well-worth their results.

What to expect after breast augmentation?
Your breasts will be wrapped with gauze bandages as well as a tighter bandage for protection and support after breast implant surgery. You also may have drainage tubes coming out of the incision for several days post op breast augmentation, to help drain some of the excess fluid.
Someone will need to drive you home after surgery, and you may need assistance at home over the next couple of days.
Your surgeon may prescribe an antibiotic and an anti-inflammatory medication to be taken after the surgery. It is a good idea to have these prescriptions filled beforehand.


What is the recovery period like?

Your scars will be pink for several weeks. After several months they will begin to fade. It is critical that you review post-procedure care with your doctor. Following his/her instructions carefully will help ensure you have a speedy, healthy recovery. Also keep in mind that:
  • Rest is important to the healing process, so do it as much as possible following your procedure. Drink plenty of fluids, and be sure to take the doctor's prescribed medications.
  • For at least 3-5 days, you should try to keep arm extension to a minimal. Elbows should not be raised higher than the armpit. The tissues will heal more quickly if you avoid stretching and separating muscle/tissue surrounding the breast implants.
  • Most likely, you will be able to resume calm, quiet work within a few days of your surgery. You should still avoid physical exertion for several weeks, depending on the advice of your doctor.
  • After several days, the gauze dressing will be removed. You may be required to wear a support bra to help your breasts form and maintain a pleasing, balanced shape. You may or may not be able to shower, depending on where your stitches are.
  • The stitches will come out within a week to ten days, but swelling may continue, gradually subsiding over several weeks. With the swelling, your breasts may seem hard and unnatural, but eventually they should soften to a more natural feel.
You will probably be able to resume exercise and normal physical activities within a month or two, when the soreness has subsided. Recovery varies from patient to patient and depends upon the technique, type of implant, and site of placement that the doctor uses, as well as the level of activities in your daily routine. Ask your doctor for more specific information.


What is the long-term outcome like for most people?
Breast augmentation notably increases the size of the breasts, and can increase body proportion. Clothes may fit better, and you may also experience an increase in confidence and self-esteem.
Breast augmentation makes the breasts larger for the life of the implant. Remember, larger breasts can begin to sag faster than smaller breasts, and augmented breasts can do this as well. So it is possible that you may require surgery in later years to correct sagging if you choose to have large implants.
 Am I an Ideal Candidate?
In general, the best candidates for breast enhancement surgery are:
  • 18 years of age or older (only in rare cases will teen breast augmentation be performed)
  • Not currently pregnant or nursing
  • In good physical health
  • Psychologically stable
  • Wanting to improve their appearance
  • Realistic in their expectations
  • Having this surgery for the first time
The above is only a partial list of the criteria that your surgeon will consider in determining whether or not this procedure is appropriate for you. Be sure to ask your surgeon if he / she consider you an ideal candidate for breast augmentation.


 What are the possible complications and risks?
Some of the more common possible breast augmentation risks include: postoperative infection, hematoma (a blood clot in the breast tissue requiring evacuation during a subsequent surgical procedure), and interference with mammogram readings.
Other side effects specific to breast augmentation include:
  • Capsular contracture: occurs when the scar or area around the implant begins to tighten, causing the breast to feel hard.
  • Nipple sensitivity or loss in sensitivity: usually disappears after several weeks, but for some this is permanent.
  • Rippling: indentations on the breast often caused when the implant moves.
  • Rupture: when the breast implants tear and/or leak. This may require a second operation to replace the implant.
  • Symptoms of immune system disorders: some women have reported having symptoms such as joint pain swelling, fever, fatigue, or breast pain. Although research has not found conclusive evidence correlating breast implants with these symptoms, further studies have been requested by the FDA.
To ensure that you are not a statistic of breast augmentation gone wrong, make sure that you select a competent plastic surgeon highly-trained and qualified to perform breast surgery. That said, be sure to discuss your chance of experiencing any of the above breast implant problems during a consultation.
What are some of the most common benefits of breast augmentation?
Cosmetic breast surgery, or breast augmentation, is a successful way to enhance the breasts, producing a larger and fuller bust. The goal is to augment the breasts for natural-looking, enhanced results. Either saline or silicone gel implants can be used for enhancement.

FAQS About Otoplasty

What is otoplasty?
Otoplasty, also known as cosmetic ear surgery, is a plastic surgery procedure that corrects and improves the shape and position of the ear. Ears that protrude are placed back in a more natural position. The shape can also be improved so that the ear appears more natural.
Who is the best candidate for the procedure?
Good candidates for otoplasty include individuals who are physically healthy, realistic in their expectations, and interested in improving the appearance of their protruding ears. The procedure is often performed on children between the ages of five and fourteen. Otoplasty also often performed on adults.
Are there any age restrictions for who can undergo surgery?
The surgeon performs the otoplasty procedure on children beginning at age five. The reason for performing the procedure at age five is two-fold. One, the children’s ears have developed by this age. Two, the children enter grade school at this age and may be teased or picked on. Having the surgery before entering grade school will avoid this situation. The surgeon also performs the procedure on healthy adults that have protruding ears.
What happens during a consultation for otoplasty?
The surgeon will personally meet with you during the consultation. He will examine and evaluate you. He will then show you before and after pictures and then explain the surgical procedure from beginning to end. This explanation will include what surgical technique he will use, where the surgery will be performed, what type of anesthesia, and a step-by-step explanation of what the recovery will be like. You will then meet with the patient care coordinator, who will explain the scheduling details and the cost.
Where is it performed?
The surgeon performs the otoplasty procedure his clinic-based operating room or his affiliated hospital.
What type of anesthesia is used for the procedure?
The surgeon performs the otoplasty procedure with local anesthesia and sedation.
How is the actual procedure performed?
The surgeon uses the Mustard technique to recreate the anti-helical fold. This technique uses permanent sutures to recreate the fold. No cartilage is cut or removed in this portion of the procedure. This allows for a natural shape without any sharp edges. The bowl of the ear is then set back. All of this is done via a small incision in the back of the ear.
How long is the surgical time for it?
The otoplasty procedure typically takes about one hour to complete.
Where are the incisions made?
The incision for the otoplasty procedure is typically made just behind the ear in the natural fold where the ear meets the head.
Are there scars after the procedure?
The incision made for otoplasty will not be noticeable after it has healed.
Is it a painful procedure?
Most patients experience some mild discomfort the first night. This is well controlled with mild pain medication.
What is the recovery like after otoplasty?
The recovery for otoplasty is rather mild. The surgery is ambulatory, meaning that the patient is allowed to return home the same day of the surgery. The surgeon will place a bandage over the ears after the conclusion of the procedure. The patient will then return to the office on the first post-operative day. The bandage will then be removed and a small elastic bandage placed. This elastic bandage will stay on for the first five days. The patient can remove it to eat or brush their teeth, but it should remain on for the majority of the time. The patient returns to the office on the fifth post-operative day. The patient is asked to wear the bandage for the second week only during sleep.
When will I be able to return to work after otoplasty?
Patients are generally able to return to work about one week after the otoplasty procedure.
How soon after otoplasty can exercise be resumed?
The surgeon asks that his patients resume exercise three weeks after having the procedure.
When are the stitches removed after the otoplasty procedure?
The surgeon uses absorbable stitches for the otoplasty procedure so no need for removal.
What are the risks or complications associated with otoplasty?
The risks associated with otoplasty are minimal but may include the following: infection, scarring and the possibility of asymmetry.

FAQS About Mentoplasty

What is mentoplasty?
Mentoplasty, also known chin augmentation, is a plastic surgery procedure that improves the appearance of a receding chin. The surgeon performs the procedure by placing an implant to augment the chin. The procedure is often combined with submental liposuction to improve the neck contour.
What is the implant made of for mentoplasty? 
The surgeon usually uses an implant made of solid silicone. This silicone is not the same silicone used in breast implants, which is a liquid or gel-like substance. The silicone used for chin augmentation has been used for medical implants for over fifty years and has been shown to be one of the safest implants used today. The surgeon places an anatomical implant which hugs the chin and gives a very natural appearance.

Who is the best candidate for mentoplasty? 
Good candidates for mentoplasty include physically healthy men and women are who looking to improve the appearance of the chin or jaw area. As with any type of plastic surgery, patients must also have realistic expectations.

What happens during a consultation for mentoplasty? 
The surgeon will personally meet with you during the consultation. He will examine and evaluate you. He will then show you before and after pictures and then explain the surgical procedure from beginning to end. This explanation will include what surgical technique he will use, where the surgery will be performed, what type of anesthesia, and a step-by-step explanation of what the recovery will be like. You will then meet with the patient care coordinator, who will explain the scheduling details and the cost.

Where is mentoplasty performed? 
The surgeon performs the mentoplasty procedure in his office-based operating room or his affiliated hospital

What type of anesthesia is used for mentoplasty? 
The surgeon performs the mentoplasty procedure with local anesthesia and sedation. If the mentoplasty is being performed in conjunction with a rhinoplasty or facelift procedure it may be done with general anesthesia. The surgeon will discuss these options with you in consultation.

How is the actual mentoplasty procedure performed? 
The surgeon performs the mentoplasty procedure through a small incision under the chin. Although the mentoplasty procedure can also be performed via an incision in the mouth, the surgeon prefers the incision under the chin. This is because the anatomical implants that the surgeon uses can only be placed via the small incision under the chin. The anatomical implants hug the chin bone and give a more natural appearance.

How long does the actual mentoplasty procedure last? 
The surgeon takes about forty-five minutes to perform the mentoplasty procedure.

Where are the incisions made for mentoplasty? 
The incision for mentoplasty is typically made just under the chin within a natural crease. The incision heals very well and will not be noticeable once it heals.

Are there scars after mentoplasty? 
The incision placed under the chin will heal and not be noticeable once it heals.

Is there much pain with mentoplasty? 
Patients do not typically have pain after the procedure. They may have some pressure in the area the first night. This is well controlled with mild pain medication.

What is the recovery like after mentoplasty? 
The recovery for mentoplasty is rather mild. The surgery is ambulatory, meaning that the patient is allowed to return home the same day of the surgery. The surgeon does not place any bandages after the mentoplasty procedure. Pain and discomfort are typically minimal. The patient returns on the fifth post-operative day to have the small stitches underneath the chin removed. About seventy percent of the swelling resolves in the first two weeks. The remaining swelling takes about one month to resolve.

How soon will I be able to return to work after undergoing mentoplasty? 
Patients are generally able to return to work about one week after the mentoplasty procedure.

When can I exercise after undergoing mentoplasty? 
The surgeon asks that his patients resume exercise three weeks after having the procedure.

When are the stitches removed after the mentoplasty procedure? 
The surgeon will remove the stitches on the fifth post-operative day.

What are the risks or complications associated with mentoplasty? 
The potential complications associated with mentoplasty may include adverse, implant shifting, infection, temporary numbness and the need for additional surgery.


FAQS About Brow Lift

What is a Brow lift?
A brow lift, also known as a forehead lift, is a plastic surgery procedure used to elevate the brows. As a person ages, the brows begin to descend. As this descent continues, the brow skin will sag into the upper eyelid skin. This will add to the heavy appearance that patients may have in the upper eyelid/brow complex. There are several techniques used to perform the brow lift procedure, and the surgeon will help you decide which works best for you.
Who is the best candidate for a brow lift?
Good candidates for a brow lift procedure include men and women who are physically healthy, realistic in their expectations, and looking to improve the appearance of a sagging brow or deep furrows between the eyes. Most patients that undergo the brow lift procedure are fifty years and older.

What happens during a consultation for a brow lift?
The surgeon will personally meet with you during the consultation. He will examine and evaluate you. He will then show you before and after pictures and then explain the surgical procedure from beginning to end. This explanation will include what surgical technique he will use, where the surgery will be performed, what type of anesthesia, and a step-by-step explanation of what the recovery will be like. You will then meet with the patient care coordinator, who will explain the scheduling details and the cost.

Where is the brow lift procedure performed?
The surgeon performs the brow lift procedure in his clinic or his affiliated hospital.

What type of anesthesia is used during a brow lift?
The surgeon performs the brow lift procedure with IV sedation or with general anesthesia. He will help you determine which is best for you.

How is the actual brow lift procedure performed?
There are three techniques that the surgeon uses to perform the brow lift procedure. The first one is the endoscopic technique, where small incisions are used along with a small camera, to elevate the brows. The second is the coronal technique, where an incision is placed on the scalp. The third technique is the mid-forehead technique, where the incisions are hidden in the forehead creases. This technique is usually reserved for men. The surgeon will examine you and help you decide which is best for you.

How long is the surgical time for a brow lift?
The surgery will take about an hour to perform the brow lift procedure.

Where are the incisions made for a brow lift?
The incisions for the brow lift depend on which technique is used. The small incisions for the endoscopic technique are placed inside the hair. The coronal technique has an incision inside the hair, and the mid-brow lift has incisions hidden in the horizontal forehead creases.

Are there scars after a brow lift?
The incisions for the brow lift are all well concealed and are not noticeable, no matter what technique is used.

 Is there much pain with a brow lift?
Patients may complain of a slight pressure in the forehead after the brow lift. This typically lasts a few hours and resolves the first night. Pain medication will control the discomfort.

What is the recovery like after a brow lift?
The recovery for the brow lift is rather mild. The surgery is ambulatory, meaning that the patient is allowed to return home the same day of the surgery. The post-operative period is relatively painless, except for a mild pressure in the forehead for about two hours after surgery. The patient returns to the surgeon clinic in the morning following surgery. The surgeon will then remove the dressing check the incisions. The patient then returns on the seventh post-operative day for the sutures to be removed. Seventy percent of the swelling resolves in the first week. The remaining thirty percent resolves over the following three weeks. Patients experience little to no bruising after the brow lift procedure.

How much time will I need to take off from work after my brow lift?
Patients typically return to work a week after the brow lift procedure.

When can I exercise after my brow lift?
The surgeon recommends that his patients avoid strenuous exercise for three weeks following surgery

When are the stitches removed after the brow lift procedure?
The surgeon will remove the sutures after seven days.

What are the risks or complications associated with a brow lift?
Some of the potential risks associated with the brow lift procedure may include infection, bleeding, scarring, nerve injury, and poor healing. These are very rare incurrence.