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Cosmetic Surgery Guide

arrow  The First Steps

arrow  Choosing a Surgeon
arrow  Breast Lift

arrow  Breast Enlargement

arrow  Breast Reduction Male

arrow  Chemical Peel

arrow  Dermabrasion

arrow  Ear Surgery

arrow  Eye Lid Surgery 

arrow  Face Lift 

arrow  Facial Implants

arrow  Forehead Lift

arrow  Hair Replacement Surgery

arrow  Laser Facial Resurfacing

arrow  Liposuction

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arrow  Tummy Tuck

arrow  SeSDERMA Alternatives

 

The First Steps to cosmetic surgery Back to top

Cosmetic surgery has become a part of our society, not just for the rich and famous any more.  

If you're considering cosmetic plastic surgery, please ask your plastic surgeon for further information about the particular procedure and what you expect.

In addition, please note that all surgery carries some uncertainty and risk, including the possibility of infection, bleeding, blood clots, and adverse reactions to the anesthesia. You can reduce your risks by choosing a qualified plastic surgeon and closely following their advice, both before and after surgery.

You should understand that the circumstances and experience of every individual will be unique. We do not offer a surgery consultation service, please seek a medical practitioner for advice.  

Choosing a Surgeon Back to top

Always verify the physician’s medical license, certifications and their professional society memberships.

Ask about the surgeon’s medical education and training specifically to cosmetic surgery. How often have they perform the procedure you are considering and what do they specialize in ?

 

Ask for referrals from other client and see before and after pictures of his work.

Don’t be afraid to consult with more than one cosmetic surgeon, and discuss the surgeons techniques and your expectations

 

BREAST LIFT (Mastopexy) Back to top

Procedure:

Enhance the size of breasts using inflatable implants filled with saline.

Length:

1 to 2 hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary soreness, swelling, change in nipple sensation, bruising. Breast sensitive to stimulation for a few weeks.

Risks:

Lack of implant permanence -- surgical removal or replacement of the implants may be required to treat problems, including: deflation; the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard; bleeding or infection. Increase or decrease in sensitivity of nipples or breast skin, occasionally permanent. Mammography requires a special technique. (Note: Some women have reported symptoms similar to those of immune disorders. Ask your doctor about these and other FDA concerns.)

Recovery:

Back to work: a few days. Physical contact with breasts: 3 to 4 weeks. Fading of scars: several months to a year or more.

Duration of Results:

Variable. Implants may require removal or replacement.

BREAST ENLARGEMENT  (Augmentation Mammaplasty) Back to top

Procedure:

Enhance the size of breasts using inflatable implants filled with saline.

Length:

1 to 2 hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary soreness, swelling, change in nipple sensation, bruising. Breast sensitive to stimulation for a few weeks.

Risks:

Lack of implant permanence -- surgical removal or replacement of the implants may be required to treat problems, including: deflation; the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard; bleeding or infection. Increase or decrease in sensitivity of nipples or breast skin, occasionally permanent. Mammography requires a special technique. (Note: Some women have reported symptoms similar to those of immune disorders. Ask your doctor about these and other FDA concerns.)

Recovery:

Back to work: a few days. Physical contact with breasts: 3 to 4 weeks. Fading of scars: several months to a year or more.

Duration of
Results:

Variable. Implants may require removal or replacement

MALE BREAST REDUCTION (Gynecomastia) Back to top

Procedure:

 

Reduce enlarged, female-like breast in men using liposuction and/or cutting out excess glandular tissue. (Sometimes covered by medical insurance.)

Length:

1 hour or more.

Anesthesia:

General or local.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary bruising, swelling, numbness, soreness, burning sensation.

Risks:

Infection. Fluid accumulation. Injury to the skin. Rippling or bagginess of skin. Asymmetry. Pigmentation changes (may become permanent if exposed to sun). Excessive scarring if tissue was cut away. Need for second procedure to remove additional tissue.

Recovery:

Back to work: 3 to 7 days. More strenuous activity: 2 to 3 weeks. Swelling and bruising: 3 to 6 months.

Duration of
Results:

permanent

CHEMICAL PEEL (Phenol and trichloroacetic acid [TCA]) Back to top

Procedure:

Restore wrinkled, blemished, unevenly pigmented, or sun-damaged facial skin, using a chemical solution to peel away skin's top layers. Works best on fair, thin skin with superficial wrinkles.

Length:

1 to 2 hours for full face.

Anesthesia:

None; sedation & EKG monitoring may be used.

In/Outpatient:

Usually outpatient. Full-face phenol peel may require admission for 1 to 2 days.

Side Effects:

Both: Temporary throbbing, tingling, swelling, redness; acute sensitivity to sun. Phenol: Permanent lightening of treated skin; permanent loss of ability to tan.

Risks:

Both: Tiny whiteheads (temporary); infection; scarring; flare-up of skin allergies, fever blisters, cold sores. Phenol: Abnormal color changes (permanent); heart irregularities (rare).

Recovery:

Phenol: Formation of new skin: 7 to 21 days. Normal activities: 2 to 4 weeks. Full healing and fading of redness: 3 to 6 months TCA: New skin within 5 to 10 days.

Duration of
Results:

Phenol: permanent, although new wrinkles may form as skin ages. TCA: variable (temporary).

DERMABRASION Back to top

Procedure:

Mechanical scraping of the top layers of skin using a high-speed rotary wheel. Softens sharp edges of surface irregularities, including acne and other scars and fine wrinkles, especially around the mouth.

Length:

A few minutes to 1 hour. May require more than 1 session.

Anesthesia:

Local, numbing spray, or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary tingling, burning, itching, swelling, redness. Lightening of treated skin. Acute sensitivity to sun; loss of ability to make pigment (tan).

Risks:

Abnormal color changes (permanent). Tiny whiteheads (temporary); infection; scarring; flare-up of skin allergies, fever blisters, cold sores.

Recovery:

Back to work: 2 weeks. More strenuous activities: 4 to 6 weeks. Fading of redness: about 3 months. Return of pigmentation/sun exposure: 6 to 12 months.

Duration of
Results:

Permanent, although new wrinkles may form as skin ages.

EAR SURGERY (Otoplasty) Back to top

Procedure:

Set prominent ears back closer to the head, or reduce the size of large ears. Most often done on children between the ages of 4 and 14 years. (Occasionally covered by insurance.)

Length:

2 to 3 hours.

Anesthesia:

Young children: usually general. Older children or adults: general or local, with sedation.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary throbbing, aching, swelling, redness, numbness.

Risks:

Infection of cartilage. Excessive scarring. Blood clot that may need to be drained. Mismatched or artificial- looking ears. Recurrence of the protrusion, requiring repeat surgery.

Recovery:

Back to work or school: 5 to 7 days.
Strenuous activity, contact sports: 1 to 2 months.

Duration of
Results:

Usually permanent

EYE LID SURGERY  (Blepharoplasty) Back to top

Procedure:

Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery may be covered by insurance if used to correct visual field defects)

Length:

1 to 3 hours.

Anesthesia:

Usually locally with sedation or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.

Risks:

Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery). Blindness (extremely rare).

Recovery:

Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses: two weeks or more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: several weeks.

Duration of
Results:

Several years. Sometimes permanent.

FACE LIFT  (Rhytidectomy) Back to top

Procedure:

Improving sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, redraping skin. Most often done on men and women over 40.

Length:

Several hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient. Some patients may require short inpatient stay.

Side Effects:

Temporary bruising, swelling, numbness and tenderness of skin; tight feeling, dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.

Risks:

Injury to the nerves that control facial muscles or feeling (usually temporary but may be permanent). Infection, bleeding. Poor healing; excessive scarring. Asymmetry or change in hairline.

Recovery:

Back to work: 10 to 14 days. More strenuous activity: 2 weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for several months.

Duration of
Results:

Usually 5 to 10 years.

FACIAL IMPLANTS Back to top

Procedure:

Change the basic shape and balance of the face using carefully shaped implants to build up a receding chin, add prominence to cheekbones, or reshape the jawline.

Length:

30 minutes to 2 hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient. Occasionally overnight hospital stay.

Side Effects:

Temporary discomfort, swelling, bruising, numbness and/or stiffness. In jaw surgery, inability to open mouth fully for several weeks.

Risks:

Shifting or imprecise positioning of implant, or infection around it, requiring a second operation or removal. Excess tightening and hardening of scar tissue around an artificial implant ("capsular contracture"), causing unnatural shape.

Recovery:

Back to work: about 1 week. Normal appearance: 2 to 4 weeks. Activity that could jar or bump face: 6 weeks or more.

Duration of
Results:

Permanent.

FORHEAD LIFT (Browlift) Back to top

Procedure:

 

Minimize forehead creases, drooping eyebrows, hooding over eyes, furrowed forehead and frown lines by removing excess tissue, altering muscles and tightening the forehead skin. May be done using the traditional technique, with an incision across the top of the head just behind the hairline; or with the use of an endoscope, which requires 3 to 5 short incisions. Most often done on people over 40

Length:

1 to 2 hours.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary swelling, numbness, headaches, bruising. Traditional method: Possible itching and hair loss.

Risks:

Injury to facial nerve, causing loss of motion, muscle weakness, or asymmetrical look. Infection. Broad or excessive scarring.

Recovery:

Back to work: 7 to 10 days, usually sooner for endoscopic forehead lift. More strenuous activity: several weeks. Full recovery from bruising: 2 to 3 weeks. Limit sun exposure for several months.

Duration of
Results:

Usually 5 to 10 years

HAIR REPLACEMENT SURGERY Back to top

Procedure:

Fill in balding areas with a patient's own hair using a variety of techniques including scalp reduction, tissue expansion, strip grafts, scalp flaps, or clusters of punch grafts (plugs, miniplugs and microplugs). Works best on men with male pattern baldness after hair loss has stopped.

Length:

1 to 3 hours. Some techniques may require multiple procedures over 18 months or more.

Anesthesia:

Usually local with sedation. Flaps and tissue expansion may be done with general anesthesia.

In/Outpatient:

Usually outpatient.

Side Effects:

Temporary achy, tight scalp. Unnatural look in early stages.

Risks:

Unnatural look. Infection. Excessive scarring. Failure to "take." Loss of scalp tissue and/or transplanted hair.

Recovery:

Back to work: usually 2 to 5 days. More strenuous activities: 10 days to 3 weeks. Final look: may be 18 months or more, depending on procedure.

Duration of
Results:

Permanent.

LASER FACIAL RESURFACING Back to top

Procedure:

Smooth the face and smooth fine wrinkles using a carbon dioxide (CO2) laser device that treats layers of damaged skin. Softens lines around the eyes and mouth and minimizes facial scars and unevenly pigmented areas.

Length:

A few minutes to 1 hour. May require more than 1 session.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient, unless combined with other surgical procedures that require hospitalization.

Side Effects:

Temporary swelling, discomfort. Lightening of treated skin. Acute sun sensitivity. Increased sensitivity to makeup. Pinkness or redness in skin that may persist for up to 6 months.

Risks:

Burns or injuries caused by laser heat. Scarring. Abnormal changes in skin color. Flare-up of viral infections ("cold sores") and other infections (rare).

Recovery:

Back to work: 2 weeks. More strenuous activities: 4-6 weeks. Complete fading of redness: 6 months or less. Return of pigmentation/light sun exposure: 6-12 months.

Duration of
Results:

Long-lasting, but does not stop aging. New wrinkles, expression lines may form as skin ages.

LIPOSUCTION (Suction-Assisted Lipectomy) Back to top

Procedure:

 

Improve body shape by removing exercise-resistant fat deposits with a tube and vacuum device. Can be performed using the tumescent technique, in which targeted fat cells are infused with saline containing solution with a local anesthetic before liposuction to reduce post-operative bruising and swelling. Common locations for liposuction include chin, cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, ankles.

For larger volumes of fat or for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may be used. UAL is a new technique in which a ultrasound probe is inserted beneath the skin to "liquify" the fat before it is suctioned.

Length:

1 to 2 hours or more. UAL: 20-40 percent longer than traditional liposuction.

Anesthesia:

Local, epidural, or general.

In/Outpatient:

Usually outpatient. Extensive procedures may require short inpatient stay.

Side Effects:

Temporary bruising, swelling, numbness, soreness, burning sensation. Tumescent: Temporary fluid drainage from incision sites. UAL: Larger incisions for cannula.

Risks:

Asymmetry. Rippling or bagginess of skin. Pigmentation changes. Skin injury. Fluid retention. Excessive fluid loss leading to shock. Infection. UAL: thermal burn injury caused by the heat from the ultrasound device.

Recovery:

Back to work: 1 to 2 weeks. More strenuous activity: 2 to 4 weeks. Full recovery from swelling and bruising: 1 to 6 months or more. Use of tumescent technique or UAL may decrease post-operative bruising and swelling.

Duration of
Results:

Permanent, with sensible diet and exercise.

NOSE SURGERY (Rhinoplasty) Back to top

Procedure:

Reshape nose by reducing or increasing size, removing hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. May also relieve some breathing problems.

Length:

1 to 2 hours or more.

Anesthesia:

Local with sedation, or general.

In/Outpatient:

Usually outpatient