Cosmetic and Plastic Surgery Procedures
Botox Injections
Breast Implants
Breast Lift
Breast Reduction
Brachioplasty (Arm Lift)
Cellulite Treatment
Chemical Peels
Collagen Injections
Dermabrasion Ear Surgery
Eyelid Surgery
Facelift Surgery
Facial Implants
Fat Injections
Forehead Lift
Hair Restoration Hair Transplants
Laser Resurfacing
Liposuction
Male Breast Reduction
Nasal Surgery
Nose Surgery
Neck Lift
Scar Revision
Skin Care
Tattoo Removal
Thigh, Buttock Lifts
Tummy Tuck (Abdominoplasty)
Vein Treatment
Vision Procedures:
Lasik
PRK
Keratoplasty
LTK-Laser Thermal Keratoplasty
Phakic (IOL) Intraoclar Lenses
Intacs
Corneal Transplant Surgery
Surgical Reversal of Presbyopia
Cataract Surgery
Dentistry Procedures:
Crowns & Bridges
Porcelain Veneers
Porcelain Veneers
Composite Bonding
Orthodontics
Halitosis/Chronic Bad Breath
Teeth Whitening
Thursday, August 7, 2008
Understanding Facelifts
Newer techniques, improved safety, and moderninstrumentation continue to change the art of face-lifting.
Aging of the face is inevitable. As years go by, the skin begins to lose n on the face and neck. Crow's feet appear at the corners of the eyes. The jawline softens into jowls, and beneath the chin, a double chin with vertical bands appears. Heredity, smoking, and sun exposure contribute to the aging face. With our ever increasing population, and people living longer more productive lives, face-lifting has become the second most desired facial plastic procedure, next to eyelid rejuvenation.
What Is A Facelift:
Despite the uniform excellent results, understanding the limitations of face-lifting and the need to utilize other procedures is crucial for success. First, our patients learn that a facelift means lifting of the cheek, jowls and neck. Incisions are placed in the hairline and around the ear, as illustrated (see figure 1). In all cases, these incisions are placed in a natural skin crease for camouflage and without the need for shaving of hair. The surgery can take 2-4 hours, usually performed under intravenous sedation, and without any patient discomfort. Following surgery, a dressing is applied to protect the face and is removed the day after. In our practice, we use daily magnetic resonance imaging (Soft Pulse), massage and ultrasound to hasten postoperative healing. Most patients are cosmetically sociable in 10-14 days.
The facelift does not involve lifting the forehead, correcting sagging eyelids, straightening or refining the nose, nor does it correct flat cheeks or weak chins. It also does not alter wrinkling of the lips, crow's feet, or improve sun damaged skin. An entire menu of other procedures, such as forehead lifting, blepharoplasty, rhinoplasty, cheek and chin augmentation can be considered to augment the final surgical improvements. However, the facelift is the cornerstone and the single most effective technique used in facial plastic rejuvenation.
To Facelift or Laser?
Facial laser surgery, both the CO2 and Erbium, have been popularized recently with claims that a facelift appearance will result. With any new technique, original hopes fall short of long-term results. Wrinkling and blotchy pigment irregularities are certainly improved, but skin tightening is minimal and usually transient in nature. However, in patients with both sagging of tissues and aged complexion with sun damage and wrinkling, we emphasize the need to combine procedures to produce optimal results. This concept of realistic expectations and patient awareness of the limitations as well as risks of any one technique is at the core of a concerned, caring cosmetic surgery practice.
How Long Does A Facelift Last?
A facelift cannot stop aging nor can it turn back the clock. What it can do is help your face look its best and give you a healthy and a more youthful appearance. A uniform side benefit is the increased self-confidence and improvement in self-image. Most changes last 5-10 years, but this can vary from patient to patient. Due to improved techniques, the neck (once considered the most difficult area to maintain) holds its shape perhaps longer than other facial areas. The mid-face and cheek, due to active muscles of facial expression, may need to be revised earlier than other areas. In any event, despite continued aging, our patients always maintain significant benefits from face-lifting compared to their hypothetical identical twin who had not undergone the procedure.
Facial plastic surgery makes it possible to correct any facial flaws and signs of premature aging. Newer techniques, improved safety, and modern instrumentation continue to change the art of face-lifting. The ever evolving, improving nature of facial plastic surgery continues to keep me excited.
Aging of the face is inevitable. As years go by, the skin begins to lose n on the face and neck. Crow's feet appear at the corners of the eyes. The jawline softens into jowls, and beneath the chin, a double chin with vertical bands appears. Heredity, smoking, and sun exposure contribute to the aging face. With our ever increasing population, and people living longer more productive lives, face-lifting has become the second most desired facial plastic procedure, next to eyelid rejuvenation.
What Is A Facelift:
Despite the uniform excellent results, understanding the limitations of face-lifting and the need to utilize other procedures is crucial for success. First, our patients learn that a facelift means lifting of the cheek, jowls and neck. Incisions are placed in the hairline and around the ear, as illustrated (see figure 1). In all cases, these incisions are placed in a natural skin crease for camouflage and without the need for shaving of hair. The surgery can take 2-4 hours, usually performed under intravenous sedation, and without any patient discomfort. Following surgery, a dressing is applied to protect the face and is removed the day after. In our practice, we use daily magnetic resonance imaging (Soft Pulse), massage and ultrasound to hasten postoperative healing. Most patients are cosmetically sociable in 10-14 days.
The facelift does not involve lifting the forehead, correcting sagging eyelids, straightening or refining the nose, nor does it correct flat cheeks or weak chins. It also does not alter wrinkling of the lips, crow's feet, or improve sun damaged skin. An entire menu of other procedures, such as forehead lifting, blepharoplasty, rhinoplasty, cheek and chin augmentation can be considered to augment the final surgical improvements. However, the facelift is the cornerstone and the single most effective technique used in facial plastic rejuvenation.
To Facelift or Laser?
Facial laser surgery, both the CO2 and Erbium, have been popularized recently with claims that a facelift appearance will result. With any new technique, original hopes fall short of long-term results. Wrinkling and blotchy pigment irregularities are certainly improved, but skin tightening is minimal and usually transient in nature. However, in patients with both sagging of tissues and aged complexion with sun damage and wrinkling, we emphasize the need to combine procedures to produce optimal results. This concept of realistic expectations and patient awareness of the limitations as well as risks of any one technique is at the core of a concerned, caring cosmetic surgery practice.
How Long Does A Facelift Last?
A facelift cannot stop aging nor can it turn back the clock. What it can do is help your face look its best and give you a healthy and a more youthful appearance. A uniform side benefit is the increased self-confidence and improvement in self-image. Most changes last 5-10 years, but this can vary from patient to patient. Due to improved techniques, the neck (once considered the most difficult area to maintain) holds its shape perhaps longer than other facial areas. The mid-face and cheek, due to active muscles of facial expression, may need to be revised earlier than other areas. In any event, despite continued aging, our patients always maintain significant benefits from face-lifting compared to their hypothetical identical twin who had not undergone the procedure.
Facial plastic surgery makes it possible to correct any facial flaws and signs of premature aging. Newer techniques, improved safety, and modern instrumentation continue to change the art of face-lifting. The ever evolving, improving nature of facial plastic surgery continues to keep me excited.
Liposuction . . . A Survey
A SURVEY of plastic surgeons suggests that more people die during liposuction than during many other kinds of operations, perhaps because the procedure is often done quickly and without due care in doctors’ offices instead of in the hospital.
“Outpatient elective lipoplasty may not be quite the safe procedure it is purported to be,” Dr. Frederick Grazer of Penn State University and Dr. Rudolph de Jong of the Thomas Jefferson Medical College wrote in their report, published in the journal Plastic and Reconstructive Surgery.
Liposuction, referred to as lipoplasty by surgeons, has become the most common cosmetic plastic surgical procedure in the United States, according to the American Society of Plastic Surgeons (ASPS).
ASPS members performed 109,353 lipoplasty procedures in 1996 — perhaps not surprising in a country where more than 50 percent of the adult population is overweight. Dr. Gerald Pitman of New York University, and a privately practicing plastic surgeon, said the problem is that it seems too easy.
“It is so conceptually simple that it lends itself to fantasy,” Pitman said. “You make a tiny incision in the skin, a quarter of inch , insert a tube and you vacuum out the fat. The physician who sees this as a money-maker thinks it’s easy, a piece of cake, but it’s not. Some surgeons try to do too much. They try to use it as a weight-loss technique.”
Grazer and De Jong polled 1,200 members of the American Society of Aesthetic and Plastic Surgeons (ASAPS), asking them if they knew of any patient who died after liposuction. The 917 who answered reported 95 deaths in more than 496,000 operations. That works out to one death in 5,224, or 19 per 100,000. The most common reported cause was a pulmonary thromboembolism — a blood clot. The generally accepted death rate for any kind of elective surgery — the kind not needed to save someone’s life — is 1 in 100,000.
“Outpatient elective lipoplasty may not be quite the safe procedure it is purported to be,” Dr. Frederick Grazer of Penn State University and Dr. Rudolph de Jong of the Thomas Jefferson Medical College wrote in their report, published in the journal Plastic and Reconstructive Surgery.
Liposuction, referred to as lipoplasty by surgeons, has become the most common cosmetic plastic surgical procedure in the United States, according to the American Society of Plastic Surgeons (ASPS).
ASPS members performed 109,353 lipoplasty procedures in 1996 — perhaps not surprising in a country where more than 50 percent of the adult population is overweight. Dr. Gerald Pitman of New York University, and a privately practicing plastic surgeon, said the problem is that it seems too easy.
“It is so conceptually simple that it lends itself to fantasy,” Pitman said. “You make a tiny incision in the skin, a quarter of inch , insert a tube and you vacuum out the fat. The physician who sees this as a money-maker thinks it’s easy, a piece of cake, but it’s not. Some surgeons try to do too much. They try to use it as a weight-loss technique.”
Grazer and De Jong polled 1,200 members of the American Society of Aesthetic and Plastic Surgeons (ASAPS), asking them if they knew of any patient who died after liposuction. The 917 who answered reported 95 deaths in more than 496,000 operations. That works out to one death in 5,224, or 19 per 100,000. The most common reported cause was a pulmonary thromboembolism — a blood clot. The generally accepted death rate for any kind of elective surgery — the kind not needed to save someone’s life — is 1 in 100,000.
“Gummy Bear” Breast Implants Provide Natural Feel, and Potential Safety Benefits
One of the most compelling benefits of the new cohesive implants is their unique ability to shape the breast. Form stable cohesive gel implants (cited as the “new” silicone implants) are such a hot topic in the breast augmentation world today because of their promising ability to provide optimal shape, deter leakage and minimize complications.
Breast enlargement from liposuction
A women's breasts can naturally enlarge from one to two cup sizes following the efficient removal of fat in other areas of the body using tumescent liposuction. Eric Finzi, MD, PhD, a board certified dermatologist surgeon with a specialty in tumescent liposuction, conducted the study after a number of patients returned to his office for their post-operative cosmetic surgery exam with the unexpected result from the body liposculpture procedure. Significant breast enhancement occurred in 43% of female patients who underwent one or more tumescent liposuction surgeries. Heavier patients who received more total fat removal were more likely to experience breast enlargement. .
Breast Implants - Everything you need to know and more...
Breast Implants
What is a saline-filled breast implant?
A breast implant is a sac (implant shell) with the outer shell made of silicone elastomer (rubber). The implant is surgically implanted under the breast tissues, and then filled with sterile saline (a salt-water solution) through a valve.
A breast implant is a sac (implant shell) with the outer shell made of silicone elastomer (rubber). The implant is surgically implanted under the breast tissues, and then filled with sterile saline (a salt-water solution) through a valve.
What is breast augmentation?
Breast augmentation is a surgical procedure done to increase or decrease the sizeand proportions of a woman's breasts.
Breast augmentation is a surgical procedure done to increase or decrease the sizeand proportions of a woman's breasts.
What size breast implant should be used?
Generally, the larger you want your cup size, the larger the breast implant the surgeon will consider (measured in cubic centimeters, or cc's).
Generally, the larger you want your cup size, the larger the breast implant the surgeon will consider (measured in cubic centimeters, or cc's).
The McGhan Medical BioDimensional® Planning System is used with the Style 468, Style 363, and Style 163 BioCurve™ Shaped Breast Implants to help provide more consistent and predictable results. With this unique planning system, you and your surgeon can consider important dimensions like breast width, height, and lateral protrusion to establish the ideal implan size and shape to complement your figure. Breast width is significant, because it figures prominently in both cleavage and lateral (sideways from the body) protrusion. No other system provides such exacting techniques to determine what breast implant will work best for you.
Your surgeon will also evaluate your existing tissue to determine if you have enough to cover the breast implant. If you desire a breast implant size too large for your tissue, the doctor may warn you that breast implant edges may be apparent or visible post-operatively. You may even risk surgical complications. Also, excessively large breast implants may not maintainas youthful an appearance over time.
Where is the incision made?
There are three locations that are commonly used to insert the breast implant. The inframammary fold incision is made where the lower portion of the breast meets the chest wall. The periareolar incision is made where the darker tissue around the nipple meets the skin. And the transaxillary incision is made in the armpit. This last incision site usually involves the surgeon using an endoscope (a small telescope with a video camera) to help with the surgery. Augmentation with all of these incisions can be done in a manner that leaves a minimal scar after healing is complete.
There are three locations that are commonly used to insert the breast implant. The inframammary fold incision is made where the lower portion of the breast meets the chest wall. The periareolar incision is made where the darker tissue around the nipple meets the skin. And the transaxillary incision is made in the armpit. This last incision site usually involves the surgeon using an endoscope (a small telescope with a video camera) to help with the surgery. Augmentation with all of these incisions can be done in a manner that leaves a minimal scar after healing is complete.
How long does the surgery take?
Breast augmentation surgery times vary due to the surgeon's technique, the location of the incision, and the placement location of the implant. Typically, surgery takes from one to two hours.
Breast augmentation surgery times vary due to the surgeon's technique, the location of the incision, and the placement location of the implant. Typically, surgery takes from one to two hours.
Are breast implants available in different shapes?
The most commonly used breast implant has a round shape. The round breast implant will enhance breast size, and may produce a more rounded appearance to the upper breast.
The most commonly used breast implant has a round shape. The round breast implant will enhance breast size, and may produce a more rounded appearance to the upper breast.
Shaped breast implants are designed to reflect the slope of the breast. With its upper area gently sloping downward and outward, the shaped breast implant is more likely to shape the upper part of your breast with a gentle slope.
Why do some breast implants have a testured surface?
Breast implant shells with a textured surface were designed to reduce the chance of capsular contracture (a hardening of the breast). The BIOCELL® large-pore surface texture, found only in McGhan Medical breast implants, may help hold the breast implant in place.
Breast implant shells with a textured surface were designed to reduce the chance of capsular contracture (a hardening of the breast). The BIOCELL® large-pore surface texture, found only in McGhan Medical breast implants, may help hold the breast implant in place.
Are studies available on results with breast implants?
There are many studies that were considered by the FDA before McGhan Medical saline-filled breast implants were approved. Results of studies done by McGhan Medical appear in Breast
There are many studies that were considered by the FDA before McGhan Medical saline-filled breast implants were approved. Results of studies done by McGhan Medical appear in Breast
Implant Surgery:
Many other studies were done by independent investigators that show no higher prevalence of cancer or autoimmune disease in patients with breast implants, compared to patients without breast implants.
What are the possible complications?
With breast implant surgery, there are possible complications from the surgery, and from the implant.
With breast implant surgery, there are possible complications from the surgery, and from the implant.
Undergoing any surgical procedure may involve the risk of complications such as the effects of anesthesia, infection, swelling, redness, bleeding, and pain.
Possible complications specific to breast implants include deflation or rupture, capsular contracture (a hardening of the breast tissue if it compresses the breast implant), formation of calcium deposits, hematoma (a collection of blood), seroma (a collection of fluid), and changes in breast and nipple sensation. Some other possible complications are related to dissatisfaction with cosmetic results, such as wrinkling, asymmetry, implant displacement, incorrect size or shape, implant palpability, scar deformity, or sloshing. A list of complications and the rate of occurrence is available in Breast
How long will a breast implant last?
Breast implants are not considered lifetime devices. You will likely undergo implant removal with or without replacement over the course of your life. What happens if the implant deflates?
The saline solution is quickly absorbed into your body. You would need to have a new implant surgically implanted to replace the deflated implant, in order to regain the volume lost by the deflation.
The saline solution is quickly absorbed into your body. You would need to have a new implant surgically implanted to replace the deflated implant, in order to regain the volume lost by the deflation.
Breat lift - The procedure
As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. A breast lift, is a surgical procedure to raise and reshape sagging breasts. Breast lifts can also reduce the size of the areola, the darker skin surrounding the nipple. Breast implants inserted in conjunction with the lift can increase both their firmness and their size.
A Breast lift usually take 1 1/2 to 3 1/2 hours. Techniques vary, but the most common procedure involves an anchor-shaped incision that follows the natural contour of the breast. Incisions outline the area from which breast skin will be removed and will define the new location for the nipple. When the excess skin has been removed, the areola & nipple are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.
After the surgery you'll wear an elastic bandage or a surgical bra over gauze dressings. The breasts will be swollen, bruised, and uncomfortable for a day or two, there is some pain but it shouldn't be severe. Medications prescribed by your surgeon will usually be enough to make you comfortable.Within a few days, Your bandages or surgical bra will be swapped out for a soft support bra. You'll need to wear this bra 24 hours a day for three to four weeks, over the layer of gauze. The stitches should be removed after a week or two.You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. Numbness usually fades as the swelling decreases over the next five weeks or so. In some patients it may last a year or more, and occasionally it may be permanent, but these are the inherent risks you will need to understand with this procedure.
A Breast lift usually take 1 1/2 to 3 1/2 hours. Techniques vary, but the most common procedure involves an anchor-shaped incision that follows the natural contour of the breast. Incisions outline the area from which breast skin will be removed and will define the new location for the nipple. When the excess skin has been removed, the areola & nipple are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola in a vertical line extending downwards from the nipple area, and along the lower crease of the breast.
After the surgery you'll wear an elastic bandage or a surgical bra over gauze dressings. The breasts will be swollen, bruised, and uncomfortable for a day or two, there is some pain but it shouldn't be severe. Medications prescribed by your surgeon will usually be enough to make you comfortable.Within a few days, Your bandages or surgical bra will be swapped out for a soft support bra. You'll need to wear this bra 24 hours a day for three to four weeks, over the layer of gauze. The stitches should be removed after a week or two.You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. Numbness usually fades as the swelling decreases over the next five weeks or so. In some patients it may last a year or more, and occasionally it may be permanent, but these are the inherent risks you will need to understand with this procedure.
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