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  Cosmetic Surgery
 
::Procedure Information

Abdominoplasty
commonly referred to as a "tummy tuck", is an extensive related procedure coupling dermato lipectomy with repair of overly stretched abdominal muscles. In addition to removing fat and excess skin, this procedure tightens separated abdominal muscles that may contribute to back pain and spinal problems. For those with less abdominal wall damage, a less extensive procedure, the mini abdominoplasty may be appropriate. Standard abdominoplasty can take up to two and a half hours, while mini abdominplasty takes about one hour. Standard is performed under general anesthesia and requires a one-night hospital stay, allowing you to return to work within two to four weeks. Mini is performed under a local anesthesia with sedation as an outpatient and allows you to return to work in one week. Restrain yourself from strenuous activities until your Doctor gives you the okay (about 5-6 weeks).

Breast Enlargement (augmentation mammoplasty)
Breast augmentation surgery increases the size and alters the contour of a woman's breasts by inserting a prostheses in front of or behind the pectoral muscles. Since the ban of silicone gel implants, saline-filled implants are most commonly used.
The operation itself takes up to two hours and is usually performed under local anesthesia with sedation on an outpatient basis. You can expect some soreness for the first week. Scars will fade over several months but never completely disappear. Recovery time is usually four to seven days although strenuous physical activities including exercise should be restricted for three to four weeks. Results are long-lasting, but remember that the natural aging of your breasts, though slowed, is not stopped.

Breast Lift (Mastopexy)
Mastopexy, or a "breast lift" is another solution. Mastopexy is a surgical procedure that raises and reshapes sagging breasts. Breasts of all sizes can be lifted but the best results are achieved in woman with smaller breasts (A or B cup). Many women choose this procedure to reshape their breasts to correct stretched skin or reduce volume as a result of pregnancy and nursing.

This outpatient procedure is most often done under local anesthesia with sedation and takes under two hours. Postoperative pain lasts for a few days and is easily relieved with medication prescribed by your physician. Mastopexy scars are permanent but are generally positioned so that you can wear strapless tops and low necklines. You'll be able to return to work in three to four days but must restrain from strenuous activities for about three weeks. A breast lift won't keep your breasts firm forever. Pregnancy, aging, weight, and just plain gravity will take their toll.

Breast Reduction (Reduction Mammoplasty)
The goal of Reduction Mammoplasty, or breast reduction, is to relieve a woman of cumbersome sized breasts. This procedure is almost always done under general anesthesia and takes up to three hours. It can be done as an outpatient procedure, but a one-night hospital stay may be recommended in individual cases.

You will feel pain and soreness for up to a week, which is easily controlled by prescription and over-the-counter medications. Scars, though permanent, will fade over time and are positioned to be hidden by clothing. You should feel ready to return to work in two to three weeks. Restrain from strenuous activity for six weeks. Results for this surgery are permanent. However, if this procedure is done during the teen years, there is a small chance of continued breast growth.

Reconstructive Surgery
Removal of a portion or all of a woman's breast due to a mastectomy can lead to a request for reconstruction. This may take the form of comparable reduction of the other breast or replacing the missing breast with a small breast implant. The first person you will need to consult to discuss reconstruction will most likely be your cancer surgeon, not a plastic surgeon. The selection of reconstructive method will depend upon not only your medical condition but also the amount and condition of your remaining chest wall tissue and any need for adjuvant cancer treatments. Timing of reconstruction ranges from immediate (at the time of your cancer operation) to delayed (any length of time afterward).

Reduction (gynecomastia)
General weight loss through aerobic exercise combined with weight training will firm and shape most men's pectoral muscles. But 40 to 60% of men are affected by a condition called "gynecomastia" or "female-like breasts" which is not associated with obesity. This can be the result of imbalanced hormones or a medical condition such as an impaired liver or hormone producing tumor. Another source is the abuse of alcohol and drugs - including anabolic steroids, estrogen-containing medications and marijuana.

There are two basic approaches to gynecomastia correction depending upon the ratio of fat to glandular tissue. If the breast is composed primarily of fat, liposuction is the best option. In the infrequent instances where breasts are composed largely of glandular tissue, direct excision is combined with liposuction. Correction of gynecomastia is generally a two hour outpatient procedure done either under local anesthesia with sedation or general anesthesia.

Incisions, most commonly made in the lower half of the areola of the nipple, will heal in an inconspicuous manner. You'll likely require prescription pain medication for a week, followed by over-the-counter medication for another week. You'll feel ready to return to work in two or three days but avoid strenuous activities for at least four weeks.

Ear Lobe Repair
It is not uncommon that people with pierced ears who wear large or heavy earrings may, over time, experience stretched holes, stretched earlobes, or even torn earlobes. Repair of a partially or completely torn lobe is performed under local anesthesia in the doctor's office. In each case, the torn rim of the defect is excised and the edges are sewn together. Sutures are usually removed in seven to ten days and you are left with a scar that looks like a crease in the earlobe. Repairing an earlobe will cost between $600 and $750 per ear.

Ear Lobe Reduction/Augmentation
A minor but troublesome problem in some patients is the progressive enlargement of the earlobes, with or without thinning. They complain that their earlobes have become long and floppy, making it difficult for them to wear their favorite earrings. Earlobe reduction is done in a similar manor as earlobe repair. For thinning lobes, fat grafts add bulk to the lobe

Reconstructive or Plastic Surgery (Otoplasty)
Otoplasty is an operation to correct a condition that is almost always congenital. The classic ear deformity is caused by unfurling of the "antihelix" or normal crease in the ear's cartilage. Another common problem is conchal cartilage excess - simply too much cartilage. The purpose of this operation is to re-create the anatomical folds of the cartilage. This may or may not involve removal of cartilage but almost always involves carving and suturing it.

Ear operations usually take about 45 minutes per ear under local anesthesia or local plus sedation. (General anesthesia is usually reserved for very young children). Otoplasty is usually performed as an outpatient procedure. Because the incision is usually made in the back of the ear, concealment is not a major concern. Adequate padding and dressing usually limits postoperative discomfort that is easily managed with an over-the-counter analgesic.

You can return to work in a day (with the dressing on). Avoid any activity in which the ear might be bent or hit for a month or so.

Upper Eyelids (Upper Blepharosplasty)
A common eyelid problem that betrays age is drooping upper lids. While heavily hooded eyes may be viewed as sexy or sultry on the movie screen, more often they make you look old and tired. The goal of upper eyelid blepharoplasty is to rejuvenate the face by restoring the shape of the eye. Removing redundant skin and fat from the upper lids simultaneously corrects any vision impairment resulting from this hooding.

This procedure takes up to an hour and is usually done under local anesthesia with sedation. It is generally performed as an outpatient procedure. You may be given prescription pain medication, but it is unlikely that you will need to use it for more than a day. The incisions follow the fold of your upper eyelids. Initially, the incisions will be red but, within three to six months, they tend to heal so well that they are often described as having "disappeared".

You'll feel ready to return to work after a week or ten days depending on any bruising. But consult your surgeon before resuming any strenuous activity. The results of upper blepharosplasty are permanent and this is usually a one-time operation

Lower Eyelids (Lower Blepharosplasty)
Bags under the eyes plague old and young alike. Lower blepharosplasty is usually performed under local anesthesia with sedation. It is used to remove excess fat and redundant skin. Another approach just removes excess fat. This is most useful in the patient who has no need for skin resection or who doesn't want an external scar. Lower blepharoplasty takes up to an hour and is performed as an outpatient procedure under local anesthesia with sedation. Like upper blepharoplasty, you may be given prescription pain medication, but it is unlikely that you will need to use if for more than a day. The incisions follow your lower eyelash line. Initially, the incisions will be red but, within three to six months, they tend to heal so well that they are often described as having "disappeared".

You'll feel ready to return to work after a week or ten days depending on any bruising. But consult your surgeon before resuming any strenuous activity. The results of upper blepharosplasty are permanent and this is usually a one-time operation.

Reconstructive or Plastic Surgery (Rhinoplasty)
The nose is one of the most dominant and distinctive features of the human body and "nose jobs" are among the oldest plastic surgery operations. People turn to this kind of cosmetic surgery to modify an inherited characteristic or correct an acquired deformity. As a rule, external incisions are avoided at all costs because of frequent complications with healing. In more extensive procedures, incisions are placed inside the nostrils.

This procedure requires about one and one half hours under general anesthesia or sedation on an outpatient basis. Rhinoplasty patients complain of the nuisance of wearing a splint and the inability to breathe easily through the nose rather than any specific pain. You can return to work in three or four days but wait a full week to ten days to remove the splint and/or packing. Your doctor will advise you about restricting strenuous activity.

Deviation of Septum (Septoplasty)
Results of septoplasty are usually considered functional rather than cosmetic. In this procedure a deviation of the septum is straightened, opening the airways, and making breathing easier. This deviation may be genetic or it may have been caused by trauma. Septoplasty can be performed with no obvious alteration in the external appearance of the nose. Septoplasty incisions are commonly placed inside the nostrils.

This procedure takes about one and one half hours under general anesthesia or sedation on an outpatient basis. In some cases it is combined with rhinoplasty resulting in both functional and cosmetic improvements. (The combined procedure will take up to two hours). Septoplasty patients find the packing to hold the septum in place during healing a nuisance.

Pain medication is used to take the edge off, but you will still count the days until the packing comes out. You can return to work in three or four days but wait a full week to ten days to remove the packing. Your doctor will advise you about restricting strenuous activity

 
 
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* Breast Augmentation
* Rhinoplasty
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* Vaginoplasty
* Hymenoplasty
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