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Cosmetic Surgery
Procedures and Services

Acne Scar Treatment
Acne is a common skin disorder and is the visible end result of hormonal, bacterial and inflammation that take place at the level of the pilosebaceous follicle or oil pores.

Topical creams: Tretinoin is a form of vitamin A use in topical applications. It helps the skin renew itself much more quickly and thus reduces blackhead and pimple formations, and mayalso improve the texture and appearance of skin.

Chemical Peels or AHA Peels: use alpha hydroxy acids (AHA) including lactic, glycolic and fruit acids to exfoliate the outer layers of the skin. This gives the skin a fresher, smoother appearance. AHA peels can also reduce acne and enlarged pores.

Skin fillers: Materials are injected into the depressed area of the scar to elevate it to the level of the normal surrounding skin. There are temporary and permanent fillers.

Skin Camouflage/Cover-up: This might be an option for some who cannot tolerate or cannot afford the other options.

Microdermabrasion: Acne procedure used if your facial skin has suffered scarring due to nodules, cysts or other severe forms of acne. The treatment will remove the skin’s top layer of dead cells and smooth scarred tissue. This procedure works especially well for those who have suffered rare, disfiguring acne conditions. Microdermabrasion smoothes the surface of the skin, removes very fine lines, stimulates collagen production, and reduces skin imperfections.

Photorejuvenation: Uses laser or broadband visible light in five to six treatments that are performed every 3-4 weeks will improve mild acne scarring by causing new collagen to form.

Scar Revision: High-energy light is used to remove or remodel unwanted, damaged skin.

Laser skin resurfacing: This procedure gently vaporizes damaged or acne-scarred skin to reveal the smooth, fresh skin underneath. Scars are removed in a precise, rapid, bloodless fashion achieving excellent results.

Arm-Lifts (Brachioplasty)
Brachioplasty is a surgery performed on the excess skin of the upper arms, when liposuction alone will not correct the problem. Brachioplasty involves an incision of all excessive skin from the armpit to the elbow. This outpatient surgical procedure takes about two hours.

BOTOX® (Botulinum Toxin)
BOTOX® provides a quick and effective remedy for the facial lines and wrinkles that age, stress, worry, and environmental factors can produce, even on a younger person’s face. A BOTOX® injection skin treatment smoothes frown lines on the forehead, between the eyes, and at the base of the nose.

Breast Implant (Breast Augmentation/ Augmentation Mammaplasty)
Breast implants can be made of natural body tissue or synthetic (man-made) materials, and can be performed with one of several approaches. Your surgeon can perform the procedure via the crease under your breast (known as the inframammary fold); via the areola (known as the "nipple" incision); via your armpit (known as transaxillary); or a newer, lesser-used method, via your belly button. The procedure will take about one to two hours.

Breast Lift (Mastopexy)
Breast lift is a procedure for lifting and reshaping sagging breasts. It can be performed in an outpatient clinic under general anesthesia. Excess skin is removed from the breast by making an anchor shaped incision starting above the nipple. The nipple and areola are moved up into the position where the skin was removed. Since no breast tissue is removed, the resulting breast is firmer.

Breast Reduction for Men (Gynecomastia)
For men who feel self-conscious about their appearance, breast-reduction surgery can help. The procedure removes fat and or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.
The temporary effects of breast reduction include loss of breast sensation or numbness, which may last up to a year.

Brow Lift (Forehead Lift)
The brow lift, or sometimes known as a forehead lift can be performed as a separate operation or sometimes along with an eyelid lift operation. The most important area in a brow lift is the side of the eyebrow, not the central portion. The modern operation is done either with the endoscope or through two, sometimes three very small incisions completely hidden within the hair. The skin of the forehead is relaxed and lifted and fixated in a new position. If done properly, this creates a bright, alert look without the drawbacks of a surprise appearance.

Cheek Augmentation
There are several ways to augment the cheeks. The simplest way is by adding an implant to the cheeks (the size, shape, and even position are suited to the patient’s particular needs). The other method, which is used separately or in conjunction with small implants, is fat transfer. Cheek implants, made of a solid, Silastic material, are inserted through a small incision made inside the mouth in the crease above the upper lip. They are positioned in place, and dissolvable sutures close the tiny incisions on each side.

Chin Augmentation (Mentoplasty)
Chin augmentation is usually done to balance the face by making the chin longer compared to the nose. Surgery may be performed in the surgeon's office, a hospital, or an outpatient clinic. The best candidates for chin augmentation are people with weak or receding chins (microgenia), but who have a normal dental bite.

Cosmetic Laser Surgery
Cosmetic laser surgery is a new advancement in cosmetic surgery. It has solved many skin issues and is also economical. Laser surgery is painless and also fast. It is not as invasive as the other surgeries and do not affect the surrounding tissues. Cosmetic laser surgery mainly uses lasers as their surgical tools or equipment. Laser surgery can be safe and also effective. The procedure for cosmetic laser surgery is very simple. It uses laser light for surgery. This specialized light penetrates through the skin and absorbs water in the spoiled region. Therefore, the affected area will be free from wrinkles. It removes spots and stretch marks or any scars if present.

Cosmetic laser surgery is widely used for acne, birthmarks, blemish, brown sun spots, fibroma, freckles, hair removal, hemangiomas, moles, pigmented lesions, raised angioma, rosacea, scar improvement, skin tag, spider veins, stretch marks, tattoo removal, telangiectasis, varicose veins, warts and wrinkles.

Ear Surgery (Otoplasty)
Otoplasty is usually done to set prominent ears back closer to the head or to reduce the size of large ears. Otoplasty is performed as an outpatient procedure in a surgical facility. This procedure usually takes about two to three hours, although more complicated procedures may take longer. With one of the more common techniques, the surgeon makes a small incision in the back of the ear and a thin strip of skin is removed. The ear cartilage is then sculpted and folded back toward the head to allow the ear to lie flatter against the head and appear more normal. The ear cartilage is secured in place with sutures. In most cases, otoplasty will leave a faint scar in the back of the ear that will fade with time. Even when only one ear appears to protrude, surgery is usually performed on both ears for a better balance.

Eyelid Surgery (Blepharoplasty)
Blepharoplasty, or eyelid surgery, removes fatty tissue and tightens aging skin around the eyes. Blepharoplasty can be performed on the upper eyelid to tighten drooping skin, on the bottom eyelid to correct bags, or on both at the same time. Blepharoplasty will not reverse the appearance of wrinkles or crow's feet. Eyelid surgery usually takes between one and three hours and is ordinarily performed under local anesthetic and oral or intravenous sedation, though some patients desire or require a general anesthetic. The surgeon begins by making incisions along the natural lines just bellow the lashes on the bottom eyelid and in the crease of the upper. Excess fatty tissue, muscle, and skin (when necessary) are removed, and the incision is closed with sutures.

Facelift (Rhytidectomy)
A facelift (technically known as rhytidectomy) can't stop the aging process. What it can do is "set back the clock," improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. Complications that can occur include hematoma (a collection of blood under the skin that must be removed by the surgeon), injury to the nerves that control facial muscles (usually temporary), infection, and reactions to the anesthesia. Poor healing of the skin is most likely to affect smokers.

Injectable Fillers
Injectable fillers are one tool for reducing the appearance of fine wrinkles and lines. Fillers can also reduce soft tissue defects from surgery, an accident or even acne. There is a vast array of fillers. Some are better for enhancing lips, others are better for cheek hollowing. Some last just a few months; others may last for more than a year. Some are permanent. Most do not require allergy testing. The following is a list of common fillers and what they are best used for:

Cosmoderm/Cosmoplast
This is DNA produced collagen. No allergy testing is required. Cosmoderm is best used for fine lines and small acne scars, as well as the lips. Cosmoplast is best used for nasolabial folds (smile lines), the lips, and larger depressed scars. Cosmoderm may be layered on top of another filler. Usually, these products don't need injections or local numbing medication. Though both products provide excellent results, their longevity may be only 3 months. Optimal Use: If patient wants an effect for a very temporary amount of time i.e. if there is an important event in the near future.

Hylaform
This product is a made of hyaluronic acid which is a building block in the skin. It does not require allergy testing. Similar to collagen, it can be used to augment lips, fill small scars, and diminish smile lines as well as marionette lines. Its main drawback is its longevity which is about 4 months. Optimal Use : For the individual who desires short term lip enhancement.

Restylane
This product is also a form of hyaluronic acid, but has a higher concentration, and is thus more viscous. It is very versatile and can be used for lip enhancement, reduction of smile and marionette lines, scars, as well as under the eyes and vertical creases in the glabella (lower forehead). It may require an injection of local anesthetic. Restylene generally lasts six months, but may be less in mobile areas of the face such as the lips. Optimal Use : Lip enhancement and reduction of smile and marionette lines.

Radiesse
This product is made out of calcium hydroxylapatite in a gel form. It is biocompatible and inert. It has been used to stabilize vocal cords and also in the bladder and as a radiographic marker. While it is used for cosmetic purposes, this is considered off-label usage since it is not approved by the FDA specifically for this purpose. It has been used in this off label purpose in the face for several years. It is an excellent filler for the smile lines, marionette lines and hollowing of the cheeks. It can also be used for glabellar furrows and some acnes scars. Because it is fairly viscous, less of this product is needed to fill lines compared to collagen or hyaluronic acid. Numbing injections are needed for this filler. It lasts for approximately one year. Optimal Use: For deep smile lines.

Sculptra
This product is made out of a biocompatible material known as polylactic acid. It has recently been FDA approved for HIV associated lipoatrophy. It requires multiple treatments, but has been shown to last up to 18 months. Some practitioners are beginning to use it in an off-label manner for aesthetic uses. Optimal Use : For cheek hollowing secondary to HIV.

Fat
This is the oldest and most natural of all the fillers. Using tumescent (local anesthesia) fat is removed from the patient's abdomen or hip via a liposuction cannula. The fat is then concentrated, and injected into the face. It requires three treatments 2 months apart.
After these three treatments, fat will provide approximately a 70% correction for approximately 3 years. Optimal Use : Smile lines; hollowing of the cheeks.

Mid-Facelift
The mid-facelift, or mini facelift, is an alternative to a full facelift that may be preferable for younger or middle-aged facial plastic surgery patients. A mid-facelift repositions the fat and tissue of the cheeks, where patients often have excess skin, and thus softens the jowls. Doing so creates more attractive contours, forming a clean jaw line. When performed in conjunction with liposuction of the neck, a mid-facelift can improve the contour of the neck. As it is less involved and requires a shorter recovery time than a traditional facelift, a mid-facelift may provide the results many younger patients are looking for. The mid-facelift is often performed in conjunction with liposuction of the neck as an alternative to the full facelift procedure.

Nose Surgery (Rhinoplasty)
Nose surgery, or rhinoplasty, is one of the most common plastic surgery procedures. Rhinoplasty is a surgical procedure that reshapes the nose by reducing or increasing its size, removing the hump, changing shape of tip or bridge, narrowing span of nostrils, or changing angle between nose and upper lip. The procedure takes from one to three hours and is performed under general or local anesthesia. During surgery your surgeon will separate the skin of the nose from the supporting bone and cartilage. The bone and cartilage are then sculpted to the desired shape. Afterwards the skin is redraped and a splint is put in place to assure that the nose retains its new shape.

Liposuction (Lipoplasty/Suction-Assisted Lipectomy)
Liposuction, also known as lipoplasty or suction-assisted lipectomy, is cosmetic surgery performed to remove unwanted deposits of fat from under the skin. The doctor sculpts and recontours the patient's body by removing excess fat deposits that have been resistant to reduction by diet or exercise. The fat is permanently removed from under the skin with a suction device. Liposuction does not remove large quantities of fat and is not intended as a weight reduction technique. The average amount of fat removed is about a litre. Although liposuction is not intended to remove cellulite (lumpy fat), some doctors believe that it improves the appearance of cellulite areas (thighs, hips, buttocks, abdomen, and chin). Most liposuction procedures are performed under local anesthesia (loss of sensation without loss of consciousness) by the tumescent or wet technique. The length of time required to perform the procedure varies with the amount of fat that is to be removed and the number of areas to be treated. Most operations take from 30 minutes to 2 hours, but extensive procedures can take longer. The length of time required also varies with the manner in which the anesthetic is injected.

Microdermabrasion (Microderm)
Microdermabrasion is a procedure that combines aluminum oxide crystals with a vacuum to effectively remove cellular debris from the surface of your skin. In addition, this procedure stimulates the production of collagen, which keeps your face looking youthful. Microdermabrasion works also on reducing fine lines and wrinkles, improving the appearance of scars and stretch marks, and improving the overall texture and tone of your skin.

Permanent Makeup (Dermapigmentation)
Permanent make-up also goes by the names dermagraphics, dermapigmentation, permanent cosmetics, cosmetic tattooing and micropigmentation. It is a cosmetic technique that uses a permanent pigmentation, or tattooing, of the dermis as a means of producing designs that resemble makeup. Permanent make-up can be applied as eyeliner as well as other permanent enhancing colors to the skin of the face, lips, and eyelids. It is also used to produce artificial eyebrows, particularly in people who have lost theirs as a consequence of old age or diseases like alopecia (commonly known as baldness). It is also used for patients who have undergone chemotherapy or a genetic disturbance, as well as to disguise scars and white spots in the skin such as in vitiligo, the patchy loss of skin pigmentation due to an auto-immune attack by the body's own immune system. The technique can be used to restore or to enhance the breast's areola, such as after breast surgery. Just like a tattoo, permanent makeup is difficult to remove. Common removal techniques include laser resurfacing, dermabrasion, scarification, and surgical removal. Another interesting technique is camouflaging, i.e. adding a new pigment that counteracts the tattoo and emulates normal skin color. Removal may be even more painful and laborious than the tattooing itself. As with tattoos, the skin micropigmentation used in permanent makeup may cause complications, such as allergies to the pigments, formation of scars, granulomas and keloids, skin cracking, peeling, blistering, and local infection.

Skin Rejuvenation
Skin Rejuvenation is the formation of new skin after peeling of existing skin. Topical skin rejuvenation strategies, by definition, are surface stratagems, moisturizer, alleged anti wrinkle creams all subject to absorption and skin synthesis issues. Far more results-generating are the broad classes of ‘invasive’ options such as face lift surgery, tumescent liposuction for removing excess fatty deposits, laser scar removal technologies, chemical peels to remove rough topside skin surface and dermabrasion to ‘sand’ off less-healthy surface layers in order to reveal softer, fresher more youthful appearing skin tissue.

Thigh-Lifts (Thighplasty)
Thigh lift is an invasive surgical procedure that requires many incisions, general anesthesia and about two months in recovery time. It is major look enhancement procedure for lower body. Don’t make the mistake of confusing a thigh lift (also known as a thighplasty) with lower body contouring which is a procedure that relies more on liposuction, rather than surgery to improve the appearance of the thighs. The main difference between lower body contouring and a thigh lift (inner thigh lift) is that contouring removes fat and changes the shape of the thighs whereas a thigh lift tightens and improves the look of the skin.

Total Body Lifts
Total body lift goes beyond traditional body contouring by not restricting the lift to the lower body. It allows the chest, back, and arms to benefit as well. In this procedure, gentle liposuction may also be used to remove excess fat where needed. Large amounts of skin are typically excised and rolls of skin can be smoothed out. During this procedure, male breast reduction can be used to give men firmer chests while breast lift or breast reduction can help women to reduce sagging and improve the appearance of their breasts. Because skin tightening and lifting occurs to all these areas, an entire body lift can be achieved with effective results and a return to a more youthful figure. The operation is quite involved and may be done all at once or in a staged fashion, depending on the extent of what is needed. Recovery may be extensive, but the results achieved, for those who are willing to invest the extra time and effort, are dramatic.

Tummy Tuck (Abdominplasty)
The term “tummy tuck” refers to a cosmetic surgery procedure more formally known as abdominoplasty, which is designed to help patients sculpt and tone their abdominal areas. During a tummy tuck procedure, the surgeon manually tightens the muscles of the abdominal wall and sutures them into place. He or she then removes any excess skin from the patient’s abdomen to create a firmer, flatter midsection. The abdominoplasty procedure can be customized to each patient’s specific goals and may include liposuction or be combined with other body lift procedures.

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