Breast Lift

A breast lift, also known as a mastopexy, is a procedure to raise and reshape sagging breasts. As a woman ages, skin loses some elasticity which can cause the breasts to lose their natural shape and firmness. This procedure is designed to elevate the breasts and give them a more youthful appearance. A breast lift may also be completed in conjunction with breast enlargement surgery (augmentation).

Reasons for Considering a Breast Lift:

Elevate the breasts due to sagging caused by the effects of aging and gravity.
Firm the breasts if they have lost substance due to pregnancy and subsequent breast-feeding.
Re-align your nipples/areolas if they point down or to the side.
Bring back natural suppleness after weight loss.

General Procedure

The breast lift surgical procedure usually takes one and a half to three hours. Techniques vary, but the most common procedure involves an anchor-like incision along the underside of the breast. The incision goes around the area where skin will be removed, thus defining how the nipple will be relocated. When the excess skin has been removed, the nipple and areola are moved into a higher position. The skin surrounding the areola is brought down and together to reshape the breast.

Some patients, especially those with relatively small breasts and minimal sagging, may be candidates for modified procedures requiring less extensive incisions. One such procedure is the “doughnut (or concentric) mastopexy” in which circular incisions are made around the areola and a doughnut-shaped area of skin is removed. Recent innovations in breast lift techniques include minimal incision techniques and nipple sensation reducing procedures.

If the patient is having an implant inserted along with the breast lift, the implant will be placed in a pocket directly under the breast tissue or under the muscle of the chest wall.

Recovery Process

Generally, post-operative instructions call for plenty rest and limited movement in order to speed up the healing process and recovery time. Bandages are applied right after surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, the patient will need to wear a specialized surgical bra for several weeks. Patients sometimes report minor pain associated with surgery which can be treated with oral medication. While complications are rare, patients can minimize potential problems by carefully following the post-operative directions given by the surgeon.

Liposuction

Liposuction (or lipoplasty) is a body-sculpting procedure to remove fat that is unresponsive to dieting and exercising. This procedure can be applied to nearly any area of the body and is commonly used on multiple areas during an operation. Liposuction results in a slimmer and better proportioned figure. Liposuction is used effectively to reduce love handles, saddlebags, a double-chin, a bulge around the waistline, or other unsightly fatty deposits in order to develop a better shape and create a more beautiful body.

Reasons for Considering Liposuction:

Eliminate fat from any of the following areas:
Chin and Neckline
Back
Upper Arms
Stomach and Waistline
Hips and Buttocks
Thighs and Knees
Calves and Ankles
Create a more proportioned figure

Liposuction is not a replacement for proper exercise and diet. Instead, liposuction is a reduction procedure for stubborn areas where fat accumulates. Used in combination with several areas of the body, liposuction can provide a well proportioned body appearance. Ideal surgical candidates are those already in good physical condition but having stubborn areas that do not respond to diet and exercise.

General Procedure

Liposuction can be done under general anesthesia with the patient asleep or under local anesthesia where the area is numbed and the patient remains awake. Through a tiny incision, a narrow tube or “cannula” is inserted and used to vacuum out the fatty tissue beneath the skin. The surgeon determines the amount of fat to be removed by massaging the skin and squeezing the tissue. After eliminating the excess fat, the incisions are closed by applying a compression dressing or bandage to the area in order to prevent bleeding, reduce swelling, and support the affected area.

There are several different types of liposuction procedures, such as tumescent or ultrasound liposuction, that have developed as a result of recent advancements in new technologies. Together the patient and the surgeon can discuss which method(s) are best during the initial consultation visit. Liposuction can last from thirty minutes to several hours depending upon the amount of fat to be removed. Liposuction surgery is an excellent procedure that can benefit those who want to remove unattractive fatty deposits.

Recovery Process

New techniques allow for faster recovery from liposuction procedures. The length of the recovery will depend on how extensive of an operation the patient undergoes. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. A support garment may need to be worn for several weeks after the surgery, depending upon which area(s) are selected to utilize the liposuction procedure. Patients sometimes report minor pain associated with surgery which can be treated effectively with oral medication. While complications are rare, patients can minimize the risk for potential problems by carefully following the directions given after surgery.

Tummy Tuck

Sometimes simply dieting and exercising are not enough to take care of waistline problems. In such cases, a patient may wish to consider a tummy tuck (or abdominoplasty). A tummy tuck is the surgical removal of excess skin or fatty deposits from the abdomen, along with the repositioning of abdomen muscles into a tighter formation. This bodily enhancement procedure is designed for those who wish to have a flatter and tighter stomach. It is also helpful in remedying the vertical separation of abdomen muscles known as diastasis, which can occur following pregnancy.

Reasons for Considering an Abdominoplasty:

Inability of dieting and exercise to improve the abdomen area.
Excessive accumulation of skin following weight loss.
Loss of skin elasticity or diastases (loose abdomen muscles) due to pregnancy.
The removal of unsightly skin and fat deposits as well as the proper alignment of the abdomen muscles to produce a more flattering look.

General Procedure

Abdominoplasty surgery lasts anywhere from one to five hours, depending on the desired look and the patient’s unique physiology. To begin the procedure, an incision is made just above the pubic bone area. This incision goes horizontally across the lower abdomen and sometimes around to the back. The skin is then stretched away from the muscle tissue, and excess skin is removed. The abdomen muscle tissue is tightened to provide a firmly contoured stomach and well-defined waistline. Finally, the incision is closed; and the skin is stitched back into place. Sometimes the procedure requires an additional incision around the navel in order to provide the best results.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. As the body recuperates, the patient can expect some swelling, pain, and discomfort. Medication can be prescribed to relieve any pain caused by the procedure. The stitches will be removed shortly after the surgery depending on the procedure(s) involved. Normal activities can generally be resumed within two weeks. It may take up to a year for the body to completely adapt to the new abdominal configuration. With proper diet and exercise the striking results of the surgery will be long lasting.

Facelift

A Facelift (Rhytidectomy) is a surgical procedure designed to smooth and firm the skin, providing a fresh, youthful appearance. Throughout one’s life, the sun’s radiation, stress, gravity, and other factors cause the skin to sag and fit more loosely. Areas of the face and neck, in particular around the jaw line, are especially prone to the aging process. Though these changes are gradual, wrinkles and other signs of aging can make individuals “feel older” than they really are.

Surgery for a facelift involves the contraction and realignment of facial and neck skin, and in some instances the removal of excess fat deposits. A facelift is often performed in combination with other facial cosmetic procedures and can be performed any time signs of aging begin to appear. However, patients are generally in their forties or older when they elect to undergo this procedure.

Reasons for Considering a Facelift:

Sagging skin, muscles, and fat in the face and neck.
Excess skin and fat on the neck.
Sagging jaw line.
Crease lines along the nose, mouth, and chin.

General Procedure

The standard procedure for a facelift commonly involves making small incisions just inside the hairline, following the contour in front of the ear, and continuing under the earlobe to the backside of the ear and to the lower scalp. Tissue and fat deposits are separated, the skin is stretched and tightened, and any excess skin is removed. If the neck line requires attention, an additional incision is made under the chin and the same procedure is again followed. Minuscule stitches are used to close the incisions and to reduce any chance of scarring. Metal clips or staples may also be utilized at the hairline.

A face lift may take several hours or longer depending on whether other cosmetic procedures are completed at the same time. Sometimes other procedures may be performed in separate appointments. There are several different facelift techniques that can be employed. Patients can discuss with their physician which method is best for them when they come in for their consultation.

Recovery Process

Immediately after surgery, the face is fitted with bandages in order to decrease the recovery time and to reduce swelling. Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing and recovery process. The stitches, clips or staples are normally removed within a week. Patients sometimes report some minor pain associated with surgery. Any discomfort can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given after the procedure.

Breast Augmentation

Breast augmentation, also known as mammoplasty, is a surgical enhancement procedure to accentuate the size and shape of a woman’s breasts. While breast augmentation will make the breasts larger, the surgery will not move the breasts closer together or lift sagging breasts. Breast augmentation is tremendous help to patients who desire a fuller profile, who have lost breast volume due to pregnancy or nursing, or who have undergone breast reconstruction and want to gain a more natural look again.

Reasons for Considering Breast Augmentation:

Enhance body shape if breasts are too small.
Increase breast volume after pregnancy and nursing.
Equalize a difference in breast size (cup size) to gain breast symmetry.
Reconstruct breasts following a mastectomy or injury.

General Procedure

Breast augmentation involves making a small incision to insert a breast implant into the breast area in order to enlarge the breast. The surgery is commonly performed on an outpatient basis at a hospital or state-of-the-art surgical unit while the patient is under a general anesthesia and asleep. There are several possible locations for the small incision that will be used for inserting the breast implant. The most frequent technique utilizes an incision made in the lower portion of the breast. Another technique, though less frequently used, involves making an incision in the armpit. A third technique makes an incision around the areola (the darker skin surrounding the nipple). A newer technique uses an incision in the belly button, thus reducing the chance of scarring in the breast area. The best technique will be decided together between the patient and the surgeon during the consultation.

During surgery, the breast tissue is raised to create an open pocket under the breast tissue or beneath the chest wall muscle. Inserting an implant behind each breast can increase a woman’s breast size by one or more bra cup sizes. Implants typically contain a saline solution (similar to saltwater) although in special cases the implants can contain a silicone gel. In some circumstances, particularly those in which there is breast asymmetry (uneven breast size), an inflatable implant may be used to allow the surgeon to adjust the level of inflation to attain breast symmetry and balance. Surgery typically lasts from 1 to 3 hours.

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. Bandages are applied right after surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, a specialized surgical bra will need to be worn for several weeks. Patients sometimes report minor pain associated with the surgery. This pain can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given by the physician after surgery.