Cosmetic Surgery
Hair Transplantation
Hair transplantation is simply the transferring of hair from a "permanent" area of the scalp to another area in which hair has fallen out. . In most men and women who bald or thin out on the top of their head, the hair on the back and sides of their head is relatively thick and destined to remain there for the rest of their lives. This "permanent" hair is harvested by painlessly removing narrow "strips" of hair, which are then meticulously cut up under magnification to produce hundreds of tiny hair grafts of 1-6 hairs each.
In hair transplantation, these newly created tiny grafts of "permanent" hair are distributed artistically over the balding scalp according to a carefully planned pattern. These newly transferred hairs quickly take root and, after a short resting period of three months, grow for the rest of your life. After this new hair grows out, it can be washed, cut, colored or styled in whatever way you like. Hair can even be transplanted to thicken the eyebrows.
Tumescent Liposuction
The Tumescent Technique for Liposculpture by local anesthesia (instead of general anesthesia) is a safe and effective method of removing unwanted fat. This technique uses large volumes of a dilute solution of Lidocaine, a local anesthetic, in combination with the drug epinephrine, which temporarily shrinks capillaries and therefore, minimizes bleeding during the procedure. Mild sedation may be added to reduce a patient's anxiety. As a result, there is much less bruising and swelling with Tumescent Liposculpture as compared to Liposuction by general anesthesia.
After surgery, an elastic compression garment is worn for one week. Most patients can return to work and begin exercising again within a day or two after surgery. Discomfort after surgery is minimized since the local anesthesia remains in the treated areas for approximately 18 hours after the procedure. Patients often require nothing more than plain Tylenol for discomfort.
About 90% of patients will see at least some improvement in their silhouette by one week after surgery. However, because of the slow resolution of post-surgical swelling, the ultimate results following liposculpture usually are not apparent for 6 months. The change in silhouette produced by liposculpture is equivalent to being able to focus the effects of dieting to specific areas of the body.
Since the fat is removed by creating small "tunnels" through the fat, the skin remains intimately connected to the underlying muscles by multiple fibrous attachments. As healing occurs after surgery, these fibrous strands contract and pull the skin into close proximity with the muscles. It is this process that assures the skin will not hang in loose folds after liposculpture surgery. Because the surgeon is careful to leave a thin blanket of fat attached to the skin, the skin will look and feel soft and normal after the procedure.
The fat cells that are removed by liposculpture do not grow back. Your new, more pleasing silhouette is permanent. If you gain or lose weight in the future, the change tends to be distributed proportionately over the entire body. Although the results of liposculpture are often quite spectacular, it is not realistic to expect perfection. Liposculpture does not eliminate dimpling of the skin (often called "cellulite"). The degree of cellulite may be reduced, but is unlikely that it will be eliminated.
As with any surgical procedure, liposculpture is associated with certain expected side-effects such as bruising, swelling and temporary numbness. Although irregularities of the skin are possible following liposuction, this side-effect is minimized by the Tumescent Technique. As judged by current world-wide experience, liposculpture is amazingly safe. Serious complications such as blood clots, infection and allergic reactions are extremely rare. Most of the dangers associated with surgery are related to the type of anesthesia that is used. Surgery of the skin and subcutaneous fat is safest using local anesthesia with the patient awake.
Liposuction before and after photos:
Click here for commonly asked questions regarding the liposculpture procedure.
Eyelifts / Blepharoplasty
As we age, our upper eyelids can begin to sag, eventually obliterating the natural fold in the upper lid. Lower eyelids can develop wrinkles and may bulge as fat pushes its way up from beneath the orbit. Aging eyelids can be rejuvenated by blepharoplasty, which involves removing excess skin and fat in the upper and lower eyelids. This simple outpatient surgery can be performed under local anesthesia with mild sedation. Most patients feel good the day after surgery and are able to drive and do minor chores with their healing eyelids hidden by sunglasses.
An upper eyelid blepharoplasty involves removal of the sagging skin and suturing it to form a new upper lid crease. Because the incision is placed in the natural crease it is barely perceptible. Often excess fat, particularly on the nasal edge of the eyelid, is also removed to improve the eyelid contours.
Lower eyelid blepharopalsty is performed through an incision on the inside of the eyelid. Excess fat is removed so the eyes appear less tired looking. Laser resurfacing of the lower lid can be done at the same time, tightening the skin of the lower lid and greatly reducing the fine lines and wrinkles.
Blepharoplasty before and after photos:
Demi – Lift / Lower Face Lift
At Skin Physicians and Surgeons we perform a minimally invasive, lower face and neck lift, also known as a mini face lift or Demi-lift. A mini face lift improves and tightens the skin of the lower face (also known as the jowls) and the neck. This is most often performed under local anesthesia with or without IV sedation (also known as twilight sedation). In other words, general anesthesia is avoided as is all the risks and the recovery time that is associated with general anesthesia.
To begin the procedure, the area is numbed with local anesthesia and excess fat is removed (if there is excess fat present) using tumescent liposculpture. Superficial muscles of the neck and lower face are tightened and any excess skin is removed. Sutures are placed in front of the ear, but often times, well hidden inside the ear and also behind the ear. Sutures are removed in 7-10 days. Patients will likely not want to appear in public for about a week, but are certainly able to work from home and do minor chores and housework. Oftentimes some patients will go out during that first week after surgery to run minor errands and just choose to wrap a scarf around their head to hide the sutures.
Demi-Lift before and after photos:
MiXto Fractional CO2 Laser Resurfacing
Laser resurfacing with the CO2 laser is a remarkable procedure which has the potential for taking many years off the age of your skin. It is used to smooth out and even eliminate facial wrinkles, reduce acne scarring, and actually tighten the skin. It is particularly effective for lines around the mouth and the eyelids.
Long-lasting results can be obtained. Recovery time is 7 to 10 days. During this time, most patients are comfortable to work from home and can exercise and do housework, but would not wish to appear in public. If only the eyelid area is treated, patients can go out in public to complete minor chores and hide the healing areas with sunglasses. After 10 days, women can wear makeup to cover up your skin which will still be pink to slightly red.
Laser Resurfacing before and after photos:
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