HOMEABOUT DR MFOR HERFOR HIMASK A QUESTIONCONTACTSHOP
ASKDRM. The site for expert advice for plastic surgery. Please select your question from the dropdown menue below. If you can not find your question or answer here simply fill out the form below. We will answer your question shortly.

Select a question:

Plastic Surgery can be categorized into 2 components: Reconstructive and Cosmetic/Aesthetic. Reconstructive plastic surgery is performed to repair abnormal structures of the body in order to approximate a normal appearance. It can be used to correct abnormal body structures damaged by congenital defects, developmental abnormalities, trauma, infection, tumors or disease. The goal of cosmetic or aesthetic plastic surgery is to enhance a patient's appearance.

Almost everyone looks into the mirror and sees at least one flaw they would like to change about themselves. Perhaps that flaw is something that could be changed by diet or exercise? Perhaps it's permanent like a subtle mole on the arm, or an obvious scar on the face? In any case you must decide for yourself what your motives are for seeking improvement - especially since the effects of plastic surgery are permanent. How do you expect your life will change once the defect is corrected? If you want to have your breasts enlarged in order to feel more comfortable about your body, that's fine. However if your spouse is pushing you to have this procedure to fulfill his fantasies, you might want to think twice before scheduling an operation. With a healthy motive and realistic expectations your chances for success and satisfaction with the procedure will be high.

Once you have made an informed decision to have plastic surgery you must decided if you are a good candidate for plastic surgery. Being a good candidate relies on more than just having the money to spend and the time for recovery. Other factors should weigh in on your decision: Do you have a strong self-image despite the imperfections you'd like changed? Has your flaw or imperfection eroded your self-esteem over time? If you answered yes to one or both questions, you may be a good candidate for plastic surgery. You may not be a good candidate for plastic surgery if you answer yes to one or more of the following questions: Are you in the midst of a crisis? This includes anyone going through a divorce, loss of a job, loved one, etc. Are you impossible to please? Do you have unrealistic expectations? Are you obsessed with every little flaw on your body? Have you been diagnosed with a mental illness? Do you smoke?

While precautions are taken to minimize risks, every aspect of medicine and surgery involves some degree of risk. Weighing your exposure to these risks will help you determine whether to proceed with a proposed plan of treatment or not. There are three general areas of inherent risks: Reaction to anesthetic, bleeding, and infection. Anesthetics make it possible for surgeons to perform procedures. However, anesthetics may produce unwanted side effects from nausea to life-threatening changes in heart rhythm. A certain amount of bleeding is expected in any surgical procedure. However, excess bleeding under the skin can lead to accumulations of blood that may require secondary procedures to drain. The likelihood of infection varies with the type of operation being performed. Patients taking certain medications (such as steroids), who smoke, or who have vascular disease all have a higher risk of developing an infection.

Finding the right plastic surgeon is more involved than looking up "Plastic Surgery" in the Yellow Pages. Begin your search for the right plastic surgeon by collecting names of prospective candidates. Good resources include friends, doctors, nurses andhospitals. Ask anyone you know who's had a procedure like the one you're considering. Ask your family doctor for a referral. An operating room nurse is a great source of information about plastic surgeons. Call you local community medical center and ask for the names of the board-certified plastic surgeons on staff. You should also try the American Society of Plastic Surgeons (ASPS). This association of board-certified surgeons will give you the names of five members who are plastic surgeons in your area. Call the toll-free number 1-800-635-0635.

Good credentials won't necessarily guarantee you a successful outcome, but they can increase the odds in your favor. Following are some questions to ask your prospective surgeon. Is the doctor board certified? If so, by whom? Where was the doctor trained? Has the surgeon completed an accredited residency program specifically in plastic surgery at a hospital with strong plastic and reconstructive surgery training? What are the doctor's professional affiliations? If a surgeon says he or she belongs to a specific society, get the exact name. Where does your doctor have hospital privileges? Even if your operation will be performed in the doctor's own surgical facility the doctor should also have privileges to perform that procedure in an accredited medical facility. How long has the doctor been in practice? While there is no magic number of years in practice or procedures performed to measure experience, you should be satisfied that the plastic surgeon you choose is both well versed in the procedure you're having and up to date in all aspects of this surgery.

How you are treated in the course of making your appointment may give you a sense of how everything else will go. General things to be on the lookout for: Are you being treated with courtesy? Are you being listened to? Do you and your doctor have a mutual understanding of why you are considering plastic surgery and what procedure you want? Does the doctor offer alternatives, where appropriate, without pressuring you to consider unnecessary or additional procedures. Does the surgeon explain any risks in the operation? You need to know the worst-case scenarios rather than just the best. Don't be afraid to ask the doctor questions. If an answer isn't clear keep asking until you get an answer that you understand. Is the doctor willing to answer all questions about professional qualifications and experience? Are you given a complete breakdown of costs and payment policies?

Many plastic surgeons recommend ambulatory surgery because of the financial savings and convenience as well as the increased privacy. It also affords a level of personalized care not associated with an overnight hospital stay. Ambulatory surgery may not be for every patient. Only you and your surgeon can decide if you are a good candidate for same-day surgery. When planning surgery at an ambulatory surgical facility, ask if the facility is accredited. This will be an indication that the facility meets strict guidelines for equipment, staff, hospital access, and anesthesia administration.

Because plastic surgery is a form of surgery, your plastic surgeon will want to know about all aspects of your health including lifestyle, emotional state, your expectations and motives. This is not the time to edit your health history. Some patients are embarrassed to disclose everything, like the use of antidepressants. But it is important not to withhold information from your doctor for any reason. Something as simple as taking an aspirin a day may affect your operation. Your doctor also needs to know if you use nicotine gum or a 'stop-smoking' patch. Just because medications are over-the-counter doesn't mean they are harmless. When discussing reactions to medication make sure that you do not confuse allergic reactions with side effects. Most pain medication causes some degree of dizziness or light-headedness. A complete profile will give your surgeon information that is vital to formulating your treatment plan.

For surgical purposes the necessity of an emergency contact name and number is self-evident. Just make sure that the person you list is aware that you are having an operation and will be available at that time if needed

First, you should be aware of the payment schedule. This, of course, varies from doctor to doctor, but most require payment in advance for procedures that are not covered by insurance. In the event that your operation may be covered by insurance, you and your doctor may arrange for a full or partial advance payment plan. Just remember: It's your responsibility to see to it that your insurance company pays your doctor, not the other way around. If they do not pay, then you are ultimately liable for these costs unless the doctor participates in your health maintenance organization. There are three components to the cost of your plastic surgery: The surgeon's fee, the anesthesia fee, and the facility fee. Usually, once your insurance considers a procedure to be covered by your policy, this coverage applies to all three fees.

Most if not all cosmetic procedures performed to reshape normal body parts in order to improve the patient's appearance and self-esteem are not covered by insurance. Only reconstructive procedures that treat congenital defects, developmental anomalies, injury, or some functional problem are routinely covered by most policies. Insurance carriers look at the primary reason for your operation. They will ask if the operation is being performed to provide relief of symptoms or for cosmetic or aesthetic improvement. For example, an upper blepharoplasty-eyelid lift-is a procedure normally performed for cosmetic improvement; however, if the eyelids are drooping sufficiently to obscure a patient's vision, the operation may be considered reconstructive and, consequently, worthy of full or partial coverage.

Pull out that copy of your medical insurance policy and take a close look at what it says about what is and what is not covered and how much coverage will be provided. A deductible requires that a certain amount of medical expenses be paid by the patient before the insurance company begins paying coverage. There are three common cost-sharing options. Standard deductibles are $100, $200, or $500. After this amount is met, the insurer will begin paying, according to the terms of the policy-75 to 80 percent of covered medical costs. A flat-rate co-payment calls for the patient to pay a defined share of covered medical costs, based on the policy. The insurance company is responsible for the balance. A percentage-based co-payment requires the patient to pay a percentage of covered medical costs with the insurer paying the balance or a fixed amount based on the policy.

No one approaches plastic surgery with the expectation that they will be made worse instead of better. It is a reality that medicine is an imperfect science. Plastic surgery is no exception. Fortunately, virtually every unfavorable result can be improved, either by the passage of time or by a second procedure. In the event that time does not heal everything, and you do require a second procedure, you will want to know what additional expenses might be incurred. There is no set policy in this regard. Some surgeons perform corrective secondary procedures at no charge, others reduce their fees, and others make no fee adjustments. Although you are unlikely to face this situation, you would be wise to address this possibility-however remote-before undertaking any procedure. Determine your surgeon's policy regarding secondary procedures and factor this into your decision making.

Liposuction To slim and firm your abdomen, eat a balanced diet and stick to an exercise program that includes aerobic exercise to burn calories, stretching for flexibility, and isometric training to build and tone muscles. Liposuction is another option for flabby abs ("lovehandles" and "spare tires") which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks. Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.


Surgical Body Contouring or Dermo Lipectomy is the best choice for abdomens when there is too much skin to respond favorably to liposuction alone. This surgical procedure to cut away excess skin and fat may also be called panniculectomy. It typically takes less than one hour and is performed under general anesthesia requiring a one-night hospital stay. This is among one of the most painful plastic surgery procedures but the pain is easily managed with medication. You will have permanent scars which usually fade over time and are hidden by clothing. You'll be able to return to work in 2-4 weeks but avoid strenuous activity until you get your Doctor's consent. Results are permanent if you maintain a healthy diet and exercise regime. The cost of panniculectomy ranges from $4,000 to $5,000.

Remember to ask your doctor how many scars you will have and where they will be.


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). Standard abdominoplasty ranges from $6,000 to $7,500 while mini abdominoplasty costs between $3,500 and $4,500.

Remember to ask your doctor if you will need a compression garment and what it will look like.


Liposuction

To slim and firm your ankles, eat a balanced diet and stick to an exercise program that includes aerobic exercise to burn calories, stretching for flexibility, and isometric training to build and tone muscles. Liposuction is another option for ankles which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.


Liposuction

Liposuction is an option for flabby arms which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,0000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.

Surgical Body Contouring (dermo lipectomy)

Surgical Body Contouring or Dermo Lipectomy is the best choice for arms when there is too much skin to respond favorably to liposuction alone. This surgical procedure which cuts away excess skin and fat may also be called panniculectomy. It typically takes less than one hour and is performed under general anesthesia requiring a one-night hospital stay. This is among one of the most painful plastic surgery procedures but the pain is easily managed with medication. You will have permanent scars which usually fade over time and are hidden by clothing. You'll be able to return to work in 2-4 weeks but avoid strenuous activity until you get your Doctor's consent. Results are permanent if you maintain a healthy diet and exercise regime. The cost of panniculectomy ranges from $4,000 to $5,000.

Remember to ask your doctor how many scars you will have and where they will be.


Breast Enlargement (augmentation mammoplasty)

Weight training - with a focus on your shoulders, upper arms and chest - will tone and firm the muscles surrounding your breasts, although it will not increase their size. 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. 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. The usual cost of Augmentation Mammoplasty $7,000 to $7,500 plus the cost of implants - between $1,200 and $2,000. Remember to ask your doctor where your incisions will be. Ask your surgeon to draw lines or dots with a marker so you can see for yourself.

Breast Lift (Mastopexy)

Again, weight training - with a focus on your shoulders, upper arms and chest - will tone and firm the muscles surrounding your breasts, although it will not dramatically lift them. 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. The usual cost of Mastopexy is $3,500 to $5,500.

Remember to ask your doctor if you'll have to wear a special bra following surgery, and for how long.

Breast Reduction (Reduction Mammoplasty)

If you're overweight, weight loss itself may well reduce the size of your breasts to a certain degree. 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. The usual cost of reduction mammoplasty is $5,500 to $7,000. Remember to ask your doctor whether or not your surgery will require a blood transfusion, and whether you can donate your own blood in advance of your operation.

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. The usual cost of gyneomastia correction is between $3,500 and $4,500 for liposuction only. When resection of excess skin is required, this cost may be from $5,500 to $6,500.

Remember to ask your doctor how many scars there will be and where they will be. (Ask your surgeon to draw lines or dots with a marker where the incisions will be made).


Liposuction

To slim and firm your buttocks, eat a balanced diet and stick to an exercise program that includes aerobic exercise to burn calories, stretching for flexibility, and isometric training to build and tone muscles. Liposuction is another option for buttocks which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.

Surgical Body Contouring (Dermato Lipectomy)
Surgical Body Contouring or Dermato Lipectomy
is the best choice for buttocks when there is too much skin to respond favorably to liposuction alone. This surgical procedure to cut away excess skin and fat may also be called panniculectomy. It typically takes less than one hour and is performed under general anesthesia requiring a one-night hospital stay. This is among one of the most painful plastic surgery procedures but the pain is easily managed with medication. You will have permanent scars which usually fade over time and are hidden by clothing. You'll be able to return to work in 2-4 weeks but avoid strenuous activity until you get your Doctor's consent. Results are permanent if you maintain a healthy diet and exercise regime. The cost of panniculectomy ranges from $4,000 to $5,000.

Remember to ask your doctor how many scars you will have and where they will be.


Liposuction

To slim and firm your calves, eat a balanced diet and stick to an exercise program that includes aerobic exercise to burn calories, stretching for flexibility, and isometric training to build and tone muscles. Liposuction is another option for calves which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.


Liposuction is an option for the chin and jawline which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.


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. The usual surgeon's fee for this procedure is $3,500 to $5,000 for correction of both ears, slightly less for one.

Remember to ask your doctor where the scar will be, how long you will wear a bandage, and when you can wash (or color) your hair.

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.

Remember to ask your doctor how soon your ear can be repierced (usually four to six weeks but not in exactly the same spot as before!)

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 manner as earlobe repair. For thinning lobes, fat grafts add bulk to the lobe.

Remember to ask your doctor if you'll be able to wear glasses while your ears are healing.


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. The usual cost of this procedure is between $3,500 and $5,000. When combined with lower blepharoplasty, it is usually between $5,000 and $6,500.

Remember to ask your doctor whether your sutures will need to be removed and when you can resume wearing eye-makeup.

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. The usual cost of this procedure is between $3,500 and $5,000. When combined with upper blepharoplasty, it is usually between $5,000 and $6,500.

Remember to ask your doctor how long to hold off on wearing contact lenses.


Face and Neck Lift (Rhytidectomy)
The most common procedure for face lifts today involves tightening of the SMAS layer - the submusculo aponeruotic segment - with redraping of the skin. Another newer and widely debated extension of this technique is the deep plane face-lift. Considerably more invasive that the SMAS face-lift, this technique distributes the tension through all layers of the facial soft tissue, right down to the bone.

Regardless of the technique, face and neck lifts are usually done at the same time. By face, I mean the lower two-thirds of the face from the eyes down. A face-lift alone will not improve the wrinkles across the upper lip or address eyelid problems. A face-lift takes about three hours to perform and is done under sedation or general anesthesia. This procedure is typically done as an outpatient procedure, although some facilities provide overnight care. Prescription pain medicine is required for several days after the procedure. Ideally, incisions and their scars are positioned where they will be hidden by hair or fall into natural skin folds. Realistically, you will not feel up to returning to work for at least a week. And you will not be ready for physical exertion for about six weeks. A face and neck lift generally ranges from $7,500 to $16,000.

Remember to ask your doctor how many scars there will be, where they will be, and how they will affect your hairstyle.

Forehead and Brow Lift
A lift of the forehead or brow reduces wrinkles in the top third of the face - from the eyebrows upward. Typically, a brow-lift is performed using an incision that crosses the top of the head from ear to ear (and is suitable only for those who have a full head of hair). For patients who are bald or have thinning hair there are other alternatives like making incisions just above each eyebrow or using an endoscopic approach. This operation usually takes about two hours and is performed under sedation or general anesthesia as an outpatient procedure. The scalp incision leaves a permanent scar which is totally hidden within the standard hairline. Prescription pain medications may be required for the first few days after the operation, after that over-the-counter medications may be used as required. You'll be able to return to work after three or four days but should restrict bending, lifting, or straining until your doctor gives the go-ahead. The results of this operation are relatively permanent and it is not usually repeated. It generally costs from $3,000 to $5,000.

Remember to ask your doctor how many scars you will have, where they will be and whether they'll affect your hairstyle.


Hypospadias is a relatively common congenital anomaly in which the urethra does not extend to the end of the penis and opens elsewhere on the shaft. Correction is ideally performed in childhood but can be performed at any age. Repair is accomplished by a combination of flaps and grafts to obtain the best functional and cosmetic results.

Surgical diseases of the penis usually result in a deformity that limits function. Correction is individualized but usually involves resection of diseased tissue and replacement with transferred tissue or prosthetic material. Traumatic injuries ranging from near total amputation to partial loss are reconstructed with any of a variety of local flaps, or, more commonly, with microsurgical techniques.

Surgically correctable impotence that might be treated by the plastic surgeon is the consequence of such chronic diseases as diabetes and atherosclerosis. Patients with injuries that compromise the nerve supply to the penis may also be treated by a plastic surgeon.

In cases of blockage of the arteries that supply the penis, microsurgical arterial bypass or reconstruction is performed. In a similar fashion, traumatic injuries to the nerves supplying the penis may lend themselves to microsurgical repair. A variety of devices, ranging from penile implants to testicular prostheses, are used in cases where vascular or nerve repair is not possible.

In all cases of importance, a major component of treatment involves pre- and postoperative psychological counseling and support.

Penis enlargement, in which fat is injected into the penis to increase its bulk is relatively new, unproven as safe and unregulated. In this procedure, fat is harvested from another part of the body for injection beneath the skin of an anatomically and functionally normal penis. The American Society of Plastic and Reconstructive Surgeons strongly cautions patients considering using fat to augment the penis. The success of fat injection for tissue enhancement varies greatly from individual to individual. It is not known why injected fat survives for extended periods of time in one patient and not in another. Even if you are willing to accept the risk of failure of the fat graft, you are putting yourself at risk of very significant adverse effects, including but not limited to infection, skin loss, loss of sensation and even loss of function.

Patients who are considering this cosmetic procedure are strongly encouraged to discuss their desires with a board-certified plastic surgeon with specific training and expertise in this area. Psychological evaluation to discuss motives and expectations may prove invaluable.

Penis lengthening operations add nothing to the length of the penis. This procedure involves cutting the suspensory ligament of the penis at its attachment to the pubis. Advocates report that this adds up to one inch in "length" to the flaccid penis which appears longer because its foundation and support has been severed. In addition to the risks of infection, skin loss and sensory loss, there is a risk of functional compromise of the erect penis as a result of this loss of support.

Patients who are considering this cosmetic procedure are strongly encouraged to discuss their desires with a board-certified plastic surgeon with specific training and expertise in this area. Psychological evaluation to discuss motives and expectations may prove invaluable.


Pattern Baldness Alopecia
Male pattern baldness begins at the crown and/or temples and spreads. Degrees of baldness may range from receding hairlines to bald patches to almost complete hairlessness. Women most commonly experience thinning all over the scalp; however, patchy hair loss-alopecia areata-can also be a problem. For some medications and hair substitutes may provide viable solutions to moderate hair loss. For others, nothing will satisfy them but living, growing hair.

Transplants
Candidates for surgical hair replacement must have healthy hair growth at the back and sides of the head to serve as donor areas for grafts and flaps. Hair in the donor area will be trimmed so that grafts can be more easily harvested. Grafts are then transplanted in a geometric pattern, usually along the front of the hairline about one-eighth of an inch apart. Most hair replacement procedures are performed in a surgeon's office or an outpatient center. The length of the procedures varies from 45 minutes to two hours. It's best to consult your doctor on what type of anesthesia will be used. Mild pain medication is prescribed for the week after the procedure. The cost of hair replacement surgery is determined by the procedure.. Some physician charge by the plug. Because of variations in procedures-size of plugs or grafts, area of scalp affected, etc.-surgical fees vary greatly.

Flap Surgery
This is a procedure that involves lifting a flap of hair-bearing skin from the back of the head. While still attached at one end, the flap is rotated into position over the bald scalp. This procedure may be combined with scalp reduction.

Scalp Expansion
The first stage of a two-stage procedure to bring hair together at the crown. A balloon-like tissue expander is inserted beneath the scalp and inflated in intervening weekly treatments over several weeks to stretch and loosen skin.

Scalp Reduction
The second stage following scalp expansion and, on occasion, as part of flap transposition operations. The tissue expander is removed, and a segment of bald scalp is resected. The skin is brought together and sutured to cover the bald area.

Remember to ask your doctor what kind of special care will be required? (This may include ointments, special shampoos, special brushes, etc.)


Liposuction
To slim and firm your hips, eat a balanced diet and stick to an exercise program that includes aerobic exercise to burn calories, stretching for flexibility, and isometric training to build and tone muscles. Liposuction is another option for hips which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.


Liposuction
To slim and firm your knees, eat a balanced diet and stick to an exercise program that includes aerobic exercise to burn calories, stretching for flexibility, and isometric training to build and tone muscles. Liposuction is another option for knees which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.


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. Results are permanent and this is usually a one-time operation. Fees for septoplasty begin at $3,500.

Remember to ask your doctor how long your splint must stay on.

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. Results are permanent and this is usually a one-time operation. Fees for septoplasty begin at $3,500.

Remember to ask your doctor how long you will have packing left in your nose.


Dermabrasion
The grandfather of all skin-smoothing procedures, dermabrasion is a technique of mechanical buffing of the skin, much like the sanding of a piece of wood, to remove the superficial layer(s) of the skin in a controlled fashion. Dermabrasion is used to treat cases of severe scarring and is also a means of tattoo removal. A small area of skin may be dermabraded in your doctor's office. Large areas require the use of a general anesthetic which is administered in a hospital on an outpatient basis. The degree of pain is related to the depth of the abrasion. In most cases discomfort is kept to a minimum. The treated area will remain pink for several weeks, even months. However, you can return to work within two or three days. Depending on your condition, multiple sessions spaced months apart may be dictated. Fees for dermabrasion begin at $1500 per session.
Remember to ask your doctor if more than one treatment is necessary.

Chemabrasion (Chemical Peel)
A chemical peel is the removal of superficial layer(s) of the skin a controlled fashion using an agent or acid. The result is a smoother, more evenly pigmented skin surface. Chemabrasion can correct blotches and wrinkles caused by aging, sun exposure, smoking and alcohol use. There are three categories of chemical peels: weak, moderate and strong. For the weakest procedure, no anesthetic is required. The strongest chemical peel requires sedation as well as cardiac monitoring.

Most chemical peel procedures are done on an outpatient basis with the exception of those requiring sedation and/or cardiac monitoring. In those cases, an ambulatory surgical facility is required. Depending on the procedure, pain varies from none at all to needing prescription medications to control the pain. Recovery time ranges from immediate to 10 days, depending on the procedure. Fees for chemabrasion range between $60- $2000 per treatment depending on the strength of the agent used. Typically the stronger the agent, the more it costs.

Remember to ask your doctor what the worse-case scenario will be for the new look of your skin.

Scar Revision
Scar revision make scars less visible to the eye. It also frequently gives the patient more flexibility and mobility in the damaged area. A scar can never be completely erased, but it can usually be improved. The two most common complaints about scars are irregularities of contour -- whether the scar is depressed or raised, wide or thick -- and irregularities of color -- whether it contrasts significantly with surrounding skin. Treatment varies from dermabrasion, bleaching, surgical tattooing to advancing healthy skin over the depressed area. Most scar revisions procedures take less than one hour and are performed as an outpatient procedure. Pain is not usually a significant factor in scar revisions.

Remember to ask your doctor how you can camouflage the area being treated.

Sclerotherapy for Spider Vein Removal

Spider veins, also known as telangiectasias or sunburst varicosities, are tiny, nonessential veins that lie close to the surface of the skin. Unlike varicose veins, which are larger, darker in color, and more likely to bulge, spider veins are of little if any medical consequence. Spider veins can be injected with a solution that causes them to collapse and, in time, fade from view. This procedure takes from fifteen to forty-five minutes per session, one injection is administered for every inch of spider vein -- from five to forty per session. A cotton ball is secured with compression tape to each area of the leg as it is finished. You will be encouraged to walk to prevent clots from forming in the major veins, but during the time you are being treated, you should avoid prolonged periods of sitting or standing, as well as squatting, heavy lifting and extended running and jogging.

Tattoo Removal
There are few things one regrets more than having had an ill-placed or ill-conceived tattoo.

The first method of tattoo removal is excising, or cutting out, the offending area. This is obviously limited, depending upon the size and location of the tattoo. A second method of tattoo removal is dermabrasion. This method is useful in traumatic tattoos, because the pigment is usually more superficially located. A third method of tattoo removal employs laser technology. Certain tattoos, such as large or dark designs, are better camouflaged than removed. In such cases, over-tattooing is the treatment of choice. This should be done by someone experienced in surgical tattooing or a professional tattoo artist.


Liposuction
To slim and firm your thighs, eat a balanced diet and stick to an exercise program that includes aerobic exercise to burn calories, stretching for flexibility, and isometric training to build and tone muscles. Liposuction is another option for thighs which removes unwanted fat in the layer between skin and muscle. The number of fat cells in your body does not change after puberty, but the cells themselves are like balloons, with an amazing capacity to expand and store fat. Ideal candidates for liposuction are close to their normal weight but have pockets of fat in specific areas of the body that are resistant to diet and exercise. Limited, or spot, liposuction is ideal for patients who have small, localized problem areas, and standard liposuction is designed to treat larger areas, such as the entire abdomen or buttocks.

Limited liposuction takes up to an hour while standard liposuction takes up to two. The procedure is generally done on an outpatient basis under local anesthesia, local with sedation, or general anesthesia depending on your doctor. Small scars, about 3-6 millimeters are usually placed where they will be most inconspicuous. Pain after liposuction is easily managed with pain medication. You can return to work immediately after limited liposuction but will want to rest for three to four days after standard liposuction. Refrain from manual labor for at least a week. Results are permanent if you maintain your healthy diet and exercise regimen. You'll have fewer fat cells, but if you revert to poor habits, your existing fat cells will just get fatter! The usual cost of liposuction is between $1,500 and $2,000 for limited, $3,000 to $5,000 per site for standard liposuction.

Remember to ask your doctor how many scars you will have and where they will be.

Surgical Body Contouring (Dermato Lipectomy)
Surgical Body Contouring or Dermato Lipectomy is the best choice for thighs when there is too much skin to respond favorably to liposuction alone. This surgical procedure to cut away excess skin and fat may also be called panniculectomy. It typically takes less than one hour and is performed under general anesthesia requiring a one-night hospital stay. This is among one of the most painful plastic surgery procedures but the pain is easily managed with medication. You will have permanent scars which usually fade over time and are hidden by clothing. You'll be able to return to work in 2-4 weeks but avoid strenuous activity until you get your Doctor's consent. Results are permanent if you maintain a healthy diet and exercise regime. The cost of panniculectomy ranges from $4,000 to $5,000.

Remember to ask your doctor how many scars you will have and where they will be.

or ask your own question:
Email address:
Enter question:
See also
> Our Offices
> Contact
> For her
> For him


Recommended Products
Moisture Replenishing Crème

Peptide Treatment Lotion

Rapid Response Line Filler

Call us on 973.377.8950
to make an appoinment