PLASTIC SURGERY

RECOVERY TIME

After the buttock lift, recovery from bruising and swelling should occur within the month following surgery.  Patients usually need 6 weeks after surgery Sbefore attempting any strenuous activities and a full buttock lift recovery is generally complete about 4-6 months after surgery.

There will be some temporary bruising, swelling, and numbness, but this will disappear in time. The large arm scars will fade over time with the help of scar creams, massage, and silicone tape, but they will never completely go away. For some people, the scars can be noticeable.

In rare cases, bleeding, infection, fluid build-up, permanent numbness of the inner arm, and asymmetry of the arms can occur.

Improves the size and appearance of the breasts.

Procedure
Breast augmentation, also called breast enlargement, improves the size and appearance of the breasts by implanting saline or silicone breast implants either under or over the chest muscle, thus producing a cosmetic enhancement.

Length
This procedure takes approximately two hours.

Anesthesia
A general anesthesia is administrated and the patient is completely asleep, or an intravenous sedation is used, combined with local anesthesia.
Inpatient/Outpatient
Either inpatient or outpatient depending on the preference of the surgeon.

Possible Side Effects
Mild, temporary discomfort, mild to moderate swelling, a change in nipple sensation (either increased or decreased), and temporary bruising. Breasts may be sensitive to stimulation for a few weeks.

Risks
Either one breast implant or both may need to be removed and/or replaced to treat problems including: deflation, implant rupture, the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard, bleeding and/or infection. Other risks are an increase or decrease in sensitivity of the nipples or breast skin, which occasionally may be permanent.

Recovery
The patient can return to work within a few days. She should avoid any physical contact with her breasts (excluding her bra) for approximately three to four weeks. Scars should fade and flatten anywhere from three months to two years after surgery, depending upon how the individual patient heals.

Results
The outcome varies from patient to patient. However the overall effect is enhancement of breast size for improved appearance.

Reduces breast size and improves physical and emotional symptoms caused by very large breasts.

Procedure
Breast reduction surgery, also referred to as reduction mammoplasty, reduces the size and improves the shape of the breasts. Typically, women who are candidates for this procedure have physical symptoms related to the weight or shape of their breasts. These symptoms include back pain, neck pain, and bra strap grooves in the shoulders. The incisions vary based on the breast size before the operation and the final post-operative size.

An incision is made around the nipple and areola accompanied by a vertical incision below the areola with or without a horizontal incision made in the crease below the breast. Short scar techniques are frequently applicable in breast reduction surgery and allow excellent reduction of size with improved shape while limiting the extent of the incisions.

For reduction of very large breasts, in some cases the nipple and areola may need to be surgically removed and reapplied as a graft. Removing and reapplying the nipple/areola tissue will result in the loss of nipple sensation and the inability to breastfeed.

Length
The procedure usually requires two to four hours of operating time depending on the technique chosen and the size of the breasts.
Anesthesia
The procedure is typically performed under general anesthesia supplemented with local anesthesia. Smaller reductions can be performed under intravenous sedation without the need for general anesthesia.

Inpatient/Outpatient
Depending on the size of the breasts, type of anesthesia selected, and length of the surgical procedure, patients may return home on the same day as their surgery or spend the night at an aftercare facility or hospital.

Possible Side Effects
Prolonged swelling and delayed healing.

Risks
Risks associated with breast reduction include: unfavorable scarring, loss of nipple sensation, loss of ability to breastfeed, loss of nipple and breast tissue, unsatisfactory shape, and failure to achieve aesthetic goals.

Recovery
Typically recovery requires one to two weeks. Most patients return to normal activities within that period of time. Strenuous physical activities are discouraged for three to six weeks after the surgery.

Results
Most patients who undergo a reduction mammoplasty are pleased with the size and the shape of their breasts and are delighted with the improvement and lessening of the symptoms of pain and discomfort that they experienced due to the weight of their breasts. Breast reduction makes physical activities easier and patients enjoy their new appearance and ability to wear clothing that was uncomfortable or unattractive before the surgery was performed.

Improves the appearance of the abdominal area after pregnancy or significant weight loss.

Procedure

Tummy tuck, also called Abdominoplasty surgery, surgically removes the excess skin and fat that lies between the umbilicus and the overhanging skin (or to a cesarean scar) from the abdominal area. Depending on the needs of the patient, the muscles of the abdominal wall are tightened. The incision is a half-moon shape (length is dependent on the mass of skin and fat to be removed).

Length

Approximately two to four hours.

Anesthesia

Most commonly patients are placed under general anesthesia. This procedure can also be performed with a regional nerve block obtained with local anesthetic agents.

Patient safety is our highest priority.

Inpatient/Outpatient

Either is possible and depends on the patient’s health and the doctor’s preference.

Possible Side Effects

Temporary discomfort, low back pain, post-operative swelling, soreness or tenderness in the surrounding areas, numbness of abdominal skin and bruising are possible side effects.

Risks

Infection, bleeding under the skin flap or at the incision site, pulmonary embolism (a blood clot that travels to the lung), scarring (keloids), delayed healing, or the need for a second reversionary operation are potential risks, enlargement of the scar.

Recovery

The patient may return to work within two to four weeks. Upon re-evaluation by the physician, the patient may return to activity that is more strenuous after approximately four to six weeks. Scars should fade and flatten anywhere from three months to one year after surgery. Patients are asked to wear a body girdle for at least four weeks.

Results

The result will last many years, unless the patient gains weight or becomes pregnant.

Improves facial and body contours by removing unwanted fat deposits.

Procedure
Liposuction surgery removes areas of unwanted fat with a tube and a vacuum device. Liposuction techniques, including tumescent or super-wet, typically are performed after targeted fat cells are infused with a saline solution containing a local anesthetic and adrenalin to decrease blood loss. Benefits of this liposuction technique include increased safety, easier fat removal, as well as diminished postoperative discomfort. This also reduces post-operative bruising and swelling.

The most common locations for liposuction are the chin, cheeks, neck, and upper arms, the area above the breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles.

There are several techniques commonly used including the “Traditional Technique”, “Laser Technique,” and the “Ultrasonic Technique (UA).” The Traditional Technique utilizes a hollow tube to remove the fat and the Laser and Ultrasonic Technique utilizes laser or ultrasonic energy to dissolve that fat before it is removed. See your physician regarding which technique would be best for you.

Length
One to two hours or more.

Anesthesia
General anesthesia can be used or intravenous sedation and local anesthesia are used.

Inpatient/Outpatient
This is an outpatient procedure.

Possible Side Effects
Temporary bruising, swelling, numbness, soreness or burning sensations.

Risks
Infection, asymmetry, rippling of the skin, pigmentation changes (hypo/hyper), injury to the skin, fluid retention and/or excessive loss of blood and fluids.

Recovery
The patient usually returns to work after five to fourteen days. More strenuous activity may be resumed after two to four weeks. Full recovery from swelling and bruising may take one to six months depending upon the amount of fat that is removed and the areas that were treated.

Results
The effect is permanent and must be augmented with a sensible diet and consistent exercise.

One or more procedures may be recommended to achieve your goals for a more youthful, contoured body. Body contouring goals may be achieved in one surgical session or may be more safely performed in stages depending on your overall health, the type and extent of procedures being considered along with the outcome from discussions and recommendations by your plastic surgeon during the consultation process. Improvements to your body’s shape and overall image may be achieved by reducing excess fat and/or sagging skin and tissue.

Following a well-balanced diet to maintain a healthy weight, and exercising consistently to maintain or attain a fit and healthy body are important contributing factors when it comes to an individual’s body image. However, heredity, changes in the body over time such as weight gain or loss, pregnancy, and even aging can result in a change in your body’s proportions and curves that may affect both your body image and self-confidence. Reshaping disproportionate curves or reducing unwanted fat cannot always be achieved through weight loss and exercise alone. Fitness and skin care have little effect on uneven contours or bulges as well as skin that lacks elasticity. Body contouring surgery can help many people reshape body features that cannot be improved by other measures. Body contouring can dramatically improve the shape and proportion of your body, enhancing your appearance and boosting your self-confidence.

Areas treated by body contouring include the neck, upper arms, female and male breasts, abdomen, flanks, back, hips, buttocks, thighs, knees and ankles.

Pregnancy can take a toll on our bodies, affecting our breasts, tummies, legs and more. After nine months—or more, if nursing—you are probably longing for your pre-baby body. Whether you choose a healthy regimen of diet and exercise, minimally invasive cosmetic treatments, cosmetic procedures or all the above, you might also consider a Mummy Makeover to get back in shape.

Many plastic surgeons are now offering what they call the Mummy Makeover, which addresses a woman’s post-pregnancy body issues in a single-session surgery (may be staged into more than one operative session) that typically combines the following:

• TUMMY TUCK

• BREAST ENHANCEMENT – LIFT OR AUGMENTATİON

• FAT REMOVAL WITH LIPOSUCTİON

From a cosmetic standpoint, Mummy Makeovers address pregnancy-related changes in both the breasts and the tummy. While this is a great way to take care of two of the biggest post-pregnancy complaints in one operation, it’s important to remember that combining procedures leads to longer surgery time and potentially a greater risk of complications. The biggest concern with multiple procedures in one surgical session is the length of time the patient is under anesthesia, but a tummy tuck and breast surgery are frequently performed at the same time, and usually take from three to six hours, which is reasonable according to many surgeons.

Fat injection or grafting has broad applications in cosmetic surgery. Fat injected into areas requiring volume-enhancement produces safe, long-lasting, and natural-appearing results as volume is replaced to tissues where fat is diminished. Fat grafting usually involves harvesting fat from one part of the body, washing/ purifying it, and the carefully re-injecting it with specially designed needles into the areas requiring augmentation. The procedure may need to be repeated several times to achieve the desired result.

Swelling, which is commonly seen after fat injection, usually resolves within 2-3 weeks. The degree of swelling is most dependent on the area injected.

AM I A GOOD CANDIDATE FOR FAT GRAFTING?

Patients who benefit from fat grafting are people who desire augmentation or filling of volume-deficient areas. The most commonly grafted areas include the hands, face (including the lips), and depressions in the skin contour such as those that have developed following liposuction and scarring.

Generally, patients who are considered for fat injection are in good health. If you have a history of abnormal bleeding or swelling following a procedure you should notify your surgeon. A history of smoking should be disclosed to your surgeon. Each patient’s anatomy and proportions vary, and the decision to utilize fat injection techniques depends on the goals of the patient as well as the surgeon.

FAT INJECTION STANDARD PROCEDURE TECHNIQUES

All patients requesting consideration for fat injection require a thorough pre-procedure evaluation. This may require several visits to your surgeon before the procedure. A full history and physical examination will be performed prior to the procedure. Your surgeon may take pre-procedure photographs, an informed consent will be obtained, and your skin may be marked. Either local (‘twilight’) or general anesthesia may be used, depending on your surgeon’s preference.

Fat is harvested using a special suction cannula using sterile technique. Once enough fat is obtained from the donor area, it is then purified. This often requires the use of a centrifuge which spins the fat and removes impurities. The fat is then placed into the areas requiring augmentation. The injection needle is usually passed in and out of the areas to be augmented multiple times. This creates a ‘grid’ of threads of fat graft. The areas that were injected may then be massaged by the surgeon to create a satisfactory contour. A dressing may then be placed.

FAT INJECTION BENEFITS/ ADVANTAGES

Fat injection or grafting is a technique that is growing in popularity. Fat is one of most well-tolerated fillers available to aesthetic surgeons, and thus has broad applications. It is natural-appearing, lasts a long time, and is safe. It is an effective filler used for changing body contour, revising scars, filling depressions created by liposuction, and rejuvenating the hands and face. Perhaps most importantly, it spares the patient the inherent risks associated with fillers derived from animals or cadavers.

FAT INJECTION RISKS/COMPLICATIONS/PATIENT SAFETY

• Swelling is the most common post-operative side effect. Most of the swelling settles down within several weeks.
• Bruising in both the donor and recipient areas as a result of bleeding. It is unusual to require a transfusion.
• Numbness of the skin overlying the donor and injected areas. This is usually temporary.
• Slight asymmetry or contour irregularity. This usually improves as the swelling resolves.
• Under or over correction of the defect
• Infection
• Loss of fat viability, with resultant failure of the desired augmentation

FAT INJECTION RECOVERY PROCESS

Dressings may be placed on the injected areas. These dressings may include the use of tapes or compressive-type dressings. Your surgeon may request that you don’t sit or lie on injected areas for a prescribed period. Your surgeon may also instruct you regarding a massage program after the procedure. Swelling and bruising usually resolve within 2 to 3 weeks.

You must be in good health to get a neck lift. You’ll consult with your surgeon in advance. For that meeting, have your goals in mind for what you want to change. Here are some of the most common concerns that are addressed with a neck lift:

• Turkey wattle neck
• Excess fat
• Too much skin

YOUR CONSULTATİON

During your consultation, you should go over your goals and learn about the options:

• Turkey Wattle: Your surgeon may recommend surgery, which involves making cuts under your chin or behind your ears or both to access a neck muscle called the platysma. Sometimes, that may even mean removing some muscle. Newer procedures may let your surgeon make smaller cuts and use an endoscope (a small camera attached to a thin tube) to complete your surgery. Make sure you ask your surgeon for all your options during your consultation. You and your surgeon will discuss what type of anesthesia to use, depending on your level of comfort. If you want to remain asleep during the procedure, you should request general anesthesia. Otherwise, your surgeon can use local anesthesia with sedation. It’s up to you, however, to make that choice. Instead of surgery or in addition to it, injections can relax parts of the platysma that are responsible for the “band” appearance or look of fullness. Those injections can be done in 15 minutes on an outpatient basis, meaning no overnight stay.
• • Liposuction:  During liposuction, your surgeon will make a small cut below your chin and remove excess fat. If you are also getting other procedures, it is very common for plastic surgeons to begin with liposuction. You will be able to determine this with your doctor during your consultation. If this is the only procedure you’re getting, you should plan on the operation lasting up to an hour. Your incisions will be stitched and bandaged. It’s important to make sure you understand and follow your doctor’s instructions on properly caring for the stitches and bandage.

  • Too Much Skin on Your Neck: Your surgeon will trim parts of the skin and lift it into place, securing it with tissue glue or stitches. This takes about two to four hours, depending on the complexity of your procedure. Again, your anesthesia will depend on your own personal comfort level. Your surgeon will fit you with a compression bandage that you will have to wear for at least one week unless instructed otherwise.

  PREPARING FOR YOUR NECK LIFT

  Your surgeon will tell you to avoid certain medications before your surgery to reduce the risk of excessive bleeding.

  Tell your doctor about any drug allergies you have. Although it’s very rare, you could have an allergic reaction to the anesthesia.

  If you smoke, you will need to stop for at least four weeks before the surgery and four weeks after. Don’t just plan to cut down. Not smoking for this time period is necessary for proper healing.

  Eat a healthy diet. That will help your body heal.

  You should plan to take at least one week off from work. Ask your doctor exactly how much time off you’ll need.

  Set up an area in your home for recovery. The area should have:

• Ice packs
• Gauze and towels
• Thermometer
• Supply of comfortable, loose clothing (preferably button-down shirts or blouses that do not have to be pulled over your head and neck)
• Petroleum jelly and antibacterial ointment
• Telephone within reaching distance of where you’ll be lying or sitting most of the time
• Pillows that will allow you to keep your head in a comfortable position
• Someone who can stay with you at least the first 24 hours after surgery

On the day of surgery, wear loose, comfortable clothing. Wear a button-down blouse or shirt that you don’t have to pull over your head and neck.

SIDE EFFECTS AND COMPLICATIONS OF NECK LIFT SURGERY

You will have swelling and bruising that can last for several days after a neck lift. You may feel tightness or tingling and different sensations, including burning or pulling. You also will experience numbness. These are all normal in the first few weeks following surgery and should not be cause for concern.

As with any surgery, infection is possible. Watch your temperature. At the first sign of a fever, contact your doctor. If you have unusual discharge, such as yellow-white fluid, from the surgery site, contact your doctor immediately.

RECOVERY FROM A NECK LIFT

Recovering from a neck lift takes time. Most people can return to work in 10 to 14 days.

If you participate in sports or are physically active, you will have to wait three weeks or more to resume those activities. Give yourself time to heal to get the most benefit from the procedure.

Improves sagging facial skin, jowls and loose neck skin.

PROCEDURE
A full or complete facelift improves the skin and tissues of the lower two-thirds of the face, from the ears, across to the cheeks, and down to the jaw line, by removing excess fat, tightening muscles and re-draping skin.

LENGTH
Approximately four hours.

ANESTHESIA
Usually general anesthesia is used or the patient may elect to have sedation and local anesthesia.

INPATIENT / OUTPATIENT
Usually this is an outpatient procedure, although some patients may require a short hospital stay.

POSSIBLE SIDE EFFECTS
Temporary bruising, swelling, numbness and tenderness of the skin, as well as a tight feeling and dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.

RISKS
Injury to the nerves that control facial muscles or feeling (which is usually temporary but in rare cases may be permanent), infection, bleeding, poor healing, excessive scarring, asymmetry and a change in the hairline.

RECOVERY
The patient may return to work after ten to fourteen days. More strenuous activity may be resumed after two weeks or more. Bruising should begin to disappear after seven to ten days. Sun exposure must be limited for several months after surgery. The use of a sun block that provides both UVA and UVB (ultraviolet) protection is recommended.

RESULTS
Most facelifts can be expected to maintain optimum appearance for five to ten years.

The Midface is the tissue in triangle formed by the two corners of each eye and the corner of the mouth. This area can begin to descend throughout the years and the pulling effect of gravity.

As we ages the face is changes its shape from the typical shape of a triangle at the youth to a rectangle. If the skin is not observed to be very wrinkly at the investigation, a Midface lift will result with a perfect outcome.

From small incisions made into your mouth and hairline the pulled areas of your face will be lifted up to their earlier positions and the skin of the forehead will be lifted, which will correct the dropped eyebrows.

The procedure will last for about 1-1.5 hours and requires a one night stay at the hospital. Through the mid-face lift you will regain the triangular shape of your face.

Plasma D30-980 of Jeysis Medical Inc., equipped with active fibre in shape of dome, uses a new technology that transforms laser into plasma light.

Plasmalipo provides safety, considerable short down time with its clinically and practically proven efficacies. It supplements the disadvantages of liposuction and expands the range of practical use in operations with current difficulties where is hard to get good results with the traditional liposuction and other laser liposuction devices.
Emitting Plasma light at the edge of fibre shaped in dome, the light expands in all directions of 360 degrees like a ball and melts down the fat in every direction touched by the fibre and stimulates the production of new collagen! Plasma Light has more advantages than the monochromatic light of laser in melting down the fat.
PlasmaLipo proves to be extremely effective in cases/areas where other techniques/methods are not indicated: the inside part of thigh, saggy/fat arm, irregular unsatisfactory outcomes of lipoaspiration and improvement of cellulite “holes” present in buttocks and thighs.

PlasmaLipo also makes it possible to avoid and correct the effect of irregular depressions which often occur after liposuction. The traditional liposuction acts on the fat but not on the skin; with PlasmaLipo, on contrary, while the fat melts, the tissues retract thanks to particular warmth generated under the dermis, thus regaining tone and turgidity. The treatment, in fact, triggers an unique thermal retraction of the tissues effective in a single session.

Its really impressive, that after the operation, the pain is not significant and you can start physical activity after 3-4 days.

Therefore, PlasmaLipo is effective in:

– Any fat accumulation on the body
– Cellulitis
– Irregular depressions and poor aesthetic result of previous liposuction
– Skin laxity of face-neck, arms, thighs, abdomen when a surgical lift is not indicated
– Gynecomastia
– Liposculpture- remodeling of the knees