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Plastic Surgery Procedures


FACE

Facelift


A facelift improves the aging face by correcting sagging jowls and neck, creating a more youthful, rested appearance.

The foundation of most facial rejuvenation procedures is in the facelift.

A facelift is often combined with eyelid surgery, browlifts, fat grafting or facial liposuction. Facelifts can also be improved upon by chin augmentation in the right individual.

The Procedure
Typical incisions begin within the hairline, above the temple and continue just inside the ear, ending behind the ear. This allows access to tighten underlying tissue, remove excess fat and reduce sagging skin. A second incision under the chin is sometimes necessary. This is an outpatient procedure under sedation or general anesthesia.

Eyelid Surgery


We can provide you a more youthful, alert and less tired appearance by reducing sagging upper eyelids, puffiness and bags in the lower eyelid. Heavy upper eyelids can impair peripheral vision and can be associated with true eyelid ptosis or difficulty opening the eye fully.

The Procedure
An incision within the natural crease of the upper eyelid allows access to remove excess skin and underlying fatty tissue. Using an incision inside the lower eyelid (transconjunctival), fat is removed. An incision just under the lower lash line allows excess skin to be removed. Internal sutures are often used to support the lower eyelid and corners of the eye (lateral canthus). This is an outpatient procedure under sedation or general anesthesia.

Facial Implants


Implants reshape facial contours to help improve proportion and profiles and also can correct imbalance caused by injury or hereditary traits. Implants can be a permanent solution to hollowing tissue deficiency. This is a nice way to strengthen a “weak” chin. Implants can also be used to produce more prominent cheek bones.

The Procedure
Careful selection and surgical placement of the right size and shaped implants can be used in the cheek, chin or jaw region. Incisions, which are made either inside the mouth or discreetly hidden externally, create space in the soft tissues for implant positioning and support. This is done as outpatient procedure under general anesthesia.

Fat Grafts


Fat injections improve areas in the face that have become hollow due to age and trauma providing a more youthful appearance. When we age, our faces tend to become more hollow and we need more fullness. Fat grafting is recommended on most facelifts and helps eliminate the hollowing.

The Procedure
Fat is taken from the abdomen or thighs, prepared then re-injected in small quantities into the hollow of the face, high cheeks, lower eyelids, jaw line, lips and brow. This is done either in the office or surgical center under local or general anesthesia.

Forehead/Brow Lift


This lift creates a more youthful alert appearance by improving the visible signs of aging by minimizing brow furrows, frown lines and elevating sagging or fallen brows (ptosis).

The Procedure
Several small incisions hidden within the hairline allow access for an endoscope and surgical instruments to change the underlying muscle, tighten the tissue and raise the eyebrows. If excess skin is to be removed, a coronal incision, one hidden within the hairline and across the top of the scalp is used. Male patients may require other incisions depending on their hairline. This is an outpatient procedure under general anesthesia.

Rhinoplasty (Nose Surgery)


By reshaping and recontouring you nose, we can improve facial harmony and create balance among the face. This procedure is also done to address deformities after trauma or hereditary traits and to correct breathing difficulties caused by structural irregularities.

The Procedure
Incisions hidden at the nostril base and/or inside the nose allow access to reshape the cartilage and /or the bone. This may include lowering humps, narrowing the nasal bones, shaping of the nasal tip or nostril size and improving the angle between the nose and the upper lip. High priority is given to achieving a natural shape to the nose that enhances the aesthetics of the face. This is an outpatient procedure under general anesthesia.



BODY

Labiaplasty


A labiaplasty corrects excess labia minora. Excess tissue can be uncomfortable, interfere with athletic activities and/or sexual intercourse. Removing redundant tissue creates a more youthful, comfortable, and symmetric labia.

The Procedure
This is done either in the office or as an outpatient procedure.

Liposuction


Liposuction removes localized and excess deposits of fat from specific areas of the face, neck, and body. This procedure is best for individuals at or within 30% of their ideal body weight and creates a better-proportioned figure. This is not done for weight loss but to harmonize your figure.

The Procedure
Working through small incisions we use a cannulae or hollow surgical tube to loosen fat and remove it through attached suction. A solution of saline with added epinephrine and possible local anesthesia are infused prior to treatment. Incisions are small, requiring few if any stitches. In ultrasound assisted liposuction (UAL) sound waves liquefy fat prior to suctioning. This is done as an outpatient procedure under general anesthesia.

Posterior Body Lift


A posterior body lift provides patients a more youthful-looking body contour by removing excess, sagging skin and uneven contours of the buttocks, and lateral thighs. This is often done in conjunction with some liposuction.

The Procedure
A posterior incision above the buttock is used which removes excess skin, fat, repositions and tightens the buttocks and lateral thighs.

Thigh Lift


This lift reshapes the thighs by reducing excess skin, and in some cases fat, resulting in smoother skin and better-proportioned contour of the thighs and lower body. Liposuction is often done at the same time.

The Procedure
Incisions can vary based on the area to be treated. They can be placed in the incisions in the groin, extending downward and/or wrapping around the back of the thigh. The underlying tissue and skin will re reshaped and tightened. This is done as an outpatient procedure under general anesthesia.

Tummy Tuck or Abdominoplasty


Pregnancy oftens results in excess losse skin of the abdomen and muscles that are separated. The muscles are spread apart and then cannot produce a tight abdomen. A tummy tuck corrects a loose, protruding or sagging abdomen and creates a flatter, tighter abdomen by surgically removing excess abdominal fat and skin. May include tightening of the abdominal wall where muscles have spread apart.

The Procedure
Incision is at or just above the pubic area. Great care is taken in planning the placement of incisions to optimize body proportion and allow numerous fashion options. This is done as an outpatient procedure under general anesthesia.


BREAST

Breast Augmentation


Surgical placement of breast implants create a larger, fuller breast through surgical placement of implants. Silicone and saline implants are available. The size and look of the breast is determined by detailed measurements in consultation with the patient. You can be the size you choose.

The Procedure
Common incision locations include the breast crease, in the underarm, or around the areola (pigmented skin surrounding the nipple). We most commonly choose the breast crease of infra mammary fold. Placement of implants is beneath the chest wall muscle or directly behind breast tissue using silicone or saline implants to create the desired volume. This is done as an outpatient procedure under general anesthesia.


Breast Lift


A breast lift corrects loose, sagging breasts by reshaping them, raising the nipples to a higher position and restoring firmness. Patients can reduce the size of the areola (pigmented skin surrounding the nipple), when desired. This can be done in conjunction with a breast augmentation.

The Procedure
Surgical removal of excess skin is done to raise the nipple and tighten the breast tissue. Incisions may vary, depending on the amount of excess skin and amount of lifting required as well as patient and surgeon preference. Typical patterns include inverted T (incision around the areola, vertically down to a horizontal incision along the breast crease), vertical (incision around the areola and vertically down to the breast crease) and periareolar (incision around the areola). This is done as an outpatient surgery under general anesthesia.


Breast Reduction


Breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with a woman’s body. Breast reduction is also done to reduce back , neck pain, and improve rashes under the breast.The amount of tissue to be removed will be discussed and determined during your consultation.

The Procedure
Incisions are made around the areola, continues vertically down the breast and then horizontally along the crease underneath the breast. The nipple which remains attached to its original blood and nerve supply is repositioned. The areola can be made smaller if necessary. Breast tissue is removed to reduce the size and then the breast is repositioned, shaped and lifted up.


Gynecomastia (Male Breast Reduction)


Gynecomastia surgery can reduce enlarged breast(s) in males and create a more positive impression about one’s chest and physique.

The Procedure
Typical incision is partially around the areola where the glandular tissue is cut away. If liposuction is used, a smaller incision(s) can be used. This is an outpatient procedure under general anesthesia.


 
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David S. Thomas MD is a board certified plastic surgeon.
Larry A. Sargent MD is a board certified plastic surgeon.

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