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The Cosmetic
& Laser Surgery Institute facilitates excellent quality care through
the use of advanced technology, proven techniques and effective,
efficient procedures with a goal of reducing recovery time and
enhancing results.
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| Cosmetic
Surgery for the Face |
- Rhinoplasty
(Nose Surgery)
About the procedure: Rhinoplasty can reshape the
nose by reducing or increasing size, modifying the shape
of the tip or bridge of the nose, or by narrowing the
span of the nostrils. The angle between the nose and upper
lip can be changed, and nose surgery can be helpful in
relieving some breathing problems. On average, rhinoplasty
lasts 1-2 hours and depending on the procedure, local
or general anesthesia will be required. Generally this
procedure is performed on an outpatient basis at a local
sugery center. More complex surgeries will be performed
at an area hospital.
Following the procedure: Following the surgery, patients
can experience swelling and bruising around the eyes and
nose. Headaches may be experienced as a result of the
procedure and some bleeding and stiffness can be expected.
Patients can return to work within 1-2 weeks and can take
on regular, more strenuous activity following a 2-3 week
duration. [ menu
]
- Brow
Lift (Forehead Lift)
About the procedure: Most often performed on patients
over age 40, a brow or forehead lift helps to minimize
creases on the forehead area, to lift drooping eyebrows,
to reduce hooding over the eyes. This procedure entails
the removal of excess tissue and altering of muscles and
tightening forehead skin. Incisions are generally made
behind the hairline, and the procedure entails 1-2 hours
of surgery generally in an outpatient setting where local
or general anesthesia is utilized.
Following the procedure: Patients can experience a
temporary painful, tight scalp and may notice an unnatural
look in the early stages following the procedure. Patients
can usually return to work within 2-5 days and return
to regular, more strenuous activity within 10 days to
3 weeks. [ menu
]
- Face
Lift
About the procedure: Most often performed on patients
over age 40, the facelift procedure helps to improve sagging
facial skin, jowls and loose neck skin by removing excess
fat, tightening muscles and redraping the skin. The procedure
takes several hours and utilizes local or general anesthesia
in an outpatient or inpatient setting. A short inpatient
stay may be recommended.
Following the procedure: Patients can experience temporary
bruising, swelling, numbness and tenderness in the skin
on the face area. A tight feeling or dry skin may also
be experienced. There are risks associated with the procedure,
such as loss of feeling or control of facial muscles that
may be temporary or permanent that should be discussed
with your plastic surgeon. A 10-14 day recovery period
can be expected and exposure to the sun should be limited
for several months. This procedure has a 5-10 year duration
depending on the patient. [ menu
]
- Neck
Lift
About the procedure: Most often performed on patients
over age 40, the neck lift procedure helps to improve
loose and sagging skin of the neck by removing excess
fat, tightening muscles and redraping the skin. The procedure
takes several hours and utilizes local or general anesthesia
in an outpatient or inpatient setting. A short inpatient
stay may be recommended.
Following the procedure: Patients can experience temporary
bruising, swelling, numbness and tenderness in the skin
on the affected area. A tight feeling or dry skin may
also be experienced. A 10-14 day recovery period can be
expected. This procedure has a 5-10 year duration depending
on the patient. [ menu
]
- Blepharoplasty
(Eyelid Surgery)
About the procedure: Blepharoplasty helps with drooping
upper eyelids and puffy bags below the eyes. The procedure
entails removing excess fat, skin and muscle and can take
from 1-3 hours. This is usually an outpatient procedure
that generally requires local anesthesia with sedation.
Some cases may require general anesthesia, depending on
the patient.
Following the procedure: Side effects of blepharoplasty
includes temporary discomfort, tightness of lids as well
as swelling and bruising. Eyes may experience dryness,
burning or itching and sensitivity to light in the first
few weeks. Risks of this procedure, such as possible impact
to vision and area surrounding the eyes should be discussed
with your surgeon. [ menu
]
-
Laser
Hair Removal ( For Women
, For Men )
For Women
As a woman, you may be surprised to learn that just about
your entire body is covered with hair. Because most of
this hair is fine and pale, it usually isn't visible to
the naked eye. In fact, you may be surprised to know that
the largest number of hair follicles is actually on your
forehead.
But when darker, coarser hair appears in places we don't
like or expect - like on the face, neck, abdomen, breasts,
or arms - or prevents us from wearing a high-cut bathing
suit, shorts, or even a short skirt, it may be time to
consider hair removal with the LightSheer Diode Laser
available at the Cosmetic and Laser Surgery Institute.
About the procedure: In the past, the usual remedies
for unwanted hair were plucking, shaving, waxing, or chemical
depilatories. Some are painful, some are messy, and all
are temporary. For long-term hair removal, electrolysis
is popular and effective but can be painful and slow.
Hair by hair, an electric current passes through a needle
to destroy the hair root's ability to grow. It typically
takes months or even years of regular visits - even for
small areas, like the upper lip. Risks include electrical
shock, infection, and pitting or scarring.
Now there's a more effective solution, the new LightSheer
Diode Laser, a state-of-the-art system specially designed
to remove unwanted hair faster, less painfully, and more
reliably than electrolysis.
Understanding laser treatment:
A laser produces a beam of highly concentrated light.
Different types of lasers produce different colors of
light. The color of light produced by a particular laser
is the key to its effect on hair follicles. The light
emitted by the LightSheer Diode Laser is absorbed by the
pigment located in hair follicles. The laser pulses for
a fraction of a second, just long enough to vaporize the
pigment, disabling several follicles at a time to eliminate
or significantly impede the hair's regrowth. Importantly,
LightSheer's special contact-cooling hand-piece is perfect
for a woman's sensitive skin. It directs the laser energy
to the hair root while protecting and cooling the surrounding
skin.
What you can expect: The length of a laser session
may be a few minutes to an hour or more, depending on
the size of the area being treated. Because the laser
tends to treat hair follicles that are in an active growth
phase, more than one treatment may be required to disable
hair follicles that subsequently enter this growth phase.
Laser treatment itself may cause a slight tingling sensation.
Most patients tolerate the procedure well. But because
some areas of the body are more sensitive than others,
topical anesthesia is always available.
Following the procedure: The appearance of the
treated area immediately after a laser session will vary
from patient to patient depending on the extent of treatment
and skin type. Immediate after-effects, if any, are minor.
They may include redness and swelling, which disappear
in a short time. Most people return to normal activity
right away. We will be happy to tell you more about your
treatment and what you can expect during your consultation.
Depending on your needs, most body areas can be treated
with this state-of-the-art technology. Ask us about the
LightSheer Diode Laser and how we can use it to remove
unwanted hair. [ menu
]
For Men
Shaving or trimming your beard and mustache are regular
grooming tasks you're used to. But what you may not like
is that bothersome excess hair on your back or shoulders,
around the ears, or between the eyebrows that seems to
grow back faster than you can pluck or shave it. Or perhaps
you're a competitive athlete for whom regular shaving
of body hair is a tedious chore. Now may be the time to
consider hair removal with the LightSheer Diode Laser.
About
the procedure
In the past, the usual remedies for unwanted hair were
plucking, shaving, waxing, or chemical depilatories.
Some are painful, some are messy, and all are only temporary.
For long-term hair removal, electrolysis is popular
and effective but can be painful and slow. Hair by hair,
an electric current passes through a needle to destroy
the hair root's ability to grow. It typically takes
months or even years of regular repeat treatments-even
for small areas, like between your eyebrows. Risks include
electrical shock, infection, and pitting or scarring.
Now
there's a more effective solution, the new LightSheer
Diode Laser, a state-of-the-art system specially designed
to remove unwanted hair faster, less painfully, and
more reliably than electrolysis.
Understanding
laser treatment
A laser produces a beam of highly concentrated light.
Different types of lasers produce different colors of
light. The color of light produced by a particular laser
is the key to its effect on hair follicles. The light
emitted by the LightSheer Diode Laser is absorbed by
the pigment located in hair follicles. The laser pulses
for a fraction of a second, just long enough to vaporize
the pigment, disabling several follicles at a time to
eliminate or significantly impede the hair's regrowth.
Importantly, LightSheer's special contact-cooling handpiece
cools and protects the surrounding skin while bringing
the laser energy as close as possible to the hair root.
What
you can expect
The length of a laser session may be a few minutes to
an hour or more, depending on the size of the area being
treated. Because the laser tends to treat hair follicles
that are in an active growth phase, more than one treatment
may be required to disable hair follicles that subsequently
enter this growth phase. However, one treatment may
result in a significant enough improvement that it may
be all you desire or require.
The laser treatment itself can cause a slight tingling
sensation. Most patients tolerate the procedure well.
But because some areas of the body are more sensitive
than others, topical anesthesia is always available.
Following
the procedure
The appearance of the treated area immediately after
a laser session will vary from patient to patient depending
on the extent of treatment. Immediate after-effects,
if any, are minor. They may include redness and swelling,
which disappear in a short time. Most people return
to normal activity right away. We will be happy to tell
you more about your treatment and what you can expect
during your consultation. [ menu
]
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Laser Treatment
of Spider Veins
Laser treatment of spider veins (telangiectasia) of both
face and lower extremities is now available at the Cosmetic
& Laser Surgery Institute. Using the Versapulse Aesthetic
Laser we are able to clear spider veins with minimal to
no unpleasant side effects.
About
the procedure
Until now, laser treatment of blood vessels caused the
vessels to rupture and left dark bruising under the
skin, which lasted several weeks. The Versapulse laser
delivers energy more slowly than the quick blast of
earlier lasers. Because the vessels are treated over
a longer period of time, they stay intact during treatment.
The Versapulse laser treatment is made more comfortable
by the use of a chill tip, which comes in contact with
the skin over the blood vessel, cooling it to 4 degrees
centigrade before, during, and after treatment. This
serves to protect the skin from injury, as well as reduce
discomfort. Side effects of treatment are few, but may
include redness, swelling, or pain at the treatment
sight for a few days. Rarely seen is blistering or temporary
skin pigment change on darker skinned individuals.
The
Versapulse laser works by transmitting laser light through
the skin to the blood within the blood vessels being
treated. As the light is absorbed, it is converted to
heat, which is conducted to the surrounding walls of
the vessels. If enough damage is done to the walls of
these tiny veins, the circulatory system will not be
able to repair it, and there will be complete disappearance.
This occurs in only one treatment in 80% of cases. If
vessels are still visible after 4 to 6 weeks, one or
two more treatments may be necessary.
Good
candidates for treatment with the Versapulse Laser have
light skin, which has not been exposed to the sun in
recent months. Dark or tanned skin will absorb some
of the laser light resulting in damage to the skin.
Only small spider veins are effectively treated. Laser
treatment is cosmetic, and does not treat vascular disease.
Patients with large, bulging or varicosed veins, or
those with venous insufficiency, are not effectively
treated by this method. [
menu ]
-
Laser Face Lift
About the procedure: We are now able to remove
surface imperfections and dramatically reduce lines and
wrinkles with a new procedure called laser skin resurfacing
or laser facelift. Using the UltraPulse® 5000C laser,
we can gently remove sun-damaged, aging skin, layer-by-layer.The
UltraPulse laser uses a very high energy beam of light
to vaporize scarred, lined, wrinkled, and otherwise imperfect
skin.
Laser
light penetrates to a very precise, controlled depth,
making the procedure safe and predictable, and reducing
the risk of scarring or pigmentation problems. Laser
skin resurfacing is bloodless, and is performed right
here in our office, without the costs and risks of hospitalization
or anesthesia.
Because
the laser is gentle, comfort both during and after the
procedure is improved, and helps provide you with a
more rapid return to your normal routine. Skin resurfacing
with the UltraPulse laser is rapid and gentle. Because
the treatment is bloodless and does not involve chemicals
that cover the surface of the skin, we are able to clearly
see exactly how much tissue to treat and remove during
the procedure.
Following
the procedure: In the first few days after the
procedure, your skin will weep as it repairs itself.
It will then go through a period of crusting for a few
days. When the crusting is gone, the fresh new skin
will have a pink quality, which will fade over a period
of approximately 2-6 weeks. This pinkness is easily
camouflaged by makeup, which can usually be applied
in 4-7 days, depending upon your skin’s response to
treatment. Post-procedure discomfort is usually minor,
requiring little or no medication. However, because
pain tolerance is highly individual, we will make sure
that you are kept comfortable during and after your
resurfacing procedure.
We
invite you to inquire about UltraPulse skin resurfacing,
and how it can help you achieve smoother, fresher, younger-looking
skin. [ menu ]
- Microdermabrasion
& Skin Care
Microdermabrasion is exfoliation of the skin through the
use of minute crystals that are sprayed with a precise
amount of force over the surface of the skin. The crystals
are then vacuumed off along with the accumulation of dead
skin cells resulting in the disappearance of an otherwise
dull or sallow look Results from microdermabrasion are
cumulative, and improvement increases with the number
of treatments.
Microdermabrasion treatments result in rejuvenation of
aged skin and improvement in the appearance of fine lines,
wrinkles, sun damage, hyperpigmentation, scars, and stretch
marks. After a treatment, you can expect your skin to
have a pink glow that usually last from 30 minutes to
6 hours.
The treatment is safe on any skin color or type and involves
spraying out and vacuuming up micro-crystals through a
hand piece held at a precise angle to the skin. This results
in a gentle to more aggressive abrasion of the top layers
of skin, depending on the desired result or goal. Treatments
usually last approximately 10-30 minutes and can be done
on any part of the body.
Follow-up treatments: Additional treatments are
recommended from one to four weeks, again depending on
the goal. The number of treatments for maximum results
is two to twelve. Many people like to have maintenance
microdermabrasion treatments each season to keep skin
healthy and glowing. [ menu
]
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| Plastic
& Reconstructive Surgery for the Face |
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Skin Cancer Surgery
If you are concerned about an area on your skin possibly
being cancerous, it is good practice to discuss this with
your family physician and/or dermatologist. If surgery
is required to remove the surgery, the plastic surgeon
is a good choice because of this specialist’s surgical
background and natural propensity to practice scarring
reduction techniques. Although other physicians can perform
surgery for skin cancer – a plastic surgeon is helpful
with reconstruction of the surgery site.
The
most common type of skin cancer is basal cell carcinoma.
This cancer grows slowly and spreads beyond its original
site, however is not generally life-threatening unless
left untreated. Squamous cell carcinoma is less common
than basal cell and is most commonly found on the lips,
face or ears. Again, if untreated it can be life threatening.
The most dangerous melanoma that is spreading more in
southern states is malignant melanoma. If discovered
early enough it is curable – however if not it can spread
throughout the body and if often deadly.
Basal
and squamous cell carcinomas can vary widely in appearance.
Cancer can take on many shapes, sizes and colors. It
could begin as a small white or pink nodule or bump
– it can be smooth and shiny, waxy or pitted on the
surface. Or it could appear as a red spot that’s rough,
dry or scaly.
The
“ABCD” acronym is important to remember when considering
whether an area on your skin is suspect.
Look for:
Assymetry – or when the two halves of the area
do not match.
Border irregularity – the area has ragged or
blurry edges.
Color – a mixed appearance with tan, brown, black,
even red, white or blue
Diameter – a growth more than the size of a pencil
eraser, or a growth that has unusually increased in
size could be suspect.
Remember,
talk to your family physician first to diagnose the
area and/or develop a treatment plan if you think an
area may be cancerous. [ menu
]
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Pediatric Plastic Surgery (Correction of prominent ears
and birth defects of the face & hands)
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Scar Reduction Surgery
About the procedure: Scar reduction or revision surgery
is helpful for individuals who have scars that appear
large or unattractive and do not become less noticeable
over time. If a scar is a concern, a consultation with
a board-certified plastic surgeon can help to determine
the possible methods of treating your scar, the risks
and benefits involved and the possible outcomes. It is
important to be honest with your physician as well as
have realistic expectations.
With
any scar revision, it is important to know that no scar
can be removed completely. The amount of improvement
depends on a number of factors including the size and
direction of your scar, the nature and quality of your
skin and how well you care for the surgery site following
the operation. It’s also important to be patient – the
final results of the surgery may not be apparent for
a year or more.
Following
the procedure: While this like other plastic surgery
procedures are generally safe, there is always the possibility
of complications such as infection, bleeding, reactions
to anesthesia or the recurrence of the scar. By following
your physician’s advice before and following surgery,
you can help to minimize risks and complications.
[ menu ]
-
Surgical Treatment of Nose Fractures
-
Plastic Surgery after Accidents
-
Surgical Correction of Deviated Septum
· Burn Injury Care
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| Cosmetic
Surgery for the Body |
- Breast
Augmentation
About
the procedure: Breast augmentation or breast enlargement
helps to enhance the size of breasts using inflatable
implants filled with saline. The outpatient procedure
usually takes 1-2 hours and requires local anesthesia
with sedation or general anesthesia. Side effects include
temporary soreness, swelling, change in nipple sensation,
bruising and sensitivity of the breast area for a few
weeks.
The
incision for each implant is made as inconspicuously
as possible at one of three typical sites: under the
arm, around the nipple, or within the breast fold. The
breast implant is then placed either partially under
the pectoralis major muscle (submuscular), or on top
of the muscle and under the glands (subglandular). To
assist in making the smallest possible incision, the
implant is typically inserted empty and then filled
with saline. In each of these areas that present options,
your plastic surgeon will discuss what is the right
option for you.
Breast
implants vary in shape as well as size. Women can choose
between a more rounded appearance or a shaped implant
designed to reflect the slope of the breast.
Following
the procedure: Patients with breast augmentation
can usually return to work in a few days, however should
keep from physical contact with the breasts from 3-4
weeks. The scars resulting from the procedure generally
fade within several months to a year.
Undergoing
any invasive surgical procedure may involve the risk
of complications such as the effects of anesthesia,
infection, swelling, bleeding, pain and delayed healing.
In addition, there are potential complications specific
to breast implants that can include deflation, interference
with mammography, contraction of the scar tissue capsule
around the implant, replacement or revision surgeries,
calcium deposits in the tissue capsule, changes in nipple
and breast sensation, shifting of the implant. Please
discuss these possible complications with your surgeon.
[ menu ]
-
Breast Lift
About the procedure: A breast lift is a surgical procedure
to raise and reshape sagging breasts by removing excess
skin and repositioning remaining tissue and nipples. The
procedure generally takes between 1-3 hours to complete
and requires local anesthesia with sedation or general
anesthesia.
This
surgery is usually performed in an outpatient surgery
center, however depending on the patient, the procedure
may be performed in a hospital and require an overnight
stay. The duration of the results of the lifted breasts
varies. Factors such as gravity, pregnancy, aging and
weight changes may cause new sagging. Results may last
longer or be enhanced when breast implants are inserted
during the procedure.
Following
the procedure: Side effects include temporary bruising,
swelling, discomfort, numbness and dry breast skin –
as well as permanent scars. Specific risks involved
with this procedure should be discussed with your plastic
surgeon. They can include thick, wide scars, infection,
unevenly positioned nipples and permanent loss of feeling
in nipples or breast.
Most
patients can resume normal activities in one week or
more, and more strenuous activities in one month. Scars
can take several months to a year to fade. [ menu
]
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Abdominoplasty (Tummy
Tuck)
About
the procedure: Abdominoplasty or tummy tucks help
to flatten the abdomen by removing excess fat and skin,
while also tightening the muscles of the abdominal wall.
Your plastic surgeon will discuss the incision site with
you – to ensure that scarring is minimal and able to be
hidden by your undergarments or swim wear.
The
procedure can take between 2 and 5 hours and generally
requires general anesthesia or local anesthesia with
sedation. Abdominoplasty may be performed on an inpatient
or outpatient basis depending on individual patient
situations and the extent of the surgery.
Following
the procedure: Abdominoplasty can have side effects
including temporary pain, swelling, numbness of surgery
area, bruising or tiredness for several weeks or months.
Specific risks of this procedure such as blood clots,
infection, scarring or need for a second operation,
should be discussed with your plastic surgeon. [ menu
]
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Liposuction
About the procedure: Liposuction helps to improve
body shape by removing fat deposits that are resistant
to exercise with a tube and vacuum device. Common locations
for liposuction include chin, cheeks, next, upper arms,
above the breasts, abdomen, buttocks, hips, thighs, knees,
calves and ankles. The procedure generally takes about
1-3 hours or more – depending on area and amount of fat
deposit sites to treat. Anesthesia required depends
on the patient an varies from local to epidural or general.
This is generally and outpatient procedure, however more
complex procedures may require a short inpatient stay
at an area hospital.
Following
the procedure: Side effects can include temporary
bruising, swelling or numbness. Risks of liposuction
such as asymmetry, rippling or bagginess of skin, pigmentation
change, skin injury or fluid retention or loss should
be discussed with your plastic surgeon. [ menu
]
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Laser Hair Removal
-
Laser Treatment of Spider Veins
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Cellulite Treatment
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| Plastic
& Reconstructive Surgery for the Body |
- Breast
Reduction
About the procedure: Breast reduction, technically
known as reduction mammaplasty, is designed for women
with very large breasts who may experience a variety of
medical problems caused by the excessive weight. These
problems range from back and neck pain and skin irritation
to skeletal deformities and breathing problems – not to
forget the psychological consequences such as reduced
self esteem. Breast reduction removes fat, glandular tissue,
and skin from the breasts, making them smaller, lighter,
and firmer. It can also reduce the size of the areola,
the darker skin surrounding the nipple. The goal is to
give the woman smaller, better-shaped breasts in proportion
with the rest of her body.
In most cases, breast reduction isn't performed until
a woman's breasts are fully developed; however, it can
be done earlier if large breasts are causing serious physical
discomfort. The best candidates are those who are mature
enough to fully understand the procedure and have realistic
expectations about the results. Breast reduction is not
recommended for women who intend to breast-feed.
As
with any surgery, there is always possibility of complications
with breast reduction, including bleeding, infection,
or reaction to the anesthesia. Some patients develop small
sores around their nipples after surgery; these can be
treated with antibiotic creams. You can reduce your risks
by closely following your physician's advice both before
and after surgery.
In
your initial consultation, discuss your expectations
frankly with your surgeon, and listen to his or her
opinion. Every patient and every physician has a different
view of what is a desirable size and shape for breasts.
Following
the procedure: The procedure does leave noticeable,
permanent scars, although they'll be covered by your
bra or bathing suit. (Poor healing and wider scars are
more common in smokers.) The procedure can also leave
you with slightly mismatched breasts or unevenly positioned
nipples. Future breast-feeding may not be possible,
since the surgery removes many of the milk ducts leading
to the nipples. Some patients may experience a permanent
loss of feeling in their nipples or breasts. [ menu
]
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Breast Reconstruction
About the procedure: If you are facing the loss
of a breast due to cancer or other disease, breast reconstruction
may be an option for you. Breast reconstruction is a surgical
procedure to recreate the contour of your breast using
either a prosthesis or your own tissues. Though great
strides have been made in breast reconstruction, resulting
in more aesthetic breast shape and appearance, it is important
for you to realize that the reconstructed breast will
not look or feel exactly like your natural breast.
The
procedure can begin immediately – at the time of your
mastectomy, or delayed by weeks to years afterwards.
The type of breast reconstruction available depends
on your medical situation, your breast shape and size,
your general health and lifestyle, and your goals.
Other
surgical procedures related to breast reconstruction
include reconstruction of the nipple and areola area
and/or breast lift, breast reduction, or breast enlargement
to the remaining breast. These procedures are usually
done as a separate outpatient procedure following completion
of the initial reconstructive surgery.
Following
the procedure: Please discuss possible side effects
of this procedure with your plastic surgeon. Patients
with breast reconstruction can usually return to work
in a few days, however should keep from physical contact
with the breasts from 3-4 weeks.
Undergoing
any invasive surgical procedure may involve the risk
of complications such as the effects of anesthesia,
infection, swelling, bleeding, pain and delayed healing.
In addition, there are potential complications specific
to breast implants that can include deflation, interference
with mammography, contraction of the scar tissue capsule
around the implant, replacement or revision surgeries,
calcium deposits in the tissue capsule, changes in nipple
and breast sensation, shifting of the implant. Please
discuss these possible complications with your surgeon.
[ menu ]
-
Skin Cancer Surgery
-
Surgery for Open Wounds, Ulcers and
Bedsores
-
Surgery after Gastric Bypass Weight
Loss
-
Pediatric Plastic Surgery (Correction
of prominent ears and birth defects of the face & hands)
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Scar Reduction Surgery
-
Plastic Surgery after Accidents
-
Burn Injury Care
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Hand Surgery |
- Carpal
Tunnel Surgery
- Trigger
Finger Surgery
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Tendonitis Surgery for the Wrist & Hand
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Hand Tumor Surgery
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Surgery for Contractures of the Hand
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Hand Fracture Surgery
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Tendon Injury Surgery
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Micro-surgical re-attachment of Amputated Fingers & Hands
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Peripheral Nerve Surgery
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Arthritis Surgery
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