Plastic Surgery

Plastic surgery & Cosmetic procedures

Cosmetic plastic surgery includes surgical and nonsurgical procedures that enhance and reshape structures of the body to improve appearance and confidence. Healthy individuals with a positive outlook and realistic expectations are appropriate candidates for cosmetic procedures.

Face & neck

What is a brow lift?

A brow lift, also known as a forehead lift:

Reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes

Improves frown lines, the vertical creases that develop between the eyebrows

Raises sagging brows that are hooding the upper eyelids

Places the eyebrows in an alert and youthful position.

What is eyelid surgery?

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids.

Surgery can be performed on the upper lids, lower lids or both.

Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

What is a facelift?

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:

  • Relaxation of the skin of the face causing sagging
  • Deepening of the fold lines between the nose and corner of the mouth
  • Fat that has fallen or has disappeared
  • Jowls developing in the cheeks and jaw
  • Loose skin and excess fat of the neck that can appear as a double chin or "turkey neck"

The loss of youthful contours in the face can be due to variety of factors, including thinning of the skin, loss of facial fat, gravity, sun damage, smoking, as well as heredity and stress.

Other procedures that might be performed in conjunction with a facelift are brow lift and eyelid surgery to rejuvenate aging eyes. Fat transfer or fillers may be suggested to replace the lost fatty volume. Skin treatments such as IPL, dermabrasion, peels or laser may be offered to improve the quality and texture of the skin.

What is a neck lift?

A neck lift, or lower rhytidectomy, is a surgical procedure that improves visible signs of aging in the jawline and neck.

What neck lift surgery can treat

  • Excess fat and skin relaxation in the lower face that creates jowls
  • Excess fatty deposits under the chin
  • Loose neck skin
  • Muscle banding in the neck, which created abnormal contours

The loss of youthful contours in the face and neck can be due to a variety of factors, including heredity, gravity, environmental conditions and stress.

Some people feel they are not ready for a full facelift because the upper face is still pleasing. However, many patients will note excess wrinkling of the neck skin, a double chin or "turkey wattle" and jowl lines.

When the neck area doesn't match the upper facial appearance, a neck lift may be a good solution.

Rejuvenation procedures that can be performed in conjunction with a neck lift are: a brow lift, to correct a sagging or deeply furrowed brow, fat transfer, to add fullness to the lips and cheeks and reduce the appearance of wrinkles, or eyelid surgery, to rejuvenate aging eyes.

What is rhinoplasty?

Rhinoplasty, sometimes referred to as a "nose job" or "nose reshaping" by patients, enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose.

What rhinoplasty can treat

  • Nose size in relation to facial balance
  • Nose width at the bridge or in the size and position of the nostrils
  • Nose profile with visible humps or depressions on the bridge
  • Nasal tip that is enlarged or bulbous, drooping, upturned or hooked
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry

If you desire a more symmetrical nose, keep in mind that everyone's face is asymmetric to some degree. Results may not be completely symmetric, although the goal is to create facial balance and correct proportion.

Rhinoplasty to correct a deviated septum

Nose surgery that's done to improve an obstructed airway requires careful evaluation of the nasal structure as it relates to airflow and breathing.

Correction of a deviated septum, one of the most common causes of breathing impairment, is achieved by adjusting the nasal structure to produce better alignment.

Breast

What is breast augmentation?

Breast augmentation involves using breast implants or fat transfer to increase the size of your breasts. This procedure can also restore breast volume lost after weight reduction or pregnancy, achieve a more rounded breast shape or improve natural breast size asymmetry.

Breast augmentation is also referred to as augmentation mammoplasty. When fat from another part of the patient's body is used to create the improved breast volume, the procedure is referred to as fat transfer breast augmentation.

What is breast lift surgery?

A breast lift, also known as mastopexy, raises the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour.

New statistics from the American Society of Plastic Surgeons show breast lifts have grown 70% since 2000, outpacing breast implants 2-to-1.

Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well.

A breast lift can rejuvenate your figure with a breast profile that is more youthful and uplifted. A woman's breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from:

  • Pregnancy
  • Breastfeeding
  • Weight fluctuations
  • Aging
  • Gravity
  • Heredity

What is breast reduction surgery?

Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with your body and to alleviate the discomfort associated with excessively large breasts (macromastia).

Disproportionately large breasts can cause both physical and emotional distress for patients. Patients with macromastia may experience physical discomfort resulting from the weight of their breasts. The resulting pain can make it challenging for some patients to perform common physical activities. Along with the physical ailments of macromastia, some patients may suffer from emotional distress or more significant mental health problems as a result of their large breasts.

Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia but are unhappy with the size of their breasts can still pursue breast reduction as an aesthetic procedure. Patients choosing to undergo breast reduction surgery for cosmetic reasons may cite any number of factors, including social stigmas and wardrobe concerns.

Fat reduction

What is liposuction?

Liposuction, sometimes referred to as "lipo" by patients, slims and reshapes specific areas of the body by removing excess fat deposits and improving your body contours and proportion.

What liposuction can treat

  • Thighs
  • Hips and buttocks
  • Abdomen and waist
  • Upper arms
  • Back
  • Inner knee
  • Chest area
  • Cheeks, chin and neck
  • Calves and ankles

Liposuction can be performed alone or along with other plastic surgery procedures, such as a facelift, breast reduction or a tummy tuck.

Body lifts

What is an arm lift?

An arm lift, or brachioplasty, is a surgical procedure that:

Reduces excess sagging skin that droops downward

Tightens and smoothes the underlying supportive tissue that defines the shape of the upper arm

Reduces localized pockets of fat in the upper arm region

Fluctuations in weight, growing older and heredity can cause your upper arms to have a drooping, sagging appearance. This is a condition that cannot be corrected through exercise.

Arm lift surgery may be right for you if the underside of your upper arms are sagging or appear loose and full due to excess skin and fat.

What is a body lift?

A body lift improves the shape and tone of the underlying tissue that supports skin and fat. Excess sagging skin and fat are removed and the procedure(s) can improve a dimpled, irregular skin surface.

A body lift may include these areas

Abdominal area - locally or extending around the sides and into the lower back area

Buttocks

Thigh - the inner, outer or posterior thigh, or the thigh's circumference

Aging, sun damage, pregnancy, significant fluctuations in weight and genetic factors may contribute to poor tissue elasticity that can result in sagging of the abdomen, buttocks and thighs.

What is a tummy tuck?

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

  • Aging
  • Heredity
  • Pregnancy
  • Prior surgery
  • Significant fluctuations in weight

What is thigh lift surgery?

Thigh lift surgery reshapes the thighs by reducing excess skin and fat, resulting in smoother skin and better-proportioned contours of the thighs and lower body.

If fitness and weight control efforts have not achieved your goals for a body that is firmer, more youthful-looking and more proportionate to your overall body image, a surgical lift may be right for you.

Male specific plastic surgery

What is gynecomastia surgery?

Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours.

In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.

Plastic surgery to correct gynecomastia is technically called reduction mammaplasty.

Vaginal Rejuvenation

What is a labiaplasty?

The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and it can relieve symptoms women experience from twisting and tugging of the labia.

Minimally invasive

What is botulinum toxin type A?

The cosmetic form of botulinum toxin is a popular injectable that temporarily reduces or eliminates facial fine lines and wrinkles. The most commonly treated areas are frown lines, forehead creases, crow's feet near the eyes. Several other areas have been treated such as thick bands in the neck, thick jaw muscles, lip lines and gummy smiles.

Botulinum toxin is a purified substance that's derived from bacteria. Injections of botulinum toxin block the nerve signals to the muscle in which it was injected. Without a signal, the muscle is not able to contract. The end result is diminished unwanted facial wrinkles or appearance. Commonly known types of botulinum toxin type A injections include Botox®, Dysport®, Xeomin® and Jeuveau®.

Botulinum toxin can be used to

  • Smooth crow's feet, forehead furrows, frown lines, lip lines and bunny lines
  • Diminish neck bands
  • Improve the appearance of skin dimpling of the chin
  • Lift the corners of the mouth
  • Soften a square jawline
  • Correct a gummy smile

What is a chemical peel?

A chemical peel uses a chemical solution to improve the texture and tone of your skin by removing the damaged outer layers

Although chemical peels are used mostly on the face, they can also be used to improve the skin on your neck and hands. Sun exposure, acne or just getting older can leave your skin tone uneven, wrinkled, spotted or scarred.

A chemical peel is one of the most cost-effective ways to improve the appearance of your skin. The potential result of the chemical peel depends on the type of chemical and technique used.

What a chemical peel can improve

  • Acne or acne scars
  • Fine lines and wrinkles
  • Irregular skin pigmentation
  • Rough skin and scaly patches
  • Certain scars
  • Sun-damaged skin

What a chemical peel can't do

  • Treat deep facial lines or wrinkles
  • Significantly tighten loose or sagging skin
  • Remove deep scars

What is dermabrasion?

Dermabrasion and dermaplaning help to "refinish" the skin's top layers through a method of controlled surgical scraping. The treatments soften the sharp edges of surface irregularities, giving the skin a smoother appearance.

Dermabrasion is most often used to improve the look of facial skin left scarred by accidents or previous surgery, or to smooth out fine facial wrinkles. It's also sometimes used to remove the pre-cancerous growths called keratoses. Dermaplaning is also commonly used to treat deep acne scars.

Both dermabrasion and dermaplaning can be performed on small areas of skin or on the entire face. They can be used alone or in conjunction with other procedures such as facelift, scar removal/revision or chemical peel.

If you're considering surgery to refinish the skin, this information will give you a basic understanding of the procedure-when it can help, how it's performed and what results you can expect. It cannot, however, answer all of your questions, as much depends on your individual circumstances. Please ask your doctor about anything you do not understand.

Alma Laser

Soprano ICE is the most complete and effective laser hair removal solution available today – for all skin tones and hair types. By incorporating multiple laser wavelengths and technologies, Soprano ICE allows practitioners to treat the widest range of patients and hair types all year round, administer treatments quickly and comfortably and achieve the best possible clinical results.

By combining the benefits of the Alexandrite wavelength with the advantages of a diode laser, Soprano ICE offers the cutting-edge in hair removal technology and treatment methods. The powerful absorption that is possible with the Alex wavelength combined with the contact cooling, treatment coverage, comfort and low maintenance of the diode laser provides an ideal solution for the widest range of hair types and color – especially light-colored and thin hair.

The Complete Solution for LASER HAIR REMOVAL

Virtually Painless
Treatment is virtually painless, delivering a massage-like sensation.

All Skin Tones and Hair Types
Effective results for light or dark skin as well as coarse of fine hair.

Proven safety record
Including for dark skin.

Tanned Skin
Treatments can be performed any time of the year, including on tanned skin.

Speed
Treatment sessions are super-quick, even for large areas such as the legs or back.

No Down Time
You can return to your normal activities, including working out at the gym, immediately.

Perfect for any area of the body
Including sensitive or hard to reach areas such as the ears, nostrils and bikini line.

What is laser hair removal?

Laser hair removal is a noninvasive technique that uses highly concentrated light to penetrate hair follicles. The laser light is absorbed by the pigment in the hair shaft in the follicle-generating heat which damages the follicle to inhibit future hair growth. Therefore, plucking hair before treatment reduces the efficacy of the laser treatment as the target is absent.

Because laser hair removal only affects actively growing hair follicles, it may take several laser hair removal treatments to provide significant hair reduction. Additionally, while laser hair removal effectively slows hair growth, it doesn't guarantee permanent hair removal. Periodic maintenance treatments may be needed.

FRAXEL The original fractional skin resurfacing treatment.

Fraxel is a non-invasive laser therapy providing a wide array of treatment options to address many forms of aging, customized to each patient's needs and concerns, many requiring minimal recovery time. It's the perfect solution for people who want their skin to look younger, but don’t want to look plastic or fake and can’t afford a lot of time away from work or their social life.

Fraxel-type laser treatments are ideal for anyone ages 25 to 60 who want to improve skin texture and resurface skin texture to:

  • soften fine lines
  • lessen acne scars (icepick, boxcar, post-acne hyperpigmentation)
  • heal traumatic scars (surgical scars, injury, burns)
  • address texture issues
  • lighten age spots and brown sunspots
  • balance uneven skin tone
  • reduce stretch marks

What is laser skin resurfacing?

Laser skin resurfacing, also known as a laser peel, laser vaporization and lasabrasion, can reduce facial wrinkles, scars and blemishes. Newer laser technologies give your plastic surgeon a new level of control in laser surfacing, permitting extreme precision, especially in delicate areas.

What laser skin resurfacing can improve

  • Fine lines or wrinkles around or under your eyes, forehead or mouth
  • Scars from acne or chickenpox
  • Non-responsive skin after a facelift
  • Aged or sun-damaged skin
  • Liver spots
  • Improve your complexion if you have yellowish or grayish skin tones
  • Warts
  • Birthmarks such as linear epidermal nevi
  • Enlarged oil glands on the nose

How does laser skin resurfacing work?

It's all about using beams of light. Your surgeon uses the laser to send short, concentrated pulsating beams of light at irregular skin. This removes unwanted, damaged skin in a very precise manner one layer at a time.

Laser skin resurfacing's targeted approach means there are fewer problems with hypopigmentation, or a lightening of skin, for procedures such as laser acne scar removal.

The laser beam used in laser resurfacing will remove your outer layer of skin, called the epidermis. It simultaneously heats the underlying skin, called the dermis. This action works to stimulate growth of new collagen fibers. As the treated area heals, the new skin that forms is smoother and firmer.

What is microdermabrasion?

Microdermabrasion treatments use a mildly abrasive instrument to gently sand your skin, removing the thicker, uneven outer layer.

This type of skin rejuvenation is used to treat light scarring, discoloration, sun damage and stretch marks.

What microdermabrasion can do

  • Improve age spots and blackheads
  • Improve hyperpigmentation (patches of darkened skin)
  • Exfoliate your skin, resulting in a refreshed appearance
  • Lessen the appearance of stretch marks
  • Reduce fine lines and wrinkles
  • Reduce or eliminate enlarged pores
  • Treat acne and the scars left by acne

Microdermabrasion helps to thicken your collagen, which results in a younger looking complexion. Collagen is a protein in your skin which is abundant when you're a child and makes skin appear taut and smooth. Collagen production declines as we age, resulting in looser, uneven skin.

THERMAGE
Skin Tightening Treatment

Thermage is a safe, non-invasive, radiofrequency (RF) cosmetic procedure that's clinically proven to help smooth and improve skin for an overall younger looking appearance. The treatment delivers natural looking results with little to no downtime—on all skin types on and off the face, all in a single procedure.

As we age, the collagen that keeps our skin firm breaks down resulting in aging skin that contains fine lines and wrinkles. A Thermage FLX™ treatment uses radiofrequency technology to heat the deeper, collagen-rich layers of the skin. The applied heat causes collagen to contract and encourages new collagen to start growing. This helps create smoother skin after just one treatment with results that continue to improve.

No Surgery or Injections
Thermage FLX is non-invasive, no cutting, no needles

A Single Treatment
One quick treatment (30 to 90 minutes depending on the treatment area) can deliver outstanding results for most patients.

Fast and Comfortable
Designed to deliver maximum results in a short, comfortable procedure.

Little to No Downtime
Go right back to life as usual –no need to miss work or fun

Lasting Results
Results improve over time and can last for years.*
*Recommended by physicians as part of an annual skin rejuvenation maintenance program.

Multiple Treatment Areas
Treats wrinkles and loose skin on the face, around the eyes and on the body

What is skin rejuvenation and resurfacing?

Sun, skin disorders, aging and even heredity can all contribute to skin irregularities on the face and elsewhere on the body. These include textural irregularities like wrinkles and acne scars, pigmentation changes like freckles, sunspots or visible blood vessels. In addition, skin may lose tone, feel less firm and lose the healthy glow that is evident in younger skin.

Different treatment modalities are available to treat the different aspects of skin damage.

Laser resurfacing, mechanical resurfacing, chemical peels and injectable products can improve the appearance of fine lines and wrinkles of the entire face or those that develop in specific regions of the face, such as the upper lip and around the eyes. These treatments can also be used to address pigmentation disorders, such as sun and age spots, and they can be used to improve the appearance of acne scars or other skin conditions.

The specific type of treatment that will best address your concerns are determined after a consultation with your board-certified plastic surgeon. Most skin treatments require a series of treatments and a multi-modality approach to achieving excellent results. Most importantly, the patient must be committed to protecting his or her skin going forward so that the results achieved will be longer lasting.

COOLSCULPTING®
Zeltiq Coolsculpting is a medical device to remove fat using a process called cryolipolysis, which it branded as "CoolSculpting". The device works by pulling a piece of flesh between two paddles, which cool it to below freezing and hold the temperature there for a hour.

The CoolSculpting® procedure is FDA-cleared for the treatment of visible fat bulges in the submental (under the chin) and submandibular (under the jawline) areas, thigh, abdomen and flank, along with bra fat, back fat, underneath the buttocks (also known as banana roll) and upper arm. It is also FDA-cleared to affect the appearance of lax tissue with submental area treatments. The CoolSculpting® procedure is not a treatment for weight loss.

The price for CoolSculpting varies, depending on your areas of concern, the number of treatments needed and your ultimate goals. Our doctor would need to assess you in person to help estimate the cost. Typically, you’ll see a noticeable reduction of fat in the treated area after one visit, but you may appreciate even more fat reduction with additional treatments.

Accent Prime / Alma Lasers
Body Contouring & skin Tightening

Accent Prime, is a non-invasive, state-of-the-art solution for face & body contouring and aesthetic enhancement. Using the power of combined technologies, Accent Prime offers customized treatments for facial and body contouring, skin tightening, cellulite reduction, skin rejuvenation that reveal your natural beauty contours- with visible, reliable, lasting results.

Accent Prime offers a pioneering device of an extra-large applicator plate, which significantly reduces treatment time to approximately 20 min. Multiple clinical studies and thousands of satisfied patients have proven Accent’s safety and effectiveness in tightening loose skin, promoting healthy collagen production and toning the body’s shape.

The Treatments

Accent Prime's Face & Body contouring treatments - effectively remove stubborn fat deposits, reduce the appearance of cellulite, tighten loose skin and visibly improve the shape and contours of the face and body. A combination of ultrasound and RF technologies achieves superior results, giving you a naturally sculpted appearance without the pain and downtime of more invasive procedures. Look thinner, feel better and reveal the beauty of your natural contours.

Cellulite - The dimpled, lumpy skin associated with cellulite is a challenging concern that plagues many women today. Numerous remedies are available, but ultimately, most are ineffective. Accent Prime offers a clinically-proven solution that effectively reduces the appearance of cellulite.

Skin Tightening - Over time, the smooth texture and volume of youthful skin give way to signs of aging such as fine lines, wrinkles and loose skin. Accent Prime uses high RF energy to lift and tighten mature skin of the face and body, enhancing your natural beauty and revealing smoother, younger, healthier-looking skin.

Skin rejuvenation - As we age, the tone and texture of our skin changes. Accent Prime uses microplasma RF technology to smooth out and balance the skin- improving overall skin tone and texture, improving the appearance of stretch marks and reducing superficial pigmentation, while helping to bolster the skin against future aging.

Varicose veins are abnormally large veins often seen in the legs. Normally, blood travels from the heart to the legs by arteries and back to the heart through veins. Veins have one-way valves that allow blood to return from the legs against gravity. If the valves leak, blood pools in the veins, and they can become enlarged or varicose.

Endovenous ablation is an image-guided, minimally invasive treatment. It uses radiofrequency or laser energy to cauterize (burn) and close the abnormal veins that lead to varicose veins.

Endovenous ablation uses energy to cauterize (burn) and close varicose veins. Doctors use it to help ease symptoms such as pain, swelling, and irritation. Ablation is safe, less invasive than surgery, and leaves virtually no scars.

What is spider vein removal?

There are effective, safe and relatively painless methods available for reducing spider veins. The most common spider vein treatment involves the injection of a solution into each affected vein, causing the vein to collapse and fade. Laser treatments are also available for the reduction or removal of spider veins.

What are spider veins?

In some women, spider veins—those small clusters of red, blue or purple veins that appear on the thighs, calves and ankles—become noticeable at a young age. For others, the veins may not become obvious until much later.

Causes of spider veins

A number of factors may contribute to the development of spider veins in the legs, including:

  • Heredity
  • Hormonal shifts
  • Occupations or activities that require prolonged sitting or standing
  • Pregnancy
  • Weight fluctuation
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