Procedures
Click on the Procedure Below for More Information

Eyelid Surgery

Plastic Surgery of the Eyelids
( Blepharoplasty or Simply Bleph)

Plastic surgery of the eyelids is effective for making puffy, baggy, tired eyes look more youthful and (in many cases)...more awake. In particular, it can improve baggy lids by removing excess skin, and it can improve puffiness by removing excess fat. Eyelid surgery must be tailored to each individual, depending on their concerns and the condition of their eyelids. For example, some people need only to have their lower lids improved, others have their upper lids done, and some have both done. Some have only skin removed, some fat, and some both. Finally, be aware that eyelid surgery has its limitations and will NOT improve crow's feet, droopy eyebrows, scowl lines, and hoods that droop down from the outer corner of the eyelids.
Blepharoplasty Scars
Scars will fall along your lower lash line or in your upper eyelid crease and will become imperceptible within a few weeks. In some cases (where fat alone is removed from the lower lids), the incision can be made on the inside of your eyelid. Although this leaves no scar at all on your skin, it does tend to delay recovery by making your eye more swollen.
Blepharoplasty Recovery
Length of surgery: 1.5-2 hours
Location of operation
office or hospital
Anesthesia often sedation but can be performed under local anesthesia
Length of stay: outpatient
Discomfort: mild pain
Swelling and bruising improve within 3-14 days. You will be instructed to place ice compresses on your eyes for 1-3 days.
Stitches will be removed in 7 days. Glasses may be worn immediately.
Eye make-up may be worn in 7-10 days.
Exercise may be resumed at 6 weeks.

Lip Enhancement

Lip Augmentation
Lip Implants
Lip Augmentation will increase the fullness of your upper lip, lower lip, or both. It will not improve problems with lipstick bleed along your wrinkles.
The Procedure
Lip augmentation is an office procedure performed under local with sedation anesthesia. Augmentation materials are available in sheet form for surgical placement. If sheets of material are used, which are explained below, small incisions will be made at the corners of your mouth. The sheets of material will then be threaded through your lips to provide smooth, even augmentation. The incisions are usually hidden inside your mouth.
Recovery
You may return to your regular routine immediately following lip augmentation, unless you were sedated. If you were sedated, then you may resume your usual activities the following day. Swelling and bruising last for three days to one week. Discomfort is minimal, and prescription pain medication is often not required.
Alloderm
Alloderm is freeze-dried collagen that is prepared in sheet form. The implant is obtained from deceased human donors. Its placement results in soft, natural, and pliable lips. Drawbacks are that it will shrink over the course of a year. At the end of a year (and sometimes sooner) you will look as you did prior to your lip augmentation surgery.
Ask Your Plastic Surgeon About These Potential Complications
Cold sore outbreak Extrusion Infection Re-absorption
Concluding Thoughts on Lip Augmentation
Lip augmentation has become popular due to the impressive cosmetic results possible through this relatively simple procedure. However, because the ideal implant material has not yet been identified, plastic surgeons continue to research this area.

Breast Augmentation

Breast Augmentation Surgery
Breast Enlargement with Breast Implants
Breast augmentation is one of the most popular plastic surgery procedures in the United States. Through placement of breast implants, women have been able to achieve changes in their figure (breast enlargement / breast enhancement ) that otherwise would have been impossible. In spite of their overwhelming popularity , breast implants have limitations. Breast augmentation surgery will not improve nipple asymmetry, move your breasts closer together, lift droopy breasts, or remove stretch marks. If you have droopy breasts, you may need a breast lift (mastopexy). Breast implants are not free of problems, and any problem associated with breast implants requires more surgery and cost.
Options in Breast Implants

1. Position (under or over the muscle)
By implant position, plastic surgeons are referring to whether the breast implant should be placed above or below the pectoralis muscle. Advantages for placing the breast implant above the muscle include less discomfort post-operatively, less swelling, and less chance that the breast will appear to move when you are exercising your upper body. Simply put, if your breast implants are under the muscle, your breasts may appear to move as you flex your muscles. Advantages for placing the implants under the muscle include less interference with mammography and less rippling. Generally, thin and small-breasted women should favor implant placement under the muscle. The advantages of less interference with mammography, less rippling, and more cushion between the implant and the skin outweigh the drawbacks.
2. Breast Implant surface (textured or smooth)
By implant surface, plastic surgeons are referring to whether the implant is smooth or textured. A smooth implant is just that - as smooth as the surface of a balloon. Textured implants are rough, somewhat like sandpaper. Once they are in placed under your breasts, it is impossible to tell whether you have smooth or textured implants. Textured implants were developed because plastic surgeons thought that they would be less likely to cause capsular contractures. Unfortunately, studies have not shown a consistent advantage of textured implants over smooth when it comes to capsular contractures. Also, textured implants are more likely to cause rippling , which can be a big problem for thin and small-breasted women. For these reasons, most plastic surgeons favor smooth implants for breast enlargement.

3. Shape (round or anatomic (teardrop))
By this, plastic surgeons are referring to round or teardrop shape. Round implants are shaped like donuts. Teardrop implants are shaped more like the breast. Some surgeons found that teardrop implants may rotate, giving an unnatural appearance.
4. Volume
This is the all-important size issue. Breast implants come in all sizes with the most common sizes ranging from 300-400 cc. Within that range, 300-390cc is probably the most common.. This decision is highly personal and highly individualized. The best way to determine your size is by placing breast implant sizers in your bra and then put a sweater, blouse, or t-shirt on.
5. Breast Implant projection (standard vs. high profile)
Breast implants are designed so that as volume increases, so does diameter and projection. Standard implants are designed so that MOST women who choose a given volume will be able to accommodate the breast implant's diameter beneath her breasts. A high profile implant, the volume is the same, but the diameter is narrower and the projection is greater.
6. Saline Vs. Silicone Gel
Both saline and silicone filled breast implants are approved by the FDA for use in the United States. Saline implants can be put in through a much smaller incision than the silicone, because the silicone comes pre-filled, and the saline comes deflated.
7. Site of Incision (This Pertains only to Saline Implants, as Silicone Implants are placed via an Incision Under the Breast)
The options for the incision are under your breast or around your nipple, . An incision under the breast is placed within or near the natural crease beneath your breast. The incision around the areola goes from the 9:00 position to the 3:00 position.

Anesthesia: Local and IV sedation
Location of procedure: Office surgical suite
Length of surgery: 1.5-2 hours
Discomfort: Pain is variable, pain medicine will be given for the first week following surgery. The first 48 hours tend to be the worst.
Swelling and bruising: Swelling will be present for 2-3 weeks, and visible bruising is usually minimal.
Stitches: Removed at 1 week
Restrictions: No driving for one week, no lifting over 10 pounds for 4 weeks, and no exercise for 6 weeks.
Results: Final results are seen at 3 months.

Breast Lift

Breast Lift for Sagging Breasts
Mastopexy

Some women would prefer to have
breast implants rather than a breast lift to fix their saggy breasts. However, this does not work. Simply put, if your breasts are droopy, and your nipples are below the breasts natural crease, and you want them lifted, then you need to have a breast lift.
Incisions and Scars in Breast Lift
Scars are the greatest drawback of a breast lift. They will be around the nipple, and may also extend from the nipple down to the crease, and along the breast crease. The extent of scars is often related to the degree of droop: the greater the droop, the more extensive the scars. Any woman considering a breast lift must realize that she is exchanging one cosmetic breast problem (saggy breasts) for another cosmetic breast problem (scars)
Breast Lift: During and After Surgery
Anesthesia: General or local with IV sedation.
Location of operation: Office Surgical Suite or hospital.
Length of surgery: Approximately 3-4 hours
Length of stay: Outpatient (home same day).
Discomfort: Mild to moderate. Anticipate 2-7 days of prescription pain medication.
Swelling and Bruising: Improve in 3-10 days.
Stitches: Are usually dissolvable
Support: You will wear a sports bra for 3 months.
Back to work: 3-7 days.
Exercise: May be resumed in 6 weeks.
Final result: 3-6 months

Tips and Traps of Breast Lift
  • Realize that this operation involves the exchange of one cosmetic problem (droop) for another (scars). If you are unwilling to accept scars, you should not have this operation, as no surgeon can predict how the scars will heal on you.
  • As a general rule, the more extensive your droop, the more extensive will be your scars.
  • Wait until you are done having children before considering breast lift & enhancement.
  • Quit smoking for at least 2-4 weeks before surgery to reduce your risk of healing problems.
  • Breast lifts set the clock back, but your breasts will continue to mature as you age.

Abdominoplasty

Tummy Tuck
Abdominoplasty
Plastic surgery of the abdomen can accomplish many things that you cannot accomplish on your own - no matter how much you diet and work out. Dieting and working out may tone your muscles and help you lose weight, but they will not tighten your loose skin, nor will they tighten your loose fascia. A tummy tuck can give you a flat stomach by tightening your fascia. It also removes loose skin of your lower abdomen and tightens the skin of your upper abdomen. Abdominoplasty does have limitations. It will not remove stretch marks of your mid or upper abdomen,but it will shift them lower on your abdomen. If you have a thick layer of fat in your upper abdomen, an abdominoplasty will not reduce its thickness.
Abdominoplasty Scars
Will extend across the lowest part of your abdomen, just above your bikini line. You will have another scar around your belly button. These scars are commonly hidden by swimming suit. Many heal discretely, but others remain quite visible. Regardless, you are more likely to look (and feel) better with a flatter abdomen and scars than you are with a bulging belly.
The Inner Girdle
Everyone has an inner girdle. The inner girdle extends from your rib cage down to your pubic bone and from one side of your abdomen to the other. Most surgeons refer to this as fascia. The inner girdle stretches during pregnancy to accommodate the enlarging uterus. After pregnancy, your muscles may regain tone, but your inner girdle is not quite as resilient, nor as elastic. Often the inner girdle fails to regain its shape, even though your muscles may be toned. This is where a tummy tuck can really help. In a tummy tuck, your plastic surgeon will tighten your inner girdle to make it flatter.
Tummy Tuck /Abdominoplasty Recovery
Anesthesia is usually done in our office under local and sedation, but general anesthesia in the hospital may be required.
Length of surgery: 3-4 hours.
Discomfort is moderate to severe. Anticipate 3-8 days of prescription pain medication.
Abdominal numbness is expected and will last for 6 months or longer, some areas will be numb permanently.
Stitches are all dissolvable.
Drains will be placed at the time of surgery, and will be removed 7-10 days after surgery.
Driving may be resumed in 1 week, provided you have stopped taking prescription pain medication.
Exercise may be resumed in 6 weeks.
Your
final result will be evident after your scar has matured, approximately one year.
Tummy Tuck Tips and Traps
  • If you seek tummy tuck, wait until you have finished childbearing. Otherwise, your the benefits gained through abdominoplasty may be lost with another pregnancy.
  • If you have an abdominoplasty, your abdominal tissue will not be available for future breast reconstruction.
  • If you smoke, have poorly controlled diabetes, or are overweight, you will be at significantly increased risk for complications and probably should not have an abdominoplasty.

Brachioplasty/Arm Lift

Brachioplasty

  • An arm lift is a surgical procedure that reshapes the under portion of the upper arm, from the axilla to the elbow. This procedure reduces the excess sagging skin, and tightens and smoothes the underlying supportive tissue. This sagging skin can be a result of fluctuation in weight, aging, and even heredity. An arm lift cannot correct weakened muscles. Brachioplasty surgery leaves you with a scar placed in the inside of the upper arm. It may extend from the axilla (armpit) to the elbow. Incision length depends on the amount of skin that needs to be removed; the more skin, the longer the scar.
  • Anesthesia: Local and IV sedation
  • Location of procedure: Office
  • Length of surgery: 3-4 hours
  • Discomfort: You will be given oral pain medication for the first week following surgery. Keeping your arms elevated will help swelling.
  • Swelling and bruising: You will be swollen for several days to weeks, and bruising if variable.
  • Stitches: All stitches are dissolvable
  • Exercise: No exercise for 6 weeks, and no lifting over 10 pounds for 4 weeks
  • Results: Final results are 3-6 months, with the scar gradually fading over a year.

Dermabrasion

Dermabrasion
The Procedure
The Dermabrasion procedure involves a motor-driven burr that is used on the skin to remove superficial skin through a process that is similar to sanding. The removal of superficial skin allows healthier skin cells to surface and the results are a smoother texture and tighter skin.
Acne Scars
Acne scars are very similar to wrinkles in the sense that they are visible because they are lower or deeper than surrounding skin. Light casts shadows into acne scars, making them even more visible. The visibility of the acne scars can be diminished by bringing the scars to the same level as surrounding skin. Their visibility will diminish because shadows will be less obvious. This can be accomplished by lowering the surrounding skin through Dermabrasion.
Effectiveness of Dermabrasion
Dermabrasion can be effective in improving wrinkles and acne scars, but it is not a miracle cure and it will not eliminate wrinkles and acne scars 100%. Each treatment will improve acne scarring by 20-40%. Advantages
What to Expect
Anesthesia: sedation. Location of operation: Office Length of surgery: 15-60 minutes. Length of stay: Outpatient (home same day). Discomfort: Moderate. Anticipate 3-7 days of prescription pain medication. Swelling: Will last for 7-14 days. Dressings: You will be instructed to wash your face daily and reapply ointment until your skin has healed. Expect 7-10 days. After your skin heals, it will appear sunburned. It will return to its natural color in 4-6 weeks. Presentable in public: You will be presentable with makeup in 10-14 days Work: You may feel capable of returning within 3 days, but your appearance will be the limiting factor. Exercise: May be resumed within a week. Sun protection: SPF 15 or higher for 3-6 months. Final result: Will be seen in 3 months

Brow/Forehead lift

Brow Lift
Forehead Lift
Brow lift (forehead lift) is a plastic surgery procedure that will raise your eyebrows to a higher and more aesthetic position. Plastic surgery of your forehead will also soften your horizontal forehead wrinkles and the scowl lines between your eyebrows.
Scars from a Brow Lift
Your scars may be on the top of your head or in front of the hairline, depending on the technique chosen.
Brow Lift Options
A brow lift may be performed in several ways. There are three commonly used techniques. The options are coronal lift, endoscopic lift, and hairline lift.
A coronal forehead liftIt involves an incision across the top of your head, from ear to ear. Through this incision, your surgeon can alter the muscles that cause horizontal forehead wrinkles and scowling. After doing this, your surgeon will actually remove about a 1-2 cm strip of your scalp and sew the remaining scalp together. The main disadvantage is that you will be numb on the top of your head for about six months, after which time the sensation usually returns. This technique also raises your hairline, which can be a problem for those with a high forehead who also wear their hair back. The advantages of this technique are that it is lasting (it will not have to be repeated as you age, with very rare exceptions). Also the scars are concealed behind the hairline and are not seen after they heal.
Endoscopic forehead liftThis involves four to six short (one inch) incisions behind your hairline. Through these small incisions, your plastic surgeon inserts an endoscope which has a tiny camera on the end. This allows her or him to see under your skin without making a long incision across the top of your head.
Through this technique, your plastic surgeon will be able to do most of the things that can be accomplished through a coronal lift with a few notable exceptions. Your plastic surgeon will be able to weaken the scowl-causing muscles but will not be able to directly alter the muscle that causes horizontal wrinkles. Also, your plastic surgeon can lift your forehead, but does not remove the excess scalp. She (or he) merely shifts it upward and backward on your skull.
To secure your scalp into its new position, your plastic surgeon may drill small holes into your skull and place tiny screws (which later are removed or which are absorbed by your body). Even with these screws, because excess scalp is not removed, there exists greater potential for your forehead and brows to droop after an endoscopic lift. Because endo lifts have only been performed since 1995, no one knows exactly how long the results last.
Finally, endo lifts, like coronal lifts, raise your hairline, but (unlike coronal lifts) they do not cause temporary numbness on top of your head.
Hairline forehead lifts In this technique, your plastic surgeon makes an incision across the top of your forehead, where your hairline begins. All of the muscle alterations that are performed through a coronal lift are possible through this operation. Also, excess skin is removed. Because the incision is in front of the hairline, your hairline will not be moved higher. You may have numbness on top of your scalp.
The major disadvantage of this technique is that it leaves a scar across the top of your forehead, which can be visible.
During and After your Brow Lift
Anesthesia: local with IV sedation
Location of operation: Office surgical suite
Length of surgery: 2-3 hours
Length of stay: Outpatient
Discomfort: Mild; anticipate 4-7 days of prescription pain medication
Swelling and bruising: Improve in 10-14 days. You can reduce swelling through constant head elevation and frequent application of ice. You may develop black eyes temporarily.
Bandages: Removed in 1-3 days
Stitches: Removed in 7-10 days
Exercise: May be resumed in 6 weeks
Final result: 3 months

Ear Surgery

Otoplasty

Plastic surgery of the ear is most commonly done to correct the position of the ears that protrude significantly from the sides of the head. These protrusions make the ears appear to be larger than normal. Protruding ears can affect both sides, or be unilateral.

Anesthesia: Local with IV sedation for adults, and general anesthesia for children under 18 years.
Location: Office surgical suite for adults, hospital for children.
Length: 2-3 hours
Discomfort: Mild, treatable with prescription pain medications
Swelling/Bruising: Several months for swelling to subside
Stitches: Usually all dissolvable
Exercise: no exercise for 6 weeks
Results: Almost seen immediately, but several months for final result.

Skin Cancer

Skin Cancer

Skin cancer is the leading reported form of cancer world wide. The main types of skin cancer are: Basal Cell, Squamous Cell, and Melanoma. Diagnosis of skin cancer and its type, requires microscopic evaluation of the tissue. There are many ways to remove skin cancer, depending on the size and location of the lesion. The simplest is direct excision of the lesion. There is also the "frozen section", in which the cancerous lesion is removed and microscopically examined prior to wound closure. Some physicians will use the "Mohs Technique". The Mohs and frozen section are essentially the same type of surgery. Once the cancerous lesion is removed you may have a simple closure or need reconstruction. Reconstruction can be done with a skin graft, local flap, or free flap. If deeper structures are involved, you may also require bone or cartilage grafts.
Anesthesia: Depending on the size and location of the skin cancer, this may be performed under local or general anesthesia.
Location: Usually skin cancer surgery is done on an out-patient basis, in the hospital or surgery center.
Length: Anywhere from 1/2 hour to several hours depending on size and location.
Care of incision: If a simple closure was done, you can shower the day after surgery, and get the incision wet. If a skin graft was used, the dressing must be kept dry until you return for your follow up appointment. You may also get a local flap wet, and use antibiotic ointment on the stitches.
Stitches: Depending on location of the skin cancer, stitches will be removed any where from 7 days to 3 weeks. On some circumstances the wound can not be closed after the cancer is removed.If this is the case, you would be instructed on wound care after your procedure.

Breast Reduction

Breast Reduction

Large breasts can cause a multitude of problems, including neck, back, and shoulder pain, headaches, shoulder-grooving (where the bra-straps dig in), postural problems, interference with activities and exercise, rashes under the breasts, inability to find clothing that fits properly, and problems with self-image. As a result, women with large breasts are often in chronic pain, have little energy, may be overweight because they are unable to exercise, and have self-image problems, all of which interfere with quality of life.

Breast Reduction Surgery
Breast reduction is a surgical procedure that reduces the size of large breasts that are disproportionate to a woman's body and may be causing physical pain. The removal of breast tissue results in a smaller breast. During the operation, your nipples will be moved to a higher position on your breasts. This is usually accomplished WITHOUT removing your nipples and putting them back on.

Anesthesia: General
Location: Hospital or surgery center
Length of surgery: 4 hours
Length of stay: Overnight Discomfort: Moderate. Anticipate 3-7 days of prescription pain medication
Swelling and Bruising: Improves in 2-4 weeks
Bandages: Will be removed in 1-7 days
Stitches: are usually dissolvable
Support: You will wear a sports bra 3 months
Back to work: 1-3 weeks
Exercise: May be resumed in 6 weeks
Final result: 3 months to 1 year
Restrictions: No driving for one week, no lifting over 10 pounds for 4 weeks, and no exercise for 6 weeks. You may shower the day after you go home from the hospital.

Breast Reconstruction

Breast Reconstruction

Breast reconstruction is achieved through several reconstructive plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy. The techniques may include: Tissue expansion, implants, and flaps. Tissue expansion stretches the healthy skin to provide adequate coverage for a breast implant. A breast implant may be placed immediately at the time of mastectomy to create a breast mound. Flaps reposition a woman's own muscle, fat and skin to create or cover the breast mound. Local flap and tattooing are the final stages of breast reconstruction for the nipple and areola. Reconstruction can rebuild a breast mound, but it will not have the same sensation and feel as the breast it replaces. When only one breast is affected, it alone may be reconstructed. In addition, a breast lift, breast reduction or breast augmentation may be recommended for the opposite breast to improve symmetry bilateral.
Anesthesia: General
Location: Hospital
Length: 1.5-8 hours
Discomfort: Moderate, may need pain control through expansion
Compression: Sports bra
Stitches: Usually removed at 7-10 days
Results: Complete year from the time of initial procedure.
Restrictions: No driving for one week, no lifting over 10 pounds for 4 weeks, no exercise for 6 weeks, no shower until drains are removed (if you have drains), otherwise 48 hours after surgery.

Liposuction

Liposuction

Liposuction is Best Suited for those who…
Are near their ideal body weight and are seeking reduction of specific areas of diet-resistant fat, such as the hips (love handles), outer thighs (saddle bags), abdomen, neck, inner thighs, knees, or arms. Those whose weight has been stable for at least 6 months do better with liposuction than those whose weight has been changing. Skin tone is also important. If you have good skin tone, your skin will retract after lipo. If you have poor tone with loose saggy skin or stretch marks, then your skin will not tighten and may in some cases look worse.
Scars
Scars are multiple and small. They will be hidden in skin creases where possible. Some cannot be hidden and may be visible for several months.
Anesthesia: Local and IV sedation in our office
Length of surgery 2-3 hours
Compression Garment: You will be in the compression garment for 6 weeks.
Discomfort: mild to severe Anticipate 2-7 days of prescription pain medication.
Swelling peaks within a week and dissipates over 2-8 weeks, although it lasts longer in some.
Bruising lasts for 2-10 days.
Numbness and tingling may occur in suctioned areas and may be due to damaged or irritated nerve endings. Sensation will return, and tingling will abate over 1-3 months.
Stitches are dissolvable.
Exercise may be resumed in 6 weeks.

Tips and Traps
  • Do not expect liposuction to improve your cellulite.
  • Maintain stable weight before and after surgery for the best results.
  • You cannot predict where you will gain weight following liposuction. You may regain weight in the area of liposuction, or you may develop fat deposits in other places.

Botox

Botox®
Botulinum Toxin
Botox® is a toxin produced by a bacteria called botulinum. Botox® is safe in the doses used for cosmetic and therapeutic purposes. It has been used safely for decades in the United States. In the mid 1990's, plastic surgeons began using Botox® injections to treat facial wrinkles.
Wrinkles that Botox® Will Target

Botox® will improve (and often eliminate) horizontal forehead creases, scowl lines between your eyebrows and crow's feet. Botox injectins may take 7-10 days to completely take effect. The results may last 3-6 months, and require additional injections to maintain the desired effect.

How Botox® Works
Dynamic wrinkles, such as crow's feet, frown lines, and forehead wrinkles, are due to repetitive facial expression. Weakening the muscles responsible for these facial expressions can dramatically improve these wrinkles. With Botox®, these muscles can be weakened without detracting from your facial expressiveness.
The Procedure
Botox® can be injected by your plastic surgeon in the office. You may experience brief mild discomfort as you are being injected. Following injection, recovery is immediate: you may place make-up and return to work immediately. A few experience mild bruising that improves within a few days.
Risks of Botox®
No negative long-term effects have been observed. Very few short-term problems have arisen. If Botox® is injected too close to your upper eyelids, temporary upper eyelid droop may result. This can take months to improve. Injection of your forehead will diminish your ability to raise your eyebrows. This is not a problem for most, but those with marked eyebrow droop may find that their droop worsens following injection. Risk of allergic reaction is extremely small. Women who are pregnant or who have nervous system diseases such as ALS should not receive injections of Botox®.

Spider Veins

Spider Veins
Spider Veins vs. Varicose Veins
Spider veins, also called telangiectasias, are tiny visible vessels just underneath the skin. They develop most commonly on the face and legs. Varicose veins are distended veins beneath the skin. They may appear as bluish bumps and often cause discomfort. Those with unsightly varicose veins and aching pain often choose to have surgery to remove their varicose veins. Varicose veins are veins that are no longer functional, and their presence is not missed by the body. Ask your general surgeon about varicose vein treatment. If you have both varicose and spider veins, your varicose veins must be treated first. Treating spider veins first is generally futile because, in the presence of varicose veins, they are bound to return soon.
Treatment Choices for Spider Veins of the Legs
The two options for spider vein treatment are sclerotherapy and laser. They can be used alone or intogether.
Sclerotherapy (spider vein injection)
Sclerotherapy involves injecting a liquid agent through a tiny needle directly into your spider veins, causing them to contract and collapse. This procedure is best suited for medium to large spider veins because it relies upon fitting a tiny needle into a tiny vein. Afterward, you will wear compression hose for 36 hours. Understand that some spider veins may never be successfully treated through sclerotherapy.
Laser treatment of spider veins
During laser treatment, a laser is applied to the skin over your spider veins. Laser energy causes your spider veins to coagulate and shrink. Laser therapy is most effective for small and medium size spider veins. Large spider veins respond poorly and are best treated with sclerotherapy. You are likely to experience mild discomfort similar to having a small rubber band snapping against skin. Treatments usually do not require sedatives, pain medications, or injections of local anesthetic.
Immediately following treatment, spider veins will be darker and more visible. Over two to six weeks, your spider veins usually fade. An average of three treatments will be required at three-month intervals to produce desired results.
Spider Veins of the Face
A patient with spider veins in the face will usually choose to have laser therapy. Laser treatment may cause minor bruising that usually improves within a week, but often, recovery is immediate. Two to four treatments may be required to achieve your desired result. Immediately following treatment, you may apply makeup for a presentable appearance.
Expected Duration of Results
Regardless of treatment, you should anticipate the development of new spider veins over time, just as you would if your spider veins had not been treated. Spider vein therapy treats current spider veins but does not prevent new ones.

Gynecomastia

Male Breast Reduction

Gynecomastia, the condition of over-developed or enlarged breasts, is common in men of any age. It may be the result of hormonal changes, heredity, disease, or the use of certain medications. It can cause physical and emotional problems, and impair an adolescent or adult males' self confidence.

Treatment for gynecomastia can be achieved using liposuction, surgical removal of excess glandular breast tissue, fat and skin, or both liposuction and excision.

Anesthesia: Usually local with IV sedation
Location: Office surgical suite of hospital
Length of surgery: 2 hours
Discomfort: Mild, can me controlled with prescription pain medications
Swelling/Bruising: Will subside in several weeks. You will wear a compression vest for 6 weeks.
Stitches: Usually dissolvable
Exercise: Resume all exercise at 6 weeks. No lifting over 10 pounds for 4 weeks.
Results: 3 months
Compression: Compression garment for 6 weeks.

Body Contouring

Massive weight loss

After a massive weight loss, either through diet and exercise, you may find that you still don't have the "look" you desire. Your skin may be loose, saggy, and irregular body contours. Surgical body contouring may be right for you. Body contouring improves the shape and tone of the underlying tissue that supports fat and skin, and removes excess sagging fat and skin. Before you consider body contouring, it is important that your weight has stabilized, because this is usually the final stage in your weight loss experience.
Body Contouring Procedures after Massive Weight Loss include:
Brachioplasty: To correct sagging skin of the upper arms, often called "Batwings"
Medial/Lateral Thigh Lift: To correct sagging of the inner, outer and mid thighs
Lower Body Lift: To correct sagging of the abdomen, buttocks, groin and outer thighs
Panniculectomy: To correct the apron of excess skin hanging over the mons/groin
Breast Lift: To correct sagging, flattened breast
Facelift: To reduce sagging of the mid-face, jowls and neck

It is important to know that body contouring requires incisions to remove the excess skin. These incisions can be quite significant depending on the amount of skin that needs to be reduced, and are permanent. Many times body contouring is done in stages, and it may take just as long to achieve your new look as it did for you to loose your weight.

Location: Hospital or office
Anesthesia: Local with IV sedation, or general
Length: 1-8 hours depending on procedure
Discomfort: Variable depending on procedure done
Drains: Usually in for 1-2 weeks, depending on procedure
Stitches: Mostly are dissolvable
Exercise: Not for 6 weeks after each contouring procedure
Back to work: 1-4 weeks, depending on procedure
Results: Months to 1 year

Latisse

SkinMedica Skin Care

SkinMedica Products

SkinMedica is unique in that it uses growth factors to stimulate skin rejuvenation. These growth factors are natural chemicals found in the body that stimulate and regulate tissue growth and repair. SkinMedica calls their proprietary mixture of growth factors, Nouricel-MD and is the key component of their TNS line of products. Skin texture, elasticity, blotchiness, age spots, fine lines and wrinkles are improved by the twice daily use of these products. This system also offers two in-office skin peels, the Illuminize and Vitalize peels to further enhance your skin's appearance.
SkinMedica Products

Juvederm

Microdermabrasion