Feeling your best can mean looking your best. At Cosmetic & Plastic Surgery, we are trained to recognize and treat health and wellness issues so you can look and feel your best. We never lose sight of that.
Feeling your best can mean looking your best. At Cosmetic & Plastic Surgery, we are trained to recognize and treat health and wellness issues so you can look and feel your best. We never lose sight of that.
A common misunderstanding is that the word plastic in plastic surgery means artificial. Rather, the word comes from the ancient Greek word plastikos, meaning to mold or give form. Plastic surgery is a surgical specialty focused on both the improvement in a person's appearance and the reconstruction of facial and body tissue defects due to illness, trauma, or birth disorders.
When you choose us, you are choosing to partner with a clinic dedicated to top quality. Our providers will discuss options associated with the procedure you are seeking in an effort to help you decide which procedure is right for you. You are guided through the entire process, ensuring that you are making an educated decision and that you will be happy with for years to come.
Some of our cosmetic procedures on the face, breast and body include:
There are three general categories of cosmetic surgery performed on the breasts: breast augmentation, breast reduction, and breast reconstruction.
Breast augmentation is most often performed:
Breast implant surgery is contraindicated in women with untreated breast cancer or pre-malignant breast disorders, active infection anywhere in the body, or individuals who are currently pregnant or nursing. Individuals with a weakened immune system (currently receiving chemotherapy or drugs to suppress the immune system), conditions that interfere with blood clotting or wound healing, or have reduced blood supply to the breast tissue from prior surgery or radiation therapy treatments may be at greater risk for complications and poor surgical outcome.
An implant device filled with saline, a salt water solution, is placed either under or over a chest muscle. Surgical incisions can be made in the armpit, areola (or area surrounding the nipple) or under the breast (in the fold). Saline has been approved by the United States Food and Drug Administration (USFDA) for use in breast augmentation and reconstruction and is unrestricted in use.
Silicone is a gel. In November 2006, the United States Food and Drug Administration (USFDA) approved silicone gel-filled breast implant devices for use in breast augmentation and reconstruction.
Silicone breast implants are approved by the USFDA for use in women who are at least 22 years of age. Women who meet this age criteria may utilize the silicone implants for cosmetic breast augmentation or for revision surgery to correct or improve results of earlier cosmetic breast augmentation. There is no age restriction on breast reconstruction procedures to restore breast shape after cancer, trauma, or severe breast abnormalities.
Read more about breast augmentation.
Over time the effects of gravity along with the loss of the skin’s elasticity begin to have an effect on the appearance of a woman’s breast. These factors combining with pregnancies and nursing, as well as weight loss or gain will often cause the breast to lose their youthful shape and firmness.
A breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. The procedure can also reduce the size of the areola (the darker skin surrounding the nipple). Breast implants inserted in conjunction with a mastopexy procedure can increase both firmness and size.
With advances in breast reconstruction surgery, many women undergoing breast removal (mastectomy) choose to have their breast(s) rebuilt. Even though medical, surgical, and radiation therapy treatments for breast cancer have increased the number of breast-sparing procedures available, some breast cancer patients may still need a mastectomy. In addition, other women have their breast(s) removed due to other diseases.
Breast reconstruction involves creating a breast mound that comes as close as possible to the form and appearance of a natural breast.
The goal of reconstructive surgery is to create a breast mound that matches the opposite breast and to achieve symmetry. If both breasts have been removed, the goal of breast reconstructive surgery is to create both breast mounds about the size of the patient's natural breasts.
Read more about breast reconstruction.
Breast reduction surgery, also known as reduction mammaplasty, removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts.1
Male breast reduction, or gynecomastia surgery, is a procedure to remove excess fat, glandular tissue and/or skin from overdeveloped or enlarged male breasts. 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 need to be reduced, leading to additional scarring. Gynecomastia may result from hormonal changes, heredity, disease, or the use of certain drugs, and can present unilaterally (one breast) or bilaterally (both breasts).
There are a variety of different techniques used by plastic surgeons to treat gynecomastia. There is often more solid breast tissue under the areola that may require excision and biopsy. Fatty tissue around the chest is often better removed with liposuction techniques. Breast cancer can occur in males, much less frequently than in females, but the solid tissue removed may require pathologic evaluation. Gynecomastia surgery can be combined with other forms of body-contouring surgery, including liposuction, or performed at the same time with other elective surgeries.
Read more about gynecomastia.
Ear surgery, or otoplasty, is a surgical process to reshape the ear. A variety of different techniques and approaches may be used to reshape congenital prominence in the ears or to restore damaged ears.
Each individual seeking otoplasty is unique both in terms of the appearance of their ears and expectations for results following otoplasty surgery. It is important that you fully discuss your expectations with your plastic surgeon prior to surgery.
Learn more about otoplasty.
The forehead and eyebrow region often show noticeable signs of aging. Looseness in these structures may cause drooping eyebrows, eyelid hooding, forehead furrows, and frown lines. In brow lift surgery, the structures responsible for these problems are tightened or altered to smooth the forehead, raise the upper eyebrows, and improve frown lines. A brow lift may be performed alone, or in conjunction with other procedures, such as a facelift or eyelid surgery.
Advances in brow lift surgery make it possible to perform the procedure through a variety of approaches, including endoscopy. Brow lift surgery is individualized for each patient. The surgical incisions used may vary with the technique selected by your surgeon to meet your needs. The brow lift does not stop the process of aging.
Learn more about brow lifts.
Eyelid surgery, or blepharoplasty, is a surgical procedure to remove excess skin and muscle from both the upper and lower eyelids. Underlying fatty tissue that produces bagginess can be selectively removed or repositioned. Blepharoplasty can improve drooping skin and bagginess. It can help improve vision in older patients who have hooding of their upper eyelids. Although it can add an upper eyelid crease to the Asian eyelid, it will not erase evidence of one’s racial or ethnic heritage. Blepharoplasty will not remove “crow’s feet” or other wrinkles, eliminate dark circles under the eyes, or lift sagging eyebrows.
Blepharoplasty surgery is customized for every patient, depending on his or her particular needs. It can be performed alone involving upper, lower or both eyelid regions, or in conjunction with other surgical procedures of the eye, face, brow, or nose. In some patients, who have looseness between the lower eyelid and the eyeball, consideration for tightening of the lower eyelid (canthoplasty/canthopexy) at the time of blepharoplasty may be recommended. Eyelid surgery cannot stop the process of aging. It can however, diminish the look of loose skin and bagginess in the eyelid region.
Read more about blepharoplasty.
Clostridia botulina bacteria produce a class of chemical compounds known as “toxins.” The Botulina Type A Toxin (BOTOX) is processed and purified to produce a sterile product suitable for specific therapeutic uses. Once the diluted toxin is injected, it produces a temporary paralysis (chemodenervation) of muscle by preventing transmission of nerve impulses to muscle. The duration of muscle paralysis generally lasts for approximately three to four months.
BOTOX has been approved to treat certain conditions involving crossed eyes (strabismus), eyelid spasm (blepharospasm), cervical dystonia (spastic muscle disorder with the neck) and motor disorders of the facial nerve (VII cranial nerve). As of April 2002, it has been FDA-approved for the cosmetic treatment of forehead wrinkles caused by specific muscle groups. Other areas of the face and body such as crows’ feet, wrinkles and neckbands may be treated in an “off-label” fashion. BOTOX has also been used to treat migraine headaches, colorectal disorders, excessive perspiration disorders of the armpit and hands, and musculoskeletal pain disorders.
BOTOX injections are customized for every patient, depending on his or her particular needs. These can be performed in areas involving the eyelid region, forehead, and neck. BOTOX cannot stop the process of aging. It can however, temporarily diminish the look of wrinkles caused by muscle groups. BOTOX injections may be performed as a singular procedure or as an adjunct to a surgical procedure.
Learn more about BOTOX.
Facelift, or rhytidectomy, is a surgical procedure to improve visible signs of aging on the face and neck. As individuals age, the skin and muscles of the face region begin to lose tone. A facelift cannot stop the process of aging. It can improve the most visible signs of aging by tightening deeper structures, re-draping the skin of face and neck, and removing selected areas of fat. A facelift can be performed alone, or in conjunction with other procedures, such as a browlift, liposuction, eyelid surgery, or nasal surgery.
Facelift surgery is individualized for each patient. The best candidates for facelift surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined.
Read more about facelifts.
Restylane® is a hyaluronic acid filler used to smooth facial folds or enhance lips. The Restylane® formula results in a clear gel composed of hyaluronic acid and other materials. Hyaluonic acid is a natural substance that occurs throughout your body and is highly unlikely to cause an allergic reaction. By leveraging hyaluonic acid’s unique ability to bind with water, Restylane® remains in your skin for about six months.
Juvederm Ultra and Ultra PLUS is also designed to treat facial folds and sculpt areas to shape or enhance after volume loss or just to increase volume. It is a clear synthetic gel made with hyaluronic acid, a naturally occurring substance found throughout your body.
Perlane is similar to Restylane®, but this compound contains a larger size of hyaluronic acid, and is typically used in areas that require more volume. Perlane, like all hyaluronic acid formulations, has a very low risk of allergic reaction. Perlane may remain in your skin for up to one year or longer.
Radiesse™ is another filler for facial folds and areas of volume loss. Benefits may last longer then hyaluronic acid-based treatments. As with hyaluronic acid fillers treatments are done in the office and recovery is minimal with results immediately apparent. We will work with you to evaluate your options for different facial procedures.
SCULPTRA® treatments are useful in areas of volume loss and may last two years. Because it is relatively expensive, it is recommended only for patients that want to address broad areas of fat loss. Multiple SCULPTRA® treatments are needed to achieve desired results and this may be seen as a benefit because the benefits build gradually. SCULPTRA® treatments were FDA approved as a cosmetic filler in 2009 after being used since 2004 for treatment of major fat loss situations. We will discuss facial treatment procedure options with you to determine what option seems best for you.
Injury to the nasal region of the face can produce damage to both the skin and the deeper nasal structures. Nasal bones and the nasal septum (the wall-like structure in-between the nostrils) can be fractured or disrupted. Depending on the extent of injury, other structures within the face may require treatment as well. Some nasal injuries may be very minor and not require operative treatment. Surgical treatment of nasal injuries is performed to repair soft tissues or damaged structures such as broken nasal bones, or a displaced nasal septum. Nasal injury repair surgery is intended to minimize potential deformities due to abnormal healing of displaced nasal structures.
Nasal injury repair surgery is most frequently performed using a closed technique in which skin incisions are not necessary. Nasal bones can be elevated and the nasal septum straightened. If the nasal injury is more severe, incisions and more involved surgical techniques may be needed. Surgery is performed under local or general anesthesia.
The timing of nasal injury repair surgery is critical, as nasal bone fractures tend to heal quickly.
Nasal injuries may create visible, tactile and functional deformities involving the nose. Future reconstructive surgery may be necessary to treat residual nasal region deformities and functional problems of decreased nasal airway function.
Read more about nasal injury repair.
Nose surgery, or rhinoplasty, is an operation frequently performed by plastic surgeons. This surgical procedure can produce changes in the appearance, structure, and function of the nose. Rhinoplasty can reduce or increase the size of the nose, change the shape of the tip, narrow the width of the nostrils, or change the angle between the nose and the upper lip. This operation can help correct birth defects, nasal injuries, and help relieve some breathing problems.
There is not a universal type of rhinoplasty surgery that will meet the needs of every patient. Rhinoplasty surgery is customized for each patient, depending on his or her needs. Incisions may be made within the nose or concealed in inconspicuous locations of the nose in the open rhinoplasty procedure. In some situations, cartilage grafts, taken from within the nose or from other areas of the body may be recommended in order to help reshape the structure of the nose. Internal nasal surgery to improve nasal breathing can be performed at the time of the rhinoplasty.
The best candidates for this type of surgery are individuals who are looking for improvement, not perfection, in the appearance of their nose. In addition to realistic expectations, good health and psychological stability are important qualities for a patient considering rhinoplasty surgery. Rhinoplasty can be performed in conjunction with other surgeries.
Read more about rhinoplasty.
Arm lift, or brachioplasty, is a surgical procedure that is used to help remove the excess skin and fatty tissue from the axilla and upper arm. Brachioplasty is not a surgical treatment for being overweight. Obese individuals who intend to lose weight should postpone all forms of body-contouring surgery until they have reached a stable weight.
There are a variety of different techniques used by plastic surgeons for brachioplasty. Brachioplasty can be combined with other forms of body-contouring surgery, including suction-assisted lipectomy, or other elective surgeries. Your surgery may require the transfusion of blood products; however, this varies on a case-by-case basis.
Read more about brachioplasty.
A body lift is a surgical procedure to remove excess skin and fatty tissue from the middle and lower abdomen, hips, outer thighs, back, buttocks, and to tighten muscles of the abdominal wall. A body lift is not a surgical treatment for being overweight. Obese individuals who intend to lose weight should postpone all forms of body contouring surgery until they have reached a stable weight.
There are a variety of different techniques used by plastic surgeons for a body lift. A body lift can be combined with other forms of body-contouring surgery, including suction-assisted lipectomy, or performed at the same time with other elective surgeries.
Read more about belt lipectomy.
A person’s own fat may be used to improve the appearance of the body by moving it from an area where it is less needed (usually the thighs or abdomen) to an area that has lost tissue volume due to aging, trauma, surgery, birth defects, or other causes. Typically, the transferred fat results in an increase in volume of the body site being treated. Before the procedure, the areas from where the fat is being removed may be injected with a fluid to minimized bruising and discomfort. The fat may be removed from the body by a narrow surgical instrument (cannula) through a small incision or may be excised (cut out) directly through a larger incision.
In some cases the fat may be prepared in a specific way before being replaced back in the body. This preparation may include washing, filtering, and centrifugation (spinning) of the fat. The fat is then placed into the desired area using either a smaller cannula or needle, or it may be placed directly through an incision. Since some of the fat that is transferred does not maintain its volume over time, your surgeon may inject more than is needed at the time to achieve the desired end result. Over a few weeks, the amount of transferred fat will decrease. At times, more fat may need to be transferred to maintain the desired results. Fat transfer procedures may be done using a local anesthetic, sedation, or general anesthesia depending on the extent of the procedure.
Liposuction is a surgical technique to remove unwanted deposits of fat from specific areas of the body, including the face and neck, upper arms, trunk, abdomen, buttocks, hips and thighs, and the knees, calves and ankles. This is not a substitute for weight reduction, but a method for removing localized deposits of fatty tissue that do not respond to diet or exercise. Liposuction may be performed as a primary procedure for body contouring or combined with other surgical techniques such as facelift, abdominoplasty, or thigh lift procedures to tighten loose skin and supporting structures.
The best candidates for liposuction are individuals of relatively normal weight who have excess fat in particular body areas. Having firm, elastic skin will result in a better final contour after liposuction. Skin that has diminished tone due to stretch marks, weight loss, or natural aging will not reshape itself to the new contours and may require additional surgical techniques to remove and tighten excess skin. Body-contour irregularities due to structures other than fat cannot be improved by this technique. Liposuction by itself will not improve areas of dimpled skin known as “cellulite.”
Suction-assisted lipectomy surgery is performed by using a hollow metal surgical instrument known as a cannula that is inserted through small skin incision(s) and is passed back and forth through the area of fatty deposit. The cannula is attached to a vacuum source, which provides the suction needed to remove the fatty tissue.
In some situations, a special cannula may be used that emits ultrasonic energy to break down fatty deposits. This technique is known as ultrasound-assisted lipectomy. Depending on your needs, your surgeon may recommend suction-assisted lipectomy alone, or in combination with ultrasound-assisted lipectomy.
There are a variety of different techniques used by plastic surgeons for liposuction and care following surgery. Liposuction may be performed under local or general anesthesia. Tumescent liposuction technique involves the infiltration of fluid containing dilute local anesthetic and epinephrine into areas of fatty deposits. This technique can reduce discomfort at the time of surgery, blood loss, and post-operative bruising.
Read more about liposuction.
The surgical treatment of scars is a procedure frequently performed by plastic surgeons. Scars are the unavoidable result of injuries, disease, or surgery.
It is impossible to totally remove the presence of a scar, yet plastic surgery may improve the appearance and texture of scars. There are many different techniques of scar revision surgery. Other treatments including physical or hand therapy may be needed in addition to surgery.
Read more about scar revision.
A thigh lift, or medial thigh lift, is a surgical procedure to remove excess skin and fatty tissue from the medial thighs. A medial thigh lift is not a surgical treatment for being overweight. Obese individuals who intend to lose weight should postpone all forms of body contouring surgery until they have reached a stable weight.
There are a variety of different techniques used by plastic surgeons for a medial thigh lift. A medial thigh lift can be combined with other forms of body-contouring surgery, including suction-assisted lipectomy, or performed at the same time with other elective surgeries. Your surgery may require the transfusion of blood products; however, this varies on a case-by-case basis.
Tummy tuck, or abdominoplasty, is a surgical procedure to remove excess skin and fatty tissue from the middle and lower abdomen and to tighten muscles of the abdominal wall. Abdominoplasty is not a surgical treatment for being overweight. Obese individuals who intend to lose weight should postpone all forms of body contouring surgery until they have reached a stable weight.
There are a variety of different techniques used by plastic surgeons for abdominoplasty. Abdominoplasty can be combined with other forms of body-contouring surgery, including suction-assisted lipectomy, or performed at the same time with other elective surgeries.
Learn more about tummy tucks.