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- Abdominoplasty
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(Tummy Tuck)
Procedure: Flatten
abdomen by removing excess fat and skin and tightening muscles of
abdominal wall. Length: 2 to 5
hours. Anesthesia: General, or local with
sedation. In/Outpatient: Either depending on
individual circumstances and extent of surgery. Side
Effects: Temporary pain. Swelling, soreness, numbness of
abdominal skin, bruising, tiredness for several weeks or
months. Risks: Blood clots. Infection. Bleeding
under the skin flap. Poor healing resulting in conspicuous
scarring or skin loss. Need for a second
operation. Recovery: Back to work: 2 to 4 weeks.
More strenuous activity: 4 to 6 weeks or more. Fading and
flattening of scars: 3 months to 2 years.
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- Breast Enlargement
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(Augmentation Mammaplasty)
Procedure:
Enhance the size of breasts using inflatable implants filled with
saline. Length: 1 to 2
hours. Anesthesia: Local with sedation, or
general. In/Outpatient: Usually
outpatient. Side Effects: Temporary soreness,
swelling, change in nipple sensation, bruising. Breast sensitive
to stimulation for a few weeks. Risks: Lack of
implant permanence -- surgical removal or replacement of the
implants may be required to treat problems, including: deflation;
the formation of scar tissue around the implant (capsular
contracture), which may cause the breast to feel tight or hard;
bleeding or infection. Increase or decrease in sensitivity of
nipples or breast skin, occasionally permanent. Mammagraphy
requires a special technique. (Note: Some women have reported
symptoms similar to those of immune disorders. Ask your doctor
about these and other FDA concerns.) Recovery:
Back to work: a few days. Physical contact with breasts: 3 to 4
weeks. Fading of scars: several months to a year or
more. Duration of Results: Variable. Implants may
require removal or replacement.
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- Breast Lift
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(Mastopexy)
Procedure: Raise and
reshape sagging breasts by removing excess skin and repositioning
remaining tissue and nipples. Length: 1 to 3
hours. Anesthesia: Local with sedation, or
general. In/Outpatient: Usually outpatient.
Sometimes inpatient. Side Effects: Temporary
bruising, swelling, discomfort, numbness, dry breast skin.
Permanent scars. Risks: Thick, wide scars; skin
loss; infection. Unevenly positioned nipples. Permanent loss of
feeling in nipples or breast. Recovery: Back
to work: 1 week or more. Strenuous activities: 1 month. Fading of
scars: several months to a year. Duration of
Results: Variable; gravity, pregnancy, aging, and weight
changes may cause new sagging. Results may last longer or be
enhanced when breast implants are inserted as part of the
procedure.
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- Breast Reduction
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Procedure: Reduce enlarged breast using
liposuction and/or cutting out excess glandular tissue. (Sometimes
covered by medical insurance.) Length: 1 hour or more.
Anesthesia: General or local. In/Outpatient:
Usually outpatient. Side Effects: Temporary bruising,
swelling, numbness, soreness, burning sensation. Risks:
Infection. Fluid accumulation. Injury to the skin. Rippling or
bagginess of skin. Asymmetry. Pigmentation changes (may become
permanent if exposed to sun). Excessive scarring if tissue was cut
away. Need for second procedure to remove additional tissue.
Recovery: Back to work: 3 to 7 days. More strenuous
activity: 2 to 3 weeks. Swelling and bruising: 3 to 6 months.
Duration of Results: permanent
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- Chemical Peel
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(Phenol and trichloroacetic acid
[TCA])
Procedure: Restore wrinkled, blemished,
unevenly pigmented, or sun-damaged facial skin, using a chemical
solution to peel away skin's top layers. Works best on fair, thin
skin with superficial wrinkles. Length: 1 to 2
hours for full face. Anesthesia: None; sedation
& EKG monitoring may be used. In/Outpatient:
Usually outpatient. Full-face phenol peel may require admission
for 1 to 2 days. Side Effects: Both: Temporary
throbbing, tingling, swelling, redness; acute sensitivity to sun.
Phenol: Permanent lightening of treated skin; permanent loss of
ability to tan. Risks: Both: Tiny whiteheads
(temporary); infection; scarring; flare-up of skin allergies,
fever blisters, cold sores. Phenol: Abnormal color changes
(permanent); heart irregularities
(rare). Recovery: Phenol: Formation of new skin: 7
to 21 days. Normal activities: 2 to 4 weeks. Full healing and
fading of redness: 3 to 6 months TCA: New skin within 5 to 10
days. Duration of Results: Phenol: permanent,
although new wrinkles may form as skin ages. TCA: variable
(temporary).
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- Collagen/Fat Injections
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Procedure: Plump up creased,
furrowed, or sunken facial skin; add fullness to lips and backs of
hands. Works best on thin, dry, light-colored
skin. Length: 15 minutes to 1 hour per
session. Anesthesia: Collagen: usually none; local
may be included with the injection. Fat:
local. In/Outpatient: Outpatient. Side
Effects: Temporary stinging, throbbing, or burning sensation.
Faint redness, swelling, excess fullness. Risks:
Collagen: allergic reaction including rash, hives, swelling, or
flu-like symptoms; possible triggering of connective-tissue or
autoimmune diseases. (A skin test is required before collagen
treatment to determine whether an allergy exists.) Both: Contour
irregularities, infection. Duration of Results:
Variable; a few months to 1 year.
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- Dermabrasion
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Procedure: Mechanical scraping of the
top layers of skin using a high-speed rotary wheel. Softens sharp
edges of surface irregularities, including acne and other scars
and fine wrinkles, especially around the
mouth. Length: A few minutes to 1 hour. May
require more than 1 session. Anesthesia: Local,
numbing spray, or general. In/Outpatient: Usually
outpatient. Side Effects: Temporary tingling,
burning, itching, swelling, redness. Lightening of treated skin.
Acute sensitivity to sun; loss of ability to make pigment
(tan). Risks: Abnormal color changes (permanent).
Tiny whiteheads (temporary); infection; scarring; flare-up of skin
allergies, fever blisters, cold sores. Recovery:
Back to work: 2 weeks. More strenuous activities: 4 to 6 weeks.
Fading of redness: about 3 months. Return of pigmentation/sun
exposure: 6 to 12 months. Duration of Results:
Permanent, although new wrinkles may form as skin ages.
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- Ear Surgery
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(Otoplasty)
Procedure: Set prominent
ears back closer to the head, or reduce the size of large ears.
Most often done on children between the ages of 4 and 14 years.
(Occasionally covered by insurance.) Length: 2 to
3 hours. Anesthesia: Young children: usually
general. Older children or adults: general or local, with
sedation. In/Outpatient: Usually
outpatient. Side Effects: Temporary throbbing,
aching, swelling, redness, numbness. Risks:
Infection of cartilage. Excessive scarring. Blood clot that may
need to be drained. Mismatched or artificial-looking ears.
Recurrence of the protrusion, requiring repeat
surgery. Recovery: Back to work or school: 5 to 7
days. Strenuous activity, contact sports: 1 to 2
months. Duration of Results: Usually
permanent.
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- Eyelid Surgery
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(Blepharoplasty)
Procedure: Correct
drooping upper eyelids and puffy bags below the eyes by removing
excess fat, skin, and muscle. (Upper-eyelid surgery may be covered
by insurance if used to correct visual field
defects) Length: 1 to 3
hours. Anesthesia: Usually locally with sedation
or general. In/Outpatient: Usually
outpatient. Side Effects: Temporary discomfort,
tightness of lids, swelling, bruising. Temporary dryness, burning,
itching of eyes. Excessive tearing, sensitivity to light for first
few weeks. Risks: Temporary blurred or double
vision. Infection, bleeding. Swelling at the corners of the
eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in
healing or scarring. Difficulty in closing eyes completely (rarely
permanent). Pulling down of the lower lids (may require further
surgery). Blindness (extremely rare). Recovery:
Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses:
two weeks or more. Strenuous activities, alcohol: about 3 weeks.
Bruising and swelling gone: several weeks. Duration of
Results: Several years. Sometimes permanent.
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- Facelift
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(Rhytidectomy)
Procedure: Improving
sagging facial skin, jowls, and loose neck skin by removing excess
fat, tightening muscles, redraping skin. Most often done on men
and women over 40. Length: Several
hours. Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Some patients may
require short inpatient stay. Side Effects: Temporary
bruising, swelling, numbness and tenderness of skin; tight
feeling, dry skin. For men, permanent need to shave behind ears,
where beard-growing skin is repositioned. Risks:
Injury to the nerves that control facial muscles or feeling
(usually temporary but may be permanent). Infection, bleeding.
Poor healing; excessive scarring. Asymmetry or change in hairline.
Recovery: Back to work: 10 to 14 days. More strenuous
activity: 2 weeks or more. Bruising: 2 to 3 weeks. Must limit
exposure to sun for several months. Duration of Results:
Usually 5 to 10 years.
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- Facial Implants
Procedure: Change the basic shape
and balance of the face using carefully shaped implants to build
up a receding chin, add prominence to cheekbones, or reshape the
jawline. Length: 30 minutes to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Occasionally
overnight hospital stay. Side Effects: Temporary
discomfort, swelling, bruising, numbness and/or stiffness. In jaw
surgery, inability to open mouth fully for several weeks.
Risks: Shifting or imprecise positioning of implant, or
infection around it, requiring a second operation or removal.
Excess tightening and hardening of scar tissue around an
artificial implant ("capsular contracture"), causing unnatural
shape. Recovery: Back to work: about 1 week. Normal
appearance: 2 to 4 weeks. Activity that could jar or bump face: 6
weeks or more. Duration of Results: Permanent.
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- Forehead Lift
- (Browlift)
Procedure: Minimize forehead
creases, drooping eyebrows, hooding over eyes, furrowed forehead
and frown lines by removing excess tissue, altering muscles and
tightening the forehead skin. May be done using the traditional
technique, with an incision across the top of the head just behind
the hairline; or with the use of an endoscope, which requires 3 to
5 short incisions. Most often done on people over 40.
Length: 1 to 2 hours. Anesthesia: Local with
sedation, or general. In/Outpatient: Usually
outpatient. Side Effects: Temporary swelling, numbness,
headaches, bruising. Traditional method: Possible itching and hair
loss. Risks: Injury to facial nerve, causing loss of
motion, muscle weakness, or asymmetrical look. Infection. Broad or
excessive scarring. Recovery: Back to work: 7 to
10 days, usually sooner for endoscopic forehead lift. More
strenuous activity: several weeks. Full recovery from bruising: 2
to 3 weeks. Limit sun exposure for several months. Duration
of Results: Usually 5 to 10 years.
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- Liposuction
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(Suction-Assisted
Lipectomy)
Procedure: Improve body shape by removing
exercise-resistant fat deposits with a tube and vacuum device. Can
be performed using the tumescent technique, in which targeted fat
cells are infused with saline containing solution with a local
anesthetic before liposuction to reduce post-operative bruising
and swelling. Common locations for liposuction include chin,
cheeks, neck, upper arms, above breasts, abdomen, buttocks, hips,
thighs, knees, calves, ankles. For larger volumes of fat or
for fibrous body areas, ultrasound-assisted lipoplasty (UAL) may
be used. UAL is a new technique in which a ultrasound probe is
inserted beneath the skin to "liquify" the fat before it is
suctioned. Length: 1 to 2 hours or more. UAL: 20-40
percent longer than traditional liposuction.
Anesthesia: Local, epidural, or general.
In/Outpatient: Usually outpatient. Extensive procedures
may require short inpatient stay. Side Effects:
Temporary bruising, swelling, numbness, soreness, burning
sensation. Tumescent: Temporary fluid drainage from incision
sites. UAL: Larger incisions for cannula. Risks:
Asymmetry. Rippling or bagginess of skin. Pigmentation changes.
Skin injury. Fluid retention. Excessive fluid loss leading to
shock. Infection. UAL: thermal burn injury caused by the heat from
the ultrasound device. Recovery: Back to work: 1 to 2
weeks. More strenuous activity: 2 to 4 weeks. Full recovery from
swelling and bruising: 1 to 6 months or more. Use of tumescent
technique or UAL may decrease post-operative bruising and
swelling. Duration of Results: Permanent, with sensible
diet and exercise.
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- Male Breast Reduction
- (Gynecomastia)
Procedure: Reduce enlarged,
female-like breast in men using liposuction and/or cutting out
excess glandular tissue. (Sometimes covered by medical insurance.)
Length: 1 hour or more. Anesthesia: General
or local. In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness,
soreness, burning sensation. Risks: Infection. Fluid
accumulation. Injury to the skin. Rippling or bagginess of skin.
Asymmetry. Pigmentation changes (may become permanent if exposed
to sun). Excessive scarring if tissue was cut away. Need for
second procedure to remove additional tissue. Recovery:
Back to work: 3 to 7 days. More strenuous activity: 2 to 3 weeks.
Swelling and bruising: 3 to 6 months. Duration of
Results: Permanent.
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- Nose Surgery
- (Rhinoplasty)
Procedure: Reshape nose by
reducing or increasing size, removing hump, changing shape of tip
or bridge, narrowing span of nostrils, or changing angle between
nose and upper lip. May also relieve some breathing problems. (May
be covered by insurance.) Length: 1 to 2 hours or more.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Side Effects:
Temporary swelling, bruising around eyes, nose and headaches.
Some bleeding and stiffness. Risks: Infection. Small
burst blood vessels resulting in tiny, permanent red spots.
Incomplete improvement, requiring additional surgery.
Recovery: Back to work: 1 to 2 weeks. More strenuous
activities: 2 to 3 weeks. Avoid hitting nose or sunburn: 8 weeks.
Final appearance: 1 year or more. Duration of Results:
Permanent.
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