Dermatology & Cosmetic Surgery

Cosmetic plastic surgery includes surgical and nonsurgical procedures that reshape normal structures of the body in order to improve appearance and self-esteem. Healthy individuals with a positive outlook and realistic expectations are appropriate candidates for cosmetic procedures. Plastic surgery is a personal choice and should be done for yourself, not to fulfill someone else's desires or to try to fit an ideal image. Because it is elective, cosmetic surgery is usually not covered by health insurance.

Breast augmentation surgery involves using breast implants or fat, referred to as fat transfer breast augmentation, to increase the size of your breasts or restore breast volume that has been lost after weight reduction or pregnancy.

Breast augmentation is clinically referred to as augmentation mammaplasty.
Breast augmentation can:

• Increase fullness and projection of your breasts
• Improve the balance of your figure
• Enhance your self-image and self-confidence

Breast implants may also be used for breast reconstruction after mastectomy or injury.

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.

Liposuction techniques may be used to reduce localized fat deposits of the:
• 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.

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

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.

Gynecomastia is a condition of over-developed or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity, or the use of certain drugs.

Gynecomastia can cause emotional discomfort and impair your self confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.

Gynecomastia is characterized by:
• Excess localized fat
• Excess glandular tissue development
• Sometimes excess breast skin
• Presence unilaterally (one breast) or bilaterally (both breasts)

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:
• Sagging in the middle of your face
• Deep creases below the lower eyelids
• Deep creases along the nose extending to the corner of the mouth
• Fat that has fallen or has disappeared
• Loss of skin tone in the lower face that creates jowls
• Loose skin and excess fatty deposits under the chin and jaw can give even a person of normal weight the appearance of a double chin

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

Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery to rejuvenate aging eyes.

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

If fitness and weight loss 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.

A body lift improves the shape and tone of the underlying tissue that supports fat and skin.

Excess sagging fat and skin are removed and the procedure(s) can improve a dimpled, irregular skin surface, which is commonly known as cellulite.

A body lift may include these areas:
• Abdominal area – locally or extending around the sides and into the lower back area
• Buttocks that may be low, flat or shaped unevenly
• Groin that may sag into inner thigh
• 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.

Chin surgery, or mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone.

Many times a plastic surgeon may recommend chin surgery to a patient having rhinoplasty in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose.

Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.

Rhinoplasty enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose.

Rhinoplasty surgery can change:
• 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.

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