Once considered exclusively for the correction of disfigurements, plastic surgery has now become one of the most common and popular of all medical procedures.

Each year, millions of women and men undergo cosmetic surgery to enhance their appearance, boosting their confidence in the process. Maybe you've thought of surgery as something you'd like to do for yourself. We are here to help you achieve the look you want. Our surgeons offer a wide range of surgical services performed in a safe clinical environment. Here is a list of cosmetic surgical services that we offer. For more information, or to receive pamphlets by mail, please call the office anytime.

Procedures at a Glance

ABDOMINOPLASTY - Click here to learn more
(Tummy Tuck)

Procedure:	Flatten abdomen by removing excess fat and skin and tightening muscles of abdominal wall.
Length:	2 to 5 hours.
Anesthesia:	General.
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.

BREAST ENLARGEMENT  - Click here to learn more
(Augmentation Mammaplasty)

Procedure:	Enhance the size of breasts using inflatable implants filled with saline.
Length:	1 to 2 hours.
Anesthesia:	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. Mammography 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.

BREAST LIFT - Click here to learn more
(Mastopexy)

Procedure:	Raise and reshape sagging breasts by removing excess skin and repositioning remaining tissue and nipples. Some patients may require augmentation with breast implants for optimum results.
Length:	1 to 3 hours.
Anesthesia:	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.

BREAST REDUCTION - Click here to learn more
(Reduction Mammoplasty)

Procedure:	Reduce size of enlarged breasts. Also produces a "lifting" or drooping breast tissue. In many instances, but not all, insurance will cover this procedure.
Length:	3 to 4 hours.
Anesthesia:	General
In/Outpatient:	Usually inpatient, overnight hospital stay.
Side Effects:	Temporary soreness, swelling, bruising numbness and pain.
Risks:	Infection, assymetry, fluid collection, excessive scarring, skin or fat necrosis.
Recovery:	Back to work : 7-10 days. More strenuous activity 2-3 weeks.
Duration of Results:	Permanent with stable weight. Possible re-enlargement with pregnancy and breast feeding.

DERMABRASION - Click here to learn more

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 2 hours. 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.

EAR SURGERY - Click here to learn more
(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. Easily performed on adults as well.
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.

EYELID SURGERY - Click here to learn more
(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.

FACELIFT - Click here to learn more
(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:	General.
In/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.

FAT GRAFTING - Click here to learn more

Procedure:	Transfer of fat from abdominal or thighs to fill facial area creases. Also to augment areas such as cheek bones. Can be done on other body areas such as back of the hands.
Length:	1-4 hours depending on extent of areas treated. May require repeat treatment.
Anesthesia:	Local or general.
In/Outpatient:	Usually outpatient.
Side Effects:	Temporary aching, pain, or stinging, bruising and swelling.
Risks:	Infection, contour irregularities, poor "take" of graft with sub-optimal results
Recovery:	1-2 weeks, depending on area treated and volume required
Duration of Results:	Fat that "takes" is permanent.

FOREHEAD LIFT - Click here to learn more
(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.

FOTOFACIAL™ SKIN TREATMENT - Click here to learn more
(Pulse light therapy - ELOS (electro optical synergy)

Procedure:	A series of 5-6 topical treatments done in the office. Corrects sun damage, brown patches (hyperpigmentation) and diffuses tiny veins (telangiectasia). Improves Roseacea, tightens skin and reduces wrinkles combined with microdermabrasia and facial cream products.
Length:	1/2 to 1 hour x 5 treatments.
Anesthesia:	None required.
In/Outpatient:	In office procedure
Side Effects:	Slight discomfort which resolves at end of treatment. Mild redness, slight swelling with deeper treatments.
Risks:	Superficial burns (rare), temporary photosensitivity.
Recovery:	Back to work : same day.
Duration of Results:	Depends on skin type and lifestyle. Will require maintenance proceeding 3-4 times a year.

LIPOSUCTION - Click here to learn more
(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 neck, upper arms, above breasts, abdomen, buttocks, hips, thighs, knees, calves, ankles.
Length:	1 to 3 hours or more depending on number of sites and volume.
Anesthesia:	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.
Risks:	Asymmetry. Rippling or bagginess of skin. Pigmentation changes. Skin injury. Fluid retention. Excessive fluid loss leading to shock. Infection.
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 may decrease post-operative bruising and swelling.
Duration of Results:	Permanent, with sensible diet and exercise.

MALE BREAST REDUCTION - Click here to learn more
(Gynecomastia)

Procedure:	Reduce enlarged, female-like breast in men using liposuction and/or cutting out excess glandular tissue.
Length:	1-2 hours 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

NOSE SURGERY - Click here to learn more
(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.
Length:	1 to 3 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.

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