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Dr. Brian Evans

Board Certified by the
American Board of
Plastic Surgery

Office Hours

Monday - Friday
8am - 5pm

FAQ

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    What is a breast lift? What results can I expect?

    A mastopexy, or breast lift, is a surgery that raises drooping breasts to a more youthful, attractive place higher on the chest.

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    What are some of the most common benefits of breast lift surgery?

    This procedure is an excellent option for women who want to reclaim the firm feel and youthful contours their breasts had when they were younger. In addition to the improved appearance and feel of the breasts, women may also discover that they can go without a bra and still look and feel good in clothes that now flatter them even more.

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    Am I a good candidate for a mastopexy?

    An experienced, board-certified plastic surgeon can talk with you about your goals and tell you if a breast lift is the right option to achieve those goals. In general, a woman with sagging breasts who is well both physically and mentally and who has received all the information she needs to make informed decisions about opting for surgery is a good candidate for a breast lift.

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    What will happen at the initial breast lift consultation?

    The consultation is a time for you and your surgeon to talk about the improvements you want to achieve in the way you look and feel about yourself. The choices you will make will be unique to your own body, self-image, and lifestyle so it is important to inform your doctor about any concerns you have and to get clear, complete answers to all your questions. It will be very helpful if you bring to your consultation pictures of breast lifts that appeal to you.

     

    At the consultation, Dr Evans will inform you about the surgery, about the type of anesthesia you will receive, and about what to expect from your breast lift before and after. The doctor will also take a complete medical history and conduct a physical exam. After your procedure is set up, but before the day of your procedure, you will be given detailed instructions regarding what you can and cannot eat and drink prior to your surgery, if you can use tobacco prior to surgery, and advice on losing weight ahead of your procedure day.

     

    Measurements of your breasts will be taken, as will photographs. Dr Evans  may also order a mammogram. Another consideration your surgeon will speak with you about is the new location of your nipples, and you will be asked if you wish to have your areolas (the pigmented skin encircling each nipple) decreased in size.

     

    It is important to ask your surgeon all the questions you have about your procedure and the steps that come before and after it. Also, ask to view before and after photos of the doctor's recent breast lift patients. Ask the doctor if he or she has breast lift patients who would be available to speak with you about their own experiences. A successful and satisfactory breast lift is the result of getting educated about all your options, as well as the pros and cons involved, and then making each decision in the process from a position of knowledge.

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    What happens before I have the surgery?

    The first step is to have a consultation with the surgeon. If you decide to have surgery, a date will be scheduled. At a second visit to the office, your surgery will be reviewed with you, photos will be taken, you will sign consent forms, and you will be given any necessary prescriptions and additional instructions. Before your surgery, payment in full is due; if you are financing, the arrangements will be made. One to two weeks before your surgery day, you will need to have blood drawn for pre-op lab tests and go for an electrocardiogram.

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    What happens on the day of surgery?

    On the morning of your surgery, you will go to the surgery center. In accordance with your pre-op instructions, you will have not had anything to eat or drink after midnight. After you check in, your vital signs will be recorded and you will be given a gown to put on. An I.V. line will be put into your arm and your breasts will be marked in preparation for the procedure. Before you are taken into the surgical suite, you may be administered a sedative through your I.V.

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    What type of anesthesia is used?

    In most cases, the surgeon will use general anesthesia, so you will go to sleep and have no memory of your surgery.

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    How is breast lift surgery done?

    There are various ways of restoring sagging breasts, and the amount of sagging may determine which method is best for you. During the procedure, the surgeon cuts away extra skin from around the areola and, in some cases, from the underside of the breast as well. He or she can then reposition the breast skin to eliminate laxity and add additional volume to the breast by placing an implant to enhance projection and evenness of the skin. This allows for a higher, more youthful placement of the nipple and areola.

    While particular breast lift methods may have distinctive differences, by and large they are normally classified as either  verticle mastopexy (there is no  incision placed  under the breast)the anchor-shaped mastopexy, which may be  used on very large reduction procedures, or the concentric (or "doughnut") mastopexy, which is ideal for petite breasts that have a minimal amount of sagging. The surgeon removes a round section of skin and then reorients the breasts. The anchor-shaped mastopexy is much the same, although it involves cuts away a larger amount of breast tissue, which is shaped like an anchor. Your surgeon can show you breast lift photos that illustrate the different methods, as well as breast lift with implants pictures.

    As a rule, the greater the amount of tissue that is removed, the greater the amount of contouring is possible. If your breasts are drooping considerably, the skin has likely been pulled so much that a larger incision will be necessary to eliminate enough tissue to allow the breast to be raised to the desired position.

    Since some breast volume is lost, you may have a breast lift with implants to improve the size and contour of the breasts. These breast lift implants are the same ones used for breast augmentation; in fact, many women opt to have a breast lift and augmentation combined. Operating time for a breast lift may range from one to three hours, with the particular surgical method dictating the length of time required.

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    Are drains placed?

    Your surgeon may place a drain in each breast. This will be determined by the lift technique used. These drains are most often taken out one to three days after your breast lift and their removal is quite tolerable.

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    What happens after surgery?

    When your surgery is done, you will be brought into the recovery room and kept there for one to two hours. A friend or family member will drive you home and your activities will be restricted for the first three or four days; you should not attempt to drive for a minimum of three to five days following your procedure. You can continue with strenuous exercise with your arms at four to six weeks. It is possible that you will be able to begin bicycling, walking, or jogging a little sooner than that.

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    What can I expect after surgery?

    Following your breast lift, the change in the shape of your breasts will be instantly apparent, and the majority of patients are quite pleased with this striking improvement. Areas of numbness in the breasts after surgery are to be expected and may remain permanently; however, the vast majority of patients believe it is an acceptable tradeoff. For a period of several weeks to two months, you are required to wear a bra to uphold your breasts; however, underwire bras should not be worn as they may irritate the sensitive breast tissues as they continue to heal.

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    Will there be stitches that have to come out?

    Yes. They will be taken out about a week after your surgery.

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    What size will I be after surgery?

    It depends on your preference. You may opt to increase your size with a breast implant, go for a smaller breast size, or stay the same size.

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    How much bruising, swelling, and pain is there?

    You should expect to have a fair amount of swelling after your surgery, and this will go away in two to four weeks. You may notice that the swelling, along with the pain, increases briefly during your first menstrual period after your procedure. Your breasts will look larger than they will eventually be due to swelling and, at first, the scars will look darker. Your breasts will be bruised, but it is usually not severe and diminishes over one to two weeks. Most patients say the pain is quite bearable.

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    What is the recovery period like after breast lift?

    When you come out of surgery, your chest will be wrapped in a gauze bandage, which is removed after 48 hours. Most of the pain occurs in the first few days but eases shortly thereafter. In the meantime, pain medications will keep you comfortable. For the next several weeks, you will wear a surgical bra to support your breasts properly.

    Approximately two weeks after your breast lift, you will return to the surgeon's office to have the stitches taken out. You will see bruising on your breasts and it is also possible that you could have incidental shooting pains and also temporary numbness surrounding the nipples. In most cases, these side effects stop after a period of weeks.

    During the three or four days following your surgery, your activities and movements will be restricted to limit stress on the sutures and incisions. The majority of patients can return to their jobs within about two weeks, but they must not lift anything above their heads or engage in any stressful movements for several more weeks to make sure they continue healing well. Your doctor will give you a timetable for getting back to your regular activities following your breast lift.

    While nearly all of your numbness, shooting pains, swelling, and bruising will go away within three to six weeks of your surgery, it may be a year before your breasts fully reflect their rejuvenated feel and appearance. Your breast lift scars, too, will fade as time passes; however, they may continue to be red and apparent to the touch for several more months.

    After your breast lift procedure, you should maintain your monthly breast cancer self-exams and schedule periodic mammograms per your doctor's instructions.

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    When can I get back to work? When can I drive a car?

    People whose jobs require a minimal amount of physical activity will likely return to work after three days. People whose jobs require a moderate amount of physical activity will probably be ready to return to work in seven to ten days. Patients with physically demanding jobs with heavy lifting should wait two to three weeks before returning to work. How soon you can get back behind the wheel safely will be determined by how much pain medication you are on, what your pain tolerance is, and whether your car is an automatic or a stick shift. As a minimum, you should wait three to seven days before attempting to drive.
     

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    When can I resume sexual relations?

    It is advisable to wait at least one to two weeks so the healing of your incisions is well advanced. You may lengthen the amount of time it takes for your achiness to fade away by engaging in sexual relations too soon.

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    When will I see the final results?

    Most of the swelling will disappear in three to four weeks after surgery and all of it should be done at three months post-op. At this time, you will have a pretty good idea of what your final outcome will look like. Know that your breasts may still be a little firmer than what they will eventually become. The soft, natural feeling may take several months to develop.

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    What is the long-term outcome like for most people?

    Once the surgery is done, your breasts will be more voluptuous. A breast lift is performed to keep scarring to a minimum. While it is true that scars may result from the surgery, by and large, patients are left with nearly imperceptible marks where the surgeon made the cuts.

    After your breast lift surgery, you may see a small variation in the size or shape of one breast compared to the other. Remember that no one's body is equally proportioned and some variation is natural.

    Breast lifts are sometimes done as part of a breast enlargement procedure in order to deliver the best possible outcome. A board-certified cosmetic surgeon is the best person to guide you in choosing the procedure that best meets your goals.

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    How long do the results last?

    The results of most breast lifts remain evident for several years. Like any other cosmetic procedure, the results of a breast lift will not last the rest of your life. Surgery will restore the look and feel your breasts had when you were younger, but the stresses of weight fluctuations, pregnancies, and gravity will take their toll on your breasts over the years. Your skin tone and the surgical technique used can also affect the longevity of the results.

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    Will the scars be noticeable?

    At first, they will be noticeable but over about one year, they may heal to the point that they are barely visible.  Depending on the approach used You may  have scars encircling the areola, down to the crease of the breast, or  beneath the breast.

    Dr Evans Frequently performs breast reduction with scars limiting to the areola or a small vertical extension below the areola. Thereby, limiting the total scars.

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    What can be done about the scars from a breast lift?

    Scars from this surgery will change over a period of many months, and it may take as long as 12 months for them to achieve their eventual look. There are ways of lessening the appearance of the scars, such as:

    •    Bleaching creams
    •    Taping the scars
    •    Topical steroids
    •    Intense pulse light
    •    Silicone based gels   
    •    Silicone sheeting
  • [+]

    What risks and side effects are associated with mastopexy?

    Among the risks and side effects related to mastopexy are breast asymmetry, uneven nipples, prominent scarring, loss of nipple sensation, numbness, loss of the nipple, inability to breast feed, adverse reaction to the anesthesia, recurrence of sagging, and infection.

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    Are there women who should not have a breast lift?

    A breast lift is not appropriate for women who are not willing to have scars on their breasts, accept a possible lessening of nipple sensation, or accept a possible decrease in their ability to breast feed. Scars may inhibit a radiologist's ability to read mammograms accurately, so women who are at increased risk of developing breast cancer are advised against having a breast lift, as are women who are smokers. In addition, women with extra large breasts who desire a breast lift alone, rather than in conjunction with a breast reduction, to address droopiness are unlikely to be happy with their results because of the likelihood that the droopiness will return.

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    Will this surgery affect future mammograms?

    Yes. The surgery will cause scars to form inside your breasts and the results of mammograms taken before and after breast lift will likely appear quite different. About one year after your surgery, you should have another mammogram in order to establish a new baseline. From then on, your age will dictate how often your mammograms should be scheduled.
     

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    How much does a breast lift cost?

    Just as the cost of a breast reduction varies, a breast lift price depends on factors such as where in the country you are located, the method the surgeons uses, if you opt to have a breast lift with augmentation, and the particular challenges of your case. Based on the type of procedure chosen and the size of the breasts, the surgeon's fee could be as low as $4,500 to as much as $14,500. Keep in mind that does not include the costs for the surgical facility, anesthesia, testing, the cost of breast implants, and other associated costs. Several   PPO insurance companies do offer  partial coverage  of "breast reduction " however , your insurance company may not cover the cost of breast lifts.

    Following  your consultation a staff member will review you plan benefits . Our office staff  Cannot guarantee what  percentage your insurance will ultimately cover.

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    Can I get financing for my breast lift?

    Yes. We have various patient financing options to meet a range of budgets. One of our staff members will sit down with you to discuss the option that is right for you to finance your breast lift costs.

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    How do I know if I need a breast lift?

    The best person to assist you in answering this question is your plastic surgeon. By and large, the greater the distance between the nipple and the breast crease, and the more elongated the skin is in that area, the greater the chances of needing a breast lift.

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    Can I breast feed after a breast lift?

    The majority of breast lift procedures preserve your ability to breast feed safely afterwards. The key is minimizing interference with the milk ducts. If you want to be able to start, or continue, breast feeding after breast augmentation/lift, be sure to ask your plastic surgeon what surgical method is least likely to be disruptive to breast feeding.

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    Is the nipple removed with a breast lift?

    No. Usually, it is just relocated to a higher position, and the breast is recontoured to appear more youthful by removing extra skin from the breast.

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    What is an autoaugmentation?

    This is a procedure in which the sagging part of the breast is moved behind the nipple. Your own tissue is used, essentially, like a breast implant, resulting in breasts that look voluptuous, contoured, and more youthful. This beneficial effect frequently occurs with Dr Evans' vertical Mastopexy Approach.

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    What is the difference between a breast lift and a reduction?

    In general, a breast lift is a cosmetic surgery intended to recreate the youthful character of the breasts. On the other hand, a breast reduction is intended to lessen the size of the breasts as a way of eliminating shoulder, neck, and back pain. Dr Evans  can show you breast reduction pictures that illustrate the differences between a lift and a reduction, and he or she can detail how breast reduction costs differ from breast lift costs.

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    Will I lose nipple sensation from my breast reduction?

    Loss of nipple sensation is a risk associated with breast reduction surgery; however, it does not always occur.

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    Is the nipple disconnected during breast reduction?

    No, the nipple is not commonly disconnected during breast reduction unless the breasts are excessively big (breast hypertrophy).

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    Can large breast reductions be done with a short scar?

    Yes, this can be accomplished, as long as the patient has good skin tone and she meets the requirements for the short-scar technique. Ask your surgeon to see breast reduction before and after photos. These breast reduction photos will help you understand what can be achieved with the short-scar technique.

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    Are all breast lifts the same?

    Not at all. The way in which the surgeon keeps the nipple connected to the breast and retains the volume of the breast is called the pedicle, and the shape of the breasts after the lift procedure may vary with the pedicle technique used. The verticle mastopexy technique, which eliminates the need for an anchor incision, is used often in our practice, and many women are thrilled not to have those extra incisions beneath their breasts.

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    I had a breast lift fifteen years ago and my breasts are now drooping again. Can I safely have another breast lift?

    You can. It is perfectly safe to have another breast lift procedure, though it is important to know that repeating the surgery carries a somewhat elevated risk of experiencing impaired blood flow to the nipple. Your surgeon can tell you more about this.

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    Will my stretch marks be removed with my breast lift?

    Yes, if they are located low on the breast or in the area directly surrounding the areola. Stretch marks located high on the breast will not be removed by the lift procedure.

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    I am in my twenties. I have never had children but I have drooping breasts with stretch marks. Am I a candidate for a breast lift?

    Yes. While it is not common, some women in their twenties do have sagging breasts. It is not always clear what causes this but one theory is that breast tissue sometimes changes significantly in response to fluctuating weight, and stretch marks can develop. A breast lift may be appropriate for a woman in her twenties, but she should be aware that the incisions will leave scars, and though they will become less and less visible over time, the degree to which they fade depends on the woman's skin type.

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    My nipples are very large. Can they be corrected during surgery?

    It is not that rare for women to have duplicate nipples, or extremely large nipples. They can be made smaller as part of a breast lift procedure or as a stand-alone surgery done with local anesthesia.

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    I underwent gastric bypass one year ago and lost one hundred pounds. Now, my nipples are down to my belly button, but my breasts are flat. Do I need a reduction or a lift?

    It is quite common for gastric bypass patients to lose a considerable amount of breast size as they lose body weight and be left with a large volume of extra, loose skin. A breast lift surgery can remove this excess skin on the chest, but often the amount of breast tissue that is left is small. Dr Evans may discuss the option of placing an implant to “recreate" fullness in your breasts.

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    What is rhinoplasty?

    This is a surgical procedure that is also referred to as nose job surgery or a "nose job."

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    What activities should I avoid after surgery?

    You must avoid sniffling or blowing your nose for ten days following your rhinoplasty and for two weeks after your surgery, you need to avoid touching or bumping your nose, as well as limit how much you smile. If you cannot avoid sneezing, attempt to minimize how much of the force of the sneeze is conducted through your nose. You must also avoid wearing eyeglasses for a month after surgery. Sleeping on your side can change the orientation of the parts of your nose that are healing, so you must sleep on your back only.

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    Will my nose look perfect right after surgery?

    Rhinoplasty before and after pictures will show a tremendous change in the appearance of your nose. You will have swelling in your new nose for three or four months after your procedure, and it will take about 12 months post-op for you to see the final appearance of your rhinoplasty results. It is unlikely to be perfect, but it will be a dramatic improvement over your old nose. Dr Evans will  show you before and after rhinoplasty pictures of other patients to help you understand what results are and are not realistic.

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    What supplies will I need after rhinoplasty surgery?

    During your recovery period from your nasal surgery, you will need SINECCH™ tablets (made from the herb Arnica Montana), Arnica gel, (may help with bruising), a bed wedge pillow, and a hot and cold compress eye mask. Our office will assist you with these items

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    How much are nose jobs?

    The cost of a nose job is dependent on the hospital where the surgery is performed as well as whether or not you have insurance coverage that may cover non cosmetic portions of your rhinoplasty .Because of the extreme variations in what may be needed for your nose job, it is best to schedule a consultation to determine costs.

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    Will insurance cover rhinoplasty costs?

    Your insurance company may cover a portion of the cost of nose job surgery if your surgeon reports to them that the surgery is necessary to modify the nasal passages to make your breathing easier or for some other type of medical need. If you must cover the entire rhinoplasty price yourself, Our staff will  offer financing options to make affordable rhinoplasty available to you.

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    Will rhinoplasty help me breathe better?

    If you have nasal valve collapse, turbinate hypertrophy, deviated septum, or another type of anatomical defect, the condition may be addressed during your rhinoplasty nose surgery.

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    Does rhinoplasty surgery hurt?

    It does; however, the amount of pain differs from one patient to another. The majority of patients characterize their pain level as moderate. The nose is packed with gauze after the surgery is completed, and this packing is normally the cause of most of the discomfort. The packing is removed 24 to 48 hours after surgery and for most patients, this relieves their pain significantly. Generally, the most intense pain occurs between the day after the procedure and the tenth day after the procedure.

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    What are the benefits of rhinoplasty?

    The improvements achievable with a nose job include freer, more natural breathing; better physical appearance, and boosted self-assurance.

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    What are the risks associated with rhinoplasty?

    Rhinoplasty surgery, like any surgery, has associated risks. The good news is that complications for a nose job before and after are out of the ordinary and if problems do happen, they are, as a rule, minor. Possible rhinoplasty risks can include adverse response to anesthesia, bleeding, and infection.

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    Who typically gets nose jobs?

    Nose jobs have long been popular among celebrities and that trend of celebrity nose jobs continues. Today, though, nose jobs have become very common throughout all demographics of the population, from young people to older people, and in a range of ethnicities. At one time, most people who opted for a nose job were Caucasians, but now ethnic rhinoplasty among other groups is more popular than ever, and it provides a way for African-Americans, Asians, and Hispanics to have the nose they wish to have. Male rhinoplasty is another growing trend.

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    Am I a good candidate for rhinoplasty?

    You are an ideal patient for rhinoplasty if you are physically and psychologically healthy and you expect improvement, but not flawlessness, in the appearance of your nose after surgery. Also, the majority of surgeons judge age to be a factor and usually recommend young patients put off rinoplasty until their growth spurt has ended.

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    Will I be put under general anesthesia?

    Rhinoplasty by Dr Evans is performed using general anesthesia.General anesthesia offers the advantage of better airway control, which is of paramount importance during an elective procedure

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    What does a rhinoplasty procedure involve?

    As with many surgical procedures, there is no single way to perform a nose job. Most techniques involve detaching the skin of the nose from the underlying structure of bone and cartilage with an incision made inside the nose or with an incision outside the nose in the tissue between the two nostrils—an "open" surgery. Next, Dr Evans   will perform nose reshaping, repositions the skin on top of the new structure of bone and cartilage, and places a splint to help maintain the new shape of the nose while it heals.

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    How long does it take to recover from rhinoplasty?

    Rhinoplasty recovery is a time-intensive process that progresses by degrees. A slight amount of swelling may remain for a period of months after your surgery, but most patients return to school or work within one to two weeks post-op. More demanding physical activities can be resumed by most patients within two to three weeks. Your surgeon can show you nose job before after photos to give you an idea of how typical healing progresses.

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    How long can I expect the results to last?

    The outcome achieved with rhinoplasty is permanent, not counting changes that result from the natural aging process.

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    Will rhinoplasty hurt?

    For the most part, no. General or "twilight" anesthesia is used during the surgery so you will not feel any pain. Once your surgery is done, you can anticipate soreness in your nose for about a week, but you are unlikely to have any pain. One of the best ways to educate yourself about different aspects of undergoing rhinoplasty (including the discomfort involved) is to participate in a rhinoplasty forum online. Ask questions of forum members who have had nose jobs and discuss their answers with your surgeon during your pre-op consultation.

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    How long will I need to take off for work?

    You should plan to be away from your job for about two to four days, depending on the kind of anesthesia you received during your surgery. If the surgeon reshapes your nasal tips, it is possible you will have bruising for ten to 14 days afterwards and for about seven days after you will wear a splint to protect the nose. For a minimum of two weeks post-op, you should refrain from strenuous exercise.

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    What if I want to improve my nose, but I want to avoid an "operated" look?

    This concern is one you share with the majority of patients who are thinking about having rhinoplasty. At one time, the objective of a nose job was to make every patient's nose resemble the nose shape popular at the time—more petite and slightly upturned. Today, that philosophy has changed and most plastic surgeons believe a nose job should be a customized enhancement that complements each individual patient's face. Pictures of most rhinoplasty patients' nose jobs before and after show just slight differences. The positive aspects of the patient's nose are retained while the negative aspects are refined to improve how the aesthetics of the nose blend with the entire face.

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    Can I make small changes to my nose without having surgery?

    Definitely. There are non surgical techniques available to reshape your nose. One option, dermafillers, have grown in popularity because they make it possible to achieve the goals you have in mind in under 60 minutes, but they also do not require you to take time away from work, school, or your regular activities.

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    Will my nose need to be broken?

    The need to do this is based on your nasal anatomy and also the aesthetic outcome you want to achieve. In certain cases, Dr Evans  may be able to carve away bone that must be removed rather than totally fracture it. It is worth noting that, if your rhinoplasty is performed poorly, your nose may break very easily if it is struck in the future.

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    How soon before I can exercise?

    Within three or four days after your rhinoplasty, you will be capable of getting back to your job and your regular routine; however, many surgeons will encourage you to hold off on exercise and other forms of physical exertion for two weeks after your surgery to ensure your nose heals properly.

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    How long will I need to wear bandages and stay out of the public eye?

    The recovery from a rhinoplasty is not really all that long. Five days post-op, you can take off your bandages. Although you will notice a certain amount of swelling and redness at first, you should be comfortable enough with your appearance to go out in public by seven to ten days following your surgery.

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    Is there a difference in surgical procedure between different ethnicities?

    All human faces have a common underlying structure, but there are variations that result from different heritages, and those variations are particularly evident with the nose. Dr Evans  will use precise  techniques for every ethnic nose job; however, alterations in the surgery may be made based on the patient's ethnic roots and their desired results.

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    I like my nose, but something seems off and I can't decide exactly what I need ?

    Many patients have this same situation: they are unhappy with their nose but cannot really describe the cause of their dissatisfaction. Dr Evans  can guide you in reviewing each part of your nose in relation to the rest, and that may help you identify the aspects of your nose that you may wish to change.

    Top rhinoplasty surgeons are highly trained and experienced in performing rhinoplasty and are able to design an individualized treatment plan to meet your specific goals. One of the most challenging areas of the nose to modify is the tip because it can be easily over-rotated or over-defined if careful attention is not paid to the modifications. Because this type of subtle yet influential change demands a considerable amount of detailed work, it is not considered to be a limited procedure.

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    How much does a nose job cost? Will my insurance pay for my rhinoplasty procedure?

    How much is rhinoplasty going to cost you? It depends on the specifics of your case and your goals. By and large, insurance policies do not pay for entirely cosmetic surgeries; however, your insurance company may pay for part of your rhinoplasty if it is necessary to alleviate problems with breathing through your nose or to correct a deformity that has resulted from a trauma.

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    What is revision rhinoplasty?

    Also called "secondary rhinoplasty," this is a second nose job. A patient may choose to undergo another nose job for several reasons, including suffering an injury that changed the results of their previous nose job, a previous nose job that was done improperly (rhinoplasty gone wrong or "bad nose jobs"), or to address a minor flaw remaining after the first nose job with which the patient is unwilling to live. Revision rhinoplasties have particular challenges so these patients should make sure they go to revision rhinoplasty specialists. He or she has the specialized training and experience that will allow him or her to perform the revision successfully. Many surgeons who perform rhinoplasties and revision rhinoplasties also perform nose reconstructions. This type of surgery is done to restore a normal appearance to a nose from which tissue has been lost due to trauma or the removal of tumors.

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    I am of African-American decent and have wide nostrils that I feel are too large for my face. Is there a procedure that can be done to address this?

    Among people of African-American heritage, this is an occasional  request  and many individuals seek out to decrease the width of their nose . Dr Evans advises against undergoing a radical  surgery to narrow the width of the nostrils; the result can be an unnatural look that suggests that surgery has been done. Rather, Dr Evans advises that the best nose jobs modify the nasal tip, as well as the dorsal hump, or bridge, along with the nostrils to create a balanced result. This method of sculpting the nasal tip and bridge allows the surgeon to bring symmetry to every area of the nose and create harmony between the nostrils and the other parts of the nose, along with a complementary relationship with the face as a whole.

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    I have noticed that many Asian-Americans have a very low dorsal hump, or bridge. Is there a way to build the bridge non surgically?

    A low bridge is a characteristic among some  patients of Asian-American decent (as well as some Caucasion, Hispanics and African Americans). For those Asian rhinoplasty patients who wish to heighten their bridge without surgery, they may be candidates for augmentation using a dermafiller such as Restylane or Radiesse or they may require a more permant implant to elevate the bridge of their nose.

  • [+]

    What are some of the most common procedures desired by Asian-American and African-American patients?

    Dorsal convexity, more commonly known as a nasal hump, is common among people of Mediterranean and Latin heritage. On the other hand, a lack of a nasal hump is common among people of African-American and Asian-American heritage. If an African-American or Asian-American patient desires to build up the bridge of their nose with augmentation rhinoplasty, it can be done with a surgical implant (your own tissue or prefabricated material) or  in some cases ,it can be done without surgery, using dermafillers such Radiesse.

  • [+]

    What are the advantages of a surgical vs non surgical rhinoplasty?

    Dr Evans will be able to treat all the areas of your nose that trouble you with procedures such as tip rhinoplasty and bridge augmentation or reduction. Also included is the building up or reduction of nasal convexity, the nasal hump, addressing imbalances in all areas of the nose, and revising tip definition and rotation. A non surgical nose job may be appropriate when only a minimal modification is required. This includes changing a small portion of dorsal convexity or enhancing the nasal hump. On the other hand, surgery is required to address cases of severe asymmetry and tip definition.

  • [+]

    Am I a candidate for breast augmentation and breast implants?

    There are numerous reasons for considering surgical augmentation of your breasts. It can boost your self-esteem and view of yourself. It can change the way your clothes fit your body, and you may find that clothing that was unflattering to you before becomes perfectly suited to your figure. Loving your appearance will increase your self-confidence and your outlook on your life may brighten. An enormous number of women tell us that breast augmentation surgery has brought tremendous benefits to their lives. Among the most common reasons for choosing to have breast implants are:

    •    Boosting pride and self-assurance
    •    Enlarging breasts you believe are undersized
    •    Enhancing your image of how others see you
    •    Improving how you look in clothing
    •    Making your breasts the same size and shape
    •    Reclaiming breast size that has diminished following breastfeeding or weight loss
    •    Restoring perkiness
    •    Reconstructing after diseases that affect the breast, such as breast cancer
  • [+]

    How do I choose the right size implant?

    There are a lot of variables that go into choosing the right size implant for you, such as current breast volume, the size of your ribcage, and the shape of your chest. Your surgeon has the experience to help you choose the best size and fill for your implant. The best thing you can do is to tell him or her what type of outcome you want. Find photos of women with a similar build as yours that reflect the look you want to achieve. You may also find breast augmentation pictures on the internet by searching "breast augmentation before after." Showing photos to your doctor is a better way of conveying your desired look than simply telling the doctor to make you a C cup or a D cup because different people have different definitions of what those phases mean. Your doctor will also have breast augmentation photos—including breast augmentation before and after photos—for you to view in making your decision.

  • [+]

    How big will my breasts be after surgery?

    For the most part, this is determined by two factors: the size of your breasts before surgery and the size of the implant that is used. During your pre-surgical consultation, Dr Evans  will talk with you about other factors that may affect your final outcome.

  • [+]

    How much does breast augmentation cost?

    This is one of the first questions patients ask, but the answer to "How much is a breast augmentation?" does not have one answer. Breast augmentation prices differ from one part of the country to another—and even within geographic areas. The cost of breast augmentation may be as low as $5,000 to as much as $10,000. This cost covers the consultation, the breast implants, the cost for anesthesia, the fees charged by the surgical center, your surgeon's fees, and the cost of appointments during your breast augmentation recovery. You may feel that this breast augmentation cost puts the procedure out of your reach, but be assured that, in most cases, you can get breast augmentation financing.

    There are various reasons why breast augmentation costs range so widely. The area of the country where you reside has a significant impact on answering how much is breast augmentation going to cost you. California and New York tend to have higher costs of living. As a result, plastic surgery procedures are likely to cost more. Another consideration is the type of augmentation you want. It will be more expensive to have a breast lift along with your breast augmentation, rather than a breast augmentation alone. Or if you have had prior implants there will be additional fees to remove the “old” implants ,scar tissue ,and replacing “new “ implants. Opting for silicone vs saline implants will increase the cost of augmentation since silicone is a more costly product. Even the fees charged by surgeons can be different; however, you should avoid the temptation to have your augmentation performed by a doctor who does not have the relevant training just because that doctor's fee is lower. Always choose a board-certified breast augmentation surgeon to perform your surgery.

    After  you meet with Dr Evans  for your consultation, our staff will provide  you with the total cost for your surgery, this will include Surgeon’s  fee, the surgical facility costs, the anesthesia costs, the cost for the implants, and the cost for the post-surgical appointments.

  • [+]

    Which breast augmentation incision should I choose?

    If you choose to have saline breast implants, the incision can be made in one of three locations. If you choose to have silicone gel implants, you also have three locations from which to choose.

    An incision made in the armpit is called a transaxillary incision.

    An incision made in the area around the areola, which is the pigmented tissue encircling the nipple, is called a periareolar incision.

    An incision made underneath the breast, close to the breast crease, is called an inframammary incision. It is also referred to as a breast fold incision or a breast crease incision.

  • [+]

    Which type of incision is best?

    The truth is that no particular incision is better than the others; it really depends on which one is best for you, and talking with your doctor will help you make that decision. Take into consideration how well your body heals and the types of clothes you wear.

  • [+]

    Will I lose sensation in my breasts if I have augmentation surgery?

    Research has shown very little evidence to say that one incision carried greater or lesser risk than another when it comes to loss of sensation in the breast. The majority of plastic surgeons believe that implant size and the surgeon's technique are the main factors that determine the likelihood of losing sensation.

  • [+]

    What are the pros and cons of silicone implants vs saline implants?

    Saline implants vs silicone? You can achieve an outstanding result with both silicone and saline implants, but it is important to know the differences of silicone vs saline implants. The major factors distinguishing silicone versus saline implants relates to the implants' future failure; specifically, identifying that the implants have failed and deciding what steps to take if they have failed. Both silicone-fill implants and saline-fill implants have identical expected functional years. You should not be concerned that either type of implant will cause health problems after they are placed in your body, and this includes after they have failed. There is a difference between silicone and saline implants in the way they fail. Failure of a saline implant allows the salt water contained in it to seep into the scar capsule. It then moves out of there, is soaked up by the body, and then expelled in the urine. Failure of a silicone implant allows silicone contained in it to seep into the area separating the implant shell and the scar capsule. Modern design of silicone implants limits this to a very small amount. Unlike the contents of saline implants, the small portion of silicone that leaves the implant does not also leave an unbroken scar capsule. It stays inside the capsule, save for a negligible quantity of microscopic beads.

    In terms of aesthetics, failure of a saline implant causes the breast to get smaller, whereas the breast remains the same size after failure of a silicone implant. Your surgeon can show you pictures of saline implants or pictures of silicone implants to help you better understand their design.

    Choosing saline implants vs silicone implants is an important decision, so be sure to ask your surgeon any questions you have so that you are confident in your choice and the results you will get from either silicone or saline implant before and after your surgery.

  • [+]

    Can salt-water filled implants harden like the silicone-filled ones?

    It is actually a misconception that implants harden, even though, over time, they may sometimes feel as though they have. What you are actually feeling is scar tissue, which the body naturally forms around any medical device that has been implanted, such as knee joints and devices to assist the heart. The body forms scar tissue around breast implants, too, regardless of whether they are saline-fill or silicone-fill. This scar tissue is actually beneficial because it helps to secure the implants in place and it acts as a protective covering against shock to the implants from outside forces.

  • [+]

    Why is a fee charged for the consultation?

    A thorough plastic surgery consultation is key to achieving an excellent surgical outcome, and this requires numerous people working many hours to educate a woman about her options and to answer her questions. The time invested by these professionals, plus the doctor's general expenses (utilities, supplies, use of equipment) related to that consultation, are not even reimbursed by the consultation fee. In fact, in most instances, the doctor does not benefit financially from the fee.

    If you find a surgeon who offers a free plastic surgery consultation, be aware that he or she may simply charge a higher surgery fee as a way to recoup the cost of the consultation. Not every patient who goes for a consultation ends up having the surgery, so the cost of their consultation is passed on to other patients. For the most part, surgeons who require payment for a consultation spend more time with their patients than surgeons who offer no-charge consultations. The majority of plastic surgeons who are board certified by the American Board of Plastic Surgery attach a fee to their consultations and then subtract that fee when determining the cost to perform the surgery, an arrangement that benefits both the patient and the surgeon equally.

  • [+]

    Can I get my insurance company to pay for my breast augmentation?

    Your insurance company may cover the cost of breast augmentation only in certain cases if you have had a prior history of breast cancer and subsequent mastectomy.

    Another example ,if you need to enhance a breast that has simply not grown properly. Finally , would be the need to modify a breast to be identical to a counterpart breast that has been reconstructed after a mastectomy.

  • [+]

    Can I breastfeed after breast augmentation?

    If you had the ability to breastfeed before you had the surgery, then you will still be able to breastfeed after the implants are placed. Research has indicated that as many as two-thirds of women with small breasts do not have the ability to breastfeed satisfactorily. It is unlikely that breast implants will increase or decrease that ability. It is also important to note that, regardless of whether a woman chooses silicone or saline implants, there is no evidence that breastfeeding after augmentation poses any risk to infants.

  • [+]

    How long do breast implants last?

    No part of the human body is guaranteed to stay healthy and functional for your entire life, and no manmade device implanted into the body, such as breast implants, artificial hip joints, infusion pumps, or pacemakers, can be expected to last indefinitely either. It is true that both silicone and saline breast implants will reach the end of their functional lives at some point. The average person inhales and exhales approximately 15,000 times each day, and that ongoing motion takes its toll on the implants, just as stresses in other parts of the body take their toll on other implanted medical devices and eventually wear them out. A number of plastic surgeons advise their patients that the requirement for breast implant replacement is approximately 1%  to  5% at five years, 5% to 10% at ten years, and 25% by fifteen years, as determined by the most recent research available.

  • [+]

    Will breast implants effect cancer detection?

    A Mayo Clinic study looked at approximately 12,000 women, half with implants and half without, to identify whether or not implants made it more difficult to spot cancer on mammography studies. Put another way, they wanted to know if implants allowed breast cancers to grow larger before they could be detected. The results show that implants do not interfere with the identification of cancers in the breast.

  • [+]

    What is fat grafting breast augmentation?

    This two-step procedure, also called natural breast augmentation, stem cell breast augmentation, fat injection breast augmentation, and fat transfer breast augmentation, uses liposuction to obtain fat from other areas of the body, such as the buttocks and thighs, which is then inserted into the breasts to enhance and contour them.

  • [+]

    What is "bottoming out"?

    This phrase refers to a situation where a breast implant has settled below the intended position, resulting in the nipple being higher on the breast mound than desired. If bottoming out happens soon after the augmentation procedure, it is probably a result of the surgeon creating too large a pocket for the implant. If movement of the implant happens much longer after the procedure, it most often results from the implant's weight.

    Women who are thin and have usually small amounts of breast tissue and skin coverage are most likely to experience bottoming out. It occurs most often when breast implants are positioned above the chest muscle and is seen less often when the implants are inserted in the complete submuscular position. Bottoming out can happen with any type of breast implant.

    An implant that has bottomed out can be corrected by rolling the scar tissue at the base of the pocket upward until it reaches the location of the new breast crease. This revision can be performed using any type of incision, though the preferred method is the crease incision because it provides the surgeon with the best possible field of vision on the pocket.

  • [+]

    What is capsular contracture?

    The human body creates a natural covering around any unfamiliar item that is placed inside it, including pins and screws, artificial joints, and breast implants. This covering, also called a capsule, a tissue capsule, or a scar capsule, consists of living tissue. Capsule contracture is a possible complication that can result from a breast augmentation procedure; in fact, it is the most common one, and although it can occur anytime, it appears to happen most often within several months after the procedure. During breast augmentation surgery, the surgeon creates a pocket into which the implant is placed. As healing proceeds, the body creates a capsule around the implant, and over time, that pocket naturally constricts a little bit, but not enough to change the look and feel of the breast enhancement that was achieved by the surgery. Some patients, though, do experience too much constriction of the capsule. The implant is compressed, changing its appearance and making the breast harder to the touch. In time, the implant may develop a spherical appearance and become quite hard to the touch. It is not the implant that has changed; it is still as supple as when it was implanted. It is the compression of the implant by the capsule that makes the implant to feel solid.

  • [+]

    What causes capsular contracture?

    At this time, the medical community does not have a definitive answer, but there are some factors that are believed to increase a patient's risk of experiencing capsule contracture:

    Smoking: this reduces the amount of oxygen in the bloodstream, which may impede healing and also trigger inflammation.

    Transient germ contamination: if the shell of the implant is contaminated with microbes and/or the persistent presence of bacteria, inflammation may result, which then triggers constriction of the capsule.

    Hematoma: this term describes a portion of blood that has collected in the surgical site. It can induce inflammation, which then triggers constriction of the capsule.

    Subglandular placement: this term refers to the placement of implants above the chest muscles, and implants placed in this way have a greater likelihood of capsular contracture. Submuscular placement (behind the muscle) of implants tends to have a lower likelihood of capsular contracture.

    Seroma: this is a portion of clear fluid that collects in a surgical site. Patients may be more likely to have capsular contracture if they have had seroma.

    Infection: evidence indicates that a patient is more likely to develop contraction of the capsule after experiencing an infection.

  • [+]

    What is symmastia?

    Among all the complications related to breast augmentation surgery, this complication is the least likely to occur, and most often comes about from the surgeon cutting more of the tissues of the cleavage than is necessary to complete the augmentation. "Uniboob," "kissing implants," and "breadloafing" are other less technical terms for symmastia. This phenomenon occurs when the implants literally touch each other, causing the woman to appear as if she has one breast rather than two. Thin woman are most likely to experience symmastia because their sternums tend to have a smaller amount of fat and/or tissue over them. Patients who have their augmentations performed by a seasoned and accomplished surgeon should not be concerned about developing symmastia. While some instances of symmastia are unintentional, other cases are purposeful, intended to create cleavage for women who do not have any, or to enhance it for women who want more. A surgeon may carefully liberate tissues, allowing the implants to move nearer each other.

  • [+]

    How is symmastia repaired?

    A surgeon will repair symmastia by reconnecting the fat and soft tissues to the breastbone. If the patient's implant were placed beneath the chest muscles, the surgeon may excise the scar tissue from the pocket and then gather it up, forming a foundation on which permanent sutures can attach to secure the sternal skin in place. The remaining portion of the pocket is secured with stitches, too, and this creates obstructions which ensure the implants do not move out of position again. If the goal is to completely alleviate strain from the center of the breastbone, enlargement of the pocket is often required; alternatively, smaller implants must be exchanged for the one previously placed. Following symmastia repair, the patient normally wears a thong-bra and places something between the breasts to apply pressure to the breastbone, such as a rolled towel or bandage.

  • [+]

    What is Liposuction?

    The concept of liposuction is surprisingly simple. Liposuction is a surgical technique that improves the body's contour by removing excess fat deposits located between the skin and muscle.

  • [+]

    What is Tumescent Liposuction?

    Tumescent liposuction designates a form of liposuction that uses tumescent local anesthesia. The tumescent technique for liposuction totally by local anesthesia has eliminated the greatest dangers associated with the older forms of liposuction.

  • [+]

    What are Elastic Compression Garments?

    Elastic compression garments (specially designed girdles) were intended 1) to reduce bleeding immediately after surgery and 2) to reduce swelling the time that the body is healing. Tumescent liposuction has eliminated surgical bleeding. Most surgeons require that patients wear an elastic compression garment for a certain length of time after liposuction.

  • [+]

    What is the Cost of Liposuction?

    The fee for liposuction usually depends on how many areas are treated by liposuction. When only one area is treated by liposuction the fee is less than when multiple areas are treated.

  • [+]

    Am I A Good Candidate for Liposuction Surgery?

    A good candidate for liposuction is defined as any person who has realistic expectations, is in good health and is likely to be happy with the results of liposuction. Although liposuction can often provide very substantial improvements, it is rare for liposuction results to be absolutely perfect.

  • [+]

    Realistic Expectations of My Liposuction Surgery?

    After liposuction, the new body’s shape is more or less permanent. If a patient does gain a moderate amount of weight after liposuction, then the figure will simply be a larger version of the new body shape. Fat cells that are removed by liposuction do not grow back.

  • [+]

    Which Body Areas can be treated by Liposuction?

    The most frequently treated areas for women are the abdomen, breasts, hips, outer thighs, anterior thighs, inner thighs, knees, arms, buttocks, cheeks and neck. In men, who comprise about 15% to 25% of liposuction patients, the most commonly treated areas include the chin and neck area, abdomen, flanks ("love-handles"), and breasts.

  • [+]

    What are the Complications and Risks of Liposuction Surgery?

    The most dangerous aspect of liposuction is an attitude that ignores the risk of doing too much liposuction on a single day, or disregards the risks of doing multiple unrelated surgical procedures on the same day that liposuction surgery is performed. As judged by current worldwide experience, liposuction is amazingly safe. Rare problems that can potentially occur with any surgical procedure include infections, bleeding, skin ulcerations, and nerve injury.

  • [+]

    What Questions Should I Ask before Choosing A Liposuction Surgeon?

    Decisions about liposuction should not be based solely on the cost of liposuction. The cheapest procedure might mean that the surgeon does the procedure quickly and incompletely. You should feel free to ask any question you have about liposuction. In fact, it is the patient's responsibility to make sure that all important questions have been asked and answered before making any final decisions about having liposuction.

  • [+]

    What kind of Qualifications should a Liposuction Surgeon have?

    Liposuction is most commonly performed by surgeons who have acquired special training in the techniques of liposuction. Surgeons who perform liposuction or other cosmetic surgeries are called "cosmetic surgeons."

  • [+]

    What are the Important Characteristics of a Safe Surgical Facility?

    Liposuction can be performed in a doctor’s office, in an outpatient surgery center, or in a hospital. A safe surgical facility for liposuction must be able to minimize the risks of surgical infections. Surgeries should be done in operating rooms that maintain high standards for cleanliness.

  • [+]

    What is the safest form of liposuction? What is a liposuction cannula?

    Tumescent liposuction totally by local anesthesia is the safest form of liposuction. Liposuction using general anesthesia or heavy IV sedation is somewhat less safe than liposuction totally by local anesthesia. Microcannulas permit smoother results after liposuction. A liposuction cannula is a small stainless steel tube that is inserted through an incision in the skin and removes subcutaneous fat.

  • [+]

    How long is the Liposuction Surgery Post-Op and Recovery time?

    When liposuction is done totally by local anesthesia, patients can usually depart from the surgical facility within 30 minutes of the completion of surgery. When general anesthesia is employed, then patients usually require one to three hours of post-anesthesia observation before being discharged home. Most patients can return to a desk-type job with two days after tumescent liposuction. Because of the significant decrease in swelling, inflammation and pain after tumescent liposuction, patients are able to return to normal physical activities very soon after tumescent liposuction.

  • [+]

    Is there Pain or Discomfort after Liposuction Surgery?

    During the two days immediately after liposuction, the amount of pain experienced depends on the type of anesthesia used for liposuction. Soreness is usually the most intense 2 to 4 days after liposuction and then decreases steadily. The tenderness and soreness typically is quite bothersome for up to 4 weeks, but gradually subsides over the following next 4 to 8 weeks.

  • [+]

    How does Liposuction Affect the Appearance of the Skin? Does Liposuction Produce Visible Scars?

    The appearance of skin after liposuction depends on the skin’s elasticity. Skin with good elasticity should look smooth and natural after liposuction. Scars are not a common problem with modern liposuction which uses very small cannulas (microcannulas) and thus only very small incision are required.

  • [+]

    Is Liposuction a Reasonable Treatment for Obesity?

    Liposuction is not a good treatment of obesity. Liposuction is not effective, even as a last resort, for people who are unable to lose weight by dieting and exercise.

  • [+]

    Is it Normal to be Anxious Before having Liposuction Surgery?

    Yes. Almost everyone has some degree of anxiety before having a surgical procedure, including liposuction. Some people have more anxiety than others.

  • [+]

    How does Abdominal Liposuction Differ from a "Tummy Tuck"?

    A tummy tuck (abdominoplasty) is a major surgical procedure requiring general anesthesia, and involves liposuction and excision to remove fat, plus a large excision of skin. In many patients (but not all) liposuction of the abdomen can often provide equivalent or better results than a tummy tuck. Because liposuction is safer and causes less scarring compared to tummy tucks, abdominal liposuction is now far more common than are tummy tucks.

  • [+]

    What is gynecomastia (Chest Liposuction).

     The male chest is a common area for liposuction. With age, the male chest tends to become fuller and drop with loss of elasticity in muscle and skin tone. The male chest is one area where I choose to be very aggressive in with fat removal. Like most areas, I approach each side from two directions to be through with the tunnels. I am careful to make sure that I get the area under each nipple completely, which is many times a combination of fat and glandular tissue.

  • [+]

    Which parts of my body can have liposuction?

    Most part of the body that are prone to excess fat can undergo liposuction with good results. In women, some of the most common areas treated include the inner and outer thighs, knees, abdomen, and the bra side area which is the outside part of the breasts near the underarm. In men, the most common areas treated include the abdomen, chest (gynecomastia), and flanks or love handles. Both men and women often benefit from chin and neck liposuction, a procedure we have refined called Rodeo Drive Chin Rejuvenation.

  • [+]

    After I have liposuction, will fat go to other parts of my body?

    No. Liposuction removes fat where it is out of proportion to the rest of the body. If you do not gain weight after liposuction by overeating, you will not gain fat in other parts of your body. If you do gain some weight, after liposuction your body will stay in proportion. If you never had liposuction and gained weight, the fat likely would go to your full areas (often the thighs in women and love handles or flanks in men) and would worsen the disproportion you originally had.

  • [+]

    Is there much pain after liposuction?

    Usually not. As part of the procedure, fluid is injected into the fat. This fluid is called tumescent solution. The fluid serves to loosen the fat and make it easier to remove. It has a medicine to tighten the blood vessels to limit bleeding. And it has a local anesthetic that serves to greatly minimize discomfort following the procedure. Most patients also note minimal discomfort because of our successful Minimal Pain Program.

  • [+]

    After I have liposuction, will the fat come back?

    If you keep your weight stable, the fat will not come back. When we are born, we already have all the fat cells we are ever going to have. We do not grow more fat cells. Therefore, when fat is removed by liposuction, the fat cells do not come back. However, our existing fat cells (or those remaining after liposuction) can get bigger. (We do not remove all of the fat cells in a given area during liposuction because this would result on skin on bone which does not look good.) So if you do not gain weight overall after liposuction, the fat will not come back. If you overeat, you will gain weight, including in the areas where you had liposuction because the remaining fat cells will get bigger. The results from liposuction can be permanent, so long as you do not overeat and gain weight overall.

  • [+]

    After liposuction, when can I go back to work?

    Planning your Procedure and Recovery Returning to work depends on how much liposuction is done. Sometimes people go back to work after just a few days. With larger procedures, it might be more comfortable to take a week off from work. Your plastic surgeon will advise you about the likely timing of return to work prior to the procedure so you can make appropriate plans.

  • [+]

    After liposuction, when can I start to exercise again?

    In most cases you can resume exercise within about a week of your liposuction procedure. However, your plastic surgeon might direct you toward some sorts of exercises and away from others, depending on which parts of your body were treated. Your doctor will work with you before and after your procedure to guide you back into exercise quickly while also allowing your body to heal such that you get the best possible result from your liposuction.

  • [+]

    Might I be better off with a tummy tuck instead of liposuction?

    People who have some extra fat but reasonably tight skin tend to do very well with liposuction. People with loose or hanging skin tend to do better with a tummy tuck.

  • [+]

    What is a Brazilian Butt Lift?

    A Brazilian Butt Lift, or Brazilian Buttock Lift, is a cosmetic surgery that can improve a shapeless or drooping butt and allow a quick return to normal activities. Using liposuction, excess fat in the hips, abdomen, and/or thighs is removed and used to add curvature to flat buttocks and reshape them. This buttlift can also create additional projection of the buttocks, if you wish. The procedure provides you with a backside that appears uplifted and looks more natural and attractive than the results achieved with buttock implants.

  • [+]

    Who is a candidate for a Brazilian Butt Lift?

    This procedure is an ideal option for anyone looking to raise or improve the contours of their rump. People who desire to supercharge their self-confidence and feel attractive, regardless of the clothes they are wearing (or if they are wearing none at all), can enjoy the benefits that a Brazilian Butt Lift offers.

    Women considering a butt lift should have realistic expectations about the outcomes, as they should with any surgical procedure, and they should enjoy good health overall and have a healthy, comfortable weight. Patients who are at or near their ideal weight will achieve the best outcomes, and following their body contouring surgery, they will have an easier time keeping their weight steady.

  • [+]

    What if I don't have enough body fat?

    A Brazilian Butt Lift may not be a good choice for individuals who are very small in stature or those who are very slender and have little overall body fat; however, the cosmetic surgeon is often able to locate a sufficient amount of fat during the consultation to allow the butt lift to be performed successfully. If you are severely under your ideal weight, you are unlikely to be a candidate for this surgery.

  • [+]

    How is the fat injected into the buttocks?

    First, fat is liposuctioned from the preselected areas around the buttocks, such as the lower back—directly above the butt—the stomach, and the thighs. Just doing this makes the buttocks look more contoured and makes your lower body more attractive.

    The fat collected from these donor sites is carefully processed and purified. The surgeon evaluates the fat and selects only the best fat cells to be reinjected into the buttocks, using special instruments called cannulas. In most cases, the surgeon will perform liposuction on at least two donor areas of your body to ensure that enough high-quality fat cells are collected. The surgeon places small injections of fat into various areas of the buttocks, and at different depths, to ensure you achieve the highest permanent absorption rate possible. For most patients, a Brazilian Butt Lift requires hundreds of microinjections, and using proper methods for injecting the fat is essential to achieving a balanced, natural, smooth appearance of the buttocks.

  • [+]

    How much does a Brazillian Lift cost?

    The amount of work and liposculpting required to achieve your desired outcome determines the cost of a Brazillian Lift. There are various payment plans available to accommodate a range of budgets. Contact us to schedule a consultation.

  • [+]

    What are the risks involved with a Brazilian Butt Lift?

    Every surgery has risks and it is important to discuss these risks with your surgeon before you schedule any procedure. Certain aspects of your health and lifestyle may put you at greater or lesser risk while having a Brazilian Butt Lift. One of the best ways to minimize the risks is by choosing a Board-Certified Plastic Surgeon to perform your surgery. All the surgeons at Sunset Cosmetic Surgery are board certified by the American Board of Plastic Surgery.

  • [+]

    What is the difference between a Brazillian Buttock Lift and butt implants?

    Butt implants are silicone devices that are surgically placed into the buttocks to achieve the patient's desired shape, while a buttock lift uses injections of the patient's own body fat to achieve their desired shape. It is much easier to achieve a more natural look and feel using the natural fat than it is using the artificial implants. Also, by using the patient's own fat cells to enhance their buttocks, a Brazillian Buttock Lift may also have a decreased likelihood of infection and allow the patient a shorter, quicker recovery.

  • [+]

    How long does it take to recover from a Brazilian Butt Lift?

    The recovery time for a Brazilian Butt Lift varies from patient to patient, but it is not uncommon for patients whose jobs are not highly active to return to work within seven days. Within three to four weeks, many patients resume moderate to full activity levels, though the recovery time may be longer for certain patients.

  • [+]

    What is the recovery like after a Brazilian Butt Lift?

    Butt lift surgery is performed at an accredited outpatient surgery center, and following your procedure, the experienced and compassionate surgical staff will care for you during your initial recovery. Once Brazilian Butt Lift patients go home and continue their recovery, many find they are able to resume most, if not all, of their regular activities within three to four weeks.

    Swelling and bruising will diminish in the weeks following the surgery, and some butt lift patients need to wear a compression garment beneath their regular clothes for a brief length of time during their recovery. Your surgeon may instruct you to be mindful of how you are sitting in the weeks after your butt augmentation procedure; however, each patient's guidelines are different, and your personalized post-operative instructions will be reviewed with you during your pre-op visits.

    Patients who are from outside the Los Angeles area must plan to stay close by for at least seven to ten days following their surgery.

  • [+]

    How long do the buttocks injections last?

    The results of your injections should be long-lasting if the fat is obtained, prepared, and placed properly, and you should not need to have any fine-tuning or additional fat injections. The surgeon's experience has a great deal to do with the results you achieve from a Brazilian Butt Lift. Surgeons who fail to use proper methods of fat purification or injection cannot deliver long-lasting results. You can be assured that the surgeons at Sunset Cosmetic Surgery are highly skilled and experienced in this procedure.

    The majority of Brazillian Buttlift patients enjoy the results of their surgery for as many as 20 years afterward. While it is natural for some of the injected fat to be reabsorbed, the rest of it remains in the buttocks, preserving the aesthetic enhancement. Anyone's body will change shape as the years pass, as a natural part of the aging process. Brazilian Butt Lift patients can help prolong the results of their procedures by sustaining a body weight that is healthy because, over the years, sharp increases or decreases in weight can change the contours and smoothness of the backside. Butt lift patients who do not smoke usually reabsorb less of the fat injected during fat grafting than do butt lift patients who use tobacco.

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    Is the Brazilian Butt Lift just about getting a big butt?

    Not at all. The goal of this procedure is to provide patients of all ages with a youthful, pronounced, sprightly backside and a more arousing physique. Placing injections of your own fat into the upper quarter of your buttocks gives them a look of elevation and firmness, which enhances your allure and voluptuousness.

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    If I am more concerned with increasing the size of my buttocks, can I have butt implants instead?

    You can enlarge your buttocks with either butt implants or a Brazilian Butt Lift; however, the butt lift has two major advantages over the implants. First, it uses liposuction to collect fat from other parts of your body, and that step alone helps to give you a slimmer, more defined look. Second, it uses fat injections, or fat transfer, to augment and reshape your buttocks, eliminating some of the complications that can occur with the placement of artificial implants. By using both liposuction and fat injections, the Brazilian Butt Lift delivers the most natural and appealing body shape.

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    What is a face lift?

    A face lift is an elective surgery performed on the face and neck to eliminate slack in the foundational tissues and muscles, remove excess fat, and tighten the skin.

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    What are the benefits of a face lift procedure?

    A face lift reverses noticeable evidence of the aging process, giving you a more youthful and vital appearance and boosting your positive self-image.

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    Am I a good candidate for a face lift?

    The person who can achieve the best outcome from a face lift is someone whose facial skin still has a certain amount of resilience, even though it has begun to sag. Potent, definitive bone structure is another characteristic of an ideal face lift patient, as is an awareness of the benefits and risks inherent in undergoing a face lift, and an understanding of the results they can reasonably expect to achieve.

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    Am I too young (or old) for a face lift?

    Forty years old (give or take a few years) is the age at which most patients have a face lift, though considerably younger patients whose facial and/or neck skin has become noticeably slack may also elect to have a face lift. While a face lift can benefit people far older than 40, these patients may not be qualified candidates for the surgery if their skin lacks sufficient elasticity.

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    Is there a common technique for face lift procedures?

    Facelifting techniques differ from surgeon to surgeon, but typically a face lift involves detaching the skin from the muscle and fat layers beneath it. Unneeded fat is removed and then the surgeon will usually continue by firming up the muscles and membranes of the face. After this, the skin is laid back over the tightened foundation and the excess skin is removed.

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    Are there significant risks associated with a face lift?

    It is rare to experience serious complications from a face lift, but every type of surgery involves risk and uncertainty. Risks associated with face lifts may include bleeding, nerve damage, infection, and negative reaction to the anesthesia. If you smoke cigarettes, you are more likely to experience inadequate healing following surgery.

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    Is a face lift performed under general anesthesia?

    In some cases, a surgeon may decide to give a patient general anesthesia, but in the majority of cases, face lifts are performed using local anesthesia and some form of sedation.

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    Is face lift surgery painful?

    While a face lift can be quite invasive, the surgeon will take steps before, during, and after the procedure to keep you comfortable, so the amount of pain related to a face lift is minimal.

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    How long before I can resume normal activities after my face lift?

    The time frame is different for each person. Even though swelling and bruising may remain for as many as three weeks after the surgery, the majority of face lift patients are back at their jobs by ten to 14 days after their procedures. Engaging in strenuous activities should be delayed for a minimum of 14 days following surgery, and exposure to sunlight should be reduced.

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    Will it be obvious that I've had a face lift?

    A face lift that is done correctly on a good candidate should not be apparent to others. The aim is to help you look younger, refreshed, and natural.

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    Can I expect permanent results from a face lift?

    Results from face lifts are as individual as the people who get them, but the majority of patients enjoy the benefits of their procedures for five to ten years. After that, the skin may become loose again due to the natural effects of aging.

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    Will face lift surgery eliminate all of my facial wrinkles?

    No. The purpose of face lift surgery is to smooth the lower part of the face, as well as the neck. Eradicating wrinkles on the upper part of the face (the forehead and around the eyes), as well as eliminating droopy eyelids, is accomplished with other treatments such as fat transfer to the face (micro-lipoinjection), brow lift surgery, eyelid surgery, and/or BOTOX CosmeticŪ injections.

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    Do I have to undergo face lift surgery just to tighten my neck?

    No. While face lift surgery smoothes skin on the neck as well as the face, you can choose to have a neck lift only. This procedure tightens the neck muscles and removes fat and excess skin from the neck.

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    What types of face lift surgery are available? Are there alternative procedures?

    There are several forms of face lift surgery to choose among, such as the traditional face lift, mini facelift/mid facelift, non surgical face lift, and endoscopic face lift.

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    What is an endoscopic face lift?

    Sometimes called the “scarless” face lift, this rejuvenation option is ideal for patients with a minor amount of loose skin who desire small enhancements to their appearance. The endoscopic face lift offers these patients a lower cost and a faster return to their regular activities.

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    What is the average cost of face lift surgery?

    The typical facelift cost runs from $9,750 to $16,772 and covers only the physician/surgeon fees. Surgical testing, anesthesia, use of the outpatient surgery center, and other related services have their own costs. Mini facelifts prices, in general, average less.

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    How long before I can resume normal activities after my face lift?

    After ten to 14 days, most patients are able to continue working; however, they are instructed to refrain from physically demanding activities for a minimum of 14 days following surgery.

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    What is blepharoplasty?

    Blepharoplasty, also called an eyelift, is a surgical procedure that removes redundant skin, fat, and muscle from the upper or lower eyelids through tiny incisions. Any scars from the surgery are hidden in the natural creases of the eyelid.

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    What problems can blepharoplasty fix?

    This procedure is the best option for fixing drooping eyelids, sagging eyelids, narrowed eyes, bags below the eyes, and a perpetually tired look. In some cases, eyelid surgery is also used to improve obstructed vision.

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    Who is a good candidate for an eyelift?

    Women and men ranging in age from their 30s to their 80s have had eyelifts performed. An ideal candidate is someone who does not have high blood pressure and who is by and large healthy. This person has good muscle tone around the eyes, healthy skin, and sensible expectations about their results.

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    How long do results take to show?

    The outcome of your blepharoplasty will be visible once any post-surgical swelling has disappeared. This may take a few weeks for some people, while others require less time. Every eyelid surgery patient can maximize the benefits of their surgery by ensuring their head remains elevated throughout the healing period. This encourages fluid around the surgical sites to drain away.

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    How long will the results of my surgery last?

    Many cosmetic surgical procedures, including blepharoplasty, do not provide life-long results; however, the benefits of eyelid surgery can remain visible for many years.

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    Are there risks?

    Risks are a part of any surgery. An eyelift procedure includes risk of infection and bleeding. Some patients may experience blurred vision or double vision for a few days after surgery. Patients will also experience swelling, which reduces as healing continues.