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INTRODUCTION TO PLASTIC SURGERY PROCEDURES
The following short summaries are intended as a general overview only.
Some of these cosmetic procedures may also fulfill true medical needs. A lot depends on
the unique circumstances and experience of each individual. If you're considering plastic
surgery, please ask your plastic surgeon for further information about the particular
procedure and what you can expect. In addition, the fees quoted are only to give you a
general idea of what the procedure may cost. Fees usually vary according to the region of
the country and the patient's needs. In general, the fees quoted do not include
anesthesia, operating room facilities, or other related expenses. Also, please note that
all surgery carries some uncertainty and risk. To reduce your risk, choose a qualified
plastic surgeon and closely follow his or her advice.
ABDOMINOPLASTY (Tummy Tuck)
Procedure: The tummy tuck helps you to achieve a trimmer and flatter abdomen.
This surgery is particularly helpful to both men and women whose abdominal muscles and
skin have been stretched through the aging process or through multiple pregnancies to the
extent that it cannot return to normal even with diet and exercise. In this procedure, the
cosmetic surgeon removes excess skin and fat from the middle and lower abdominal wall and
then tightens the abdominal muscles. A tummy tuck is often performed in conjunction with
liposuction surgery. Based on the circumstances, the surgery can be performed in an
outpatient surgical center, an office-based facility, or in a hospital where a patient may
spend two to three days.
Abdominoplasty can take between two to five hours, and a partial Abdominoplasty may
take two hours, depending on the extent of the work required. Your doctor may select a
general anesthesia, which means you will sleep through the operation, or a local
anesthesia combined with a sedative to make you drowsy.
Approximate Cost: $4,000.
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BREAST ENLARGEMENT (AUGMENTATION MAMMOPLASTY)
Procedure: Now through safe and effective procedures, you can enhance your
breast size and body contour, thus achieving a revitalized body image that can bolster
your self-confidence. The procedure involves placing inflatable implants filled with
saline either above or below the chest muscle through a number of different insertion
points, depending on your natural anatomy, your preferences, and your surgeon's
preferences. Recent endoscopic procedures which place the incisions lower in the truncal
area than before are gaining popularity because of the nearly inconspicuous scars that
result. This surgery is usually performed on an outpatient basis and takes between one to
two hours. Your surgeon may choose either a general anesthetic or a local with sedation.
Approximate Cost: $3,000 to $4000.
BREAST LIFT (MASTOPEXY)
Procedure: A breast lift raises and reshapes sagging breasts which can result in
a revitalized body image that can bolster your self-esteem. The procedure involves
removing excess skin and repositioning the remaining tissue and nipples. A breast lift can
also reduce the size of the areola or dark skin around the nipple and, when performed in
conjunction with the insertion of breast implants, can add firmness and size to small
breasts or breasts that have lost their volume after pregnancy. This procedure usually
takes from one and a half to three and a half hours and can be done on an outpatient
basis. Your surgeon may choose general or local anesthesia with sedation. The choice
varies according to the particular patient's circumstances.
Approximate Cost: $4000.
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BREAST REDUCTION (female and male)
Female
Breast Reduction (Reduction Mammoplasty)
Procedure: A breast reduction is one of the most satisfying of plastic surgery
procedures.This common procedure reduces the weight and size of very large breasts by
using liposuction techniques and may be performed on an outpatient basis under local
anesthesia. After the surgery patients no longer suffer from the problems associated with
overly large breasts: unwanted attention, self-consciousness, and back pain.
Approximate Cost: $5,000.
Male
Breast Reduction (Gynecomastia)
Procedure: Male breast reductions have become one of the most popular cosmetic
surgical procedures for males. The procedure reduces the enlargement of the breast, using
liposuction to remove fatty and glandular tissue. Incisions for this operation may be made
directly inside the areolar border where they are generally inconspicuous. This surgery
may be performed on an outpatient basis under a general anesthetic or a local anesthesia
with sedation. Most patients who undergo this procedure are pleased with the results and
no longer feel self-conscious in social situations, such as at the beach or pool.
Approximate Cost: $3,000.
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CHEMICAL PEEL (Phenol and trichloroacetic acid--TCA)
Procedure: Both men and women can achieve great success with this procedure
which improves and smoothes blemished, wrinkled, unevenly pigmented, or sun-damaged facial
skin. Younger looking skin can enhance your self-esteem. This procedure involves using a
chemical solution to peel away the damaged outer layers of skin. A chemical peel works
best on fair, thin-skinned people with superficial wrinkles. trichloroacetic acid (TCA) is
used for medium-depth peeling; whereas phenol, the strongest of the chemical solutions,
produces a deep peel. Your doctor may use TCA to treat fine surface wrinkles, superficial
blemishes, and pigment problems. TCA also aids in the control of acne. Phenol, on the
other hand, is used to treat coarse facial wrinkles, blotchy or damaged skin caused by sun
exposure and other conditions, or pre-cancerous growths. A typical peel may take from one
to two hours for the full face and is usually performed on an outpatient basis. Sedation
may be used before and during the procedure for relaxation. However, some full-face phenol
peels may require a hospital stay of up to two days.
Approximate Cost: $1,700.
EAR SURGERY (OTOPLASTY)
Procedure: Ear surgery shapes and contours the ear to complement the patient's
head size and bone structure. This procedure involves removing excess skin and cartilage
from the back of the ear. It is typically performed on an outpatient basis using local or
general anesthesia and generally takes from one to two hours. Having ear surgery helps
reduce the stress and embarrassment that may be associated with overly large or protruding
ears and can give you a rejuvenated body image that will bolster your self-esteem and
increase your confidence with others.
Approximate Cost: $2500
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EYELID SURGERY (BLEPHAROPLASTY)
Procedure: To correct sagging upper eyelids and puffy bags below the eyes, this
procedure removes excess skin and excess fat as needed to rejuvenate the eye area. This is
a very popular surgery with a high rate of patient satisfaction. The small sutures made on
the lids or directly inside the lids are very well hidden and heal quickly. The surgery
can last anywhere from one to three hours and is generally performed on an outpatient
basis under local anesthesia combined with sedation.
Approximate Cost: $2,800 (for both upper and lower lids)
FACELIFT (RHYTIDECTOMY)
Procedure: The popular facelift can be performed on both men and women as soon
as there are signs of aging. This procedure addresses the changes which occur in the
natural process of aging--sagging facial skin, owls, and loose neck skin. A typical lift
requires the cosmetic surgeon to remove excess fat, tighten underlying muscles, and
re-drape the skin of the face and neck. Ideal candidates for a face lift are men and women
over forty whose face and neck have begun to sag but who have some skin elasticity and a
well-defined bone structure. To tighten the skin, the surgeon usually makes inconspicuous
incisions in the hairline or natural folds of the skin. If a browlift is being done in
conjunction with a facelift, the incisions may be made in the hair at the top of the head
to allow the forehead and eyebrows to be lifted. While facelifts are generally performed
on an outpatient basis under local anesthesia combined with a sedative, some surgeons who
use general anesthesia prefer their patients to be hospitalized for a short period. Having
a facelift takes several hours, especially if more than one procedure is being done. The
results of this procedure can be very satisfying since having a youthful appearance can
bolster your self-esteem and make you more confident around others.
Approximate Cost: $5,000 and up.
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FACIAL IMPLANTS
Procedure: Facial implants can provide subtle or significant changes in facial
structure. High cheek bones and a well-defined jaw line have for centuries been associated
with physical beauty and confidence.This procedure involves inserting carefully shaped
implants to build up cheekbones, to add prominence to a receding or "weak" chin,
or to reshape the jaw line.The procedure generally takes from 30 minutes to two hours and
is usually done on an outpatient basis, using local anesthesia combined with sedation.
Occasionally, general anesthesia is used and an overnight hospital stay is required.
Facial implants enhance and balance the structure of the face which can lead to greater
self-confidence.
Approximate Cost:
Cheek Implants: $2,000.
Chin Implant: $1,500.
FOREHEAD LIFT (BROWLIFT)
Procedure: The browlift raises drooping eyebrows that are due to the effects of
aging and corrects creases and furrows above the nose and on the forehead. This procedure
involves raising and tightening the skin and muscles of the forehead and cutting the
muscles responsible for forehead wrinkles and creases. Usually performed on people over
40, this procedure is done either with an incision made inside the hairline at the top of
the head (the coronal browlift) or with an endoscope, a fiber-optic light which allows the
surgeon to operate through three to five small incisions (the endoscopic browlift). It
generally takes from one to two hours and can be done on an outpatient basis, using local
anesthesia with sedation. The rejuvenated look that results from a browlift can enhance
your self-esteem.
Approximate Cost: $2,500.
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HAIR REPLACEMENT SURGERY
Procedure: Today's hair replacement surgeries produce amazing results that do
not vanish over time. There are a variety of techniques to fill in baldness with a
patient's own hair. These include scalp reduction, scalp expansion, and grafts--plugs,
mini plugs, and micro plugs. More than one technique can be used on the same person to
achieve a natural look. Mini grafts and micro-hair grafts involve taking one to five hairs
from the posterior scalp and placing them in the balding area, using a microscopic
incisions. The very small size of the grafts provides the patient with natural results.
These hair grafts eliminate the "corn-row" appearance that has long typified
hair replacement surgery. Usually scalp reductions and hair transplants are done on an
outpatient basis under a local anesthesia or under a local with sedation. Scalp reductions
generally take less than one hour. Hair transplants can take from six to eight hours,
depending on the area of baldness. In addition, some techniques require multiple
procedures that take place over a period of months. The great thing about Mini grafts and
micro grafts is that they minimize scarring and can improve even the most extensive hair
loss situations. That great feeling of well-being that results from having successful hair
replacement surgery can enhance your self-esteem.
Approximate Cost:
Scalp reductions: $2,000 to $3,000 or more
Hair transplants: Cost varies depending on the amount of baldness, but micro-grafts and
mini-grafts can cost between $4 to $10 for each graft. Cosmetic surgeons can transplant a
thousand or more grafts per session.
LASER FACIAL RESURFACING
Procedure: Laser facial resurfacing softens surface irregularities and helps
remove facial wrinkles. It involves the use of high pulse lasers to remove the top layers
of skin, thus revealing the younger looking skin underneath. Younger looking skin can
enhance your self-esteem. This procedure may be performed on small areas of skin or on the
entire face. In contrast to a chemical peel, laser resurfacing is less likely to produce
extreme changes and contrasts in skin color. This procedure is generally performed on an
outpatient basis under local anesthesia combined with a sedative. However, in severe cases
a hospital stay may be required. In addition, the procedure may take anywhere from a few
minutes to an hour and a half, depending on how large an area of skin is involved.
Approximate Cost: The cost depends on the area and depth of the scars or
wrinkles. A single region may cost between $1,000 to $2,000 dollars, while a full-face
resurfacing could cost over $3,000.
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LIPOSUCTION (Lipoplasty)
Procedure: Liposuction is the most popular cosmetic surgical procedure around
today. It improves the the shape and contour of the body by removing unwanted areas of
fat. Areas of the body that can be improved by liposuction include the chin, cheeks, neck,
upper-arms, buttocks, hips, thighs, knees, calves, and ankles. Lipoplasty can be done
using traditional suction assisted liposuction or with an ultrasound probe. Suction
assisted lipoplasty involves removing intact fat cells while ultrasound-assisted
lipoplasty (UAL) uses an ultrasound probe to liquefy the targeted areas of fat before they
are removed. These procedures are usually done on an outpatient basis, using a local,
epidural, or sometimes a general anesthesia. If the procedure is extensive, a short
hospital stay may be required.That great feeling of well-being that results from having a
well-defined figure can enhance your self-esteem.
Approximate Cost: Single site: $1,800 and up.
NECK MICROSUCTION
Procedure: Neck microsuction gives you a youthful looking neck by tightening the
loose skin of the neck that results from years of the pull of gravity. This procedure
involves removing the extra fat from just under the chin and through the neck area and
then tightening the skin. The fat is removed using a liposuction technique. Once the fat
is removed, the skin is then tightened. This procedure is generally done on a outpatient
basis under a local anesthetic combined with sedation. That great feeling of well-being
that results from a rejuvenated jaw and neck line can enhance your self-esteem.
Approximate Cost: $2,000 to $4,000.
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NOSE SURGERY (RHINOPLASTY)
Procedure: Nose surgery changes the size and shape of a person's nose and can
also correct birth defects or breathing problems. To reshape the nose, this procedure
loosens the skin of the nose and sculpts the nose to the desired shape. The skin is then
re-draped over the new framework. This can be done for purely cosmetic reasons or for
reconstructive purposes, such as to correct a marked deformity or breathing problem.
Rhinoplasty can reduce or increase the size of the nose, remove a hump in the nose, change
the shape of the bridge or tip, narrow the nostrils, or change the angle between the nose
and the upper lip. The procedure takes from one to two hours and is usually done on an
outpatient basis under local or general anesthesia. Some complex procedures may take
longer and require an overnight stay in the hospital. That wonderful feeling of well-being
that results from a great facial profile can enhance your self-esteem.
Approximate Cost:
Open rhinoplasty: $3,000.
Closed rhinoplasty: $2,800.
PHALLOPLASTY (Penile Shaft Enhancement)
Procedure: Phalloplasty is one of the newest procedures in cosmetic surgery for
men. It is designed to increase both the length and circumference of the penile shaft.
Phalloplasty can be performed using the latest laser technique which involves no foreign
material or implants. With this procedure, healing is very fast and the patient may be
fully functioning within days after the procedure. Other options for penile enhancement
are dermal-fat grafting (DFG), fat injection, and penis lengthening surgery.
Fat injection moves fat cells from another part of the patient's body to the penis.
This procedure may need to be repeated several times for those who want a major increase.
In many instances one treatment is sufficient. The surgery is usually performed on an
outpatient basis under local anesthesia combined with sedation.
Dermal-fat grafting is a two step procedure that involves the removal from another part
of the body of a strip of skin that has the fat attached. The lower skin layer with the
fat attached is then transplanted to the penile shaft. This procedure usually takes three
hours and is done on an outpatient basis.
Penis lengthening surgery involves extending the penis from 1/2 to 2 inches using local
tissue and skin from the penis and/or pubic area. This procedure usually takes about two
hours and is done on an outpatient basis under local anesthesia combined with sedation.
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TATTOO REMOVAL
Procedure: Tattoo removal allows you to reverse a decision that you made in the
past, one that does not necessarily fit with your present style of life. Using new laser
techniques, cosmetic surgeons can now remove unwanted tattoos without leaving conspicuous
scars. The procedure is usually performed on an outpatient basis and can last from a few
minutes to a half hour, depending on which laser is selected. Most surgeons pre-treat the
tattoo with a topical or injectable local anesthetic prior to the procedure. Having an
unsightly tattoo removed can enhance your self-esteem.
VEIN TREATMENT AND REMOVAL OF VASCULAR BIRTHMARKS
Procedure: Vein treatment of veins on the legs and face can be treated by
injections of a solution that is similar to salt water or by laser treatments. Birthmarks
such as port wine birthmarks or stork bites can also be treated by lasers but may require
multiple sessions for improvement. Treatment by injection is usually done in the
physician's office and may require anywhere from one to ten sessions, depending on the
severity of the vein visibility. During the procedure there is minimal discomfort, and
after an initial redness in the treated area, the veins start to fade. When lasers are
used to treat veins or birthmarks, the treatments are generally performed without
anesthesia in the doctor's office. However, small children and infants with large
birthmarks may require a general anesthesia, in which case the procedure will be performed
in an outpatient facility. Having a blemish free face and smooth legs can enhance your
self-esteem.
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