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Cosmetic Surgery

Buttock lift

Buttock augmentation is a surgical procedure that is used to improve the contour, size and/or shape of the buttocks. This is done through the use of buttock implants, fat grafting or sometimes a combination of the two. Buttock implants are silicone-filled devices that are surgically placed deep within the tissues of the buttock. Buttock augmentation through the use of fat grafting involves the transfer of fat from one area of the body into the tissues of the buttocks.

Why it’s done?

As you get older, your skin changes and becomes looser. This can cause your buttocks, as well as other parts of your body, to sag. You might consider a buttock lift if you:

  • Have lost a significant amount of weight
  • Are overweight and haven't been able to lose a significant amount of weight through physical activity and changes in your diet
  • Have a normal weight, but want a dramatic improvement in the appearance of your lower body

However, your doctor might caution against a buttock lift if you:

  • Have a severe chronic condition, such as heart disease or diabetes
  • Plan to lose a significant amount of weight
  • Have a body mass index that's greater than 32
  • Are a smoker
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Risks & How to Prepare

A buttock lift poses various risks, including:

  • Fluid accumulation beneath the skin (seroma): Drainage tubes left in place after surgery can help reduce the risk of seroma.
  • Poor wound healing: Sometimes areas along the incision line heal poorly or begin to separate.
  • Scarring.  Incision scars from a buttock lift are permanent, but typically placed in areas that aren't easily visible.
  • Changes in skin sensation.  During a buttock lift, the repositioning of your tissues can affect superficial sensory nerves. You'll likely feel some reduced sensation or numbness.

In preparing for a buttock augmentation and/or buttock lift, you may be asked to get a blood test, take certain medications or adjust your current medications, stop smoking, avoid taking aspirin and certain anti-inflammatory drugs as they can increase bleeding.

What to Expect & Results

During a buttock lift, you'll be comfortable with the aid of general anesthetic — which renders you unconscious. A tube (catheter) will be placed into your bladder to collect urine and your legs will be placed in devices called sequential compression boots.

During the procedure

Your plastic surgeon will make an incision along the lower back, from hip to hip. The excess skin below the incision is pulled up, lifting the buttocks. The extra skin and fat is then removed. The procedure typically takes two to three hours.

After the procedure

For the first months after a buttock lift, you'll need to take care when moving -increasing your activity level slowly — and avoid positions that strain your incision line to prevent the re-opening of the wound. Your doctor will provide specific instructions.

Results

The results of buttock augmentation and/or buttock lift surgery are visible almost immediately. The tissues will settle a little within the first 3-6 months and the scarring can take up to two years to fade to its mature level. Some visible scars will remain, but the overall results are long-lasting, provided that you maintain a stable weight and general fitness. As your body ages, it is natural to lose some firmness. However, most of your initial improvement should remain.

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Hair Transplantation

A hair transplant is a surgical procedure that involves the removal of hair follicles from any site of the body that has hair and replacing it with the hairless portion. It is done to restore hair density and also to induce hair growth in the affected area.

Why it’s done?

Hair transplant procedure is recommended for people suffering from chronic or hereditary baldness. Hereditary baldness is caused due to the genetic defect that runs in the family and is usually not curable. It is also advised for people who lose their hair due to an injury, scar or burn. For such people, hair transplant is recommended to restore the hair in the places where the hair has stopped growing.

Risks

Hair transplantation is generally considered safe, but risks include:

  • Infection
  • Bleeding and some scarring
  • Patchy hair growth
  • Unsuccessful grafts

How to prepare and what to expect ?

A visit to the dermatologist will help you decide the kind of hair transplant you wish to go for, depending upon several factors which will be studied by your doctor. He will also conduct a few physical examinations and would take some photographs to decide upon the procedure.

First, the surgeon cleans your scalp and injects medicine to numb the back of your head.Your doctor will choose one of two methods for the hair transplant:

  • Follicular unit strip surgery (FUSS)
  • Follicular unit extraction (FUE)

During the Surgery

With FUSS, the surgeon removes a 6- to 10-inch strip of skin from the back of your head. He sets it aside and sews the scalp closed. This area is immediately hidden by the hair around it.Next, the surgeon’s team divides the strip of removed scalp into 500 to 2,000 tiny grafts, each with an individual hair or just a few hairs.

If you’re getting the FUE procedure, the surgeon’s team will shave the back of your scalp. Then, the doctor will remove hair follicles one by one from there. The area heals with small dots, which your existing hair will cover. After that point, both procedures are the same. After he prepares the grafts, the surgeon cleans and numbs the area where the hair will go, creates holes or slits with a scalpel or needle, and delicately places each graft in one of the holes.

After the surgery

After the surgery, your scalp may be very tender. You may need to take pain medications for several days. Your surgeon will have you wear bandages over your scalp for at least a day or two. Most people are able to return to work 2 to 5 days after the operation.

First, the surgeon cleans your scalp and injects medicine to numb the back of your head.Your doctor will choose one of two methods for the hair transplant.

Results

Within 2 to 3 weeks after surgery, the transplanted hair will fall out, but you should start to notice new growth within a few months. Most people will see 60% of new hair growth after 6 to 9 months.

Laser hair removal

Laser hair removal is a medical procedure that uses a laser to remove unwanted hair. During laser hair removal, a laser beam passes through the skin to an individual hair follicle. The intense heat of the laser damages the hair follicle, which inhibits future hair growth.

Laser hair removal is most effective for people who have light skin and dark hair. Although laser hair removal effectively slows hair growth, it doesn’t guarantee permanent hair removal.

Why it’s Done?

Laser hair removal is used to remove unwanted hair. Common treatment locations include legs, armpits, upper lip, chin and bikini line. However, it’s possible to treat unwanted hair in nearly any area — except the eyelid or surrounding area.

Hair color and skin type influence the success of laser hair removal. Laser hair removal isn’t generally effective for white, gray, red or blond hair — although treatment options for lighter hair continue to be investigated.

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Risks & How you Prepare

Laser hair removal doesn’t guarantee permanent hair removal. The most common side effects of laser hair removal include:

  • Skin irritation. Temporary discomfort, redness and swelling are possible after laser hair removal. Any signs and symptoms typically disappear within several hours.
  • Pigment changes. Laser hair removal might darken or lighten the affected skin, usually temporarily. Skin lightening primarily affects those who have darker skin, especially if an incorrect laser is used at an incorrect setting.

Rarely, laser hair removal can also cause blistering, crusting, scarring or other changes in skin texture.

If you are planning on undergoing laser hair removal, you should limit plucking, waxing, and electrolysis for six weeks before treatment. That’s because the laser targets the hairs’ roots, which are temporarily removed by waxing or plucking. You should also avoid sun exposure for six weeks before and after treatment.

What can you Expect & Results

Just before the procedure, your hair that will be undergoing treatment will be trimmed to a few millimeters above the skin surface. The laser equipment will be adjusted according to the color, thickness, and location of your hair being treated as well as your skin color.

  • Precision. Lasers can selectively target dark, coarse hairs while leaving the surrounding skin undamaged.
  • Speed.  Each pulse of the laser takes a fraction of a second and can treat many hairs at the same time. The laser can treat an area approximately the size of a quarter every second. Small areas such as the upper lip can be treated in less than a minute, and large areas, such as the back or legs, may take up to an hour.
  • Predictability.  Most patients have permanent hair loss after an average of three to seven sessions

Results of laser hair removal vary greatly from person to person. Multiple treatments can prolong the duration of hair loss — up to years in some cases — but hair regrowth is still possible. For best results, you might need four to six treatments spaced a number of weeks apart.

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Liposuction

Liposuction is a surgical procedure that uses a suction technique to remove fat from specific areas of the body, such as abdomen, hips, thighs, buttocks, arms or neck. Liposuction also shapes (contours) these areas. A plastic or dermatologic surgeon usually does the procedure on your hips, belly, thighs, buttocks, or face to improve their shape. But liposuction can also be done with other plastic surgeries, including facelifts, breast reduction, and tummy tucks.

Why it’s done?

Liposuction is used to remove fat from areas of the body that haven’t responded to diet and exercise, such as the:

  • Abdomen
  • Arms
  • Buttocks
  • Calves and ankles
  • Chest and back
  • Hips and thighs
  • Neck

Risks & How you Prepare

Possible complications specific to liposuction include:

  • Contour irregularities. Your skin may appear bumpy, wavy or withered due to uneven fat removal, poor skin elasticity and unusual healing. These changes may be permanent.
  • Fluid accumulation. Temporary pockets of fluid (seromas) can form under the skin.
  • Internal puncture. Rarely, a cannula that penetrates too deeply may puncture an internal organ.
  • Fat embolism.Pieces of loosened fat may break away and become trapped in a blood vessel and gather in the lungs or travel to the brain.
  • Kidney and heart problems. Shifts in fluid levels as fluids are being injected and suctioned out can cause potentially life-threatening kidney and heart problems.

The first step is to consult with your surgeon. Talk about your goals, the options, the risks and benefits, and the costs. Ask all your questions. If you decide to go ahead with liposuction, your surgeon will give you instructions on how to prepare for it. These may include diet and alcohol restrictions.

What can you Expect & Results

Before your liposuction starts, your doctor might mark the areas of your body that will be treated. She may also take photos to use later for before-and-after comparisons. Next you’ll get general anesthesia — which means you will not be awake during the procedure — or a “local,” which means you will be awake but not feel any pain.

After liposuction, swelling typically subsides within about four weeks. By this time, the treated area should look less bulky. Within several months, expect the treated area to have a leaner appearance. Liposuction results are generally long lasting as long as you maintain your weight. If you gain weight after liposuction, your fat distribution may change.

 

Rhinoplasty – Nose Surgery

Rhinoplasty, nose job, or the plastic surgery of the nose is a very popular procedure that can make profound differences not only in the balance of facial features, but also in a person’s self-esteem. The aesthetic improvements that a rhinoplasty surgeon can make include decreasing or increasing the size of the nose, altering the tip or bridge of the nose, and narrowing or changing the shape of the nostrils. When planning rhinoplasty, your surgeon considers your features, the skin on your nose and what you would like to change. Rhinoplasty can modify bone, cartilage, skin or all three.

Why it’s Done?

Rhinoplasty can change the size, shape or proportions of your nose. It may be done to repair deformities from an injury, correct a birth defect or improve some breathing difficulties. Although rhinoplasty is most often sought for cosmetic reasons, it can also help correct structural defects.

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Risks & How you Prepare

Possible risks specific to rhinoplasty include:

  • Recurring nosebleeds
  • Difficulty breathing through your nose
  • Permanent numbness in and around your nose
  • Possibility of an uneven-looking nose
  • Pain, discoloration or swelling that may persist
  • Scarring

Before scheduling rhinoplasty, your doctor will talk to you about your medical history, conduct a physical examination, take photographs and ask you about your expectations. Based on these he will give you options of various surgeries and decide what you want to go further with.

What to Expect & Results

Rhinoplasty is not a procedure with a set series of steps. Each operation is unique and is customized for the specific anatomy and goals of the patient. Rhinoplasty may be done inside the nose or through a small external incision at the base of the nose, between the nostrils. Your surgeon will likely adjust the bone and cartilage underneath your skin. Your surgeon can augment your nasal bone or cartilage in several ways, depending on how much needs to be added, the structure of your nose and available materials.

During the Surgery

Rhinoplasty requires local anesthesia with sedation or general anesthesia, depending on the complexity of the surgery and your surgeon’s preferences.After the surgery, you’ll be in a recovery room, where the staff monitors your return to wakefulness. You might leave later that day or, if you have other health issues, you might stay overnight.

After the Surgery

After the surgery you need to rest in bed with your head raised higher than your chest, to reduce bleeding and swelling. Your nose may be congested because of swelling or from the splints placed inside your nose during surgery. Your doctor also tapes a splint to your nose for protection and support. Your doctor may ask that you follow these precautions for several weeks after surgery.

  • Avoid strenuous activities such as aerobics and jogging.
  • Take baths instead of showers while you have bandages on your nose.
  • Don’t blow your nose.
  • Eat high-fiber foods, such as fruits and vegetables, to avoid constipation. Constipation can cause you to strain, putting pressure on the surgery site.
  • Avoid extreme facial expressions, such as smiling or laughing.
  • Brush your teeth gently to limit movement of your upper lip.
  • Wear clothes that fasten in the front; don’t pull clothing, such as shirts or sweaters, over your head.

The vast majority of rhinoplasty patients who choose qualified surgeons to perform their surgery are satisfied with their results. In many cases, very slight changes to the structure of the nose – sometimes as little as a few millimeters – can produce drastic and pleasing results.

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Tattoo Removal

Tattoo ink is placed beneath the top layer of skin. That makes tattoo removal more complicated — and expensive — than the original tattoo application. If you’re no longer satisfied with your tattoo, however, tattoo removal might be possible to remove it via:

  • Laser surgery
  • Dermabrasion
  • Surgery

Why it’s done?

You might consider tattoo removal if you regret a tattoo or you’re unhappy with the appearance of your tattoo. Tattoo removal is also done upon its fading or blurring.

Risks

Scarring is likely after most types of tattoo removal. Infection or skin discoloration is possible as well.

How you Prepare

A dermatologist can explain the options for tattoo removal and help you choose the method that’s most likely to be effective for your tattoo. For example, some tattoo inks are more responsive to laser treatment than are others. Likewise, some small tattoos might be good candidates for surgical removal, while others are simply too large to remove with a scalpel.

What to Expect & Results

Tattoo removal is often done as an outpatient procedure with local anesthesia. Common techniques for tattoo removal include laser surgery, dermabrasion and surgical removal.

Laser surgery

Q-switched lasers — which release energy in a single, powerful pulse — are often the treatment of choice for tattoo removal. Before laser treatment, the skin is numbed with an injection of a local anesthetic. Then a powerful pulse of energy is applied to the tattoo to heat and shatter the tattoo ink. You’ll likely need repeated sessions to lighten the tattoo, and it might not be possible to completely erase the tattoo.

Dermabrasion

During dermabrasion, the tattooed area is typically chilled until numb. Then the tattooed skin is sanded down to deeper levels with a high-speed rotary device that has an abrasive wheel or brush. This allows the tattoo ink to leach out of the skin.

Surgical removal

During surgical removal, the skin is numbed with an injection of a local anesthetic. The tattoo is removed with a scalpel, and the edges of skin are stitched back together. After the procedure, antibacterial ointment can help promote healing.

Tattoos are meant to be permanent, and complete tattoo removal is difficult. Some degree of scarring or skin color variation is likely to remain, regardless of the specific method of tattoo removal.