FACE

  • BLEPHAROPLASTY

    Tightens drooping upper eyelid skin and reduces puffy bags below the eyes.

    Procedure:
    Blepharoplasty (eyelid surgery) rejuvenates the upper and lower eyelids by removing excess fat, skin and muscle.

    Length:
    Approximately two hours.

    Anesthesia:
    General anesthesia or intravenous sedation and local anesthesia are used. Patient safety is our highest priority.

    Possible Side Effects:
    Temporary discomfort, feeling of “tightness” in the eyelid area, swelling or bruising. Excessive tearing and sensitivity to light for the first few weeks should be expected. Temporary dryness, burning, or itching of eyes may also occur but these side effects are rare.

    Risks:
    Temporary blurred or double vision, infection, bleeding, swelling at the corners of the eyelids, dry eyes, formation of whiteheads, slight asymmetry in healing or scarring, difficulty in closing eyes completely (which is rarely permanent), and a lowered position of the lower eyelid of the lower lids which may require further surgery. Permanent loss of vision is a risk but this is extremely rare.

    Recovery:
    The patient may begin reading after about two to three days and can expect to return to work at approximately five to ten days. Use of contact lens may be resumed after two weeks (upon re-evaluation by the physician). The patient should not consume alcohol after the surgery. More strenuous activities and alcohol consumption may be resumed after three weeks. Bruising and swelling should be gone after several weeks.

    Results:
    For some, the improvements from this procedure will last several years and may be permanent for others.

  • RHINOPLASTY

    Improves the external shape of the nose.

    Procedure
    Rhinoplasty, also called nose surgery, reshapes the nose by reducing or increasing the size, removing a hump, changing the shape of the tip or bridge, narrowing the span of the nostrils, or changing the angle between the nose and upper lip. This procedure may also relieve some breathing difficulties when combined with surgery performed on the nasal septum.

    Length
    Surgery takes approximately one hour or more.

    Anesthesia
    General or intravenous sedation and local anesthesia are used. Patient safety is our highest priority.

    Possible Side Effects
    Temporary swelling, bruising around the eyes and/or nose, and some bleeding and nasal stuffiness.

    Risks
    Infection, asymmetry, unsatisfactory nasal shape and incomplete improvement (which would require additional surgery) are possible.

    Recovery
    The patient may go back to work after one week. Activities that are more strenuous may be resumed after two to three weeks. The patient should avoid any activity that could impact on the nose or allow it to become sunburned for at least eight weeks. The use of a sunblock that provides both UVA and UVB protection is useful. The final results may take one year and sometimes longer to achieve.

    Results
    Permanent.

  • FACE LIFT - FULL

    Improves sagging facial skin, jowls and loose neck skin.

    Procedure
    A full or complete facelift improves the skin and tissues of the lower two-thirds of the face, from the ears, across to the cheeks, and down to the jaw line, by removing excess fat, tightening muscles and re-draping skin.

    Length
    Approximately four hours.

    Anesthesia
    Usually general anesthesia is used or the patient may elect to have sedation and local anesthesia. Patient safety is our highest priority.

    Inpatient/Outpatient
    Usually this is an outpatient procedure, although some patients may require a short hospital stay.

    Possible Side Effects
    Temporary bruising, swelling, numbness and tenderness of the skin, as well as a tight feeling and dry skin. For men, permanent need to shave behind ears, where beard-growing skin is repositioned.

    Risks
    Injury to the nerves that control facial muscles or feeling (which is usually temporary but in rare cases may be permanent), infection, bleeding, poor healing, excessive scarring, asymmetry and a change in the hairline.

    Recovery
    The patient may return to work after ten to fourteen days. More strenuous activity may be resumed after two weeks or more. Bruising should begin to disappear after seven to ten days. Sun exposure must be limited for several months after surgery. The use of a sun block that provides both UVA and UVB (ultraviolet) protection is recommended.

    Results
    Most facelifts can be expected to maintain optimum appearance for five to ten years.

  • FACE LIFT - MIDFACE

    Rejuvenates the central section of the face.

    Procedure
    The mini or mid-facelift rejuvenates the central section of the face, from the lower eyelid to the upper lip, by repositioning sagging tissues and enhancing the volume of soft tissue that is lost in the midface with age, sun exposure and gravity.

    Length
    The procedure takes approximately one to two hours.

    Anesthesia
    General anesthesia or intravenous sedation and local anesthesia are used. Patient safety is our highest priority.

    Possible Side Effects
    Temporary swelling, numbness, weakness of facial muscles or dry eyes.

    Risks
    Infection, persistent swelling, persistent dry eyes, permanent muscle weakness or areas of permanent numbness are possible.

    Recovery
    The patient may resume work in seven to fourteen days. More strenuous activities may be resumed after three weeks.

    Results
    The results are usually permanent.

  • FACIAL IMPLANTS

    Provides a more harmonious appearance to the face.

    Procedure

    Facial implants are solid, pre-shaped, three-dimensional objects used to improve the size and appearance of different areas including the chin, jaw, nose, cheeks and beside the nose (paranasal). Facial implant surgery provides a more harmonious appearance to the face. There are different types of implant material used to achieve these contour changes. There are also different shapes of implants according to the area to be enhanced.

    Length

    Approximately one and a half hours.

    Anesthesia

    General anesthesia or intravenous sedation and local anesthesia are commonly used.

    Inpatient/Outpatient

    This is an outpatient procedure.

    Possible Side Effects

    Temporary discomfort and swelling, mild bruising.

    Risks

    The implant may need to be removed and/or replaced to treat problems including: implant rupture, infection and implant misplacement. Implant rejection is a risk but is extremely rare.

    Recovery

    The patient can return to work and normal activities within in few days. The patient should not consume alcohol after surgery. Bruising and swelling should have disappeared after several weeks.

    Results

    The outcome varies from patient to patient, but results are essentially permanent. The overall effect is an enhancement of the deficient contours of the face with an improved appearance.

  • FACIAL LIPOSUCTION

    Removes areas of excess fat from the face and neck.

    Procedure

    Facial liposuction has become a common cosmetic procedure, either on its own or in conjunction with facelift or other facial procedures. It consists of the removal of unwanted fatty tissue with a cannula and vacuum device promoting and improving facial shape like jaw line or even using laser lipolysis approach.

    Length

    Half an hour to one hour approximately.

    Anesthesia

    Depending on the patient, intravenous sedation, local or general anesthesia can be used.

    Inpatient/Outpatient

    Outpatient procedure.

    Possible Side Effects

    Swelling, soreness, and a temporary burning sensation are usually experienced in worked areas. Perfectly controllable with outpatient treatment.

    Risks

    Infection, asymmetry of the face, pigmentation changes (hyper or hypo) and decreased sensibility of the areas.

    Recovery

    Full recovery time is between twenty to twenty-eight days, during which the patient will be asked to wear a compression garment.

    Results

    The procedure achieves good results in patients with excess fat along the jowl and in the neck, good skin elasticity, and minimal platysmal banding.

  • FAT TRANSFER

    Enhances the face and body using fat collected from another area of the body.

    Procedure

    Fat transfer, also called fat grafting, fat injections and lipofilling, is a procedure that uses a person’s own fat to fill in irregularities and grooves. This is now a well-established technique that was perfected in the early nineties to a predictable procedure.

    Aesthetic indications for undergoing lipofilling include sunken cheeks, the disappearance of fat from the cheekbones, deep grooves running from the nose to the corners of the mouth, and in some instances of lines between the lower eyelids and the cheek. It is also one of the most common methods used for lip enhancement. In addition, lipofilling can be used to smooth out all types of irregularities such as those resulting from poorly performed liposuction or injuries.

    The necessary fat is obtained by a limited liposculpture through one or several 3 to 5 mm incisions. It is normally taken from the abdomen or inner thigh. The aspirated fat is processed by centrifuging, filtering or rinsing. Pure liquid fatty tissue ready for injection is the result.

    The fat is then injected where needed. The fat is evenly distributed into the area by injecting minute amounts in the tissues so that the injected fat is well surrounded by healthy tissue. This ensures that the transplanted fat remains in contact with the surrounding tissues that must supply it with oxygen and nutrients.

    Length

    About an hour, depending on the size of the areas to be treated.

    Anesthesia

    Local infiltration anaesthesia of the donor area and the area to be treated.

    Inpatient/Outpatient

    Either.

    Possible Side Effects

    Donor area: bruising, swelling, tenderness, up to 24 hours drainage of anaesthetic liquid.

    Treated area: bruising, swelling (especially the lips if treated), tenderness.

    The areas that have been treated will be rather swollen immediately after the operation, especially the lips if they have been treated. It is therefore important to use a cold pack and a compress in the first few hours to minimize the swelling. A cold pack is a freezer bag filled with ice cubes and water.

    The swelling will increase until about the third day, but will then gradually subside. After about a week to ten days patients feel confident about going out and resuming a normal social life. If any bruises have developed, they might remain visible for a little longer but can be hidden reasonably well with makeup.

    Patients should have a check-up with the surgeon after five to seven days and again three weeks later. By then most of the swelling will have subsided, but the correction may still look rather exaggerated. Surgeons usually over-correct, which means injecting more fat than is actually needed because 25 to 30% of the transplanted fat cells do not survive. The final result is assessed after three months. The surgeon will then take photographs to be compared with those taken before the procedure. A second session may be scheduled to top up any shortfall in volume.

    Risks

    Asymmetry, irregularities, overcorrection, and infection.

    Recovery

    Swelling usually diminishes from the third day on, and social activities can be restarted after about one week, sometimes with the help of some make-up.

    Results

    Correction of deep wrinkles and folds. Correction of the treated irregularities and dents. Volume augmentation of the treated areas such as cheekbones, cheeks, and the chin. Improved quality of the overlying skin can be a positive side effect. After the body absorbs a percentage of the fat (between 20 and 50%) the correction can be considered permanent.

  • FOREHEAD LIFT

    Minimizes forehead creases, drooping eyebrows, hooding over the eyes, a furrowed forehead and frown lines.

    Procedure

    A forehead lift, also called a brow lift, is a procedure that removes excess tissue, alters muscles and tightens the forehead skin. This procedure may be performed using the traditional technique, with an incision across the top of the head just behind the hairline, or with the use of an endoscope, which requires three to five short incisions, but allows access to the relevant areas to be treated incorporating a camera and a monitor to visualize the dissected areas.

    Length

    One to two hours.

    Anesthesia

    General anesthesia or intravenous sedation and local anesthesia are options.

    Inpatient/Outpatient

    This is most often an outpatient procedure.

    Possible Side Effects

    When an endoscope is used the patient may experience temporary swelling, numbness, headaches and bruising.

    When the traditional method is used there is the possibility of itching and hair loss.

    Risks

    Injury to facial nerves causing loss of motion, muscle weakness, or an asymmetrical look, persistent areas of numbness and broad and occasionally excessive scarring

    Recovery

    The patient usually returns to work in seven to ten days and even sooner with an endoscopic forehead lift. The patient must limit more strenuous activities for several weeks. Full recovery from bruising takes from two to three weeks. One should limit sun exposure for several months to avoid hyperpigmentation of the forehead which can occur as a result of sunlight exposure during the first three to six months after the procedure has been performed.

    Results

    The results from this procedure usually last five to ten years.

BODY

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  • ABDOMINOPLASTY - FULL

    Improves the appearance of the abdominal area after pregnancy or significant weight loss.

    Procedure

    Abdominoplasty, also called tummy tuck surgery, surgically removes the excess skin and fat that lies between the umbilicus and the overhanging skin (or to a cesarean scar) from the abdominal area. Depending on the needs of the patient, the muscles of the abdominal wall are tightened. The incision is a half-moon shape (length is dependent on the mass of skin and fat to be removed).

    Length

    Approximately two to four hours.

    Anesthesia

    Most commonly patients are placed under general anesthesia. This procedure can also be performed with a regional nerve block obtained with local anesthetic agents.

    Inpatient/Outpatient

    Either is possible and depends on the patient’s health and the doctor’s preference.

    Possible Side Effects

    Temporary discomfort, low back pain, post-operative swelling, soreness or tenderness in the surrounding areas, numbness of abdominal skin and bruising are possible side effects.

    Risks

    Infection, bleeding under the skin flap or at the incision site, pulmonary embolism (a blood clot that travels to the lung), scarring (keloids), delayed healing, or the need for a second reversionary operation are potential risks, enlargement of the scar.

    Recovery

    The patient may return to work within two to four weeks. Upon re-evaluation by the physician, the patient may return to activity that is more strenuous after approximately four to six weeks. Scars should fade and flatten anywhere from three months to one year after surgery. Patients are asked to wear a body girdle for at least four weeks.

    Results

    The result will last many years, unless the patient gains weight or becomes pregnant.

  • ABDOMINOPLASTY - MINI

    Improves the appearance of the abdominal area.

    Procedure

    A mini abdominoplasty (tummy tuck) is limited to supra-pubic skin removal (skin above the pubic area) and fat removal using liposuction. The patient must have minimal to moderate skin redundancy, a small amount of abdominal fat, and minor to moderate muscle flaccidity. The surgeon aspirates the abdominal fat, removes the supra-pubic skin redundancy, and in cases of muscle flaccidity, the medial part of the abdominal skin is removed. Finally the skin is sutured with the umbilicus preserved.

    Length

    One to three hours.

    Anesthesia

    This surgery can be performed under general, epidural or local anesthesia with sedation, according to surgeon/patient preference.

    Inpatient/Outpatient

    Either.

    Possible Side Effects

    Infection, bruising, delayed healing of the wound or keloid scaring in patients with this predisposition, and post-operative complications. Numbness of abdominal skin will recover after several months.

    Risks

    In young, healthy patients the risk is low. Pulmonary embolism is possible but very rare.

    Recovery

    Post-operative pain relief is achieved with the use of long-duration effect local anesthetic. The same attention should be taken as for a general or gynecological surgery: seven to ten days of post-operative care. Elastic compression of the abdomen must be used for four weeks.

    Results

    The result will last many years, unless the patient gains weight or becomes pregnant.

  • ARM LIFT

    Reduces excess skin and fat from the arms.

    Procedure

    The surgical rejuvenation of the upper arms remains a persistent problem for both the patient and the surgeon, despite the many techniques that have been proposed for its improvement. The goal of the arm lift (brachioplasty) is to reduce skin redundancy and to reduce the circumference of the arm. When there is good skin tone or minimal skin sagging, fat deposits can be reduced by liposuction. But marked skin redundancy or laxity can only be improved by surgery. The incision has to be placed in an axillar crease and in the internal aspect of the arm along a line extending from the axilla to the epicondyle of the elbow. Then a piece of skin-dermis and fat is removed and the subcutis and skin are closed using routine aesthetic suturing.

    Length

    Two to three hours.

    Anesthesia

    The anesthesia can be general or local with sedation.

    Inpatient/Outpatient

    Both options are possible.

    Possible Side Effects

    In some cases edema or lymphoedema of the arms can result.

    Risks

    Highly visible or keloid scars and cutaneous nerve injuries.

    Recovery

    The healing process may take seven to ten days. An elastic bandage or compression garment may be recommended for several months.

    Results

    Good and stable results can be achieved in young patients with adiposities and good skin tone as well as in adults of older age, sometimes with the help of several months of postoperative elastic compression.

  • BODY LIFT

    Improves the appearance of the lower abdomen from front to back.

    Procedure

    Belt lipectomy or trunkal body lift is a circumferential removal of loose hanging skin and fat from around the waist or “belt” line of an individual. It could be considered an extensive tummy tuck that continues around the sides to remove the loose “love handle” skin that continues onto the lower back. The advantage to this extensive removal of skin is that the looseness above the buttocks is removed which has the effect of lifting the buttocks as well. Sometimes the fat in this area is used to augment the buttocks during belt lipectomy, restoring the flattened buttocks to a more youthful and projecting shape. The surgery typically begins with the patient in the prone position (belly down) and requires the body be turned onto the back once the initial posterior buttocks and lower back area surgery is completed so that the stomach or abdominal area “tummy tuck” can be performed which completes the “belt” lipectomy.

    Length

    Three and a half to five hours.

    Anesthesia

    Typically general anesthesia but spinal anesthesia is also an option.

    Inpatient/Outpatient

    Because of the extensive nature of the procedure an overnight stay is usually required.

    Possible Side Effects

    Breakdown of the suture line above the buttocks (because of patient’s tendency to bend at the waist when performing normal hygiene which strains the suture closure pulling it apart). This usually leads to a wider scar in the posterior surgical area. Some numbness of the area above and sometimes below the incisions, residual looseness and irregularity of the skin, and all the usual common side effects of any surgical procedure.

    Risks

    Risks of surgery are the same as with conventional abdominoplasty.

    Recovery

    Recovery is prolonged because of the requirement of avoiding bending at the waist for a month until adequate healing has occurred.

    Results

    Results are typically very gratifying

  • LABIA MINORA REDUCTION

    Reshapes stretched or enlarged inner labia.

    Procedure

    Labia minora reduction surgery, or labioplasty, is a remodeling of the enlarged inner lips of the vulva. Enlargement of the labia minora may be apparent from childhood, but most often it is acquired, caused by childbirth, age or infection. It may bother the patient in a functional (wearing clothes, during sports) or in an aesthetic way. The procedure removes skin and mucosa in a way that the scar is barely visible. The procedure may be combined with a clitoral hood reduction (removal of the skin excess around the clitoris) and labia majora surgery.

    Length

    The procedure typically takes between one to three hours depending on whether it is performed with additional procedures.

    Anesthesia

    For better results and more comfort, general anesthesia is the rule for this surgery. However, in some patients, local anesthesia may be chosen.

    Inpatient/Outpatient

    The patient can leave the surgical facility the same day after recovery from anesthesia.

    Possible Side Effects

    When meticulous technique is applied, the procedure is without major side effects. Sometimes (< 5% of cases) breakdown of the wound may occur, but healing with local wound care resolves the problem. In some patients, the scar tends to broaden, which can be corrected later.

    Risks

    No important risks are correlated to this type of surgery.

    Recovery

    The area may be swollen for 4-6 weeks. Depending on the technique, there may be a color mismatch that tends to fade after some time. Return to work is possible after one week. Sexual activity is allowed after six to eight weeks.

    Results

    With good surgical technique, the results are very satisfying with an improved body image and greater physical comfort.

  • FAT TRANSFER

    Enhances the face and body using fat collected from another area of the body.

    Procedure

    Fat transfer, also called fat grafting, fat injections and lipofilling, is a procedure that uses a person’s own fat to fill in irregularities and grooves. This is now a well-established technique that was perfected in the early nineties to a predictable procedure.

    Aesthetic indications for undergoing lipofilling include sunken cheeks, the disappearance of fat from the cheekbones, deep grooves running from the nose to the corners of the mouth, and in some instances of lines between the lower eyelids and the cheek. It is also one of the most common methods used for lip enhancement. In addition, lipofilling can be used to smooth out all types of irregularities such as those resulting from poorly performed liposuction or injuries.

    The necessary fat is obtained by a limited liposculpture through one or several 3 to 5 mm incisions. It is normally taken from the abdomen or inner thigh. The aspirated fat is processed by centrifuging, filtering or rinsing. Pure liquid fatty tissue ready for injection is the result.

    The fat is then injected where needed. The fat is evenly distributed into the area by injecting minute amounts in the tissues so that the injected fat is well surrounded by healthy tissue. This ensures that the transplanted fat remains in contact with the surrounding tissues that must supply it with oxygen and nutrients.

    Length

    About an hour, depending on the size of the areas to be treated.

    Anesthesia

    Local infiltration anaesthesia of the donor area and the area to be treated.

    Inpatient/Outpatient

    Either.

    Possible Side Effects

    Donor area: bruising, swelling, tenderness, up to 24 hours drainage of anaesthetic liquid.

    Treated area: bruising, swelling (especially the lips if treated), tenderness.

    The areas that have been treated will be rather swollen immediately after the operation, especially the lips if they have been treated. It is therefore important to use a cold pack and a compress in the first few hours to minimize the swelling. A cold pack is a freezer bag filled with ice cubes and water.

    The swelling will increase until about the third day, but will then gradually subside. After about a week to ten days patients feel confident about going out and resuming a normal social life. If any bruises have developed, they might remain visible for a little longer but can be hidden reasonably well with makeup.

    Patients should have a check-up with the surgeon after five to seven days and again three weeks later. By then most of the swelling will have subsided, but the correction may still look rather exaggerated. Surgeons usually over-correct, which means injecting more fat than is actually needed because 25 to 30% of the transplanted fat cells do not survive. The final result is assessed after three months. The surgeon will then take photographs to be compared with those taken before the procedure. A second session may be scheduled to top up any shortfall in volume.

    Risks

    Asymmetry, irregularities, overcorrection, and infection.

    Recovery

    Swelling usually diminishes from the third day on, and social activities can be restarted after about one week, sometimes with the help of some make-up.

    Results

    Correction of deep wrinkles and folds. Correction of the treated irregularities and dents. Volume augmentation of the treated areas such as cheekbones, cheeks, and the chin. Improved quality of the overlying skin can be a positive side effect. After the body absorbs a percentage of the fat (between 20 and 50%) the correction can be considered permanent.

  • LIPOSUCTION

    Improves facial and body contours by removing unwanted fat deposits.

    Procedure

    Liposuction surgery removes areas of unwanted fat with a tube and a vacuum device. Liposuction techniques, including tumescent or super-wet, typically are performed after targeted fat cells are infused with a saline solution containing a local anesthetic and adrenalin to decrease blood loss. Benefits of this liposuction technique include increased safety, easier fat removal, as well as diminished postoperative discomfort. This also reduces post-operative bruising and swelling.

    The most common locations for liposuction are the chin, cheeks, neck, and upper arms, the area above the breasts, abdomen, buttocks, hips, thighs, knees, calves, and ankles.

    There are several techniques commonly used including the “Traditional Technique”, “Laser Technique,” and the “Ultrasonic Technique (UA).” The Traditional Technique utilizes a hollow tube to remove the fat and the Laser and Ultrasonic Technique utilizes laser or ultrasonic energy to dissolve that fat before it is removed. See your physician regarding which technique would be best for you.

    Length

    One to two hours or more.

    Anesthesia

    General anesthesia can be used or intravenous sedation and local anesthesia are used.

    Inpatient/Outpatient

    This is an outpatient procedure.

    Possible Side Effects

    Temporary bruising, swelling, numbness, soreness or burning sensations.

    Risks

    Infection, asymmetry, rippling of the skin, pigmentation changes (hypo/hyper), injury to the skin, fluid retention and/or excessive loss of blood and fluids.

    Recovery

    The patient usually returns to work after five to fourteen days. More strenuous activity may be resumed after two to four weeks. Full recovery from swelling and bruising may take one to six months depending upon the amount of fat that is removed and the areas that were treated.

    Results

    The effect is permanent and must be augmented with a sensible diet and consistent exercise.

BREASTS

  • BREAST AUGMENTATION

    Improves the size and appearance of the breasts.

    Procedure

    Breast augmentation, also called breast enlargement, improves the size and appearance of the breasts by implanting saline or silicone breast implants either under or over the chest muscle, thus producing a cosmetic enhancement.

    Length

    This procedure takes approximately two hours.

    Anesthesia

    A general anesthesia is administrated and the patient is completely asleep, or an intravenous sedation is used, combined with local anesthesia.

    Inpatient/Outpatient

    Either inpatient or outpatient depending on the preference of the surgeon.

    Possible Side Effects

    Mild, temporary discomfort, mild to moderate swelling, a change in nipple sensation (either increased or decreased), and temporary bruising. Breasts may be sensitive to stimulation for a few weeks.

    Risks

    Either one breast implant or both may need to be removed and/or replaced to treat problems including: deflation, implant rupture, the formation of scar tissue around the implant (capsular contracture), which may cause the breast to feel tight or hard, bleeding and/or infection. Other risks are an increase or decrease in sensitivity of the nipples or breast skin, which occasionally may be permanent.

    Recovery

    The patient can return to work within a few days. She should avoid any physical contact with her breasts (excluding her bra) for approximately three to four weeks. Scars should fade and flatten anywhere from three months to two years after surgery, depending upon how the individual patient heals.

    Results

    The outcome varies from patient to patient. However the overall effect is enhancement of breast size for improved appearance.

  • BREAST LIFT

    Improves breast shape.

    Procedure

    Breast lift surgery, also called mastopexy, removes excess skin in and around the breast that has been stretched during pregnancy or weight fluctuations. Breast implants may also be used in conjunction with this procedure to achieve the desired result.

    Length

    Approximately two to three hours.

    Anesthesia

    General anesthesia is administered and the patient is completely asleep. The procedure can also be performed under intravenous sedation and local anesthesia.

    Inpatient/Outpatient

    Either is possible depending on the patient’s medical condition and the preference of the surgeon.

    Possible Side Effects

    Temporary bruising, swelling, some mild discomfort, numbness, and dry/tender breast skin.

    Risks

    Unfavorable scarring with keloid formations is possible. In addition skin loss, infection, unevenly positioned nipples (asymmetry), and the possibility of permanent loss of feeling in the nipples and/or the breasts.

    Recovery

    The patient can return to work within one week or more and may resume strenuous activities after one month. The fading of scars may take several months to one year.

    Results

    The outcome varies from patient to patient. Other factors that may influence results are: gravity, pregnancy, aging, and weight changes which may cause new sagging. Results may last longer or be enhanced when breast implants are inserted as part of the procedure adding support to the newly positioned breast tissue.

  • BREAST REDUCTION

    Reduces breast size and improves physical and emotional symptoms caused by very large breasts.

    Procedure

    Breast reduction surgery, also referred to as reduction mammoplasty, reduces the size and improves the shape of the breasts. Typically, women who are candidates for this procedure have physical symptoms related to the weight or shape of their breasts. These symptoms include back pain, neck pain, and bra strap grooves in the shoulders. The incisions vary based on the breast size before the operation and the final post-operative size.

    An incision is made around the nipple and areola accompanied by a vertical incision below the areola with or without a horizontal incision made in the crease below the breast. Short scar techniques are frequently applicable in breast reduction surgery and allow excellent reduction of size with improved shape while limiting the extent of the incisions.

    For reduction of very large breasts, in some cases the nipple and areola may need to be surgically removed and reapplied as a graft. Removing and reapplying the nipple/areola tissue will result in the loss of nipple sensation and the inability to breastfeed.

    Length

    The procedure usually requires two to four hours of operating time depending on the technique chosen and the size of the breasts.

    Anesthesia

    The procedure is typically performed under general anesthesia supplemented with local anesthesia. Smaller reductions can be performed under intravenous sedation without the need for general anesthesia.

    Inpatient/Outpatient

    Depending on the size of the breasts, type of anesthesia selected, and length of the surgical procedure, patients may return home on the same day as their surgery or spend the night at an aftercare facility or hospital.

    Possible Side Effects

    Prolonged swelling and delayed healing.

    Risks

    Risks associated with breast reduction include: unfavorable scarring, loss of nipple sensation, loss of ability to breastfeed, loss of nipple and breast tissue, unsatisfactory shape, and failure to achieve aesthetic goals.

    Recovery

    Typically recovery requires one to two weeks. Most patients return to normal activities within that period of time. Strenuous physical activities are discouraged for three to six weeks after the surgery.

    Results

    Most patients who undergo a reduction mammoplasty are pleased with the size and the shape of their breasts and are delighted with the improvement and lessening of the symptoms of pain and discomfort that they experienced due to the weight of their breasts. Breast reduction makes physical activities easier and patients enjoy their new appearance and ability to wear clothing that was uncomfortable or unattractive before the surgery was performed.

  • MALE BREAST REDUCTION

    Reduces overly developed male breasts and nipples to provide a masculine chest appearance.

    Procedure

    Male breast reduction surgery reduces overly developed male breasts and nipples using liposuction and/or by surgically removing excess glandular tissue.

    Length

    Approximately one and one-half to three hours.

    Anesthesia

    Either general anesthesia is used or intravenous sedation and local anesthesia are used.

    Inpatient/Outpatient

    This is an outpatient procedure.

    Possible Side Effects

    Temporary bruising, swelling, numbness, soreness, and/or a burning sensation are possible.

    Risks

    Infection, fluid build-up, injury to the skin, rippling or looseness of the skin, asymmetry, pigmentation changes, excessive scarring if tissue was cut away, loss of nipple sensation, contour irregularities and in some instances the need for a second procedure to remove additional tissue is required.

    Recovery

    The patient may go back to work after seven days. More strenuous activity may be resumed after two to three weeks. Most of the swelling and bruising will disappear after three to six months.

    Results

    Permanent, although subsequent weight gain may cause the breast area to once again become larger.

  • REVISI BREAST SURGERY

    Improves or corrects the results of previous breast enhancement surgery.

    Procedure

    The more common reasons for seeking revision breast surgery are implant deflation, implant exchange (size or type), capsular contracture, implant malposition, double-bubble deformity, or a combination of these issues. When a breast implant is inserted, a scar forms around it as part of the natural healing process, called a capsule. The capsule may sometimes tighten and compress the implant creating a distorted breast shape. The goal of revision surgery is to help restore a more youthful contour and attractive appearance.

    Length

    One to two hours, depending on the condition to be treated.

    Anesthesia

    Local anesthesia and intravenous sedation may be used, although general anesthesia may be more desirable.

    Inpatient/Outpatient

    Either, depending on patient preference.

    Possible Side Effects

    Discoloration and swelling may occur initially, changes in nipple or breast sensation.

    Risks

    Risks include adverse reactions to anesthesia, blood accumulation that may need to be drained surgically, and infection.

    Recovery

    The patient should be able to return to work within seven to ten days depending on the type of work. Special care must be taken to be gentle with your breasts for at least one month after surgery.

    Results

    Depends on the patient’s breast laxity or sagginess after having had children or losing weight. Generally stable. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts

STEM CELL

Stem cell

Research is underway to develop various sources for stem cells, and to apply stem-cell treatments for neurodegenerative diseases and conditions.

Autologous Adipose Tissue-Derived StemCell is the most widely used stem-cell therapy, where the stem cells come from the patient’s own body.

Using a liposuction procedure a small sample ( 50cc – 200cc ) of Adipose tissue (fat) is removed from inner thighs or lower abdomen from the patient under a local or general anesthetic .

The Stromal Vascular Fraction (SVF) which contains Adult Stem Cells (ASCs) was separated from the lipoaspirates by centrifugation after treatment with collagenase .

Adult Stem Cells and other progenitor cells are then isolated from the SVF using advanced multi-filtration protocols. The isolated adult stem cells are activated with a low light laser.

The activated stem cells cells are then administered via full body IV and through additional customized administrations.

Depending on the type of deployment required, stem cells can be injected through veins, arteries, into spinal fluid, subcutaneously, or directly into joints or organs. All of these are considered minimally invasive methods of introducing the stem cells. In the right environment, these stem cells can change (differentiate) into bone, cartilage, muscle, fat, collagen, neural tissue, blood vessels, and even some organs. Because it is your own DNA material, there is no rejection. The whole process takes around three hours.

The physical, harvesting, and administration of stem cells are all performed in-house under a physician’s control.