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 Surgical Procedures
Plastic
or cosmetic surgery actually covers a variety of procedures which alter
the body's outward appearance. Procedures are used to shape certain
body parts such as the breast or nose, soften skin tone to reduce or
eliminate wrinkles, and to correct problems resulting from accident or
disease.
This page offers a general overview of cosmetic surgery procedures.
For more in-depth information on these procedures, please follow the
links in the right-hand column.
ABDOMINOPLASTY
Tummy Tuck
Procedure: Flatten abdomen by removing excess fat and skin and
tightening muscles of abdominal wall.
Length: 2 to 5 hours.
Anesthesia: General, or local with sedation.
In/Outpatient: Either depending on individual circumstances and
extent of surgery.
Side Effects: Temporary pain. Swelling, soreness, numbness of
abdominal skin, bruising, tiredness for several weeks or months.
Recovery: Back to work: 2 to 4 weeks. More strenuous activity: 4
to 6 weeks or more. Fading and flattening of scars: 3 months to 2 years
BREAST ENLARGEMENT
Augmentation Mammaplasty
Procedure: Enhance the size of breasts using inflatable implants
filled with saline.
Length: 1 to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary soreness, swelling, change in nipple
sensation, bruising. Breast sensitive to stimulation for a few weeks.
Recovery: Back to work: a few days. Physical contact with
breasts: 3 to 4 weeks. Fading of scars: several months to a year or
more.
Duration of
Results: Variable. Implants may require removal or replacement.
BREAST LIFT
Mastopexy
Procedure: Raise and reshape sagging breasts by removing
excess skin and repositioning remaining tissue and nipples.
Length: 1 to 3 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Sometimes inpatient.
Side Effects: Temporary bruising, swelling, discomfort, numbness,
dry breast skin. Permanent scars.
Recovery: Back to work: 1 week or more. Strenuous activities: 1
month. Fading of scars: several months to a year.
Duration of
Results: Variable; gravity, pregnancy, aging, and weight changes
may cause new sagging. Results may last longer or be enhanced when
breast implants are inserted as part of the procedure.
LIP/CHEEK ENHANCEMENT:
RADIANCE
Procedure: Plump up creased, furrowed, or sunken facial skin;
add fullness to lips, cheeks, and backs of hands.
Length: 15 minutes to 1 hour per session.
Anesthesia: Local
In/Outpatient: Outpatient.
Side Effects: Temporary stinging, throbbing, or burning
sensation. Faint redness, swelling, excess fullness.
Results: Immediate.
EAR SURGERY
Otoplasty
Procedure: Set prominent ears back closer to the head, or reduce
the size of large ears. Most often done on children between the ages of
4 and 14 years. (Occasionally covered by insurance.)
Length: 2 to 3 hours.
Anesthesia: Young children: usually general. Older children or
adults: general or local, with sedation.
In/Outpatient: Usually outpatient.
Side Effects: Temporary throbbing, aching, swelling, redness,
numbness.
Recovery: Back to work or school: 5 to 7 days.
Results: Usually permanent.
EYELID SURGERY
Blepharoplasty
Procedure: Correct drooping upper eyelids and puffy bags below
the eyes by removing excess fat, skin, and muscle. (Upper-eyelid surgery
may be covered by insurance if used to correct visual field defects)
Length: 1 to 3 hours.
Anesthesia: Usually locally with sedation or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary discomfort, tightness of lids, swelling,
bruising. Temporary dryness, burning, itching of eyes. Excessive
tearing, sensitivity to light for first few weeks.
Results: Several years. Sometimes permanent.
FACELIFT
Rhytidectomy
Procedure: Improving sagging facial skin, jowls, and loose neck
skin by removing excess fat, tightening muscles, redraping skin. Most
often done on men and women over 40.
Length: Several hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Some patients may require short
inpatient stay.
Side Effects: Temporary bruising, swelling, numbness and
tenderness of skin; tight feeling, dry skin. For men, permanent need to
shave behind ears, where beard-growing skin is repositioned.
Recovery: Back to work: 10 to 14 days. More strenuous activity: 2
weeks or more. Bruising: 2 to 3 weeks. Must limit exposure to sun for
several months.
Results: Usually 5 to 10 years.
FACIAL
IMPLANTS
Procedure: Change the basic shape and balance of the face using
carefully shaped implants to build up a receding chin, add prominence to
cheekbones, or reshape the jawline.
Length: 30 minutes to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient. Occasionally overnight
hospital stay.
Side Effects: Temporary discomfort, swelling, bruising, numbness
and/or stiffness. In jaw surgery, inability to open mouth fully for
several weeks.
Recovery: Back to work: about 1 week. Normal appearance: 2 to 4
weeks. Activity that could jar or bump face: 6 weeks or more.
Results: Permanent.
FOREHEAD LIFT
Browlift
Procedure: Minimize forehead creases, drooping eyebrows, hooding
over eyes, furrowed forehead and frown lines by removing excess tissue,
altering muscles and tightening the forehead skin. May be done using the
traditional technique, with an incision across the top of the head just
behind the hairline; or with the use of an endoscope, which requires 3
to 5 short incisions. Most often done on people over 40.
Length: 1 to 2 hours.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Risks: Injury to facial nerve, causing loss of motion, muscle
weakness, or asymmetrical look. Infection. Broad or excessive scarring.
Recovery: Back to work: 7 to 10 days, usually sooner for
endoscopic forehead lift. More strenuous activity: several weeks. Full
recovery from bruising: 2 to 3 weeks.
Results: Usually 5 to 10 years.
LIPOSUCTION
Suction-Assisted Lipectomy
Procedure: Improve body shape by removing exercise-resistant fat
deposits with a tube and vacuum device. Can be performed using the
tumescent technique, in which targeted fat cells are infused with saline
containing solution with a local anesthetic before liposuction to reduce
post-operative bruising and swelling. Common locations for liposuction
include chin, cheeks, neck, upper arms, above breasts, abdomen,
buttocks, hips, thighs, knees, calves, ankles.
For larger volumes of fat or for fibrous body areas, ultrasound-assisted
lipoplasty (UAL) may be used. UAL is a new technique in which a
ultrasound probe is inserted beneath the skin to "liquify" the fat
before it is suctioned.
Length: 1 to 2 hours or more. UAL: 20-40 percent longer than
traditional liposuction.
Anesthesia: Local, epidural, or general.
In/Outpatient: Usually outpatient. Extensive procedures may
require short inpatient stay.
Side Effects: Temporary bruising, swelling, numbness, soreness,
burning sensation. Tumescent: Temporary fluid drainage from incision
sites. UAL: Larger incisions for cannula.
Recovery: Back to work: 1 to 2 weeks. More strenuous activity: 2
to 4 weeks. Full recovery from swelling and bruising: 1 to 6 months or
more. Use of tumescent technique or UAL may decrease post-operative
bruising and swelling.
Results: Permanent, with sensible diet and exercise.
MALE
BREAST REDUCTION
Gynecomastia
Procedure: Reduce enlarged, female-like breast in men using
liposuction and/or cutting out excess glandular tissue. (Sometimes
covered by medical insurance.)
Length: 1 hour or more.
Anesthesia: General or local.
In/Outpatient: Usually outpatient.
Side Effects: Temporary bruising, swelling, numbness, soreness,
burning sensation.
Recovery: Back to work: 3 to 7 days. More strenuous activity: 2
to 3 weeks. Swelling and bruising: 3 to 6 months.
Results: Permanent
NOSE SURGERY
Rhinoplasty, Nose Job
Procedure: Reshape nose by reducing or increasing size, removing
hump, changing shape of tip or bridge, narrowing span of nostrils, or
changing angle between nose and upper lip. May also relieve some
breathing problems. (May be covered by insurance.)
Length: 1 to 2 hours or more.
Anesthesia: Local with sedation, or general.
In/Outpatient: Usually outpatient.
Side Effects: Temporary swelling, bruising around eyes, nose and
headaches. Some bleeding and stiffness.
Recovery: Back to work: 1 to 2 weeks. More strenuous activities:
2 to 3 weeks. Avoid hitting nose or sunburn: 8 weeks. Final appearance:
1 year or more.
Duration of Results: Permanent.
Quick Links:
Procedures
Abdominoplasty
Tummy Tuck
Breast Augmentation
Breast Implants
Silicone Breast Implants
Saline Breast Implants
Breast Lift
Breast Reconstruction
Breast Reduction
Breast Revision
Buttock (Butt) Implants
Eyelid Surgery
Endoscopic Brow
Lift
Face Lift
Lip Augmentation
Liposuction
Pectoral Implants
Pec Implants
Rhinoplasty
Procedures
Botox®
Brazilian Bronze
Chemical Peels
Hair Restoration
Laser Hair Removal
Lip Augmentation
Microdermabrasion
Radiance
During an
initial consultation Board Certified Plastic Surgeon, Douglas Senderoff,
MD, FACS, will discuss your procedure with you
in detail, describing the realistic potential outcome and any possible
risks involved.
Board Certified Plastic Surgeon, Douglas
Senderoff, MD, FACS surgical specialties include:
Abdominoplasty
(Tummy
Tuck),
Breast Augmentation, Breast Implants (Silicone
Breast Implants
and Saline
Breast Implants),
Breast Lift,
Breast Reconstruction,
Breast Reduction,
Breast Revision,
Buttock Implants, (Butt) Implants,
Eyelid Surgery,
Endoscopic Brow Lift,
Face Lift,
Liposuction,
Pectoral Implants (
Pec Implants),
Rhinoplasty. The doctor's nonsurgical specialties
include:
Botox,
Brazilian Bronze,
Chemical Peels,
Hair Restoration,
Laser Hair Removal,
Lip Augmentation,
Microdermabrasion,
Radiance™.
If you have any questions about any of plastic surgery procedures
please feel free to contact Board Certified Plastic Surgeon, Douglas Senderoff,
MD, FACS,
at our Manhattan, New York City, or Westchester, New York offices.
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