Mini type procedures are legitimate and do have a place in our anti-aging repetroire. BUT…”Mini” procedures also tend to produce “Mini” results. Most of these procedures are related to Louisville Tummy Tucks and Louisville Facelifts. Conceptually Mini is great. The surgery is less invasive, the recovery shorter and easier, less down time and less cost. Can’t beat that!
The problem comes when a Mini operation is applied to a patient whose starting point exceeds the capabilities of what the Mini version was intended to handle. So, as appealing as they are, as you go to your consultations and learn about your options, don’t become blinded by the allure of the “Mini”. Remember, Mini procedures were not intended to fix “Maxi” problems. Mini procedures and maxi problems make for unmet expectations and unhappy patients.
Reasons to stay: A tummy tuck, aka Abdominoplasty, is a pretty big operation. They typically take 2 or 3 hours or longer. My take on staying is that it provides for good nursing care which translates into pain control and early mobility which helps keep complications at bay. The cost is minimal in the overall scheme of things and a lot of surgeons think it’s safer.
Reasons to go home: You won’t get woken up all night, you can be in your own bed, and you might simply hate hospitals. It does save a little money. We give you narcotics and I use pain pumps so a lot of patients don’t feel like they need to stay for pain control reasons.
In the end, there are no set rules. I let some folks go home and ask others to stay. A recent study published in the Plastic and Reconstructive Journal looked at this question and found that complications were no higher for the patients who went home vs. the ones who stayed overnight.
A Rhinoplasty (nose job) is an operation that can change the entire appearance of your nose or make a very subtle difference noticable to only you and close friends and family. Alterations are made to the upper bony part of the nose. Here we are typically removing a hump or bump. Changes can also be made to the tip of the nose as well. Several things are possibilities here but normally the tip is made smaller, less boxy and thus more feminine.
Rhinoplasty surgery typically takes place in an Operating Room under anesthesia. I do these both as outpatient and inpatient.
If you have an interest in the procedure, please let us know!
A fairly common question posed after a Louisville Breast Augmentation is should you take antibiotics before dental procedures. The ratinonale is that when the teeth are manipulated, bacteria get in the blood stream and if they find the implant they could result in an infection and loss of the implant.
In reality, the chances of this happening are very, very low. As a rule I do not put my patient’s on antibiotics before a trip to the dentist but there are exceptions. If the implants were placed within the previous 6 months I think it’s not a bad idea to take a dose before the dental appt. I also recommend them for my patients who have implants for breast cancer reconstruction. These patients may have weakened immune systems and are more prone to infections. In 12 years I have only had 1 patient get an infection after dental work and she was a cancer patient.
The bottom line is that there are no definitive studies that answer this question. If you have breast implants and are concerned it is best to discuss it with your surgeon.
Drains are round or flat tubes that are placed in surgery. They exit through the skin and empty into some form of reservoir. Patients don’t like them at all but they are necessary “evils” following procedures like Louisville Tummy Tucks and Louisville Facelifts.
During surgery if we elevate the skin, as in a facelift, breast lift, or tummy tuck from the underlying muscles, our body will leak serum into that new space. Serum is basically the watery part of our blood. If there is no method to evacuate that fluid, it will form a collection called a seroma. Seroma can cause a variety of problems and so we do our best to avoid them. Thus, the drain. The drains are placed and serve as an exit route for the fluid. They stay in after surgery anywhere from 12 hours to a week or two depending on the procedure. They are typically removed not based on time but on output.
So, while they are not the most popular part of cosmetic surgery, they do serve a valuable purpose in helping you achieve a great surgical result.
Lidocaine is a common injectible anesthetic that is widely used in surgery. It’s just like what your dentist uses.
Well, one of the knocks on any filler is that there is a little discomfort associated. When I used the Restylane with Lidocaine today my patient’s reaction was very positive. After the initial stick, she didn’t feel anything!! ( I treated her Naso-Labial folds)
For the Naso Labial folds I’m a believer! I will have to use it on the lips, which typically require a dental block, to see how good it really is though!