General Cosmetic Surgery Questions
Your consultation with a cosmetic surgeon can be divided into the following parts:
- Computer Imaging (other than breast surgery)
- Quoting of fees
- Discussion of financial options
- Finally, a tour of the operating room (if available)
In most cases, consultations usually last for the duration of 60 to 90 minutes. You can best utilize this time to discuss your goal and concerns with the physician. You may have more than one procedure to discuss, if so then feel free to discuss about all of them. The cosmetic surgeon will take all the procedures into account and let you know about the benefits you will be getting and also the possible risk that may be involved with the surgery.
Most people try to visualize how they are going to look like after they have the surgery done. In such scenarios the computer imaging gets a near- exact picture of the post surgical-results which helps you to set a realistic expectation.
Preparing for a cosmetic surgery is not an uphill task, however for excellent result you need to follow the instructions provided by the surgeon. Most surgeons will provide you with a timeline guide covering all the required aspects. During this time the surgeon may summon you to have a few consultations, making sure that you are on the right track.
Some common guidelines that you need to make sure of before having any kind of cosmetic surgery:
- Say goodbye to smoking. Nicotine messes with the body’s natural healing process; it constricts our blood vessels and decreases the flow of blood. To avoid any adverse effects it is best to quit smoking at least three to four weeks before the date of operation
- Say goodbye to drinking. Consumption of alcohol results in increased bleeding, which in turn may elevate the chances of possible infection, and it also restricts our immune system.
- If you are under any medication. If you are going through any medications then it is best to let your surgeon know about all the details related to it.
- Maintain a healthy diet and make sure that you are getting the right amount of sleep. A well balanced diet providing your body with all the required amount of nutrients will strengthen and empower the healing rate. Also, water is a great detoxifier. Make sure that you start drinking a lot of water well before the date.
Here you need to understand that any surgical process involves a certain amount of risk. Factors like infection, bleeding, damage to the nerves, anesthetic reactions etc., all come to play when you about surgery and cosmetic surgeries are not very different. Your best move is to find an experienced surgeon, and making sure that you adhere to all the instructions.
A good cosmetic surgeon will always give priority to your safety, in case of any possible risk, he will let you know all that there is to know about it so that you can make a concrete decision whether to go ahead with your plan or not. The good thing about cosmetic surgeries is that complications are very rare, and just in case there is a complication, it is usually correctable.
Again this depends on the type and nature of the surgery involved. While a normal lips or the ear correction is usually done under a local anesthesia, surgeries like breast enhancement/reduction, tummy tuck etc. requires the administration of general anesthesia. While still other simple surgeries like filler injections requires no anesthesia at all. .
In the very first consultation with your surgeon, the type of anesthesia that you would need to be administered with will be discussed and the possible options (if any) will be laid down before you.
Procedure Specific FAQ
As soon as your skin stars showing the signs of ageing and you want to get it toned and restored to its original form, you may fix an appointment with a cosmetic surgeon. There is no age bar associated with it whatsoever. Here it must be kept in mind that eyelid surgery, eyebrow lift, or a forehead lift does not fall into the domain of a facelift.
However, all these being said it is important to mention that most cosmetic surgeons around the world are opposed to go ahead with a facelift for people under the age of 40. The key point here is to understand the fact that a facelift involves restoration of sagging cheeks, neck skin and the jawline, symptoms such as these normally comes to play only by the age of the fifties or mid-forties. In case of younger people the signs are volume-loss, a sign which can be restored to normalcy by the use of injectables and fillers and which does not necessarily requires a facelift.
The standard operating procedure for a brow lift is making an incision across the top of the head from ear to ear. In this process the brow is detached from the underlying bone and then the muscles between the eyes are weakened; finally the brow is pulled back, while a strip of scalp is removed. The brow is considered to be successfully lifted once the two edges are brought back together.
The endoscopic brow lift involves a different operation process. Here three to five incisions are made, each measuring about three-quarters of an inch long. These incisions are made in the hair bearing scalp; once this is done, an endoscope is placed, and detachment of the scalp from the bone is then accomplished while the endoscope provides pictures which is viewed on a video monitor. An endoscopic Brow Lift is considered to be more advantageous than the age old brow lift technique.
Blepharoplasty is the medical term for an eyelid lift; it is a cosmetic surgery procedure which is designed to restore an aging upper and/or lower eyelid
An upper eyelid lift is called upper Blepharoplasty and a lower eyelid lift is called a lower Blepharoplasty.
Here you need to understand that any surgical process involves a certain amount of risk. Factors like infection, bleeding, anesthetic reactions etc., all comes to play when you about surgery and Blepharoplasty is not very different.
The major cause of concern in case of Blepharoplasty is post operative bleeding. This can be so serious that it may result in visual impairment. Due to this reason a surgeon always considers the conditions that may predispose a patient to such a scenario. It is ensured that the patient is not suffering from high blood pressure and under any medication which may lead to thinning of blood. Another condition called ectropion may develop in the lower eyelids. This condition is rare and it involves the pulling down of the lower eyelids. Fortunately, techniques are available with a surgeon which will ensure the prevention of such a condition.
As long as you are a healthy individual and are suffering from conditions relating to upper and lower eyelids, you are definitely a good candidate for Blepharoplasty.
If you are suffering from the heaviness of the upper eyelids or are experiencing a loss of definition of the upper eyelid, (which is a result of excess skin in that specific area) also if your peripheral vision is restricted by hanging of the excess skin over the lid, then you should consider having an upper eye lift Blepharoplasty.
On the other hand, if you are suffering from unwanted bags or puffiness along the lower eyelids then you should consider having a lower Blepharoplasty.
Any type of operation is bound to leave behind scars, with time the scar of a Blepharoplasty will become less and less visible.
Swelling and bruising may occur after Blepharoplasty, surgeons generally advices patients to sleep with their head elevated at a 30o angle for the first few days in order to minimize swelling. Other measures include application of ice compresses or bags of frozen peas on and off a 20 minute schedule. Pain management procedures are explained to the patients and suture is removed within four to seven days post operation. Patients usually are able to make public appearances within ten days post operation. The upper eyelid recovers quicker than the lower eyelids.
If you are not pleased with the appearance of your nose then you can go ahead with Rhinoplasty, it can safely change the looks of your nose to a predicted shape.
Rhinoplasty is a surgical process which involves changing the outward appearance of your nose. This process is not intended to improve your breathing. A Septoplasty or turbinate reduction may be required in such a case.
Is it safe to have a breast implantation? If I have a baby later on, would I be able to breast feed?
Yes, it is safe to have a breast implant. There have been reported cases of any serious conditions which can be deemed consequential of breast implants.
Factors like ageing and pregnancy can affect the appearance of your breast, whether you have implants or not. Most patients didn’t find any difficulty in breastfeeding after having Breast Augmentation Surgery; however a small percentage did find some problems and a few of them couldn’t breast feed at all.
Cosmetic surgeons around the world are of the opinion that implants usually last for about 10 years. However this varies from patient to patient, another factor is the nature of implant i.e. saline or silicone implant. A saline implant has a typical deflation rate of 1% per year. The deflations of saline implants are spontaneous and not trauma related. Silicone implants have been a vogue since 1960s, those were the first generation silicone implants and patients reported that they lasted for about 20 to even 30 years. Silicone implants have evolved a long way, the current version of the implants are 4th or 5th generation implants. Now they are less susceptible to rupture as a much more cohesive gel and better shell designs are used.
Yes, it can be safely said that breast implants won’t last for life; they need to be replaced at some point and the process of replacement is much easier than the original surgery.
The cost of reworking a breast augmentation surgery depends on two important factors: the magnitude or the original surgery, and the span of time that has passed since the original surgery.
If your implant is under warranty and there is a rupture then you probably can cash in some financial assistance. Moreover, the surgical requirement in case of any subsequent implant is usually much less than the original implant.
I lost a lot of weight and now my breast looks weird. I want to go ahead with a breast lift but I’m scared of implants. Can I have a breast lift without an implant?
I’m a Mother who is currently breast feeding her baby, can I go ahead with a breast reduction or should I wait?
Will a tummy tuck remove the stretch marks present all over my tummy? How long do I need to wait after giving birth in order to have a tummy tuck?
Yes, a tummy tuck will give you a tucked-flat tummy and eliminate the stretch marks present in your abdomen i.e. from your naval point to above your pubic area.
Surgeons recommend patients to wait for a minimum of six months post delivery in order to have a tummy tuck.
Can a cosmetic surgeon transfer fat from tummy to buttocks? Can I have a tummy tuck and a thigh lift at the same time?
Yes, the fat from your tummy can be transferred to your buttocks.
Yes, both tummy-tuck and thigh lift can be done at the same time. In fact this combination is often selected by many patients and is quite popular.
How is a mini tummy tuck different from a full scale tummy tuck? Is a mini tummy tuck done under the influence of local anesthesia? I have heard that drains are involved in a tummy tuck, is it the same in case of a mini tummy tuck?
A mini tummy tuck is the lesser version of a full scale tummy tuck; basically it is the less aggressive approach. In case of a full scale tummy tuck most of the skin from the naval point to just above the pubic area is removed, the muscles are tightened up to the ribs, and the open area is covered by the remaining skin which is stretched all the way down. While in case of a mini tuck a much smaller area is involved. It generally covers only the lower abdomen region.
Yes, a mini tummy tuck is done under the influence of either general or deep (level IV) sedation.
The use of drain is getting rarer and rarer with most surgeons opting out of its use until absolutely necessary. Use of drain is even rarer in case of a mini tuck.
Most of the reported complications after a tummy tuck include:
- Infection of skin, fat.
- Seroma – a complication which results in collection of fluid underneath the mobilized fat and skin.
- Obesity and smoking proves to be a hindrance in the healing process.
- A small opening at the point of incision might occur.
The good news is that these complications are easily managed by a surgeon.