FAQ

There is not a magic number that applies to everyone. Within a normal range of weight variances, say 10 pounds or so, there should really be no differences. With major weight loss, there may be some changes, but these depend on the ratio of fat/breast/implant volumes as others have stated.

Unfortunately, there is no magic pill for seromas. You may end up needing a couple of drainages. If it is persistent, they may be able to leave the drain in it, so you don’t need to be continually poked. If that does not work, you may need to have it sclerosed or, in rare cases, have another surgery. However, after just one drainage, don’t get too worried. Good luck with your recovery.

I have found that it usually takes about six months for the breast implants to properly settle. However, what you describe presents two issues. First, if one implant is higher than the other, you may require a revision surgery to fix that asymmetry. While wearing straps may help, at this point, I would not expect much difference. Second, the 'loose' skin under the breasts, may indicate that you also need a mastopexy or breast lift. While the implants may settle somewhat, if there is breast tissue hanging off of the implants, this is unlikely to resolve without further surgery.

As others have mentioned, increases in swelling, bruising and tightness immediately after breast implant surgery may indicate a hematoma or blood collection around the implant. If this is the case, it most likely needs to be drained surgically and medications will not make it go away. It is important to follow closely with your surgeon as they know what was done during surgery and what to expect. If there is uncertainty, imaging studies such as ultrasound can be done to look for a fluid collection. However, in most cases, hematoma is obvious and needs to be treated.

I had a BA almost three weeks ago, and am noticing vertical lines under the crease, particularly when I raise my hands. They are painful, but not excruciating, but do cause some discomfort when I am wearing a bra. I feel a pulling sensation as well where the lines are located. What is the best treatment for this condition, and how long should I continue that treatment? The incision area is also really bumpy when I push down on it, however the skin feels smooth….is this normal?

These lines are from tension from the deep sutures closing the incision. When you raise your arms, it increases the tension and makes the 'string look' under your skin. These are dissolvable sutures and will disappear as the suture dissolves – likely 4 to 8 weeks.

I’m sort of on the verge of needing a breast lift and wondering if the scars are not worth the trade-off… what kind of incisions or techniques leave the least amount of scarring?

Many patients are afraid of the scars/incisions used to perform breast lift surgery. However, in general, these incisions heal very nicely. It is a shame when patients compromise their result by demanding shorter or fewer incisions. There are minimal incision breast lifts, but these are best for people who only need a minimal lift. For people who need more extensive lifting, then you need longer or different incisions to achieve a nice aesthetic result. Sometimes, if you have an implant placed at the same time as the lift, then you may not need as long of incisions, but this also depends on your anatomy.

I am considering of having a lifting procedure combined with implants, I am very concerned about the scars, but according with the shape of my breast, what kind of liftind do you think I need?? any suggestion will be really appreciated Thanks.

Based on your pictures, I would suggest a full mastopexy – lollipop and anchor incision. Additionally, the placement of a small implant at the same time will help with upper pole fullness in your breast. You can talk with your surgeon about different sizes and profiles to meet your needs and your anatomy.

II have implants already but still have a small amount of excess skin that I am not happy about. I do not want bigger implants than I already have. I’m am 26 and do not really want the anchor scar from an uplift cut around the nipple. Can an uplift be done in any other way?

The incisions used really depend on the anatomy of the patient. If there is minimal skin, then you may only need the vertical incision. However, without seeing pictures or evaluating you in person, it is impossible to give you specific advice.

Hi there, Almost two years ago after 3 back to back pregnancies i had my 275cc saline implants replaced with 375cc HP silicone. At the time I was afraid of the anchor scar so I did a donut lift instead. I’m now considering going back for the lift but I’m concerned my breasts will end up looking smaller. Im a 34DD in VS brand bras…Will I need a larger implant with the lift to keep my large size? Thank you.

With breast lifts, some skin is removed and the contour of the breast reshaped to achieve the lift. While the volume of the breast (minus the small weight of the skin removed) will be essentially the same, the breast may appear slightly smaller. If you are looking to maintain the exact same size, then you may want to consider getting one size larger on your implants at the same time as your lift.

In my reading the Q/A in realself, I came across a PS that said African americans should NEVER use an areola incision beacuse of scarring. this has really bothered me because i was finally happy that I didnt have to have the lollipop scar and I thought this scar would be much less noticeable. I also have very large areolas and my PS is making them smaller. Please let me know if I will absolutely have terrible scarring or does it vary from cast to case. Also, 400cc too big for Benelli lift?

Without pictures or seeing you in person, it is impossible to give you specific advice. However, most people who are looking for a Benelli lift really should consider a traditional lift. The Benelli lift places a lot of tension on the incision which can make the scar wide. Additionally, without the vertical component to the lift, there is less control over the shape of the breast. So, those patients that demand a smaller incision are really doing themselves a disservice by limiting the full potential of what can be achieved with surgery and often end up with a smaller but less aesthetically pleasing incision.

I am post bilateral mastectomy, after 10 years, I finally have expanders. They were placed in Nov. I am having pain 6/10 on one breast area and to the shoulder and arm.. I am afraid that after the implants I will continue having pain. Can the Breast implants be put over the muscle? Or is there an artificial muscle that can be used? My concern is how to distinguish breast pain vs cardiac pain in the future. Implant schedule is in April.

In most cases, it is best to have the implants below the muscle after mastectomy. During the mastectomy, all of the breast tissue was removed, which leaves only skin. It is not safe to only have a very thin skin layer between the outside environment and the implant. If your expanders are in place under your muscle and you are still undergoing expansion prior to the final implants, you may have some discomfort during the expansion process. It is best to discuss this situation with your breast and plastic surgeons. If there is a lack of muscle, then sometimes a dermal substitute can be used to bridge the gap. Also, if you have muscle spasm, you may want to discuss BOTOX® injection into the muscles to help them relax. Good luck with your recovery.

IIt seems like a tissue expander would be painful as it stretches the skin – am I crazy?

You are not crazy. Aggressive expansion can be painful. However, if you do not rush the process and use appropriate medications, such as pain medications and Valium, gentle expansion of the muscle/skin envelope does not have to be painful. Additionally, if your surgeon uses Alloderm or some other dermal substitute during your expander placement, it may be possible to expand more during the initial operation, leaving less expansion to do in the office. Good luck with your surgery.

I just read an article that said a lot of board-certified surgeons in CA reported they are still using traditional techniques for mastectomy, cutting across the whole breast and leaving unnecessary scars. Why would surgeons do that instead of using skin-sparing mastectomy technique? Is there any reason that would justify not performing a skin-sparing mastectomy in favor of a traditional (and disfiguring) mastectomy?

Skin sparing mastectomies are a great advancement for breast cancer surgery. An extension of these is the nipple/areolar sparing mastectomy which gives great results in the right patients. However, all breast cancers are not the same. Skin sparing mastectomy is best for small cancers that are not close to the skin. However, more severe cancers that are large or close to the skin may require traditional modified mastectomy incisions. It is unclear from the report that you cite whether the surgeons they surveyed perform traditional mastectomy some of the time or all of the time. I think that this clarification is important since if you need a traditional mastectomy and the surgeon does not perform them, then you are not better off. It is important that you research all of your options before undergoing any surgery. Also, I would hope that most surgeons have your best interest at heart. It would be devastating if your cancer returned because an inadequate tissue (skin) resection was performed.

How Similar is the Breast Reduction Operation to a Mastectomy? I would like to remove my breasts and nipples. I’m looking for a surgeon who will make my chest look like a male’s sans nipples and with minimal scarring. Will a skilled breast reduction surgeon be a good choice for my mastectomy or are these two completely different surgeries? Does my not wanting my nipples make the surgery less complicated?

Any plastic surgeon is trained in breast reduction surgery – this is a common procedure. What you are asking for is unusual, but the procedure would follow the same basic concepts as breast reduction surgery. Your resultant scars would really depend on the size of your breasts. There is no way to perform the surgery without making incisions or without resultant scars. If you have small breasts, you may be able to have liposuction, which would decrease the size of your breasts, but not address the nipple or areola. You could have the nipple and areola excised, but there would still need to be an incision and a scar. Good luck.

What are the benefits of having breast reconstruction at the same time as mastectomy, and in which situations would it be recommended to postpone reconstruction?

There is not one answer for this question. It really depends on your specific situation and would be best answered by your breast surgeon. Factors which affect the answer include your stage of cancer, need for radiation or other treatment, skin envelope, etc. Good luck with your surgery.

I am going to get a BOTOX® injection for frown lines, forehead lines, and crow’s feet. Can a doctor please tell me – What is the best price for BOTOX® or average cost?

Offices charge for BOTOX® in two ways – either by “area” or by “unit.”

It is my feeling that charging by “area” leads to fraud since the office can dilute the BOTOX® by whatever ratio they want, and the patient never actually knows how much BOTOX® they have received.

There is also the possibility of cross-contamination between patients since the office is using the vial over and over again for several patients. The alternative way of charging for BOTOX® is by the “unit.”

Allergan just started supplying 50 Unit vials of BOTOX®. In my practice, this is the average amount of BOTOX® for a typical patient. 50 Units will cover the crow’s feet (2.5 units each), the glabella (25 units) and the forehead (20 units). This amount of BOTOX® allows for significant reduction in wrinkles but allows you to maintain facial animation.

The charge per unit varies around the country from anywhere between $9 and $20+ per unit. In my practice, I charge a flat fee in 50 unit increments.

The second vial is only needed if you are having your neck treated for bands or your scalp treated for headaches.

It is my policy to open up the new vial of BOTOX® right in front of the patient so they can be assured that they are getting fresh product and getting what they are paying for.

I received 20 units of BOTOX® yesterday. Now I think I may have been cheated, he just wanted to get his $256 and the 20 units he injected were not nearly enough to get “rid” of the moderate/severe “11’s” on my forehead. What is the average amount of units needed for this?

I can understand your frustration. However, you state that you just had the BOTOX® yesterday. It will take 3 to 7 days for it to start working and sometimes up to 2 weeks for the final effect. So, please be patient to see the effect.

However, it does usually take between 20 to 30 units for the glabella (your “11’s”) area. It takes another 15 to 25 units for your forehead and another 2.5 to 5 units for around each eye (crow’s feet).

I hope this is helpful.

Drooping eyelids after BOTOX® is a very rare but real side effect. If your eyelids appear “full” due to your brows drooping, then there really is not a good treatment except time for the BOTOX® to wear off.

If your eyelids are drooping on their own but your brows are in a good position, then drops such as Iopidine can be very effective. However, you may need to take the drops several times per day for several weeks until the BOTOX® wears off.

Good luck.

Eight days after my BOTOX® injections my eyes became extremely swollen. I applied a cold compress and the swelling went down considerably, but my eyelids are still puffy and it’s 11 days since my injections. Is this going to go away?

Sometimes after BOTOX® people complain of “swollen eyelids.” This is most likely not swelling. It is because the BOTOX® was injected too close to the eyebrow. It is no surprise that this happened 8 days after your injection, since this is when the BOTOX® had finally started working (it takes 3 to 7 days for the BOTOX® to take effect).

The eyebrow then drops (ptosis) and the skin between the upper eyelid and the eyebrow gets compressed into a smaller space – the distance between the eyebrow and the upper lid becomes shorter. This makes the upper lid skin puff out since it has nowhere else to go.

So, I would recommend looking at your pre-injection photographs and compare the level of your eyebrows. There is no solution for this except for time – 3 to 6 months for the BOTOX® to go away. This most often happens to patients only the first time they have BOTOX®.

It is very difficult to predict which patients will have this response. If you do have this response, then you will know the next time you have BOTOX® to have it injected higher above your eyebrows. This is a compromise, since you may be left with a wrinkle above your brow, but that is better than the dropped brows.

I decided to have my first BOTOX® procedure done after diligent research, and I chose a Board-certified plastic surgeon to administer the BOTOX® injection for my under-eye creping. The doctor said he hit an artery/nerve, which most likely caused immediate swelling and hematoma on the area.

I did everything I can – ice, elevation, topical and oral arnica, applied heat, massaged it lightly, and put vitamin gels – but 8 weeks later, the bruising and swelling are still there. Will this ever go away, and what should I do now?

I am sorry to see that you had such an experience with BOTOX®. Certainly, this is a very rare complication – I personally have not seen this happen with BOTOX® injections. However, regardless of what is being injected, if a superficial artery or vein is punctured, this is a possible outcome.

8 weeks later is a long time for the bruising to still be present. It sounds like you are doing everything right. Talk with your doctor about possible referral for further interventions such as ultrasound or laser to help hasten the recovery process. If there is a palpable pocket of fluid, then your surgeon may be able to drain it for you.

I hope this is helpful.

Prominent surgeon states that a new set of problems has appeared for many of his patients with..He states many of these patients have devastating problems. Patients are presenting with such complications as chronic infection, pain, persistent redness and swelling, and even permanent skin damage. Many of these patients are not able to undergo corrective surgery because their skin is damaged so severely that surgical correction would risk severe deformity or skin necrosis/loss.

Dermal fillers, when injected by qualified and experienced injectors, are safe and effective. The line you quoted when typed into Google seems to match a website of a facial plastic surgeon discussing fillers of the nose. Injecting fillers in the nose is an off-label application. Additionally, injecting fillers in the nose requires exceptional care and skill to avoid the complications he discusses.

However, when injected in the right patients, fillers are very safe and effective. When using an HA filler, they are even reversible. If you are considering filler treatment of your nose or anywhere else, I would suggest that you arrange a consultation with a board-certified plastic surgeon to discuss your options.

Is there any risk of being highly active (as in running) after fillers are injected? I am a runner and fear that if I use a filler, it will sag and “drop” beneath the skin due to running or other physical activity.

Sally, it is fine to exercise and run after having dermal fillers. After the filler is injected, it will not move within your skin. My only precaution would be to avoid exercise the day of treatment to avoid raising your blood pressure – the only harm would be possibly potentiating the temporary swelling and bruising that you may experience after your injections. Good luck with your fillers.

I’m a 37-year-old female. While my facial skin still looks quite fresh, my cheekbone and jawline areas are so hollowed they make me look tired and old. I’ve considered Sculptra and other dermal fillers, but I’d like to know if there’s anything long-term or permanent for restoring these large hollowed areas.

Not all fillers are appropriate for all people or all locations on the face. Around the lips and nasolabial crease, the HA products such as Restylane, Juvéderm®, and Prevelle work well. Evolence, a collagen-based product, is also good in these areas.

For the cheeks, Radiesse or Sculptra are nice fillers as they provide more substance and structure after injection. Be very careful with permanent or long-term fillers since you can’t easily remove them if you don’t like the results.

One of my favorite fillers is your own fat (from your abdomen or thigh). I remove the fat with a mini liposuction technique and then isolate the fat cells using centrifugation. The fat cells are then transferred into syringes in preparation for injection. One of the nice things about using fat is that most people have an unlimited supply. Therefore, much larger areas can be corrected without having to spend the money on multiple syringes of artificial injections.

Another benefit of fat injections is that it is natural – it is your own fat. If your body incorporates the fat, you have the potential for significant long-term effects.

I hope this is helpful.

I’m having my first procedure tomorrow. I’m planning to have Restylane on my nasolabial folds and BOTOX® on my forehead. Is it safe to have these done on the same day, and while I’m on penicillin (because I have tonsillitis)?

It is perfectly fine for you to have both BOTOX® and an injectable on the same day. Most people choose to do it this way since there will only be one recovery period. Also, since most of the injectables last around 6 to 9 months and the BOTOX® lasts 3 to 6 months, people come in for BOTOX® every 4 months and do the injectables every other visit. Being on antibiotics should make no difference at all.

I want more chin, so I decided to get filler. My PS said Radiesse and Restylane. I have an appointment this month. After seeing that MOST reviews on Radiesse are horrible (bruising for 1.5 years, immune problems, lumps, migration to other parts of face, and I guess because Radiesse stays in the body, etc.), I’m scared to try it now. How is it that most chin implant surgery reviews are great and most Radiesse reviews are a nightmare, damaging lives? Is this alright?

First of all, having Crohn’s disease does not preclude you from having any dermal filler treatment. Second, Radiesse is a great product when injected properly. It is true that once Radiesse is injected, it can’t be removed. So if you are nervous about the results, you may want to try an HA filler first, such as Juvéderm® or Restylane, which, if you do not like it, can be melted away with an injection of Vitrase.

I was researching natural facelift options and keep seeing forums where women talk about fantastic products that do indeed lift and firm your face, diminish lines especially crow's feet and frown lines. I have not found anything that does this natural face lifting. Is it my skin or degree of skin sagging, or do you think these people are shills in blogs and forums?

If you need a facelift, there is no alternative. If you just have fine lines around your eyes, you may benefit from BOTOX® Cosmetic for the crow's feet. If you have moderate nasolabial folds, you may benefit from fillers. However, if you have any loose or drooping skin, then facelift is really your only alternative. Good luck.

It is impossible to say with 100% certainty that your incisions will heal perfectly. Incision healing is dependent on several factors, including surgical technique, prevention of infection, reduction of tension, patient nutrition, not smoking (before or after surgery), genetics, etc.

For the most part, however, facelift incisions heal very well. The incision starts in front of and within your ear, then curves behind the earlobe and extends along the crease behind your ear. For the first several weeks after surgery, you will definitely be able to see the incisions, so it is best if you have longer hair that can cover them. However, you can also be creative, such as wearing glasses with a hanging lanyard that hangs in front of the incision.

Alternatively, you can just go along your business like nothing happened. If you live in a metropolitan area where many people have plastic surgery, then it really will be no big deal. Those people who notice it probably have had the surgery themselves (they know what to look for). However, after several weeks to months, the incisions fade away and just become a memory. I hope this is helpful.

How many stitches are there in an average facelift? What’s considered a normal amount?

If someone is trying to sell you a facelift based on the number of stitches, I would recommend going to someone else. The number of stitches used during a facelift is individualized for each patient, and judging a facelift by the number of stitches is irrelevant. Facelift surgery is very complex. It is more about how you put the stitches and where you put the stitches than how many you use.

Can I have a facelift to fix the wrinkles and have fillers to plump up my face? Can I do them simultaneously?

Without seeing pictures or seeing you in person, it is impossible to give you specific recommendations. However, a combination of facelift and fillers is possible. Another alternative would be a facelift and fat grafting, which I do in almost every case.

Hello. I am reposting my question with more pictures. I am 24, and my face looks old and sagged, apple cheeks are almost lost, nasolabial folds are quite prominent, lower eyelids are unnaturally droopy, there seems to be too much skin yet hollows in the middle of my cheeks (also under my eyes when I laugh). I want to have a younger-looking face and tighter cheeks, but do not know what to do. Thanks for your time.

At 24 years of age, you really are too young to consider facelifting procedures. Based on your pictures, you look like you would benefit from some jawline liposuction and midface fillers. These procedures are minimally invasive, less expensive, and can make some nice improvements.

I had Liposuction done on my upper/lower ab and love handles. I am 5 days post-procedure and I still have a good bit of discomfort and swelling. Is this normal, and how long does it usually take before the swelling goes away?

Lucy, you are just five days post-procedure, so I am not surprised that you still have swelling and discomfort. Rest assured, however, you will improve quickly. It takes about two weeks for a majority of the bruising and swelling to resolve. However, it takes another two to four months for all of the swelling to completely resolve. You will continue to see positive improvements during this time. I can tell you from first-hand knowledge (I had liposuction myself) that whatever you are going through right now is completely worth it. Just give it some time, and your symptoms will improve. Enjoy your new body!

Can I use Spanx instead of regular compression garments during my recovery from liposuction?

Both compression garments and Spanx are good for post-liposuction compression. The goal is to have compression over the areas that were treated, so it really depends on which garment or Spanx garment does the job. The Spanx tend to be a bit less expensive and more comfortable. However, you should discuss it with your surgeon.

Can any doctor do liposuction, or would I need to see a specialist of some kind?

While many people perform liposuction, many of those people should not be doing it. Plastic surgeons are specifically trained to perform liposuction as part of their surgical education. Many other specialties (just look through the ads in a newspaper on any given day) advertise that they do liposuction as well. However, it is unclear where they get their training. My best advice would be to go to a few consultations with plastic surgeons who have performed liposuction on people you know with nice results. If you do not know anyone who has had liposuction, ask the surgeon if any of their patients would be willing to talk to you about their procedure. Questions to ask the doctor include: What type of liposuction they do? What type of anesthesia is used? How many liposuction procedures they perform in a given month? How often do they have to make revisions? How much do they plan to aspirate? If they are doing the liposuction in their office or a surgicenter, ask them at which hospital they have admitting privileges.

Find a surgeon you feel comfortable with who takes the time to answer all of your questions and addresses your concerns.

I’m 26 years old, 113 lbs, and had 550 cc’s removed from my stomach/flanks through liposuction exactly 1 week ago. The compression garment the doctor gave me is adding to the lumpiness (I knew to expect some). Is the type/brand of garment important for outcome? Is tighter/stiffer better? My ribs are a little sore. Is this amount of unevenness normal? Thank you!

1 week after lipo is early to get worried about anything. You still have considerable swelling to resolve. In the long run, the garment does not really matter. The garment helps with short-term swelling reduction and helps reduce pain due to shearing forces. You are not wearing a garment anyway; you are wearing a binder. You might want to consider something like a Spanx garment, which is form-fitting and seamless. You will get less short-term ridging like you have from the binder. All this goes away anyway with time, as it is due to short-term differential swelling. Any lumpiness is due either to your anatomy or the liposuction technique. In any case, it takes several months to see the long-term results. Good luck.

What should I ask my doctor during a liposuction consultation?

This is a great question. Many doctors out there advertise liposuction, and many companies have come up with fancy names for different types of liposuction.

• The first thing to ask your doctor is about their training. Plastic surgeons have specific core training in liposuction techniques. Additionally, some plastic surgeons go on for extra fellowship training specifically in aesthetic plastic surgery which includes liposuction. Many other doctors in different specialties take weekend courses in liposuction and then offer it in their practices. So, please ask your doctor specifically about their training.
• The next thing to ask is about the type of liposuction they perform. Different types of liposuction are suitable for different types of patients. For instance, if you have just minor areas requiring small volumes of suction, then a procedure such as Smart Lipo may be ideal. However, for moderate to large volumes, traditional tumescent liposuction is often best, with advances like power-assisted liposuction making it more effective. For redundant skin and tissue, a combination procedure, such as liposuction and mini-abdominoplasty or tummy tuck, may be necessary.
• Ask to see pictures of their actual patients or to talk to some of their previous patients. Many doctors use stock photos on their websites. During your consultation, have them identify which patients on their website are their real patients.
• Inquire where the liposuction will be performed. Some doctors perform liposuction in-office while the patient is awake, and others perform it in an operating room with anesthesia. For minor liposuction, an office-based procedure may be appropriate, but ask about certifications and contingency plans in case of complications.
• Ask if they use an anesthesiologist or if they administer the anesthesia themselves.
• Ask your doctor about follow-up care and ensure that your surgeon will handle your follow-ups.
• Inquire about post-operative garments, medications, exercises, and your ability to return to work.

Liposuction is a great procedure, and when performed properly, it can have excellent results. Make sure all of your questions are answered and that you feel comfortable with your surgeon before you proceed. I hope this is helpful.

It is perfectly fine for you to get a tattoo over your incision. Many of my patients have done this and I think it looks nice. However, you may be surprised, but the scar/incision will likely not look as bad as you may be expecting. In most cases, after six months to a year, the scar is hardly noticeable. However, this is not true for everyone, so it is nice to have the option to place a tattoo. If you do choose to get a tattoo, I would suggest waiting at least 3 to 4 months before having it done.

I just had Liposuction and a full Tummy Tuck done a week ago. I’m very pleased with what I’ve seen so far. However, I have extensive bruising from my hips to my knees, both sides of my stomach area, and the pubic area. How long before these bruises heal, and how can I speed up the healing process?

First of all, you have a great result! Your bruising and swelling look normal for one week after surgery. You will be surprised, but the swelling and bruising will resolve over the next week or so. I usually have my patients go for medical massage starting 10 days after surgery to help with the swelling and lymphatic flow. However, you should discuss this with your surgeon before starting any therapies. Also, avoiding alcohol, salt, and spicy foods helps keep the swelling down. Finally, Arnica Montana tablets or cream may help with the bruising. This is available in most health food stores.

While I encourage walking almost immediately after a tummy tuck, I caution patients to refrain from abdominal exercises for up to 6 weeks after surgery while the sutures are healing. However, you should talk to your doctor to see what their recommendation is for your individual case.

SheriBrock, usually after abdominoplasty it takes about 1 to 2 weeks before you can stand up straight. So, you should soon be getting better. I have found that some patients are afraid to stand up straight, so they really have to push themselves to do it. At this point, you are not going to hurt yourself by standing up. Make sure you follow up closely with your surgeon to make sure there are not any other issues. Good luck.

I’m now 6 weeks post-Tummy Tuck, and I am pleased with the results. However, I’m bothered that my pubic area appears to be 2-3 centimeters higher/bigger than it was pre-operation. My underwear used to cover the area completely, but now they don’t. Is this normal? Will the skin eventually stretch back to its place?

During abdominoplasty, the excess skin is removed between the mons pubis and the belly button. However, when the mons is stretched upward, it sometimes reaches higher than the bikini line. Therefore, it is very important that the top of the mons also be removed with the abdominoplasty to keep the look natural. These are important issues to discuss with your surgeon prior to surgery. It is also important to look at post-operative photos of your surgeon’s patients to see how they make the incision. Since you have already had surgery, you have to address your result. After abdominoplasty, the mons area does swell, and it can take several weeks to months to completely resolve. If after six months or so, you are still not happy with the level of the mons pubis, you can have laser hair removal. Otherwise, you may need a secondary surgery to remove more skin. At this point, you are only six weeks post-op, so give it some more time. When the swelling resolves and the tissues settle, you may be much happier with the result.

Unlike microdermabrasion, HydraFacial uses a uniquely shaped spiral tip with a vortex effect, combining exfoliation, impurity removal, and hydration for superior results with no downtime.

Absolutely! You can customize your HydraFacial experience with add-ons like corrective chemical peels, laser treatments, dermaplaning, or AquaGold Microneedling to address specific skin concerns.

We recommend a monthly HydraFacial for the best results. Regular sessions help maintain skin health, address concerns, and keep your complexion looking fresh and rejuvenated.

The Diamond Glow facial is effective for various skin types, but discuss individual characteristics and any contraindications with Dr. Shafer. Certain skin conditions may influence the suitability of the treatment.

Generally safe for all skin types. Consult with a skincare professional for personalized advice. Avoid if you have specific medical conditions like pacemakers or epilepsy.

Results vary, but a series of 6-12 sessions is recommended for optimal results. Maintenance sessions may be scheduled. Longevity depends on factors like age and skincare routine; regular follow-up treatments help sustain improvements.

A Visia Skin Analysis session typically takes around 15-30 minutes. The process involves capturing multiple images to provide a comprehensive overview of your skin’s condition.

No, dermaplaning is painless. Most clients find it comfortable and relaxing.

Yes, dermaplaning is safe for pregnant or breastfeeding individuals. However, it’s advisable to consult with your healthcare provider and inform your skincare professional about your status.

Yes. Dermaplaning can enhance the effectiveness of other treatments, such as chemical peels or facials, when performed in combination.

Oxygen facials work by delivering a concentrated stream of pure oxygen to the skin’s surface, often combined with a customized serum. A handheld device or airbrush is used to spray a pressurized stream of pure, medical-grade oxygen directly onto the skin. This is often combined with a serum containing vitamins, antioxidants, and other beneficial ingredients.

Oxygen facials address a range of skin conditions, including dullness, dehydration, fine lines, and uneven skin tone. They can also benefit acne-prone skin by reducing bacteria and promoting a clearer complexion. The treatment is suitable for various skin types and provides immediate, visible results without downtime.

LED light therapy is safe, and side effects are minimal. Some individuals may experience mild redness, which usually subsides shortly after the session.

Yes, LED light therapy can be used preventatively to maintain skin health and address early signs of aging. Dr. Shafer can discuss a customized plan during your consultation.

Yes. SkinPen is recommended for patients with sensitive skin because it does not involve active substances or laser/light therapy. It is designed to be gentle yet effective.

Patients with active acne outbreaks in the treatment areas should postpone SkinPen therapy until after the outbreaks have disappeared.

Each session takes approximately 15 minutes. The procedure is generally well-tolerated, and patients typically experience minimal discomfort. Dr. Shafer uses a specialized attachment designed for patient comfort.

The CO2RE Intima utilizes fractional laser technology. Instead of delivering a continuous beam of light, it breaks the beam into tiny, evenly-spaced microthermal zones. The microthermal zones created by the laser penetrate into the deeper layers of the vaginal tissues. This stimulates the production of collagen, a crucial protein responsible for skin elasticity and structure.

Yes, Chemical Peels are designed for versatility and customization. During consultation, our skincare experts will recommend the most suitable peel based on your skin type and concerns.

Chemical peels can vary in intensity. There are superficial, medium, and deep peels, each addressing different skin concerns. Superficial peels are mild and are commonly recommended for skin conditions that can be addressed by light peeling. On the other end, deep peels are the most intense, penetrating the middle layer of the skin for more significant peeling. They are usually performed with sedation or anesthesia. It is important to get assessed by a qualified professional to determine the most appropriate peel for individual skin concerns and the clients’ tolerance levels.

Microdermabrasion can be adjusted to accommodate different skin sensitivities, but a patch test may be recommended for those with sensitive skin.

Microdermabrasion and chemical peels both exfoliate the skin but use different methods. Consultation with a skincare professional can help determine the best option for specific needs.

Post-treatment care may include using a gentle cleanser, avoiding sun exposure, and applying moisturizer as recommended by your skincare professional.

Sessions are typically spaced 2-4 weeks apart, allowing the skin to recover and maximizing the benefits of each treatment.

Microneedling is a cosmetic procedure where tiny needles puncture the skin to stimulate collagen production and improve the overall texture and appearance. Aquagold Fine Touch is a microinjector device that uses fine, gold-plated needles to deliver a customized blend of skincare ingredients directly into the skin for targeted and minimally invasive facial rejuvenation.

The device can deliver a variety of ingredients, including hyaluronic acid, vitamins, and neuromodulators such as BOTOX® and Dysport®.

The procedure is generally well-tolerated, and discomfort is minimal. Topical anesthetic may be applied before treatment for additional comfort.

Initial results may be visible within a few weeks, with progressive improvement over the following months.

Yes. Candela Exceed is versatile and can be used on various body areas, including the neck, chest, and hands.

Candela Exceed allows for precise customization, with adjustable settings to address specific skin concerns.

Platelet-rich plasma rejuvenates the skin through its rich concentration of growth factors. When applied during microneedling, the growth factors in PRP stimulate collagen production, promote cell renewal, and enhance the skin’s natural healing processes.

PRP microneedling is effective in addressing various skin conditions, including fine lines, wrinkles, acne scars, uneven skin tone, and overall texture improvement.

While PRP microneeding is generally safe, it may not be advisable for individuals with bleeding disorders, active infections, or certain medical conditions that affect platelet function. Pregnant or breastfeeding individuals should consult with their healthcare provider before undergoing PRP microneedling.

Radiofrequency (RF) stimulates collagen production by delivering controlled heat energy into the deeper layers of the skin. The heat generated by RF causes a thermal injury, triggering the body’s natural healing response. In response to this controlled injury, fibroblasts, the cells responsible for collagen production, are activated.

Mesotherapy is a cosmetic treatment where a mix of vitamins, minerals, amino acids, and other active ingredients is injected directly into the middle layer of the skin using a fine needle or a mesotherapy gun. The aim is to nourish the skin, make it look younger, and tackle specific issues such as wrinkles or cellulite for better overall skin health.

Injectables, including neuromodulators and dermal fillers, are treatments that aim to address various concerns related to facial aging and skin appearance. Neuromodulators (BOTOX®, Dysport®, Xeomin, and Jeaveau) work by temporarily relaxing facial muscles and reducing the appearance of wrinkles and fine lines. Dermal fillers (Juvéderm®, Sculptra, Radiesse, etc) add volume to targeted areas, addressing wrinkles, fine lines, and volume loss. They typically contain substances like hyaluronic acid, filling in lines and restoring a youthful contour to the face.

Yes. Combining both can provide comprehensive facial rejuvenation by addressing wrinkles and adding volume.

Identifying which treatment or combination is best for your aesthetic concerns begins with a comprehensive consultation with Dr. Shafer. During your consultation, Dr. Shafer will evaluate your skin condition, discuss your desired outcomes, and recommend a personalized treatment plan tailored to your cosmetic goals.

In many cases, injectables can complement other procedures, but it’s essential to discuss your medical history with Dr. Shafer.

Volux is part of the Juvéderm® family of hyaluronic fillers made by Allergan. It is the first FDA-approved dermal filler specifically formulated for chin and jawline contouring.

Volux is composed of hyaluronic acid, a natural component of our body that attracts and retains moisture. This plumps and volumizes the skin, resulting in better contours.

The unique structural rigidity and thicker consistency of Volux injections sets it apart from the other Juvéderm® hyaluronic-acid dermal fillers. These aid in creating a stronger and firmer jawline.

Yes, Volux is a safe minimally invasive procedure. It provides an alternative to surgical jawline contouring, reducing the likelihood of complications.

There is no lengthy recovery period necessary following your Volux procedure. There may be slight swelling or bruising, but you can get back to your usual routine right away.

The initial cosmetic changes can be observed immediately, but it takes about two to three weeks for Volux to settle.

The injection process is not painful, as we take precautions and steps to minimize discomfort during the procedure.

The molecular makeup of Volux is designed to last up to 24 months.

If you are pregnant or breastfeeding, you may not be recommended for this treatment. Patients with extreme allergies or a known allergy to lidocaine are not ideal candidates for Volux.

Bruising, swelling, and tenderness may be experienced at the injection sites. These should disappear quickly within a few days after your treatment.

The main difference between the two dermal fillers is the target area. Voluma is approved for application on the cheeks and chin, whereas Volux is for creating better definition for the jawline and chin.

You may get a facial, massage, or microdermabrasion treatment two weeks or more after your Volux injections. This period helps to avoid applying pressure on the treated areas, which can cause migration of the filler.

You may be able to resume exercises a day or two after your procedure.

There are adjustments that can be made to achieve satisfying results. Additional fillers may be administered, or the injected filler may be dissolved with a hyaluronidase.

The results can wear off over time, so if you want to preserve your results, you will need an additional treatment session a few years after your initial treatment.

Depending on your desired outcome, you may need about one to three syringes of Volux to achieve the best results.

Elevate your head and sleep on your back for three nights after getting Volux in New York City.