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Cosmetic or Aesthetic Surgery

Cosmetic surgery is performed to enhance or change a person’s appearance, improve self-esteem or complete (enhance) results of reconstructive surgery. The most common aesthetic procedures are:

Face and Neck Lift – a procedure performed to improve appearance by pulling sagging tissues back from cheeks and neck, suspension and removal of excess of skin. For some, who aged by loss of subcutaneous fat and appear “worn out” use of tissue fillers is important component of facial and neck rejuvenation.

Eyelid Surgery (Blepharoplasty) – excess of skin and fat are removed from the upper and lower lids reducing wrinkles, skin folds and correcting the pouches under the eyes.

Forehead and Eyebrow Lift – skin and muscles are pulled upward to raise eyebrows and lessen wrinkles and skin redundancy around eyes. Like for almost all of the cosmetic procedures the design is customized, the direction and the extent of pull is discussed with the patient before surgery.

Otoplasty – reshaping of the ears, frequently performed for too large or prominent ears to reduce their size and/or move them closer to the head.

Rhinoplasty – nasal surgery to improve breathing and/or shape to the nose. Frequently, for harmony of facial contours midfacial or chin modifications (tissue fillers, implants or reduction) are coupled with nose shaping surgery.

Breast Enhancement (Lift, Augmentation, combination of both, Reduction) – various procedures are designed to enlarge (augment), uplift (mastopexy) or reduce the breast(s). Breast reconstruction is performed to restore or create the breast.

Front view before breast augmentation.

Front view before breast augmentation.

Front view after breast augmentation. The patient wanted "natural" result with breast curvatures not obvious for enhancement procedure.

Front view after breast augmentation. The patient wanted "natural" result with breast curvatures not obvious for enhancement procedure.

Half profile contour prior to breast enhancement surgery.

Half profile contour prior to breast enhancement surgery.

Half profile after breast augmentation.

Half profile after breast augmentation.

Six weeks after surgery: this incision within areola is expected to blend even better with time and ultimately become barely visible.

Six weeks after surgery: this incision within areola is expected to blend even better with time and ultimately become barely visible.

Abdominoplasty – reshaping of the abdominal wall with removal of skin excess and tightening of muscles and fascia covering muscles if they have stretched excessively after pregnancies or extreme weight changes.

Abdominoplasty and Panniculectomy (removal of lower abdominal wall redundant skin and fat tissue fold) – is one of the basic components of body contouring needed after significant body weight loss.

Brachioplasty – removal of excess of tissue deforming arms after massive body weight loss or due to aging and loss of the skin tone.

Liposuction – recontouring of the body by removal of fat deposits. Liposuction IS NOT designed as a tool for weight reduction. Liposuction is a procedure to change the overall shape of the body and improve contours.

Liposculpture – selective body contouring by combining fat removal by liposuction techniques combined with fat transfer (injection) to augment depressed areas and occasionally  with skin toning procedures.

Chemical Peels – a special type of skin care used to aid in “peeling off” fine wrinkles and blemishes without major surgery. Most peels can be repeated and are usually office procedures.

Botox – to reduce wrinkling resulting from excessive muscles activity (e.g., frowning) and unwanted facial expression, certain agents, such as Botox, selectively impairing nerves function are injected.  

Laser Skin Treatments – this type of surgery affords the ability to reduce or remove  wrinkles and tighten the skin. Some lasers allow targeting stretch marks, scars, pigmentation problems, vascular marks. In laser assisted resurfacing, laser light beam is applied to the skin and is absorbed by the outer skin layers. Smoothening of the skin, an outpatient procedure, is achieved by vaporization of its outer layers. The thermal effect of the laser beam application may also cause shrinkage of collagen fibers, which results in tighter skin. Proper skin care is emphasized prior to and after this type of treatment. Individualized skin care protocols are prescribed and subsequent skin protection to ensure optimal result are designed on an individual basis (depending on the skin type and skin changes resulting from previous surgeries).