FAQs

The frequently asked questions are organised to take you through the process from initial consultation to post-operative care.
If you have any queries, please feel free to contact us.

Q?

What is Dr. Boss recommendation after lips augmentation?

A.

Because of swelling, a soft diet is recommended for 36-48 hrs after the procedure. A moderate amount of swelling is normal and usually disappears within 10 days. Sutures at the site of the fat harvest are removed within a week of surgery.

Q?

When can I resume my normal activities after lips augmentation?

A.

Recovery- Patients can return to work and normal activities immediately after the procedure or within 1-2 days.

Q?

How a lips augmentation is performed?

A.

Procedure- Augmentation of the lips can be performed through various modalities. Recently, improvements in fat transfer techniques have allowed for longer lasting results than synthetic fillers.

Fat is harvested from the abdomen, thighs, or buttocks depending on patient choice. This is done through a small pen-size incision and does not leave a noticeable scar. The fat is then washed and cleaned and an appropriate amount is used to inject and volumize the lips through an invisible needle-size hole on either side of the lips.

Lip augmentation with fat transfer techniques can be done in 1 hour or less.

This procedure can be done under local anesthesia, conscious sedation, or general anesthesia. Together with Dr. Boss the appropriate anesthetic plan will be determined.

Q?

How long will the results of liposuction last?

A.

The results of liposuction will be permanent, as long as you maintain your postoperative weight. Even if you gain a few extra pounds, you may find that the weight is distributed more evenly instead of accumulating in the areas that were problematic for you in the past.

 

Q?

What are the results of my Liposuction?

A.

Liposuction surgery will reduce those areas of fatty deposits that previously created unflattering bulges and perhaps made it difficult to feel comfortable in your clothing or caused self-consciousness.

Factors such as fluid retention following surgery and prolonged swelling may delay the appearance of your new, slimmer contour. The healing process is gradual, so you should expect to wait a while before fully enjoying the results of your liposuction.

Occasionally, a touchup may be desired to further improve an area that has been suctioned.

The additional treatment can sometimes be performed under local anesthesia in Dr. Boss' office.More extensive revisions may require a return to the operating room.

Q?

When can I resume my normal activities after liposuction?

A.

You may be able to return to work in just a few days. In many instance, you can resume most of your normal activities within one or two weeks and begin some form of exercise soon after. The timing of your recovery depends largely on the extent of your surgery.

 

Q?

How will I look and feel initially after liposuction?

A.

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. The day after surgery, you will need to move around a bit to promote blood circulation.

Dr. Boss will advise you to limit yourself to these brief periods of gentle activities for the first few days. Remember, you must not take aspirin or certain anti-inflammatory medications, and you should not smoke for a while following surgery.

Your dressings will be temporarily removed within several days so that your plastic surgeon can examine the treated areas. You will notice swelling and bruising, which is to be expected.

Swelling usually begins to subside a week or so following surgery, while bruising can last three weeks or longer. There may also be numbness in some areas, and it may take several weeks before feeling returns. If stitches need to be removed, this is typically done within ten days after surgery.

Q?

What will the day of liposuction surgery be like?

A.

Your liposuction may be performed in a hospital, free-standing ambulatory facility or officebased surgical suite. Medications are administered for your comfort during the surgical procedure.

You and Dr. Boss will have decided in advance what type of anesthesia is to be used, either local anesthesia, intravenous sedation, and epidural block or general anesthesia. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication which you may continue taking at home.

A compressive dressing such as an elasticized bandage, sponge or specially designed garment may have been placed over the areas that were suctioned. Your surgeon will tell you how long you should wear the garment and will instruct you on how to remove it so that you may shower or bathe.

You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

Q?

How should I prepare for liposuction surgery?

A.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery.

Dr. Boss will provide you with additional preoperative instructions. Depending on the extent of your surgery and the type of anesthesia used, you may need someone to drive you home afterwards and to stay with you at least the first night.

Q?

I understand that every surgical procedure has risks, but how will I learn more about liposuction so that I can make an informed decision?

A.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include bleeding, infection and reasons to anesthesia.

Blood accumulations under the skin are possible, but these normally resolve themselves and rarely require removal. While numbness of the skin following liposuction is almost always temporary, it is possible for some lack of sensation to persist or for skin discoloration to appear in treated areas.

Contour irregularities including depressions or wrinkling of the skin can result in some patients, but treatments are usually available to help minimize these problems if they occur.

Q?

What are some variations to the liposuction technique?

A.

Prior to performing liposuction, fluid is instilled into the areas to be suctioned. Plastic surgeons may use a "dry" technique, a "tumescent" technique that introduces large amounts of fluid, or other variations.

Your surgeon will discuss with you the particular method that he or she recommends for treating specific areas of your body. Other options may involve the type of instrumentation used or whether suctioning is performed on the deep or more superficial layers of fat.

These considerations are based in large part upon the goals that you and your plastic surgeon have set for your body contouring surgery.

Q?

How Liposuction is Performed?

A.

Fat is removed by first inserting a small, hollow tube, called a cannula, through one or more tiny incisions near the area to be suctioned. Incisions are usually less than one-quarter inch in length and are placed as inconspicuously as possible, often within skin folds or contour lines. The cannula is connected by tubing to a vacuum pressure unit. Guided by the surgeon, the suction device literally vacuums away the unwanted fat.

Liposuction is popular among men, particularly for eliminating bulging fat around the waist. Areas of the body commonly treated with liposuction are shown, including delicate areas such as the inner knee and the calves and ankles which can be suctioned with a very thin cannula to achieve a more shapely contour. The abdominal area responds well to treatment with liposuction, resulting in a flatter abdominal profile and better-defined waist.

In some patients, liposuction of the upper arms may also be effective. Liposuction can remove fattydeposits in the cheeks, jowls and neck.

Q?

How will Dr. Boss evaluate me for liposuction?

A.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have such as diabetes, high blood pressure or heart disease.

Dr. Boss will want to know about previous surgeries, medical treatments and medications that you currently take. It is important for you to provide complete information. How much you currently weigh and whether you plan to lose or gain weight in the future will be factors in evaluating you for liposuction.

Dr. Boss may ask you about the effects of prior weight loss on the appearance of those areas which you have indicated for contouring. He will assess the elasticity of your skin and estimate the amount of fat to be removed for optimal results.

Q?

How long will the results of my abdominoplasty last?

A.

Unless you gain or lose a significant amount of weight or become pregnant, your abdomen should remain firmer and flatter for many years. However, gravity and the effects of aging will eventually take their toll. If, after a period of years, you again become dissatisfied with the appearance of your abdomen, you may choose to undergo a second procedure to restore a more youthful body contour.

Q?

What are the results of my Abdominoplasty?

A.

Abdominoplasty will enhance your body contour by making your abdomen firmer and flatter. You may find that you feel more comfortable in your clothing and are more confident about your appearance. The incisions from the procedure will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible.

In some instances, they will eventually be only faint lines. Certain individuals may have incision lines that are more noticeable. Fortunately, the incisions for your abdominoplasty are usually in locations concealed by most bathing suits and undergarments.

Q?

When can I resume my normal activities after abdominoplasty?

A.

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. Depending on the extent of your abdominoplasty and your general physical condition.

You may be able to return to non-strenuous work anywhere from one to three weeks after surgery.

In many instances, you can resume most of your normal activities, including some form of mild exercise, after a few weeks. You may continue to experience some mild, periodic discomfort and swelling during this time, but such feelings are normal.

Severe pain should be reported to Dr. Boss.

Any sexual activity should be avoided for a minimum of two weeks, and your plastic surgeon may advise you to wait longer.

Q?

How will I look and feel initially after abdominoplasty?

A.

The day after surgery, you will be encouraged to get out of bed for short walks to promote blood circulation. Although you may not be able to stand up completely straight, it is best if you do not sit for long periods of time during the first several days. Straining, bending and lifting must be avoided, since these activities might cause increased swelling or even bleeding. You may be instructed to sleep on your back with a pillow under your knees.

Any surgical drains probably will be removed within a week following surgery, at which time your dressings may also be changed or removed. Depending on the abdominoplasty technique used, you may be instructed to wear a support garment for several weeks.

Generally, stitches will be removed in stages over a period of approximately one or two weeks. You will notice swelling and bruising, which is to be expected. The bruising and much of the swelling will disappear over a period of weeks. However, it may be months before all swelling subsides and you see the final result of your abdominoplasty. You may also notice some numbness over portions of the abdominal area, and this may persist for several months.

Incisions will initially be red or pink in color. They will remain this way for many months following surgery and may even appear to worsen before they finally begin to fade.

Q?

What will the day of abdominoplasty surgery be like?

A.

Your abdominoplasty may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite. Medications are administered for your comfort during the surgical procedure. Often, a general anesthetic is administered, so that you will be asleep throughout the procedure.

Abdominoplasty may be performed using local anesthesia and intravenous sedation. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. In many instances, small drain tubes will have been placed within the abdominal tissues to help avoid accumulation of fluids. Gauze or other dressings may be applied to your abdomen and covered with tape or an elastic bandage. You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

Q?

How should I prepare for Abdominoplasty surgery?

A.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.

Abdominoplasty maybe performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you for at least the next day or two. When abdominoplasty is performed in conjunction with medically necessary procedures such as hysterectomy or hernia repair, a short hospitalization may be required.

Q?

I understand that every surgical procedure has risks, but how will I learn more about abdominoplasty so that I can make an informed decision?

A.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include bleeding, infection an reactions to anesthesia. Tissue loss along portions of the horizontal incision is a possibility when the abdominoplasty is very extensive.

This complication, which delays healing and prolongs recovery, is more common in patients who smoke or have medical conditions such as diabetes. Revisionary surgery is sometimes helpful in certain instances where incisions may have healed poorly. Following surgery, occasionally, fluid may accumulate under the skin. Removal of this serum is a painless process but may require several visits to Dr. Boss' office. You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.

 

Q?

What are some variations to the common abdominoplasty technique?

A.

There are many variations both to the design of the incisions and the technique itself. In some instances, it may be possible to avoid an incision around the navel. When the amount of loose skin is minimal and the excess fat deposits are located below the navel, a short horizontal incision is all that is necessary.

This procedure is called a partial, or "mini," abdominoplasty. Sometimes liposuction may be used alone, or in conjunction with abdominoplasty, to remove abdominal fat. Endoscopic abdominoplasty is another technique for minimizing scars and may be useful when patients have only a mild degree of excess fat and muscle laxity.

Dr. Boss will discuss with you the particular method that he recommends for achieving the best result in your particular case.

Q?

Where are the incisions placed in abdominoplasty surgery ?

A.

Generally, a horizontal incision is placed just within or above the pubic area. The length of the incision, which extends laterally toward the pelvic bones, depends largely on the amount of skin to be removed. The contour of this incision will vary somewhat according to the structure of your abdomen and the style of bathing suit or undergarments that you prefer.

Your plastic surgeon will try to keep the incision within your bathing suit lines, but this may not always be possible. Some patients have loose skin above the navel. In such cases, the surgeon may make a second incision around the navel so that the redundant skin above it can be pulled down. The excess abdominal skin is then removed. The position of the navel remains unchanged. Skin of the lower abdomen that contains stretch marks may be removed as well. Any remaining stretch marks may be somewhat flattened and improved, but you should not expect a dramatic change in their appearance. The procedure may include tightening of the underlying abdominal muscles using sutures.

Q?

How Abdominoplasty Is Performed?

A.

Individual factors and personal preferences will determine the specific technique selected to smooth and flatten your abdomen.

Generally, a horizontal incision is placed just within or above the pubic area. If there is loose skin above the navel, the surgeon may make a second incision around the navel. Skin in the shaded area is separated from the abdominal wall. To tighten the abdominal wall, the surgeon brings loose underlying tissue and muscle together with sutures. Abdominal skin is pulled downward, and the excess is removed. A small opening is made to bring the navel through.

Q?

How will Dr. Boss evaluate me for abdominoplasty?

A.

Dr. Boss may examine your abdomen while you are standing as well as lying down. Your skin tone and the degree of loose skin in the abdominal region will be assessed. Your surgeon also will evaluate the amount of excess fat in your abdomen and the condition of your abdominal muscles.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, pregnancies, previous surgeries and medications that you currently take. It is important for you to provide complete information.

Q?

What are the results of my Eyelid Surgery? and How long will the results last?

A.

Aesthetic eyelid surgery has the effect of making you look more rested, refreshed and alert. Since the healing process is gradual, you should expect to wait at least several weeks to get an accurate picture of the results of your eyelid surgery. Incisions will fade over a number of months until they become barely visible.

The results of aesthetic eyelid surgery are long-lasting, but they may be affected by your heredity and lifestyle factors. Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent and these conditions generally will not recur. The skin continues to age, however, and skin laxity along the fine wrinkling of the eyelid area may, at some point, return. Sometimes loss of tone in the forehead causes additional sagging of the eyebrows which mimics a recurrence of drooping upper eyelids. if this happens, correction may require a forehead lift or a secondary eyelid procedure.

Even though the aging process continues, patients are usually happy with their appearance for many years following eyelid surgery. Some patients find that they want to make additional improvements at a later time.

Q?

When can I resume my normal activities after eyelid surgery?

A.

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you will be able to resume most of your normal activities within ten days or less. Although you might feel like going back to work just a few days after surgery, your vision may still be slightly blurry which could make reading or other paperwork more difficult.

You should not wear contact lenses for a week or two.

Q?

How will I look and feel initially after eyelid surgery?

A.

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. The first evening after surgery, you should rest quietly with your head elevated.

Dr. Boss may instruct you to apply cold compresses to your eyelids. Remember, you must not take aspirin or certain anti-inflammatory medications. Initially, you may feel a "tight" sensation around the eyes and some mild discomfort that can be controlled with oral medication. During the first 48 hours following surgery, patients experience varying degrees of swelling and bruising. Some patients find that mild swelling persist for several weeks, while others may see swelling resolve in as little as one week. Bruising typically disappears within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration.

Stitches are usually removed within a week of surgery. Your vision may continue to be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. Some plastic surgeons recommend eyedrops to help relieve any burning or itching. You may want to wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation.

Q?

What will the day of eyelid surgery be like?

A.

Your eyelid surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite. Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing eyelid surgery, although general anesthesia may be desirable in some instances.

For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your vision will be blurry as a result of ointment used to soothe and protect the eye during surgery as well as from the swelling that is a normal aftermath of eyelid procedures. There is surprisingly little discomfort, however, from the surgery. You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

Q?

How should I prepare for eyelid surgery?

A.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.

Aesthetic eyelid surgery is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

Q?

I understand that every surgical procedure has risks, but how will I learn more about eyelid surgery so that I can make an informed decision?

A.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Following the surgery, there can be a feeling of dryness or irritation in the eye that requires treatment. There is a possibility of a temporary decrease in sensation of the eyelid skin or impaired eyelid function that sometimes may need to be corrected by additional surgery. You can help minimize certain risks by following the advice and instructions of Dr. Boss, both before and after your eyelid surgery.

Q?

What is done to improve the appearance of my lower eyelids?

A.

For lower eyelid surgery, often an incision is hidden just below the lower lashes. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle laxity may be performed. As in upper eyelid surgery, the incision is well camouflaged by natural creases. In some cases, you and your surgeon may decide that the best approach for removing excess fat is through an incision placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. A laser may sometimes be used in conjunction with this method to tighten the lower eyelid skin.

Q?

How is Dr. Boss able to improve the appearance of my upper eyelids?

A.

For upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when healed.

Q?

How Aesthetic Eyelid Surgery is Performed?

A.

Because of individual factors, not everyone will achieve the same results from eyelid surgery. Dr. Boss will select the surgical technique that he feels will obtain the best outcome for you.

Q?

How will Dr. Boss evaluate me for aesthetic eyelid surgery?

A.

You should come to the consultation prepared to discuss you medial history including previous surgeries, past and present medical conditions and current medications. It is important for you to provide complete information. High blood pressure, thyroid problems or diabetes are among the medical conditions that may increase the risks associated with eyelid surgery. Dr. Boss will want to know if you have allergies, especially if they affect your eyes.

He may ask whether you have ever tried and were unable to wear contact lenses, you should bring them with you in case he wants to test your vision. It will be necessary for him to know if you were ever told by an ophthalmologist that you have a condition called "dry eye" or if you have any other problems with your eyes. One of several surgical techniques may be suggested to improve the appearance of your eyelids.

The particular technique that Dr. Boss recommends will depend on may factors such as the amount of excess fat and skin in the eyelid areas, the position of your eyebrows, and the condition of muscles around your eyelids.

Q?

what are the results of my Face-lift surgery?

A.

The results of your face-lift may be dramatic or subtle, depending on how you look before surgery as well as the specific goals that you and Dr. Boss have established. Since the healing process is gradual, you should expect to wait at least several weeks for an accurate picture of your "new look." Additional minor changes, or settling, may occur over several months.

Q?

When can I resume my normal activities after face-lift surgery?

A.

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you will be able to resume most of your normal activities within two weeks and begin to exercise three to four weeks after surgery. You will be instructed to temporarily avoid exposure to direct sunlight and, for the long-term, to be conscientious about the use of a sunblock to protect your skin.

Q?

How will I look and feel initially after face-lift surgery?

A.

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. After surgery, you will be asked to restrict your activities and simply relax for a few days. Elevating your head when you sleep will help to minimize swelling and bruising.

Remember, you must not take aspirin or certain anti-inflammatory medications, and you should not smoke or be exposed to heavy secondary smoke for a while. Any bandages and drain tubes will usually be removed in one or two days. At that time, you will notice puffiness and discoloration which may be more pronounced in some portions of your face than others.

Do not be alarmed by any unevenness or temporary asymmetry caused by this variance in swelling and bruising, which is perfectly normal. Generally, the greatest amount of swelling occurs 24 to 48 hours after surgery, but it may take several weeks before all puffiness is resolved. Most bruising will disappear within two weeks. After a few days, you will be permitted to wear makeup which will help conceal and discoloration.

You will also experience some numbness in the facial area, which may be present for several weeks or longer. Your stitches will be removed from four to seven days after surgery.

Q?

What will the day of face-lift surgery be like?

A.

Your face-lift may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite. Medications are administered for your comfort during the surgical procedure. You and Dr. Boss will have decided in advance what type of anesthesia is to be used, either intravenous sedation or general anesthesia. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulation in your blood.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. A bandage may have been wrapped around your face to be closely monitored. A bandage may have minimize swelling.

Sometimes small tubes will have been inserted beneath the skin to drain away fluids that might otherwise accumulate, but you will not feel these at all. In fact, there is surprisingly little discomfort from the surgery. You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

Q?

How should I prepare for face-lift surgery?

A.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. your surgeon will advise you and provide additional preoperative instructions.

If your hair if very short, you may want to let it grow enough to cover your incisions while they heal. If you are overweight you have a realistic desire to lose more that 15 pounds, you should discuss this with your surgeon. If your facelift will be performed on an outpatient basis, be sure to arrange for someone to drive you home and to stay with you at least the first night following surgery.

Q?

I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?

A.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia.

While plastic surgeons are trained in techniques for safely manipulating facial skin and tissue, injury to underlying structures is possible, though it is usually only temporary. Facelift incisions are most often inconspicuous, but this is not entirely predicable due to individual variations in healing. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after surgery.

Q?

How is Dr. Boss able to restore a firmer, fresher look to my face?

A.

Through the discreet face-lift incisions, your plastic surgeon is able to free the skin from the underlying tissues to the extent necessary for the particular surgical technique selected. After the skin has been pulled up and back, the excess is removed. In some instances, the deeper tissues may also need to be repositioned in order to restore a more youthful contour to your face.

If necessary, a small incision beneath the chin permits the removal of fatty tissue in that area and smoothing of the cord-like structures of the underlying muscle in the neck.

Q?

Where are the facelift incisions placed?

A.

Although there are many variations to the facelift procedure, generally an incision is hidden in the natural contour of your ear, then extends around the earlobe and back into the hairline. Following surgery, incisions can be easily concealed by your hair or with makeup. There may also be a small incision hidden underneath your chin.

Most facelift incisions are placed within the hairline and within natural contours in front of and behind the ear. Sometimes the deeper tissues may also need to be repositioned in order to restore a more youthful contour to the face. After the skin has been pulled up and back, the excess is removed.

Q?

How a Face Lift is Performed?

A.

Because of individual factors, not everyone will achieve the same results from a facelift. Dr. Boss will select the surgical technique that he feels will obtain the best outcome for you.

Q?

How will Dr. Boss evaluate me for face-lift surgery?

A.

In evaluating you for face-lift surgery, Dr. Boss will assess the thickness, texture and elasticity of your skin, and the severity of wrinkles and folds. Your hairline will be examined to determine where incisions can be discreetly placed. All of these factors, as well as your bone structure and underlying tissues, will be considered in developing an individual surgical plan.

Dr. Boss may discuss with you additional procedures that can be performed along with a facelift in order to address all the concerns you have identified. For example, a facelift is frequently combined with a forehead lift, eyelid surgery, nose reshaping or skin treatments such as a chemical peel, dermabrasion or laser resurfacing.

 

Q?

What are the results of my Rhinoplasty?

A.

The goal of rhinoplasty is a nose that looks natural and blends harmoniously with your other facial features. Since the healing process is gradual, you should expect to wait up to one year to see the final results of your rhinoplasty.

You are likely, however, to begin enjoying your new look within weeks of your surgery. Occasionally, a touchup may be desired to further improve the results. If this is the case, the additional procedure is usually less extensive than the original operation. In most instances, the results of rhinoplasty are permanent, except for possible changes associated with the normal aging process.

 

Q?

When can I resume my normal activities after rhinoplasty surgery?

A.

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you may be able to return to work within a week or ten days after surgery.

Most normal activities including exercise can usually be resumed within three weeks. It will be a few months before you can expose your reshaped nose to direct sunlight. Your nose will be sensitive during this time, and you must be conscientious about using a sunblock to protect your skin. If the bones of your nose were altered, it may be a number of weeks before you can wear glasses without special support such as tape.

Q?

How will I look and feel initially after rhinoplasty surgery?

A.

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. The first couple of days after surgery, you should restrict your activities and sleep with your head elevated. This will help to minimize swelling and reduce the possibility of minor bleeding, which is not uncommon.

Remember, you must not take aspirin or certain anti-flammatory medications. Generally, bruising around the eyes and cheeks is most apparent during the first three days following surgery. Most discoloration will disappear within a week. A few days after surgery, you can begin to use makeup as a concealer, if desired.

Noticeable swelling may last for several weeks. Minor residual swelling, most frequently affecting the nasal tip, may continue for many months, but generally this should not be apparent to others. If packing was used, it will either dissolve by itself or be removed three to seven days after surgery. Stitches may also be removed at that time. You may need to continue wearing the nasal splint for up to a week, during which time you should avoid getting it wet.

Q?

What will the day of rhinoplasty surgery be like?

A.

Your rhinoplasty may be performed in a hospital, free-standing ambulatory facility or officebased surgical suite. Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing eyelid surgery, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. There may be some discomfort, but this can be controlled by medication which you may continue taking at home. Depending on the surgical technique used, a splint may have been placed on the bridge of your nose for the purpose of holding the tissues in place until they have stabilized.

The splint will protect your nose while you sleep and shield it from accidental bumps. Frequently, you may also have a small triangular bandage beneath the tip of your nose. Packing or soft internal splints are sometimes used inside the nostrils, especially if work has been done to improve your breathing.

You probably will be permitted to go home after a few hours, although some patients may stay overnight in the hospital or surgical facility.

Q?

How should I prepare for rhinoplasty  surgery?

A.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.

If your rhinoplasty will be performed on an outpatient basis, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

Q?

I understand that every surgical procedure has risks, but how will I learn more about rhinoplasty so that I can make an informed decision?

A.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia.

Numbness of the skin following rhinoplasty may occur but is usually temporary.. Occasionally, if the surgical outcome needs further improvement, additional surgery may be necessary. You can help minimize certain risks by following the advice and instructions of Dr. Boss, both before and after your surgery.

 

Q?

How is Dr. Boss able to reshape my nose?

A.

Through the small incisions described previously, work is done on the cartilage and bone that form the framework of your nose. Sometimes, the position of certain bones may need to be altered slightly in order to make your nose look narrower and straighter.

If your nose needs to be built up in some areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site. The skin and soft tissues then redrape themselves over this new "scaffolding."

 

Q?

Where are the rhinoplasty incisions placed?

A.

Alterations may be made to increase or decrease the nasal bridge, reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and upper lip, or reshape the tip. The surgical techniques employed will depend primarily on the goals established by you and your plastic surgeon. In many instances, all of the incisions will be placed inside your nose, where they will not be visible. If the base of the nose is narrowed or the nostrils reduced, small wedges of skin at the base of the nostrils will be removed.

Incisions are hidden in the natural crease where the nostril joins the cheek. Sometimes a very short incision is made across the vertical strip of tissue that separates the nostrils, called the columella. This technique is called an "open rhinoplasty." Whatever incisions are used to reshape your nose, they will ultimately be very inconspicuous.

Small wedges of skin, as shown, are removed to narrow the base of the nose or reduce the width of the nostrils. Incisions are placed inside the nose to provide access to the cartilage (blue shaded area) and brown (light brown shaded area) that form the nasal framework.

Depending on the surgical technique used, a splint may be placed on the bridge of the nose for the purpose of holding the tissues in place until they have stabilized.

Q?

How Rhinoplasty is Performed?

A.

Because of individual factors, not everyone will achieve the same results from rhinoplasty. Your surgeon's goal is to obtain the best possible results for you.

 

Q?

How will Dr. Boss evaluate me for rhinoplasty?

A.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions you may have, medical treatments you have received previous surgeries including repair of nasal injuries, and medications that you currently take. Dr. Boss may also ask whether you have difficulty breathing through your nose, suffer from allergies that may cause nasal stuffiness, or are a chronic user of nasal spray. It is important for you to provide complete information.

In evaluating you for rhinoplasty, Dr. Boss will conduct a routine and painless examination of your internal nasal structures. Your skin quality as well as the size and shape of your nose and its relationship to your other facial features will be carefully studied. In some instances, your plastic surgeon may recommend surgery of your chin, making it either more or less prominent, to improve facial balance. This procedure can be done at the same as your rhinoplasty.

Q?

What are the results of a Breast-Lift surgery? And how long will the results last?

A.

Breast-lift surgery will make your breasts firmer and more uplifted. The position of your areolas and nipples will be enhanced, and the size of your areolas will be aesthetically pleasing. The incisions from your breast lift surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible. In some instances, they will eventually be only faint lines. Certain individuals may have incision lines that are more noticeable. Fortunately, the incisions for your breast lift are in locations easily concealed by clothing, even low-cut necklines.

Unless you gain or lose a significant amount of weight or become pregnant, your new breast shape should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you again become dissatisfied with the appearance of your breasts, you may choose to undergo a second breast lift procedure to restore their more youthful contour and appearance.

Q?

When can I resume my normal activities after breast-lift surgery?

A.

After breast-lift surgery, it is often possible to return to work within a week or so, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to Dr. Boss.

Any sexual activity should be avoided for a minimum of one or two weeks, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your breasts for at least the next several weeks.

 

Q?

How will I look and feel initially after breast-lift surgery?

A.

The day after surgery, you will be encouraged to get out of bed for short periods of time. After several days, you should be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleeding. You may be instructed to sleep on your back to avoid pressure on your breasts.

Any surgical drains will be removed within a few days of surgery, at which time your dressings may also be changed or removed. You may be instructed to wear a support bra for a few weeks, until the swelling and discoloration of your breasts diminish. Generally, stitches will be removed in stages over a period of approximately three weeks, beginning about one week after surgery.

You may notice that you feel less sensation in the nipple and areola areas. This is usually temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. Your breasts may also require some time to assume a more natural shape.

Incisions will initially be red or pink in color. They will remain this way for many months following surgery.

Q?

What will the day of breast-lift surgery be like?

A.

Your breast lift surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite. Medications are administered for your comfort during the surgical procedure. Often, a general anesthetic is administered, so that you will be asleep throughout the procedure.

Alternatively, a breast lift may be performed using local anesthesia and intravenous sedation. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Sometimes, small drain tubes will have been placed in your breasts to help avoid the accumulation of fluids. Gauze or other dressings may be placed on your breasts and covered with an elastic bandage or surgical bra.

You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

Q?

How should I prepare for breast-lift surgery?

A.

Depending on your age, or if you have a history of breast cancer in your family, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following a breast lift, you will still be able to perform breast self-examination. Breast lift surgery will not increase your risk of developing breast cancer.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions. Breast lift surgery is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night.

 

Q?

I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision about my breast-lift surgery?

A.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include bleeding, infection and reactions to anesthesia. Following a breast lift, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. Minor adjustments often can be made at a later time. Permanent loss of sensation in the nipples or areas of breast skin may occur rarely. Revisionary surgery may sometimes be helpful in certain instances where incisions may have healed poorly.

You can help to lessen certain risks by following the advice and instructions of Dr. Boss, both before and after surgery.

 

Q?

What are some variations to the common breast-lifting technique?

A.

There are many variations to the design of the incisions for breast lift surgery. The size and shape of your breasts, size of your areolas, and extent of sagging are factors that will help

your plastic surgeon determine the best technique for you. In some instances, it may be possible to avoid the horizontal incision beneath the breast. Sometimes a technique may be used that avoids this horizontal incision as well as the vertical incision that runs from the bottom edge of the areola to the breast crease. If you are a good candidate for a modified technique, your plastic surgeon will discuss this with you. If you and your plastic surgeon have decided that it is desirable to enlarge your breasts at the same time as they are lifted, this will require insertion of breast implants. If this is an option that you wish to consider, your surgeon will review the necessary information with you and may provide you with a brochure on breast augmentation.

Q?

Where are the incisions placed in Breast-Lift Surgery?

A.

A common method of lifting the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease.

After the plastic surgeon has removed excess breast skin, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast.

The nipples and areolas remain attached to underlying mounds of tissue, and this usually allows for the preservation of sensation and the ability to breast-feed.

Incisions following the breast's natural contour define the area of excision and the new location for the nipple and areola. Skin in the shaded area is removed, and the nipple and areola are moved to a higher position. Skin formerly located above the areola is brought down and together beneath it to reshape the breast.

 

Q?

How a Breast Lift Is Performed?

A.

Individual factors and personal preferences will determine the specific technique selected to lift your breasts.

Q?

How will Dr. Boss evaluate me for Breast-Lift Surgery?

A.

Dr. Boss will examine your breasts, taking measurements and perhaps photographs for your medical record. The size and shape of your breasts, the quality of your skin, and the placement of the nipples and areolas will be carefully evaluated. You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take.

It is important for you to provide complete information. You should tell Dr. Boss if you plan to lose a significant amount of weight, particularly if you have noticed that your breasts sag or become smaller with weight loss. He may recommend that you stabilize your weight before having surgery.

Q?

Is it required to have Personal Consultation for breast augmentation surgery? (I read your site)

A.

Yes, It is. Please contact us to make an appointment. During the consultation, you will be asked about your desired breast size and anything else related to the appearance of your breasts that you feel is important. This will help Dr. Boss to understand your expectations and determine whether they realistically can be achieved.

Q?

What are the results of my breast augmentation? and How long will the results last?

A.

Breast augmentation will make your breasts fuller and enhance their shape. You will find it easier to wear certain styles of clothing. Like many women who have had breast augmentation, you may have a boost in self-confidence.

Except in the event of implant deflation requiring surgical replacement with a new implant, the results of your breast augmentation surgery will be long-lasting. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting" to restore their more youthful contour.

Q?

When can I resume my normal activities after breast-augmentation surgery?

A.

After breast augmentation surgery, it is often possible to return to work within just a few days or a week, depending on your job. Vigorous activities, especially arm movement, may be restricted for two to three weeks. Sexual activity should be avoided for at least the first week following surgery. After that, care must be taken to be extremely gentle with your breasts for at least the next month.

Q?

How will I look and feel initially after breast-augmentation surgery?

A.

A day or two after surgery, you should be up and about. Any dressings will be removed within several days, and you may be instructed to wear a support bra. Your plastic surgeon will probably permit you to shower between three and seven days following surgery. Stitches will be removed in about a week. Some discoloration and swelling will occur initially, but this will disappear quickly. Most residual swelling will resolve within a month.

Q?

What will the day of breast-augmentation surgery be like?

A.

Your breast augmentation surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite. Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing breast augmentation, although general anesthesia may be desirable in some instances.

When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your breasts will be wrapped in gauze dressings or a surgical bra. You may be permitted to go home after a few hours, unless you and your plastic surgeon have determined that you will stay in the hospital or surgical facility overnight.

Q?

How should I prepare for breast-augmentation surgery?

A.

In some instances, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast augmentation, you will still be able to perform breast self-examination.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions. Breast augmentation is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

Q?

I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?

A.

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include reactions to anesthesia, blood accumulation that may need to be drained surgically and infection. Although rare, an infection that does not subside with appropriate treatment may require temporary removal of the implant. Changes in nipple or breast sensation may result from breast augmentation surgery, although they usually are temporary.

When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. Capsular contracture can occur to varying degrees. If it is severe, it can cause discomfort or changes in the breast's appearance. In such cases, more surgery may be needed to modify or remove the scar tissue, or perhaps remove or replace the implant.

Breast implants are not lifetime devices and cannot be expected to last forever. If a salinefilled implant breaks, its contents are harmlessly absorbed by the body within hours. A definite change in the size of the breast is clearly noticed. Rupture can occur as a result of trauma to the chest, but more commonly it occurs spontaneously with no apparent cause. Surgery will be required to replace the implant, if desired.

If you are at an age when mammographic examinations should be conducted on a periodic basis, it will be important for you to select a radiology technician who is experienced in taking x-rays of augmented breasts. Additional views of your breasts will be required. Your plastic surgeon, in some instances, may recommend other types of examinations such as ultrasound or magnetic resonance imaging. It is possible that the presence of breast implants could delay or hinder the early detection of breast cancer.

Some women with breast implants have reported problems including certain connective tissue and immune-related diseases. Women without implants also have these disorders, so the key question is whether breast implants increase the risk of developing the conditions.

Several large studies have been completed that provide reassurance that women with breast implants do not have a significantly increased risk for these diseases.

Q?

How Breast Augmentation is Performed?

A.

Individual factors and personal preferences will help you and your plastic surgeon to determine your appropriate breast size, the location of incisions, and whether the implants will be placed on top of or underneath the chest muscle. One of the advantages of a salinefilled implant is that, because it is filled with saltwater after being inserted, only a small incision is needed. Often, an incision of less than one inch is made underneath the breast, just above the crease, where it is usually quite inconspicuous. Another possible location for the incision is around the lower edge of the areola. A third alternative is to make a small incision within the armpit. Once the incision is made, the surgeon creates a pocket into which the implant will be inserted. This pocket is made either directly behind the breast tissue or underneath the pectoral muscle which is located between the breast tissue and chest wall.

Q?

What type of implants will be used in breast augmentation?

A.

In 1992, because further studies were needed to establish the safety of breast implants, the Food and Drug Administration decided that silicone gel filled implants would not be generally available for cosmetic breast enlargement. Currently, all women undergoing breast augmentation receive saline-filled implants which consist of a silicone shell filled with sterile saltwater. New scientific data on the safety of breast implants is rapidly being collected. In the future, it is possible that additional types of filler materials may become available. Dr. Boss will provide you with the latest information.

Q?

Am I a good candidate for breast augmentation?

A.

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

- you are bothered by the feeling that your breasts are too small,

- clothes that fit well around your hips are often too large at the bustline,

- you feel self-conscious wearing a swimsuit or form-fitting top,

- your breasts have become smaller and lost their firmness after having children,

- weight loss has changed the size and shape of your breasts,

- one of your breasts is noticeably smaller than the other.

 

 

Q?

How should I prepare for surgery?

A.

In some instances, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast augmentation, you will still be able to perform breast self-examination.

If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions. Breast augmentation is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

Q?

Am I a good candidate for breast augmentation?

A.

One or more of the following feelings or conditions may indicate that you are a good candidate for breast augmentation:

- you are bothered by the feeling that your breasts are too small,

- clothes that fit well around your hips are often too large at the bustline,

- you feel self-conscious wearing a swimsuit or form-fitting top,

- your breasts have become smaller and lost their firmness after having children,

- weight loss has changed the size and shape of your breasts,

- one of your breasts is noticeably smaller than the other.

Q?

Am I a good candidate for rhinoplasty?

A.

Some of the indications that you may be a good candidate for rhinoplasty are:

- your nose appears too large for your face,

- there is a bump on the nasal bridge when viewed in profile,

- your nose seems too wide when viewed from the front,

- the nasal tip droops or plunges,

- the tip is thickened or enlarged,

- your nostrils are excessively flared,

- your nose is off-center or crooked,

- previous injury has made your nose asymmetrical.

It is important that you have a clear idea of how you would like your nose to look and, at the same time, realize that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo rhinoplasty because they want to enhance their selfimage are usually very satisfied with their decision.

Q?

Am I a good candidate for liposuction?

A.

You may be a good candidate for liposuction if you have localized excess fat or if you desire contouring in any of the following areas:

- cheeks, jowls and neck,

- upper arms,

- inner knee, inner and outer thighs,

- hips and buttocks,

- breast or chest areas, abdomen and waist.

Liposuction may sometimes be used to treat a condition called gynecomastia, or male breast enlargement, which frequently occurs among both teenage and adult males. Liposuction should not be considered a substitute for overall weight loss, nor is it an effective treatment for cellulite, a condition that gives the skin an uneven, dimpled appearance. Alternative treatments may be considered, in some instances, to improve this problem.

Liposuction can be performed on several areas of the body at the same time, and it can also be done in conjunction with other aesthetic plastic surgery.

Q?

Am I a good candidate for abdominoplasty?

A.

You may be a good candidate for abdominoplasty if you have one or more of the following

conditions:

- excess or sagging abdominal skin,

- an abdomen that protrudes and is out of proportion to the rest of your body,

- abdominal muscles that have been separated and weakened,

- excess fatty tissue that is concentrated in your abdomen.

If you plan to become pregnant or lose weight in the future, you should discuss this with Dr.Boss. Scarring from previous abdominal surgery may limit the results of your abdominoplasty.

Q?

Am I a good candidate for a breast lift?

A.

You may be a good candidate for breast lift surgery if you have one or more of the following conditions:

- breasts that are pendulous, but of satisfactory size,

- breasts that lack substance or firmness,

- nipples and areolas that point downward, especially if they are positioned below the breast crease..

Sometimes these conditions may be inherited traits. In certain cases, the breasts may have developed differently so that one breast is firm and well positioned while the other is not. There may be differences in the size of your breasts as well as their shape. Breasts that are large and heavy can be lifted, but the results may not be as long-lasting as when the procedure is done on smaller breasts. A breast lift can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Pregnancy and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts.

Nevertheless, many women decide to undergo breast lift surgery before having children and feel that they can address any subsequent changes later. Since the milk ducts and nipples are left intact, breast lift surgery usually will not affect your ability to breast-feed; however, you should discuss this with Dr. Boss.

Q?

Am I a good candidate for a facelift?

A.

Any one or combination of the following conditions may indicate that you are a good candidate for a forehead lift:

- a deep line, or fold, running from the corner of your nose to the corner of your mouth,

- jowls, or loss of a well-defined jawline associated with youthfulness,

- deep wrinkles in the cheeks and sagging of the “highlight” areas of the cheekbones,

- loose skin, wrinkles, vertical “cords” or excess fatty tissue in the neck.

A facelift can improve all of these problems. It cannot, however, correct conditions such as sagging eyebrows, excess skin and fatty deposits in the upper and lower eyelids, or wrinkles around the mouth. Your plastic surgeon can provide further information if you have an interest in other procedures to treat these areas.