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Breast Augmentation
Am I a good candidate for breast augmentation?
Breast augmentation, also known as augmentation mammaplasty, is a procedure that enhances the size and shape of a woman's breast. In 2005, more than 350,000 breast augmentation surgeries were performed in the United States. It is one of the more common procedures performed by Board Certified plastic surgeon Dr. Tyrone.
Generally, most healthy women are candidates for breast augmentation surgery. Age is not a contraindication to breast implant surgery, and it is not uncommon for women in their 50's or later to undergo the procedure. Breast augmentation can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with Dr. Tyrone. If you're physically healthy and realistic in your expectations, you may be a good candidate.
What types of implants are available for breast augmentation surgery?
A breast implant is a medical device with a silicone shell filled with either silicone gel or a salt-water solution known as saline. Most cosmetic breast augmentation involves the placement of saline-filled implants behind the breast or chest muscle. For the majority of women, saline implants are safe and reliable, and make and excellent choice. For a select group of patients, Dr. Tyrone may recommend silicone gel breast implants. These include patients with very thin soft tissues coverage of the chest, those who require a breast lift in conjunction with an augmentation and those patients who require implants following breast cancer surgery. Silicone gel implants are available to women who meet inclusion criteria determined by the FDA. This includes most women over the age of 22 years old.
Dr. Tyrone will discuss with you the advantages and disadvantages of each type of breast implant, and help you make a decision that is best for you.
What will my breast augmentation consultation with Dr. Tyrone entail?
During your initial breast augmentation consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. It is important to be thorough when discussing your medical history as safety is Dr. Tyrone's top priority. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted surgical omplications. You will discuss your concerns and motivations for seeking breast augmentation. Details of the breast augmentation will be discussed including incision placement, implant type and size as well what is expected of you preoperatively and postoperatively. The risks of surgery will also be discussed in detail. Numerous before and after photographs of actual patients will be reviewed during your consultation. Dr. Tyrone will be able to tell you where the incisions in the photographs are located as well as the size of the implants. Frequently, during this part of the breast augmentation consultation, the patient sees a photograph that she feels is most similar to the before and after result she would like to obtain.
Following your consultation, you will meet with our patient coordinator, to discuss scheduling your surgery and answer any other questions you may have.
What do I need to do to prepare for my breast augmentation surgery?
Once you have scheduled your breast augmentation surgery with Dr. Tyrone, you will be given preoperative instructions that discuss everything from finances to follow-up visits after your surgery. Prior to your breast augmentation, you will receive prescriptions form Dr. Tyrone's patient coordinator. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from surgery.
You will receive a list of medications (i.e. aspirin and nonsteroidal anti-inflammatory drugs) to avoid for 14 days prior to your breast augmentation surgery. Additionally, though there is no scientific proof that certain medications reduce bruising, swelling and pain after breast augmentation surgery, you will be asked to obtain Arnica Montana, Bromelain and Vitamin A pills to take prior to and after your procedure. Finally, the night before surgery, shower and wash as you would normally and do not eat or drink after midnight.
Where will my surgery take place?
Dr. Tyrone performs breast augmentation surgery in a new, state of the art operating facility located in Gainesville, Florida. The Laser and Outpatient Surgery Center, located in Gainesville, Florida is certified at the highest level by American Association for Accreditation of Ambulatory Surgery Facilities. Our entire staff is dedicated to your comfort and satisfaction. A beautifully decorated reception area, comfortable exam rooms and attentive care from our staff through all phases of your recovery help to make your entire surgical experience a pleasant one. Every measure has been taken to ensure your safety and comfort.
When you arrive at the surgery center for your breast implant surgery with Dr. Tyrone, you will check in and be escorted to the surgery suite. Dr. Tyrone and his nurses will meet with you prior to your surgery.
If Dr. Tyrone feels a hospital is a more appropriate setting for your surgery, he has full privileges at several local hospitals including North Florida Regional Medical Center.
What results can I expect?
Provided you are a good candidate for breast augmentation surgery, breast implants will provide you with the increased size and fullness you are seeking. The results will be long lasting. It is important to remember that your breast will continue to age on top of the implant. Breast shape may also subsequently change secondary to pregnancy and fluctuations in weight. Problems with the implants themselves are rare; however, implant rupture may occur and require the placement of a new silicone or saline breast implant. Maintaining a relationship with Dr. Tyrone after your breast augmentation surgery is important to help you address these changes and other concerns which may arise. Regular examination by Dr. Tyrone and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
What are the risks of breast implant surgery?
Breast augmentation is relatively straightforward procedure, and most patients have very low risks of complications. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.
The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or "scoring" of the scar tissue, or perhaps removal or replacement of the implant. Massage of the breast implants after surgery has been demonstrated to decrease the incidence of capsular contracture. Dr. Tyrone will instruct you on the proper massage technique following surgery, and it is important to follow his recommended regimen.
As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.
A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.
Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.
There is no evidence that breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery. This may cause some discomfort, but can be treated with medication prescribed by your doctor.
Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak. If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be harmlessly absorbed by the body.
If a break occurs in a gel-filled implant, however, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, you may not detect any change. If the scar also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue. The gel may collect in the breast and cause a new scar to form around it, or it may migrate to another area of the body. There may be a change in the shape or firmness of the breast. Both types of breaks may require a second operation and replacement of the leaking implant. In some cases, it may not be possible to remove all of the silicone gel in the breast tissue if a rupture should occur.
While there is no evidence that breast implants cause breast cancer, they may change the way mammography is done to detect cancer. When you request a routine mammogram, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast with an implant. Additional views will be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant.
While the majority of women do not experience these complications, Dr. Tyrone will discuss each with you to make sure you understand the risks and consequences of breast augmentation.
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Breast Reduction
Am I a good candidate for breast reduction surgery?
Breast reduction surgery, also known as reduction mammaplasty, is a procedure that reduces the size and enhances the shape of a woman's breast. It is one of the more common procedures performed by Board Certified Plastic Surgeon Dr. Tyrone. Good candidates for breast reduction surgery are patients who have large pendulous breasts, large breasts which are out of proportion to the rest of their body and patients who have one breast which is much larger than the other (ie breast asymmetry). Patients with large breasts often have neck and back pain as well as skin irritation in between and underneath their breasts. Patients with macromastia (ie large breasts) also frequently have bra-strap grooving. If you have large breasts and symptoms as previously described, insurance may cover the costs of your surgery.
Dr. Tyrone performs breast reduction surgery with the latest, most refined techniques available. Following a breast reduction, symptoms of back and neck pain as well as skin irritation are often corrected. Though scarring is permanent, the scars do fade over time. Despite the scarring involved in breast reduction surgery, patients who have had breast reduction surgery are amongst Dr. Tyrone 's happiest plastic and cosmetic surgery patients.
What will my breast reduction consultation with Dr. Tyrone entail?
During your initial breast reduction consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. It is important to be thorough when discussing your medical history as safety is Dr. Tyrone's top priority. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted complications after surgery. You will discuss your concerns and motivations for seeking a breast reduction. Details of breast reduction surgery will be discussed including the location of the incisions and resultant scars. The risks of surgery will be discussed in detail.
You will then be asked to put a gown on, and Dr. Tyrone will examine your breast for any abnormalities. Differences between the 2 breasts (i.e. asymmetry) will be noted and proposed incisions demonstrated. Based on your examination, measurements and photographs, Dr. Tyrone will be able to determine which breast reduction technique will work best for you. Dr. Tyrone encourages you to ask any questions during you consultation. Following your consultation, you will meet with Dr. Tyrone's patient coordinator to discuss scheduling your surgery and answer any questions you may have forgotten to ask Dr. Tyrone. Numerous before and after photographs of actual breast reduction patients will be reviewed during your consultation.
Breast reduction surgery is not an exact science. Although the majority of women experience no complications, Dr. Tyrone will discuss potential risks and complications of breast reduction surgery at the time of your consultation. Prior to undergoing breast reduction surgery with Dr. Tyrone, it is important for you to fully understand the risks and potential complications associated with your procedure.
Where are the incisions placed for breast reduction surgery?
Incisions are typically located around the areola (pigmented skin around the nipple) extending down to the fold underneath the breast, and underneath the breast itself. There are many "short scar" techniques that eliminate the incision placed underneath the breast. Dr. Tyrone will let you know during your consultation if you are a candidate for a minimal incision breast reduction. Candidates for a minimal incision breast reduction are frequently those patients seeking a small reduction and have minimal excess breast skin and stretch marks. When a short scar breast reduction technique is used, liposuction is frequently utilized to reduce the lateral and axillary breast fullness. For patients seeking a breast reduction who do not wish to have any scars, a lipo-breast reduction may also be an option (utilizing liposuction to reduce the volume of the breasts with several small incisions). This may be an option if skin quality of the breast is good and minimal nipple elevation is required. Just as any other surgical scar or incision, incisions from breast reduction surgery predictably mature and fade over time. Dr. Tyrone will instruct you on how to optimize and support your incisions in the postoperative period to obtain the best scar possible.
What do I need to do to prepare for my breast reduction surgery?
Once you have scheduled your breast reduction surgery with Dr. Tyrone, you will be given preoperative instructions that discuss everything from finances to follow-up visits after your surgery. Prior to your breast reduction surgery, you may need basic blood work and medical clearance from your primary medical doctor. You will receive prescriptions form Dr. Tyrone's patient coordinator prior to breast reduction surgery. A mammogram may be requested if Dr. Tyrone feels it is indicated. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from your breast reduction surgery.
You will receive a list of medications (ie aspirin and nonsteroidal anti-inflammatory drugs) to avoid for 14 days prior to your breast redcution surgery with Dr. Tyrone. Additionally, though there is no scientific proof that certain medications reduce bruising, swelling and pain after breast reduction surgery, you will be asked to obtain Arnica Montana, Bromelain and Vitamin A pills to take prior to and after your procedure. Finally, the night before your breast reduction, shower and wash as you would normally and do not eat or drink after midnight.
What results can I expect?
Provided you are a good candidate for breast reduction surgery, your breasts will be lighter and higher up on your chest. If you had a large breast reduction and suffered from back pain, neck pain and rashes underneath your breasts, these will often be significantly improved. Your body will look better proportioned, and clothes will fit you better. If your weight remains stable, your breast size should remain stable as well. Maintaining a relationship with Dr. Tyrone after your breast reduction surgery is important to help you address any changes and other concerns which may arise. Regular examination by Dr. Tyrone and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
Where will my surgery take place?
Dr. Tyrone performs breast reduction surgery at NFRMC's outpatient surgical Pavillion. Every measure has been taken to ensure your safety and comfort. Anesthesia services are provided by board-certified MD anesthesiologists.
When you arrive at the outpatient surgery center for your breast reduction with Dr. Tyrone, you will check in and be escorted to the preoperative area. Dr. Tyrone, his nurses and the anesthesiologist will meet with you prior to your surgery.
If Dr. Tyrone feels a hospital is a more appropriate setting for your surgery, he has full privileges at several local hospitals including North Florida Regional Medical Center.
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Breast Lift
Am I a good candidate for breast lift surgery?
Breast lift surgery, also known as mastopexy, is a procedure that enhances the shape of a woman's breast. It is one of the more common procedures performed by Gainesville, Florida Board Certified plastic surgeon Dr. Tyrone. Breast shape is affected by numerous factors including loss of skin elasticity that occurs with aging, pregnancy, breast feeding and fluctuation in a woman's weight. As the skin loses its elasticity, the breasts tend to elongate and lose their more youthful form. If you are satisfied with your breast volume but feel your breasts sit too low on your chest, breast lift surgery will address your concerns. A breast lift can restore the contour and shape of your breasts.
Dr. Tyrone performs breast lift surgery with the latest, most refined techniques available. He can redefine the bust line by repositioning the nipple and areola (the darker skin surrounding the nipple) to a higher position, returning the breast tissue to a higher level, removing excess skin from the lower portion of the breast, and then reshaping the remaining breast tissue and skin.
What will my breast lift consultation with Dr. Tyrone entail?
During your initial breast lift consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. It is important to be thorough when discussing your medical history as safety is Dr. Tyrone's top priority. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted complications after surgery. You will discuss your concerns and motivations for seeking cosmetic breast surgery. Details of breast lift or mastopexy surgery will be discussed including the location of incisions. The risks of surgery will be discussed in detail.
Breast lift surgery is not an exact science. Although the majority of women experience no complications, Dr. Tyrone will discuss potential risks and complications of breast lift surgery at the time of your consultation. Prior to undergoing breast lift surgery with Dr. Tyrone, it is important for you to fully understand the risks and potential complications associated with your procedure.
Do I need an implant placed at the time of my breast lift?
Some patients require a combination of techniques to achieve their goals. As the breasts begin to sag, they may also lose some of their size and volume that they previously had. Dr. Tyrone may recommend that you consider breast augmentation at the same time as your breast lift. A saline or silicone gel breast implant placed at the time of your breast lift will restore the volume to your breasts. No additional incisons are needed as the implants are placed through the breast lift incisions.
Where are the incisions placed for breast reduction surgery?
Incisions are typically located around the areola (pigmented skin around the nipple) extending down to the fold underneath the breast, and underneath the breast itself. There are many "short scar" techniques that eliminate the incision placed underneath the breast. Dr. Tyrone will let you know during your consultation if you are a candidate for a minimal incision breast reduction. Candidates for a minimal incision mastopexy are those patients who require a moderate amount of skin excision and nipple-areola movement. Just as any other surgical scar or incision, incisions from breast lift surgery predictably mature and fade over time. Dr. Tyrone will instruct you on how to optimize and support your incisions in the postoperative period.
What do I need to do to prepare for my breast augmentation surgery in Gainesville, Florida?
Once you have scheduled your breast lift surgery with Dr. Tyrone in Gainesville, Florida, you will be given preoperative instructions that discuss everything from finances to follow-up visits after your surgery. Prior to your breast lift surgery, you will need basic blood work and medical clearance form your primary medical doctor. You will receive prescriptions form Dr. Tyrone's patient coordinator prior to breast lift surgery. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from surgery.
You will receive a list of medications (ie aspirin and nonsteroidal anti-inflammatory drugs) to avoid for 14 days prior to your breast augmentation surgery with Dr. Tyrone. Additionally, though there is no scientific proof that certain medications reduce bruising, swelling and pain after breast augmentation surgery, you will be asked to obtain Arnica Montana, Bromelain and Vitamin A pills to take prior to and after your procedure. Finally, the night before surgery, shower and wash as you would normally and do not eat or drink after midnight.
What results can I expect?
Provided you are a good candidate for breast augmentation surgery, breast implants will provide you with the increased size and fullness you are seeking. The results will be long lasting. It is important to remember that your breast will continue to age on top of the implant. Breast shape may also subsequently change secondary to pregnancy and fluctuations in weight. Problems with the implants themselves are rare; however, implant rupture may occur and require the placement of a new silicone or saline breast implant. Maintaining a relationship with Dr. Tyrone after your breast augmentation surgery is important to help you address these changes and other concerns which may arise. Regular examination by Dr. Tyrone and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
Where will my surgery take place?
Dr. Tyrone performs breast lift and mastopexy surgery in a new, state of the art operating facility located in Gainesville, Florida. The Ambulatory Plastic Surgery Facility (APSF) located in Gainesville, Florida is certified at the highest level by American Association for Accreditation of Ambulatory Surgery Facilities. Our entire staff is dedicated to your comfort and satisfaction. A beautifully decorated reception area, comfortable exam rooms and attentive care from our staff through all phases of your recovery help to make your entire surgical experience a pleasant one. Every measure has been taken to ensure your safety and comfort.
When you arrive at the APSF (Gainesville, Florida) for your breast lift surgery with Dr. Tyrone, you will check in and be escorted to the surgery suite. Dr. Tyrone and his nurses will meet with you prior to your surgery.
If Dr. Tyrone feels a hospital is a more appropriate setting for your surgery, he has full privileges at several local hospitals including North Florida Regional Medical Center.
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Breast Reconstruction
Am I a good candidate for breast reconstruction?
If you have been diagnosed with breast cancer and are having or had a mastectomy, you owe yourself a consultation with a plastic surgeon to discuss breast reconstruction. Most patients are candidates for breast reconstruction. Breast reconstruction is generally performed after mastectomy for breast cancer, but may also be performed to correct a congenital absence or acquired loss of the entire or a portion of the breast. . The procedure may be either "immediate" or "delayed", and may involve the use of an implant or transfer of your own tissues to reconstruct the breast. Often times, a combination of your own tissue with an implant is used. "Immediate reconstruction" is usually performed during the same operation as the mastectomy, while "delayed reconstruction" is performed at some later date after the tissues have healed. Reconstruction with an implant may involve placement of a tissue expander to create a pocket for either a saline or silicone gel filled implant. As with any implant, additional surgical procedures may be necessary in the future to correct changes or replace the implant. In contrast, autologous reconstruction involves the transfer of your natural tissues onto the chest to reconstruct the breast mound. The most commonly utilized techniques are the TRAM (transverse rectus abdominus myocutaneous) and LD (latissimus dorsi) flaps. These flaps typically require a longer initial surgical procedure and a short in-patient hospitalization, but can give excellent long term results. Breast reconstruction is not a simple procedure. There are often many options to consider as you and your doctor explore what's best for you. Dr. Tyrone can best educate you on which procedure may be best for you.
What are the basic types of breast reconstruction performed by Dr. Tyrone?
The goal of breast reconstruction is to create a breast mound that matches the remaining normal breast in size and shape. Dr. Tyrone utilizes numerous techniques to achieve this goal. Any breast reconstruction involves the use of an implant or a "flap". Some techniques of breast reconstruction utilize an implant and a "flap". "Flaps" used in breast reconstruction are composed of muscle, fat and skin which are transferred from the abdomen or back to the breast. Once the "flap" is transferred to the breast, it is shaped to reconstruct the breast mound. The most common flaps used by Dr. Tyrone are the transverse rectus abdominus myocutaneous flap (TRAM flap) and the latissimus dorsi myocutnaeous flap. The benefit of flap reconstruction of the breast is that a breast mound can often be created without the use of an implant and frequently the entire reconstruction only requires one operation under general anesthesia). Breast reconstruction using expanders and implants is often the easiest in terms of recovery for the patients. An expandable implant is placed at the time of your mastectomy in cases of immediate breast reconstruction; this expandable implant is replaced with a saline or silicone-filled breast implant after it has been expanded to a volume that matches the unaffected breast. In cases of bilateral reconstruction, the expanders are expanded symmetrically. Using expanders and implant alone for breast reconstruction requires at least 2 surgical procedures. Furthermore, in thinner patients, the implants are frequently palpable and implant rippling may be noticeable. Problems with rippling and palpability have been reduced by using Alloderm® for inferior implant coverage. Alloderm is placed at the time of the mastectomy and helps to better define the fold underneath and lateral to the breast and provides additional padding where muscle coverage of the implant is more difficult ("Alloderm Sling").
What will my breast reconstruction consultation with Dr. Tyrone entail?
During your initial breast reconstruction consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. It is important to be thorough when discussing your medical history as safety is Dr. Tyrone's top priority. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted complications after surgery. Dr. Tyrone will also contact your surgical oncologist or breast surgeon prior to your consultation so he will be aware of what your cancer surgery will entail (removal of a portion or your entire breast) and whether or not it seems likely that you will need postoperative radiation therapy. Both of these issues affect your breast reconstruction. Your objectives and goals will be discussed. Dr. Tyrone will then discuss the different types of reconstruction available. Photographs of patients reconstructed with a variety of techniques will be shown to you.
You will then be asked to put a gown on. Photographs will be taken. Dr. Tyrone will then review your photographs with you. Differences between the 2 breasts (i.e. asymmetry) will be noted and proposed incisions demonstrated. Computer imaging is an invaluable part of the consultation. Dr. Tyrone encourages you to ask any questions during you consultation. Following your consultation, you will meet with Dr. Tyrone's patient coordinator, to discuss scheduling your surgery and answer any questions you may have forgotten to ask Dr. Tyrone. Frequently, Dr. Tyrone recommends surgery on the normal breast that is not affected by cancer. He will do this if the normal breast is particularly large or droopy as it is difficult for a reconstructed breast to attain the same degree of size and droop that is frequently present.
Breast reconstruction surgery is not an exact science. Although the majority of women experience no complications, Dr. Tyrone will discuss potential risks and complications of breast reconstruction surgery at the time of your consultation. Prior to undergoing breast reconstruction surgery with Dr. Tyrone, it is important for you to fully understand the risks and potential complications associated with your procedure. Techniques of breast reconstruction are constantly evolving. There are many factors to be considered in determining the optimal technique and timing of your breast reconstruction.
What do I need to do to prepare for my breast reconstruction surgery?
Once you have scheduled your breast reconstruction surgery with Dr. Tyrone in Gainesvlle, Florida, you will be given preoperative instructions that discuss everything from wound care to follow-up visits after your surgery. Prior to your breast reconstruction, you may need basic blood work and medical clearance form your primary medical doctor. You will receive prescriptions form Dr. Tyrone's patient coordinator prior to surgery. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from surgery.
You will receive a list of medications (i.e. aspirin and nonsteroidal anti-inflammatory drugs) to avoid for 14 days prior to your breast reconstruction surgery with Dr. Tyrone. Additionally, although there is no scientific proof that certain medications reduce bruising, swelling and pain after breast augmentation surgery, you will be asked to obtain Arnica Montana, Bromelain and Vitamin A pills to take prior to and after your procedure. Finally, the night before surgery, shower and wash as you would normally and do not eat or drink after midnight.
Where will my breast reconstruction surgery take place?
Dr. Tyrone performs breast reconstruction surgery in Gainesvlle, Florida at North Florida Regional Medical Center. If the reconstruction is immediate (@ the time of your cancer surgery), patients remain in the hospital until they are stable to go home. The length of the hospital stay varies with the breast reconstruction technique used.
Secondary procedures can be performed in the same hospital as the original surgery or at one of several outpatient operating facilities in Gainesville, Florida. These smaller procedures include implant exchanges as well as nipple-areolar reconstruction and tattooing. The Ambulatory Surgery Facility (ASF) located in Gainesvlle, Florida is certified at the highest level by American Association for Accreditation of Ambulatory Surgery Facilities. Our entire staff is dedicated to your comfort and satisfaction.
What results can I expect from my breast reconstruction surgery?
Provided you are a good candidate for breast reconstruction surgery, any technique of breast reconstruction should provide you with reasonable symmetry between the breasts. The results are typically long lasting though a secondary procedure may be needed to fine tune your result wither immediately or further down the road.
Maintaining a relationship with Dr. Tyrone after your breast reconstruction surgery is important to help you address changes and other concerns which may arise. Regular examination by Dr. Tyrone and routine mammograms at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated.
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Liposuction
Am I a good candidate for liposuction surgery?
Liposuction is the ideal treatment for patients at or slightly above their normal weight who are bothered by isolated pockets of fat that significantly take away from their body's contour. Liposuction is not a treatment for obesity and it is not recommended in patients who have a significant amont of excess skin or skin of poor quality (significant stretch marks). For patients with excess skin and poor quality skin, excisional surgery such as abdominoplasty or tummy tuck surgery is a better option. Liposuciton works by reducing the volume or amount of fat in a particular area and then allowing the skin to redrape, contract and shrink to envelope the reduced volume. Skin with stretch marks and skin of older pateitns may not tighten over the area which has been reduced by liposuction. Some of the more common areas treated by liposuction are the abdomen, hips, flans, lateral thighs, medical thighs, medial knees, chin and arms.
Liposuction patients are amongst the happiest cosmetic surgery patients. If you are unsure liposuction is right for you, schedule a consultation with Dr. Tyrone to find out.
What will my liposuction consultation with Dr. Tyrone entail?
During your initial liposuction consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. It is important to be thorough when discussing your medical history as safety is Dr. Tyrone's top priority. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted complications after surgery. You will discuss your concerns and motivations for seeking liposuction. Details of liposuction will be discussed including incision placement as well what is expected of you preoperatively and postoperatively. The risks of surgery will also be discussed in detail. Numerous before and after photographs of actual patients will be reviewed during your consultation.
You will then be asked to put a gown on. Dr. Tyrone will then carefully examine the areas which concern you (abdomen, thighs, arms, etc). Photographs will be taken. Dr. Tyrone will then review your photographs with you. Differences between the contours of the two sides of your body (i.e. asymmetry) will be noted and proposed incisions demonstrated. Dr. Tyrone encourages you to ask any questions during you consultation. Following your consultation, you will meet with Dr. Tyrone's patient coordinator, to discuss scheduling your surgery and answer any questions you may habe forgotten to ask Dr. Tyrone.
Liposuction surgery is not an exact science. Although the majority of patients experience no comp0lications, Dr. Tyrone will discuss potential risks and complications of liposuction (suction lipectomy, lipoplasty) surgery at the time of your consultation. Prior to undergoing liposuction surgery with Dr. Tyrone, it is important for you to fully understand the risks and potential complications associated with your procedure.
What is liposuction, suction lipectomy or lipoplasty?
In liposuction, fat is removed via a small, hollow tube called a cannula. Incisions are placed in areas where the body's natural creases will minimize any potential scarring. Incisions are smaller than a centimeter in length. Once the incision is made, solution containing anesthesia and epinephrine ("wetting solution") are infused to minimize pain and blood loss. Once the area to be treated has been infused with wetting solution, the cannula is connected to a suction unit and guided by the expert hands of Dr. Tyrone. The cannula device then literally suctions away the unwanted fat - permanently. Care is taken to avoid irregularities in the skin caused by aggressive superficial liposuction. Care is also taken to avoid causing depressions from overly aggressive fat removal.
What do I need to do to prepare for my liposuction surgery?
Once you have scheduled your liposuction surgery with Dr. Tyrone, you will be given preoperative instructions which discuss everything from finances to follow-up visits after your surgery. Prior to your liposuction surgery, you may need basic blood work and medical clearance form your primary medical doctor. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from surgery.
You will receive a list of medications (i.e. aspirin and nonsteroidal anti-inflammatory drugs) to avoid for 14 days prior to your liposuction surgery. Additionally, though there is no scientific proof that certain medications reduce bruising, swelling and pain after liposuction surgery, you will be asked to obtain Arnica Montana, Bromelain and Vitamin A pills to take prior to and after your procedure. Finally, the night before surgery, shower and wash as you would normally and do not eat or drink after midnight.
What results can I expect after my liposuction surgery?
Assuming you were a good candidate for liposuction, you will see a noticeable improvement in your body's contour soon after surgery. Improvement continues for up to six months after surgery as the swelling subsides and skin contraction becomes maximal. Provided you maintain a stable weight by eating a healthy diet and exercising regularly, you will be able to maintain your new shape for years to come.
Where will my liposuction surgery take place?
Dr. Tyrone performs liposuction surgery in Gainesville, Florida at the state of the art Laser and Outpatient Surgery Center, located in the physician park behind North Florida Regional Medical Center. The Surgery Facility is certified at the highest level by American Association for Accreditation of Ambulatory Surgery Facilities. Our entire staff is dedicated to your comfort and satisfaction. A beautifully decorated reception area, comfortable exam rooms, private dressing rooms for patients preparing for surgery, and attentive care from our staff through all phases of your recovery help to make your entire surgical experience a pleasant one. Every measure has been taken to ensure your safety and comfort.
When you arrive at the surgical facility for your liposuction surgery with Dr. Tyrone, you will check in and be escorted to the surgery suite. Dr. Tyrone and his nurses will meet with you prior to your surgery.
If Dr. Tyrone feels a hospital is a more appropriate setting for your liposuction surgery (large volume liposuction procedures), he has full privileges at North Florida Regional Medical Center.
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Abdominoplasty
Am I a good candidate for a tummy tuck?
Abdominoplasty, also known as a "tummy tuck", is a procedure which removes excess skin and fat from the abdomen. The abdominal and waist line contours are improved by removing the excess skin and fat, reuniting the abdominal muscles in the midline and contouring the remaining fat by a combination of direct excision and liposuction. If you have a significant amount of excess fat, a secondary liposuction procedure may be required as overly aggressive liposuction at the time of abdominoplasty may compromise wound healing. Dr. Tyrone will discuss your expected result at the time of your consultation. In 2005, more than 165,000 tummy tucks were performed. It is one of the more common procedures performed by Board Certified plastic surgeon Dr. Tyrone in his Gainesville, Florida surgical facility.
Good candidates for abdominoplasty include women and men who have excess skin and fat concentrated in their lower abdomen. This is frequently the result of significant weight loss or post-pregnancy changes. Frequently, patients have a midline bulge that is a result of separation of the abdominal muscles. This is often seen in women after pregnancy and will be addressed at the time of your surgery. Patients seeking abdominoplasty frequently have excess fat in other areas besides their abdomen. Many of these areas (hips, flanks and lateral thighs) can be safely addressed by liposuction at the time of abdominoplasty.
What will my abdominoplasty consultation with Dr. Tyrone entail?
During your initial abdominoplasty consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. It is important to be thorough when discussing your medical history as safety is Dr. Tyrone's top priority. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted complications after surgery. You will discuss your concerns and motivations for seeking an abdominoplasty. Details of abdominoplasty surgery will be discussed including incision placements as well what is expected of you preoperatively and postoperatively. The risks of surgery will be discussed in detail. Before and after photographs of actual patients will be reviewed during your consultation. Frequently, during this part of the abdominoplasty consultation, the patient sees a photograph that she feels is most similar to the before and after result she would like to obtain.
Dr. Tyrone will then carefully examine the areas of your body that concern you. Your excess abdominal skin and fat will be assessed. Your abdominal muscles will be carefully examined to assess whether or not you would benefit from a muscle repair or tightening during your abdominoplasty. Proposed incisions will be demonstrated to you. Dr. Tyrone encourages you to ask any questions during your consultation. A surgical plan will then be proposed based on the information gathered during your consultation. Following your consultation, you will meet with Dr. Tyrone's patient coordinator, to discuss scheduling your surgery and answer any questions you may have forgotten to ask Dr. Tyrone.
Abdominoplasty surgery is not an exact science. Although the majority of women experience no complications, potential risks and complications of abdominoplasty surgery will be discussed at the time of your consultation. Prior to undergoing abdominoplasty surgery with Dr. Tyrone, it is important for you to fully understand the risks and potential complications associated with your procedure.
What do I need to do to prepare for my tummy tuck surgery?
Once you have scheduled your abdominoplasty surgery with Dr. Tyrone, you will be given preoperative instructions that discuss everything from finances to follow-up visits after your surgery. Prior to your abdominoplasty, you will need basic blood work and medical clearance form your primary medical doctor. You will receive prescriptions form Dr. Tyrone's patient coordinator prior to surgery. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from surgery.
You will receive a list of medications (i.e. aspirin and nonsteroidal anti-inflammatory drugs) to avoid for 14 days prior to your tummy tuck surgery with Dr. Tyrone. Additionally, though there is no scientific proof that certain medications reduce bruising, swelling and pain after abdominoplasty surgery, you will be asked to obtain Arnica Montana, Bromelain and Vitamin A pills to take prior to and after your procedure. Finally, the night before surgery, shower and wash as you would normally and do not eat or drink after midnight.
Where will my abdominoplasty scars be?
Dr. Tyrone will be able to give you an excellent idea of where your abdominoplasty scars will be prior to your operation. They will be shown to you during your examination. You will also be marked prior to your surgery. You will be asked to wear a bathing suit or underwear at the time of your preoperative markings so the incisions can be designed to fall in the confines of your undergarments. The scar typically lies above the pubic hair and extends a variable distance to the sides below the hip bones.
During a full abdominoplasty, as opposed to a mini-abdominoplasty, the belly button is left attached to the abdominal wall and brought out through a new opening after the excess skin has been removed. The location of your belly button does not change. It is impossible to know exactly where your scar will lie and to know the exact length of your scar prior to your operation. Scars will be discussed in detail prior to your operation. This is because the final adjustments to the scar including location and length are made during the operation. Every effort will be made to leave you with as fine a scar as possible by suturing not only the skin at the time of your operation but also repairing the deeper fascia (superficial fascial system) of the abdominal wall. By repairing the deeper layers of the abdominal wall, tension on the skin repair is minimized. Scars will be discussed in detail prior to your operation. Dr. Tyrone will also instruct you on how to optimize the appearance of your scars after surgery. Dr. Tyrone will make every effort to leave a scar that can be concealed in your undergarments. It is important to remember that scars often get worse before they get better. Most scars undergo a period of time where they are swollen and red typically 4-8 weeks after surgery before they begin to settle.
Where will my tummy tuck surgery take place?
Dr. Tyrone performs abdominoplasty and tummy tuck surgery in Gainesville, Florida at the state of the art "Laser and Eye Surgery Center". The Ambulatory Surgery Facility (APSF) located in the North Florida Regional Medical Center Physician Park, is certified at the highest level by American Association for Accreditation of Ambulatory Surgery Facilities. Our entire staff is dedicated to your comfort and satisfaction. A beautifully decorated reception area, comfortable exam rooms, private dressing rooms for patients preparing for surgery, and attentive care from our staff through all phases of your recovery help to make your entire surgical experience a pleasant one. Every measure has been taken to ensure your safety and comfort.
When you arrive at the ASF for your tummy tuck surgery with Dr. Tyrone, you will check in and be escorted to the surgery suite. Dr. Tyrone and his nurses will meet with you prior to your surgery.
If Dr. Tyrone feels a hospital is a more appropriate setting for your surgery, he has full privileges at several local hospitals including North Florida Regional Medical Center.
What do I need to do after my abdominoplasty?
After recovering from your tummy tuck surgery with Dr. Tyrone, you will be able to go home in the company of a friend or family member. If you have chosen to have your surgery in a hospital setting (or Dr. Tyrone felt it was medically indicated to you're your surgery in the hospital), you will be discharged the day after your surgery. You will receive thorough postoperative instructions. Dr. Tyrone will call you at home or at the hospital the night of your abdominoplasty. Your pain will be well controlled and you will be able to drink normally. Your incision will be covered by steristrips that are not to be removed, a gauze dressing, and an abdominal binder. For the first few days after surgery the binder should not be made too tight. If you had a full abdominoplasty, you will typically have two drainage tubes. You will be instructed in their care. Usually, one tube is removed @ 3-5 days and the remaining tube will be removed a 710 days. You will be permitted to shower after both drains have been removed. Compression stockings as recommended in your preoperative instructions should be worn until you are ambulating normally and with regularity. It is important to be mobile after surgery and to keep blood circulating in your legs. You may have difficulty standing straight up after surgery; however, this will pass after several days.
You may shower on the second day after surgery. Drains are typically removed 7-10 days after the operation, Your incisions will be supported by steristrips or surgical tape for 4-6 weeks. As discussed, scars tend to get worse initially and then fade over time. Dr. Tyrone will discuss how to care for your incisions. You may resume aerobic activities after three weeks but should refrain from abdominal exercises or heavy lifting for six weeks.
Dr. Tyrone is available at all times through his Gainesville office should a problem arise. Abdominoplasty and tummy tuck surgery patients are typically seen the day after their surgery, and one week later.
What results can I expect from my abdominoplasty?
Provided you are a good candidate for abdominoplasty or tummy tuck surgery, surgery by Dr. Tyrone will provide you with improved abdominal contours. Clothing should fit better and extra skin and fat that bothered you before will no longer be a worry. The results will be long lasting provided you maintain a stable weight through diet and exercise. Maintaining a relationship with Dr. Tyrone after your abdominoplasty surgery is important to help you address these changes and other concerns which may arise.
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Mini Tummy Tuck
Am I a good candidate for a mini tummy tuck?
During your consultation, Dr. Tyrone will discuss the differences between a mini tummy tuck and a standard (or full) tummy tuck. Generally, the best candidates for a mini tummy tuck are those patients with skin and fatty tissue excess that is confined to the area below the belly button. The patient should also have good muscle tone to the abdominal muscles.
What will my mini-abdominoplasty consultation with Dr. Tyrone entail?
During your initial mini-abdominoplasty consultation, Dr. Tyrone will inquire about your medical and surgical history including current medications and allergies. It is important to be thorough when discussing your medical history as safety is Dr. Tyrone's top priority. Your full disclosure of all pertinent medical information prior to surgery will reduce the incidence of unwanted complications after surgery. You will discuss your concerns and motivations for seeking a mini-tummy tuck. Details of the mini-abdominoplasty will be discussed including incision placement as well what is expected of you preoperatively and postoperatively. The risks of surgery will also be discussed in detail. Numerous before and after photographs of actual patients will be reviewed during your consultation.
You will then be asked to put a gown on. Dr. Tyrone will then carefully examine the areas which concern you. Proposed incisions will be demonstrated. The length of the incision for a mini-abdominoplasty is typically much shorter than for a traditional abdominoplasty. A surgical plan customized to your needs will then be discussed with you by Dr. Tyrone. Dr. Tyrone encourages you to ask any questions during you consultation. Following your consultation, you will meet with Dr. Tyrone's patient coordinator to discuss scheduling your surgery and answer any questions you may have forgotten to ask.
Body contouring surgery is not an exact science. Although the majority of patients experience no complications, Dr. Tyrone will discuss potential risks and complications of mini-abdominoplasty surgery at the time of your consultation. Prior to undergoing mini-tummy tuck surgery with Dr. Tyrone, it is important for you to fully understand the risks and potential complications associated with your procedure.
What do I need to do to prepare for my mini-tummy tuck surgery?
Once you have scheduled your mini-abdominoplasty surgery with Dr. Tyrone, you will be given preoperative instructions which discuss everything from finances to follow-up visits after your surgery. Prior to your mini-tummy tuck surgery, you will need basic blood work and medical clearance form your primary medical doctor. You will receive prescriptions form Dr. Tyrone's patient coordinator prior to surgery. It is important to have the medication prescriptions filled in the days prior to your surgery so they are waiting for you when you return home from surgery.
You will receive a list of medications (i.e. aspirin and nonsteroidal anti-inflammatory drugs) to avoid for 14 days prior to your mini-abdominoplasty surgery with Dr. Tyrone. Additionally, though there is no scientific proof that certain medications reduce bruising, swelling and pain after mini-tummy tuck surgery, you will be asked to obtain Arnica Montana, Bromelain and Vitamin A pills to take prior to and after your procedure. Finally, the night before surgery, shower and wash as you would normally and do not eat or drink after midnight.
What results can I expect after my mini-tummy tuck surgery?
Assuming you were a good candidate for a mini-tummy tuck, you will see a noticeable improvement in your body's contour soon after surgery. Improvement continues for up to six months after surgery as the swelling subsides and skin contraction becomes maximal. Provided you maintain a stable weight by eating a healthy diet and exercising regularly, you will be able to maintain your new shape.
Where will my mini-abdominoplasty surgery take place?
Dr. Tyrone performs tummy tuck surgery in Gainesville, Florida at the state of the art Laser and Outpatient Surgery Center, located in the physician park behind North Florida Regional Medical Center. The Surgery Facility is certified at the highest level by American Association for Accreditation of Ambulatory Surgery Facilities. Our entire staff is dedicated to your comfort and satisfaction. A beautifully decorated reception area, comfortable exam rooms, private dressing rooms for patients preparing for surgery, and attentive care from our staff through all phases of your recovery help to make your entire surgical experience a pleasant one. Every measure has been taken to ensure your safety and comfort.
When you arrive at the surgical facility for your liposuction surgery with Dr. Tyrone, you will check in and be escorted to the surgery suite. Dr. Tyrone and his nurses will meet with you prior to your surgery.
If Dr. Tyrone feels a hospital is a more appropriate setting for your surgery, he has full privileges at North Florida Regional Medical Center.
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Gynecomastia
Under certain circumstances, a man can develop fibro-fatty breast tissue that resembles a woman's breast. This condition is referred to as gynecomastia. The etiology of this process is not widely understood, however, it is known that certain medical conditions, medications, hormones, drugs, and other factors may play a role. In the majority of cases, no etiology can be determined. Gynecomastia affects an estimated 40 to 60 percent of men, and it may affect one breast or both.
Depending on the extent of the problem, gynecomastia may be treated with excision of the breast bud, liposuction of the fatty tissue, or a combination of both procedures. Occasionally, a secondary procedure to reduce excess skin or to return the nipple to a more normal position may be needed. Results can vary, but generally patients have a chest that is flatter, firmer, and better contoured, and they often feel more comfortable in form fitting clothing or going without a shirt.
What causes gynecomastia?
Gynecomastia can be caused by certain medications, drugs, hormones and metabolic disorders, but most often it's cause is unknown and not due to any specific medical condition.
How is gynecomastia treated?
If gynecomastia is due to a drug or medication reaction, it can often be improved by stopping the offending agent. However, the majority of cases will require surgery to correct the problem. Dr. Tyrone typically uses a combination of liposuction and excision of breast tissue to correct the problem. Rarely a second operation may be required to correct skin laxity if the gynecomastia is severe.
Am I a candidate for gynecomastia surgery?
Generally if you are healthy and your life or social interactions are afftected by gynecomastia, you would be a candidate for surgery. Please contact our office to schedule an appointment to discuss your options with Dr. Tyrone.
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