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Breast Augmentation
For women with small, underdeveloped breasts or breasts that have shrunk or atrophied after child bearing, no exercises, devices, or medications will change breast size. Breast augmentation can help.
There are four common incisions that can be used: 1) in the fold on the lower part of the breast just above where it touches the chest, 2) around the areola, the dark pink skin surrounding the nipple, 3) in the armpit and 4) through the belly button. The approach used depends on the patient and their surgeon.
A pocket is created either directly under the tissue or underneath the muscle. The choice depends on the surgeon's judgment and the patient's physique. The implant is placed in the pocket and a few stitches close the incision.
The procedure takes about 1-2 hours. Dressings consist of gauze and a bra. Medication is given for pain and discomfort, which subsides in 2-3 days. There is minimal bruising and swelling that disappears gradually. Patients are up and around in a day or two, but should avoid overhead lifting. Sutures are out within a week and scars fade gradually, usually becoming barely noticeable. There may be some degree of firmness and loss in nipple sensitivity immediately after the operation, but usually the breast softens and sensitivity returns.
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Breast Lift
Gravity, pregnancy, breast feeding, and weight gain and loss all take their toll on the female breasts' size, shape, and feel. They sag, soften, flatten and sometimes shrink.
A breast lift can rejuvenate, firm up, and shape up older appearing breasts. It can also reduce the size of an enlarged, stretched areola (the dark pink skin around the nipple). The incisions are around the areola and, when necessary, along the natural contours of the breast. Once the excess skin is removed, the nipple, areola, and breast tissue are lifted up to a more youthful, natural position and the remaining skin aligned to reshape the breast.
The procedure takes about 2 hours with dressings consisting of gauze and a bra. Medication usually controls any discomfort, which subsides in a few days, as do swelling and any bruising. There may be a temporary loss of nipple sensation, which will improve with time. Patients are usually up and around in a day or two. Sutures come out within two weeks. The scars fade with time and are easily concealed by a normal bra. Since they are around and, occasionally, below the nipples, they should not be noticeable even in low cut clothing or a bathing suit.
Afterward, many women find their younger, healthier figures give them a renewed self-esteem and self-confidence.
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Breast Reduction
Big breasts can be a big problem, both physically and psychologically. Oversized breasts dominate a woman's appearance and make her look top heavy and obese. In addition, they can be quite burden, causing pain, postural distortion, difficulty breathing, backache, breast crease irritation, and difficulty exercising. Excessive breasts are also a mental burden leading to stares, rude comments and unwelcome attention.
Breast reduction can reduce and reshape large breasts. An oversized areola (the dark pink skin around the nipple) can be made smaller. Breasts will still fluctuate in size afterwards, increasing with weight gain, birth control pills, or pregnancy. It may impair the ability to breast feed.
To firm up and shape the breast, excess tissue, fat, and skin are removed and redraped through incisions made horizontally and vertically along the natural contour of the breast to firm up and shape the breast. The nipple and areola attached to the underlying tissue are moved to a higher, more aesthetic location. When breasts are extremely oversized, it is sometimes necessary to completely detach and relocate the nipple. Dressings consist of gauze and a surgical bra.
The procedure takes 3 to 4 hours. Medication controls the discomfort for a few days after surgery and patients are up and around in a day or two. Swelling and bruising usually subsides in a few days and patients usually return to work in about 2 weeks. Scars remain very visible for about a year and then fade somewhat. As they are around and below the nipples, they should not be noticeable in clothing.
Breast reduction gives women a lighter feel as well as look and often provides the motivation and freedom to pursue a healthier lifestyle.
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Face Lift & Neck Lift
The word facelift conjures up the image of someone looking plastic and unnatural. But today's facelift can be more effective and natural looking than ever. Patients look refreshed, rested, healthy, and often 5-10 years younger. By tightening up the underlying tissue as well as removing excess skin, facelifts now last longer than ever before.
How long does it last? While you don't turn into a pumpkin at midnight, aging does continue according to genes, time and habits. For some, the benefit of always looking younger that their years is sufficient. Others want to maintain a vital, energetic, youthful appearance, and opt for follow-up procedures in 5-15 years. Sagging eyebrows and bags around the eyes are often treated at the same time to maintain facial harmony.
The procedure usually takes 3-5 hours. The incision is from the temple down around the earlobe and to the back of the neck. A small incision under the chin allows removal of excess fat. Sagging muscles are tightened and excess fat and skin are removed. The incisions are closed meticulously along natural skin lines and creases to allow maximum camouflage and concealment. The scars fade gradually and are usually barely noticeable.
After surgery, any discomfort can usually be controlled with medication. Any dressings are removed in a few days and swelling and bruising subside over a week or two. The sensation of numbness and tightness subsides as healing proceeds. Post-operatively, sun protection is a must.
Together, the tightening of skin and underlying tissues lessens wrinkles and creases and restores the natural facial highlights and contours of youth.
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Liposuction - Fat Removal
Liposuction is now the most popular plastic surgery procedure in America. When used to contour and reshape, it is referred to as liposculpture. For millions of people striving to improve their bodies and appearance, liposuction can be a dream come true because it can remove fat that exercise cannot reach. Everyone has "first on - last off" areas. No matter how many miles, sit ups, weights, or laps you do, the fat remains. Until you remove it through liposuction. Liposuction is appropriate for large oversized hips, buttocks, thighs, bellies, and love handles as well as fat deposits on arms, calves, knees, ankles, above the knees, above the breasts, and under the chin. Often, different areas can be treated during a single operation. Through a half-inch incision, a cannula actually sucks out unwanted fat.
A tight fitting elastic garment will help contour and smooth the skin. Medication is provided for discomfort and numbness fades gradually. Patients are up and around in a day or two but strenuous activities are restricted for 1 to 2 weeks. Swelling and bruising subside over a month or two. Skin dimpling (cellulite) present before surgery will likely be present afterward. Occasionally, permanent sagging of skin results when the amount of fat removed exceeds the ability of the skin to shrink. Overweight patients who have aggressive reduction of fatty areas must be willing to accept a greater chance of contour irregularities and less than ideal skin redraping in exchange for a remarkably improved figure in clothing.
The results can be dramatic. Saddlebags may disappear. Legs and hips become thinner and shapelier. Stomachs become flatter and firmer and double chins sculpted to reveal the natural neck contours. Liposuction is not a substitute for exercise or weight loss. The best candidates are at or near their ideal body weight. But for those with diet and exercise resistant figure faults, liposculpture may be the perfect way to rid the body of the fat.
Dr. Miller offers Tumescent Liposuction, and Ultrasonic power assisted Liposuction.
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Abdominoplasty - Tummy Tuck
Pregnancies, weight gain and weight loss and repeated stretching and scarring takes a tremendous toll on a woman's figure, especially in the stomach area. A tummy tuck can remove excess skin and tighten the underlying muscles producing a flatter, firmer, tighter abdomen and a thinner waist. The procedure involves an incision across the lower abdomen, just above the pubic area and beneath the bikini line. An incision is also made around the belly button. The skin and fat between the pubic area and the belly button is usually removed and the loose tissue from above is pulled down and to the center. Also, the muscles are tightened, providing a stronger abdominal wall and reducing the waist size. A new opening is made for the belly button at the proper position. A firm elastic dressing is placed over the area and medication is given for soreness and discomfort. Patients are up and around in a day or two and standing up straight by one week but should avoid over activity and straining for 3 to 4 weeks. By removing the sagging, excess skin and accumulated fatty tissues, patients immediately enjoy a flatter, firmer abdomen and thinner waist. Scars will fade over time and by 3 to 6 months should be flatter and lighter.
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