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> My Plastic Surgeon USA Home > Search for Plastic Surgeon > Troy J. Andreasen, M.D.
Plastic Surgery FAQ Provided by Dr. Troy Andreasen

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Breast Augmentation

Often there is a desire to improve one's appearance through breast augmentation. One of the reasons women may choose to have breast augmentation is to enhance their body contour because, maybe for personal reasons, they feel that their breast size is too small. They might also want to correct a reduction in breast volume after pregnancy, or possibly balance a difference in breast size. Some women may even opt for this procedure as a reconstructive technique following breast surgery. Dr. Troy Andreasen is a highly-qualified cosmetic surgeon dedicated to helping his patients achieve the look they desire through breast augmentation.

Breast augmentation is a surgical procedure that involves inserting an artificial implant within the breast in order to increase the size and enhance the shape. The method of inserting and positioning your implant will depend on your anatomy and Dr. Andreasens's recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola, or in the armpit. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible. Working through the incision, Dr. Andreasen will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue or underneath your chest wall muscle. The implants are then centered beneath your nipples.

Breast augmentation is designed to create fuller, firmer breasts to complement your natural body curvature. Breast augmentation not only enhances appearance, it can also provide a boost to a woman's confidence and self-esteem.

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Breast Lift

Over the years, factors such as pregnancy, nursing and the force of gravity can take toll on a woman's appearance. As the skin loses its elasticity, breasts often lose their shape and firmness, and begin to sag. Mastopexy, or a breast lift, is a surgical procedure to raise and reshape sagging breasts. A breast lift can also reduce the size of the areola, the darker skin surrounding the nipple. This type of procedure can give women a firmer, more youthful look, and greatly improve their self-confidence.

Breast lift surgery involves making an anchor-shaped incision following the natural contour of the breast. The incision outlines the area from which breast skin will be removed and defines the new location for the nipple. After the excess skin is removed, the nipple and areola are moved to the higher position. The skin surrounding the areola is then brought down and together to reshape the breast. Stitches are usually located around the areola, in a vertical line extending downward from the nipple area, and along the lower crease of the breast.

Dr. Troy Andreasen and his skilled staff are committed to improving a patient's appearance through the breast lift procedure. Dr. Andreasen is a highly-trained cosmetic plastic surgeon, specializing in all breast surgeries.

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Breast Reduction

Patients who undergo breast reduction surgery are frequently seeking relief from unwanted physical stress, caused by the excessive weight of large breasts. Many women find that breast reduction relieves chronic back, neck, and shoulder pain. Breast reduction can usually solve these problems, as well as improve the size and shape of your breasts. Following breast reduction, your breasts should be more proportional to the rest of your body, clothes will have a nicer fit, and you may enjoy a more active lifestyle. Dr. Andreasen is dedicated to helping his patients achieve their goals through breast reduction.

Breast reduction usually involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Dr. Andreasen then removes excess glandular tissue, fat and skin, and moves the nipple and areola into the new position. Then the skin from both sides is brought down and around the areola, shaping the new contour of the breast. Breast reduction surgery does leave scars, although they will naturally be concealed with your bra or bathing suit.

If you elect breast reduction as the route to enhancing your appearance and improving your lifestyle, asking questions and discussing your concerns with a qualified cosmetic plastic surgeon is vital. Dr. Troy Andreasen is highly trained in breast surgery procedures, including breast reduction. He and his knowledgeable staff are committed to providing the highest quality of care to their patients.

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Tummy Tuck

Abdominoplasty, more commonly referred to as tummy tuck surgery, is a procedure designed to remove excess skin rolls and fatty tissue from the abdomen. By releasing the belly button and pulling the excess skin downward, the abdomen is flattened and tightened. Even stretched muscles from pregnancy or weight gain can be tightened with a tummy tuck procedure and the belly button can be reconstructed with a more pleasing shape.

The tummy tuck is an excellent procedure for patients after childbearing or weight loss who have loose abdominal skin. The tummy tuck can also be combined with liposuction to the hips and other areas to create a smoother body contour. Tummy tuck surgery creates a scar that can extend from hip to hip in some patients. The scar is designed to be within a bikini line or follow the contour of the underwear.

Liposuction is a body contouring procedures designed to remove fat through tiny "stab" incisions. Using suction tubes called cannulas, fat is permanently removed through these small incisions placed near the treated area. Patients are then placed in compressive garments to assist with control of swelling and to improve contour. Specialized ultrasonic-assisted liposuction can be used to treat more stubborn areas of fat or to treat areas that have not responded well to traditional liposuction techniques.

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Facelift

The Facelift (rhytidectomy) is a surgical procedure designed to smooth the loose skin on your face and neck, and to reduce the most apparent signs of aging in the facial area, giving you a more youthful appearance. The procedure involves reducing the creases from the nose and mouth, slacking jaw line and sagging jowls and fat deposits around the neck by removing excess fat and tightening underlying muscles, then re-draping the skin on the face and neck. Although the procedure cannot stop the aging process, it can turn back the clock on your facial appearance, giving you a younger, fresher look, which can also have a positive effect on your self confidence.

The Best Candidates for a Facelift are those who:

  • Have face and neck skin that has begun to sag, but still possess good skin elasticity and whose bone structure is strong and well defined.
  • Experience the loss of a well defined jaw line.
  • Have deep wrinkles in the cheeks.
  • Have loose skin, wrinkles or excess fatty tissue in the neck.

A facelift is performed by generally making an incision around the natural contour of the ear, and around the earlobe along your hairline. This helps keep any scarring from being visible. Any incision can be easily masked by make-up or hair. If a neck lift is performed, you may have a small incision under you chin. After your surgery you may have a drain tube to allow excess fluid to drain from the incision. Your bandage will stay in place for 1 to 2 days. Most bruising will subside in about 2 weeks. Some numbness may occur, and your stitches will remain until your 1-week visit.

Since each individual has his or her own unique facial features, physical reactions and healing abilities, the results of a facelift vary with each patient and they are never 100% predictable. During a facelift, complications are infrequent and usually minor. Some complications that may arise include hematoma (blood under the skin that must be removed by your doctor) infection, and reactions to the anesthesia. Smokers are more likely to experience poor healing of the skin.

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Blepharoplasty

Blepharoplasty or eyelid surgery can enhance your appearance and your self-confidence by removing the appearance of droopy or sagging eyelids. As people age the eyelid stretches, muscles weaken, and fat accumulates around the eyes, causing "bags", or excess skin to become prominent. During your consultation, the doctor will assess which of the four eyelids (top and bottom for both eyes) require surgery.

The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Generally patients for this procedure are 35 years or older. However, if sagging eyelids runs in your family, it is possible to have eyelid surgery at a younger age.

Eyelid surgery is performed under general or local anesthesia. If your doctor chooses local anesthesia, he will numb the area around your eyes, along with giving you a mild oral or IV sedative. The actual surgery takes one to three hours. The incisions made during the surgery follow the natural lines of your eyes.

As with any procedure there is the possibility of complications occurring. For eyelid surgery, these include infection, or reaction to the anesthesia used. Minor complications that commonly follow eyelid surgery include double or blurred vision for a few days, which is caused by swelling at the corner of the eyelids, and slight asymmetry in healing or scarring. Following surgery, some patients may have difficulty closing their eyes when they sleep. Adhering to the physician's advice on pre and post-op care will greatly reduce the risk of complications.

After your surgery, you may feel tightness in your eyes. An ointment and a bandage will cover your eyes. A cold compress and elevation will help keep the swelling and bruising down. For the first few weeks following your surgery, you may also experience excessive tearing, sensitivity to light, and temporary changes in your vision such as blurring or double vision. Your stitches will be removed 2 to 7 days after your surgery.

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Rhinoplasty

Surgery of the nose is one of the most common of all plastic surgery procedures. There are individuals who have been unhappy with the appearance of their nose for their whole life, and there are individuals who have had their nose altered as a result of injury. Rhinoplasty offers a solution to these individuals. The best candidates for a rhinoplasty are those people who are looking for an improvement in the way they look, not those searching for perfection. There are many ways rhinoplasty can improve upon one's nasal appearance. This surgery can reduce or increase the overall size of your nose, change the shape of the tip or bridge, narrow or widen the nostrils. Not only can rhinoplasty enhance appearance, it can also help improve one's breathing. The consultation is an important part of the process because it allows the doctor to examine the current state of the nose and determine what can be done to enhance its appearance.

The rhinoplasty procedure usually takes an hour or two, though more complicated procedures may take longer. The surgery starts with the skin of the nose being separated from its supporting framework of the bone and cartilage, which is then sculpted to the desired shape.

The skin is then re-draped over the new framework. After the surgery is complete, a splint is then applied to help the nose maintain its new shape. Nasal packs or soft splints may be placed in the nostrils to stabilize the septum; this is the dividing wall between the air passages.

After surgery, during the first twenty-four hours, the face will feel puffy, the nose may ache, and the patient may experience a dull headache. The patient should plan on resting with their head elevated for the first day. There will be swelling and bruising around the eyes, reaching a peak after two to three days. By the end of one week all packing, dressing, splints and stitches should be removed and the patient is able to return to school or work. It will be a few weeks following surgery before patients can resume more strenuous activities. Healing times vary with patients.

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General Plastic Surgery Questions

What is plastic surgery?

Plastic surgery is a specialty dedicated to the enhancement of the face and body. For those who wish to improve their appearance, cosmetic surgical procedures offer patients the opportunity to reshape physical features and improve their self-esteem.

Is plastic surgery painful?

Patients tolerate postoperative pain in ways that are different from each other. Appropriate pain medications, which minimize discomfort, are prescribed for postoperative patients.

How long will my results last?

There is no precise answer to this question. Surgery does not affect the ongoing aging process which is largely dependent upon genetics. What cosmetic plastic surgery does is turn back the clock. Unfortunately, aging is inevitable. Although with cosmetic surgery, you are able to continue to look more youthful and in shape.

What kind of anesthesia is used?

Dr. Andreasen perform surgery under most types of anesthesia: local anesthesia, intravenous sedation ("twilight"), general anesthesia and regional anesthesia (nerve blocks). The method of anesthesia used is based on the patient and surgeon's preference.

Will I be able to breast feed after breast enlargement surgery?

Yes. Breast augmentation should not affect your ability to breast feed.

Are there risks involved in breast augmentation surgery?

Every surgical procedure entails some risk. Those associated with this type of surgery are infection, changes in the sensitivity of the breast, and scar contracture. These and other complications rarely occur and can usually be avoided. Thousands of women undergo breast augmentation successfully each year and are very satisfied with their outcome.

What type of implants do you use for breast augmentation?

The saline implants (filled with sterile saline solution) used for breast augmentation surgery are available in both round and teardrop shapes. They also come in both smooth and textured styles. Dr. Andreasen will discuss which implant type would best give you the results you are seeking.

My breasts sag but are not large. What can be done?

If the sagging is not severe, a "nipple lift" can be performed. The excess skin is removed after making an incision around the outside of the areola (the pigmented skin around the nipple). The resulting scar is confined to the area where the pigmented skin meets the normal skin at the edge of the areola.

In cases of more severe sagging, a procedure similar to breast reduction may be performed by removing skin only - not breast tissue - to result in a more youthful shape. Breast lifting is an excellent alternative to breast implants for many patients.

Do the implants have to be changed after several years?

No, as long as there are no problems with the implants, they should not have to be replaced. We only use implants that have a warranty for life from the manufacturer.

What if the implant ruptures?

Today's saline implants are more durable than ever. Although risk of rupture is extremely small, if this should happen, the implant deflates as your body absorbs the saline. There is absolutely no health hazard should this happen. The implant can be easily replaced with minimal discomfort. The implants used have a warranty by the manufacturer who will usually replace the implants and give you monies towards the cost of the replacement.

What is Power Assisted Liposuction?

Power Assisted liposuction uses a power cannula to facilitate movement in the tissue, whereas the surgeon manually manipulates the cannula in more traditional liposuction procedures. The benefits include less body trauma on the patient, which promotes quicker recovery and faster healing.

I don't like the tip of my nose. What can I do?

If you like your profile and the tip of your nose is too wide, prominent, projects too much or droops, it can be corrected. Rhinoplasty is an excellent procedure for the nasal tip when it droops with age.

Am I ready for a face-lift?

Skin and facial tissue that sag along with aging can give you an appearance of tiredness or anger even when you are feeling happy and energetic. Jowls and drooping skin around the neck cause you to appear heavy. With facial rejuvenation, you appear rested, healthy and more youthful. The idea is to look better, not different.

Often a mini-lift can be performed instead of a full face-lift. The mini-lift is limited to the lower portion of the face, correcting jowl and neck problems, while the traditional face-lift includes the upper part of the face as well. Some patients opt to combine a face-lift with other procedures, such as eyelid surgery, or skin resurfacing to achieve a full effect.

Will I look natural after my surgery?

The techniques used by our physicians create a natural, non-surgical appearance. Every effort is made to improve your appearance in the most natural view.

When can I go back to work?

The length of time for recuperation after plastic surgery varies depending on the procedure. Most patients will require assistance for a day or so, and then will be able to care for themselves. We will discuss with you in detail your postoperative care and recovery instructions. The techniques offered today allow patients to return to work fairly soon following surgery.

When can I begin to exercise?

Depending on the procedure performed determines when a patient may resume physical exercise. All patients are encouraged to start a slow walking routine and hold off on anything more strenuous until after consulting with their doctor.

Is there a right age for cosmetic surgery?

There is no ideal age to have cosmetic surgery. The time to have an elective procedure is when the desired change will justify the time, effort and the cost involved. Another factor to take into consideration is the potential length of time to enjoy the benefits. For example, if an individual has a facelift earlier in life, the rewards of this surgery can be enjoyed for a greater period of time.

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Troy J. Andreasen, M.D.
Plastic & Reconstructive Surgery
Office Address:
3333 Concours St.
Building #3
Ontario, CA 91764
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Dr. Andreasen has 73 patients available for view in the Before and After Photo Gallery. Click here to visit.
Dr. Andreasen has 6 videos available in the Video Gallery. Click here to view.
   

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