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Is
the Intense Pulsed Light i-pulse a laser? |
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No,
it is a light-based technology. Unlike lasers,
i-pulse uses a wider spectrum (typically from
590 nm to the near Infrared) to target the melanin
found naturally in the hair shaft and hair follicle
or the haemoglobin present in the vessels. Since
these parts contain more melanin/haemoglobin
than the surrounding skin tissue, they absorb
more light, which rises the temperature and
allow the destruction of the follicles/vessels.
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How
do the results of i-pulse compare with other laser/light
based hair removal systems? |
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i-pulse delivers
the longest lasting results available today. We
can have a permanent reduction of hair regrowth
of about 30-50% after only one treatment. The
most dramatic changes normally occur after the
second treatment. Multiple treatments (normally
from 3 to 6) can reach 70% of hair reduction in
various body areas. Only few people may require
extra treatments. |
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What
areas of the body can be treated? |
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Virtually any
body area, large or small. Arms, legs and back
are normally treated as well as sensitive areas
(bikini line, chin, upper lip…). |
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Who
is the ideal candidate for treatment? |
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Almost everybody
can be treated with i-pulse Of course the best
condition is an individual with dark hair and
light skin. However many studies show that also
with people of Hispanic, Middle East or Pakistan/Indian
origin it is possible to achieve very good results.
Note that some patients may not always see an
immediate difference after treatment. However
within few days after each treatment most people
see a dramatic effect, i.e. most of the hair will
fall down and disappear . |
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Which
are the most common side effects? |
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Patients may feel
a slight discomfort that quickly disappears after
treatment. Other effects can be a mild to moderate
redness immediately after treatment that normally
disappear after 24 hours maximum. In very few
cases slight blisterings can results that disappear
after few days. A temporary increase or decrease
in skin pigmentation may also occur, but it is
very unusual and in any case disappear in few
months. |
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How
many treatments are required for hair removal? |
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For permanent results
the hair must be treated during active phase:
for this reason from 3 to 6 treatments are normally
necessary to have long-lasting results. The repetition
rate varies from person to person and from the
area of the body treated (density, location of
the hair growth…) but it is normally 2-3 months.
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How
long does a treatment take? |
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Thanks to the very
large spot size (50x25 mm) and the shooting rate
(tipically 2 s) the treatments are very fast.
Thus, a moustache area may take only a couple
of minutes. A typical treatment session (back,
legs…) takes approximately 30 minutes to 1 hour.
In any case this value is strictly dependent from
the area to be treated, the thickness of the hair
and the patient’s skin type. |
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Is
there something the patient should be aware of? |
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Some people can be
very sensitive to light. Therefore some check
must be executed before the first treatment. If
the patient feels any discomfort during the treatment,
he/she should inform the doctor immediately. Waxing
immediately before treatments is not recommended,
but shaving is fine. In addition exposure to the
sun for some weeks before and after the treatment
should be avoided. |
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Is
it safe? |
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The light can spread
out in all direction, but it does not affect the
eye in anyway more than a camera flash. The use
of protective goggles is in any case warmly recommended.
As further safety, if the lamp box is not in proper
contact with the skin, a safety switch stops undesired
shots. |
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Is
it the i-pulse effective in other applications than
hair removal? |
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Yes. It is the most
effective choice for improvement of the overall
skin appearance, and particularly for skin rejuvenation
treatments. The light treatment can improve lesions
such as vascular and pigmented, fine lines, enlarged
pores, different kind of scars, active acne… |
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How
does it work in these applications? |
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The unit uses filtered
light to selectively target the melanin, the haemoglobin
and collagen by selective photo-thermolysis. In
case of skin rejuvenation many clinical studies
show that selective heating of the dermal collagen
layer to a temperature of about 60°C stimulates
the fibroblast to produce new collagen. The most
recent studies are demonstrating that light radiation
induces an intense production of H2O2 suitable
to renew the collagen. This effect take place
in a period of 8-10 weeks and lasts for 6-12 months
after the last treatment. Small vascular lesions
(telangiectasia, hemangioma, spider veins…) can
be treated with the 520 nm lamp box, centered
on the absorption line of the haemoglobin. At
temperature of more than 60 °C the blood coagulates
and the small/intermediate vessels coagulate and
collapse. |
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How
many treatments are needed? |
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This is strictly
dependent on the application: typically 3-8 sessions
are required, each every 2-3 weeks. |
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What
about potential patients? |
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Almost every skin
type, any age, can be treated. It is important
to use the proper filter: 390-510 nm for active
acne, 520 nm for vascular, 590 nm for hair removal
(light skin) and skin rejuvenation, 640 nm for
hair removal on dark skin. |
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Are
there any contraindications? |
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Subjects with disorders
like localized or systemic infections, immune
system disorders, skin pathologies, under antibiotic
therapy, assuming A, K vitamins and with elevated
photosensitivity should not be treated. Moreover
the area to be treated has to be healthy and not
injured. |
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| Frequently
Asked Questions for Microdermabrasion: |
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How
frequently and in what time intervals must treatments
be provided? |
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Optimally, every
10-14 days to allow skin to heal. Treatments should
be provided with realistic outcome in mind. Because
it is a cumulative treatment, normally a package
of 5 or more is suggested for retainable, tangible
results. |
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Who
should consider a Microdermabrasion Program? |
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Microdermabrasion
is right for all skin types and for anyone interested
in improving the appearance of: scarring, fine
lines, wrinkles, pigmentation problems uneven
skin tones, dull, lifeless and sun-damaged skin.
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Will
I experience any discomfort during the treatment? |
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Initially, you may
feel a mild scratching sensation as the crystals
make contact with the skin. As the treatments
continue, this experience compares to a deep massage.
Mild redness may occur for ½ hour to one day depending
on the aggressiveness of the program. |
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What
results can you expect? |
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Depending on the
area treated, you may notice an improvement in
you skin’s appearance. Acne scars will be less
obvious. Age spots and fine lines are erased and
many patients report that their skin seems to
be softer, smoother and younger looking. |
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How
soon will I see results? |
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After your first
treatment, your skin will have a fresh pink low.
Improvement continues to route your treatment
program. The number of treatments recommended
for maximum results ranges from 2 to 12. |
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Who
are the best candidates for Microdermabrasion? |
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The best candidates
for Microdermabrasion are men and women who are:
In good health; have good skin tones; have realistic
expectations. |
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How
long do treatments take? |
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Microdermabrasion
treatment sessions usually lasts about 10 to 30
minutes. During your session we focus on your
problem areas, but time can be given to other
areas of concern. |
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What
are the benefits of Microdermabrasion over other procedures? |
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Microdermabrasion
takes less time. |
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There is less discomfort. |
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Recovery is quick. |
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There is no disruptions to
normal activities. |
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Who
could perform this treatment? |
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How
often can I receive this treatment? |
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It depends
on the area and the type of skin being treated.
To obtain the maximum results, we recommend a
series of six treatments at least 2 weeks apart. |
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What
are the crystals made of? |
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Aluminum Oxide which
is non allergic |
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How
does this compares with traditional Dermabrasion or
cosmetic surgery? |
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Dermabrasion often
is painful for patients and in some cases may
result in negative effects such as unnatural skin
texture, a risk of dispigmentation or scaring.
The treatment requires no anesthetic for superficial
abrasion. For deeper peeling, a topical cream
such as PRIMLA can be used prior to the treatment.
All treatments are done no outpatient basis. |
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What
areas of the skin are mostly treated by Microdermabrasion? |
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Face
and neck, elbows and knees, hands and feet, shoulders,
scratch & stretch marks on abdomen and hips. |
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How
will I look after the treatment? |
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Your skin may look
slightly flushed immediately after the treatment
but should return to normal in 10-30 minutes.
Your skin will look and feel smoother and more
youthful even after the first treatment and will
continue to improve with additional treatments. |
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Are
there any patients who should not use microdermabrasion
? |
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Yes. Patients with
rosacea or dilated capillaries (telangiectasia)
should be cautious using microdermabrasion. Patients
with sunburn should delay treatment. |
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What
preparations should be done prior to microdermabrasion? |
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Stop all skin care
products, RetinA and Renova several days prior
to treatment. Read the information sheet and sign
the consent form. |
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What
should I do after microdermabrasion? |
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Use sunscreens and
avoid direct sunlight. Avoid RetinA and Renova
for three to four days. You may use make up after
treatment. Schedule next appointment. |
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| Frequently
Asked Questions for Plastic Surgery: |
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Who is a candidate for plastic surgery? |
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The best plastic
surgery candidate is someone with realistic expectations
and an understanding of the limitations set by
medicine, technology, and each patient's own body.
Good candidates have a strong self-image, and
well-developed reason for pursuing a plastic surgery
procedure. They are looking for improvement of
a physical trait, knowing that while this positive
change may enhance their self-image, it will not
change people's perception of them. Dangerous
motivations for plastic surgery would be purely
doing it to gain popularity, or attempting to
reverse recent life crises. |
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Is
there a "right" age to pursue plastic surgery? |
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There isn't any overarching
rule as to the right age for plastic surgery.
In fact, the appropriateness of a certain procedure
should be determined more on a case by case basis,
looking at the individual's unique body type and
aging process. Of course, there are age tendencies
for certain procedures. Facelifts generally are
not performed on patients under 30, as mini-lifts
or laser procedures might be suggested instead,
but this is not a rule. |
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What
is the difference between cosmetic and reconstructive
surgery? |
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Cosmetic plastic
surgery is performed to enhance or change a healthy,
normal, functioning part of the body. Nothing
but the patient's desire for physical improvement
necessitates cosmetic plastic surgery. Reconstructive
surgery, however, is intended to correct a physical
abnormality caused by a birth defect, disease
or tumor, physical trauma, or infection. The goal
of reconstructive surgery may be to restore function
or to achieve physical normality. |
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How
much pain is involved in plastic surgery? |
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Each plastic surgery
procedure carries a different level of discomfort,
and requires different methods of anesthetizing.
In most situations, the patient's preferences
for safety and comfort, as well as personal pain
threshold, can help determine what type of anesthesia
will be used. Very minor, non-invasive surgeries
might involve a topical anesthetic, while minor
invasive surgeries may call for local anesthetic
or local combined with sedation. In more involved
surgery, general anesthesia is usually used. |
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Is
plastic surgery outpatient or inpatient? |
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Most plastic surgery
procedures are performed on an outpatient basis.
In some cases, usually when the surgery is very
extensive or complications arise, an overnight
stay might be required. |
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| FACE
LIFT: |
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Am
I a candidate for a Face Lift? |
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If you feel as if
your skin is starting to sag around the jowls,
the forehead and generally "all over," if you
look tired and physically exhausted and you, in
fact, are NOT. Perhaps you are feeling as if your
skin is starting to become aged looking and are
searching for a way to restore your appearance
to its younger looking state. Then, a Face Lift
is one of the options that you can take. Full
face lifts are generally saved for those of us
who are more "mature." However, younger patients
are seeking mid and lower face lifts today. |
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What
is a Face Lift? |
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The Face Lift is
a cosmetic surgery procedure designed to improve
the signs of the aging tightening the muscles
beneath the skin of the neck, tightening the sagging
skin itself, removing excess fat and overall improving
the appearance; rejuvenating the face to its former
youthful appearance. |
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When
is a Face Lift usually performed? |
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There is no usual
age that a patient requests a face lift. It can
be from 30's to 80's. Although, a brow lift can
work wonders for younger patients whose only complaint
is horizontal lines on the forehead and sagging
brows or slightly hooded eyes. Brow lifts are
often requested in the late 20's-early 30's category
and up. It is quite possible that a brow lift
is all that is needed.
However, A face lift can produce better results
in those who are more mature or need extensive
lifting and tightening or rejuvenation. Seeking
an entire lifting of the facial skin and/or structure
to produce a more youthful and alert appearance.
You can discuss your available options with your
surgeon to determine what is best for your individual
case. |
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What
does a typical Face Lift consultation entail? |
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First off, your
doctor will discuss your goals with you and
he will explain what can be achieved realistically.
Some patients may require a deep plane face
lift involving the tightening of the inner muscular
structure of the face. You should bring
photos of yourself at an earlier age to determine
your original facial look so the effect can
be a natural one. Most patients don't
want to wake up and not look like yourself
once you heal. You just want to try and
achieve a more 'pulled together' look; an attractive
you at a younger age. Although, some of
you may want to change the structure of your
face altogether. Discuss with your surgeon
the goals and general result you would like
to achieve. It is all individual.
Just like you! |
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Am
I a candidate for Mastopexy? |
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If you have
no serious health conditions, are not prone
to keloid scarring and have noticed that your
breasts have started to sag and the effects
of gravity are wreaking havoc -- you may be
a candidate for Mastopexy. An ideal Mastopexy
candidate should be mentally and emotionally
stable and have realistic expectations as well.
When a woman ages, the breast skin loses elasticity
and firmness and the breasts may tend to droop
as the years creep up. Mastopexy
can reduce the extra skin and give the breasts
their former, firmer shape and feel. |
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What
is Mastopexy? |
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The Mastopexy
or breast lifting operation is really several
different procedures. Each of the different
operations has as its intended purpose to lift
the breast up and position the nipple in the
position that it was in before sagging occurred.
Sagging occurs due to three circumstances either
alone or in conjunction with each other.
First, after pregnancy and breast feeding the
breast has become stretched and the skin loosened.
Frequently there is actual loss of some of the
breast tissue and this allows for sag also.
Second, weight gain and loss can stretch the
skin and also create sag.
Third, the process of aging and the effects
of sun and gravity tend to decrease the elasticity
of the skin and this can be a significant factor
creating sag of the breast. The goal in
all these instances is to move the nipple back
to a higher position and to reshape the breast
to create a more beautiful appearance.
Most often the need for excess skin removal
is apparent. |
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When
is Mastopexy usually performed? |
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Usually, after
pregnancy or after pregnancy and breast feeding
there is a lot of breast tissue loss. Sometimes
it is just age or even a drooping caused from
not wearing a bra through most of one's life.
Mastopexy is often sought out by women who have
either been pregnant or have gained a lot of
weight and have since lost the weight. A Mastopexy
will transform a sagging breast to its former
youthful appearance. However, if you are planning
to have children (or additional children if
you already have), you should postpone your
Mastopexy until after you are sure you are not
going to bear children any longer. If you choose
to have a child after having had a Mastopexy
you will only stretch your skin even more, and
even thinner this time, and will have to get
another Mastopexy. If you should decide to have
children after a Mastopexy, your breast feeding
ability should not be disturbed as the milk
ducts should be left intact and undisturbed
(unless it is the anchor incision technique
where disturbance is quite possible). Discuss
with your surgeon the techniques he prefers.
Other than that, a Mastopexy can be performed
at usually any age (under 18 with parent's permission)
if you are in good health and meet certain emotional
criteria (such stability). |
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What
does a typical Mastopexy consultation entail? |
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At your consultation
your surgeon should measure your breasts
and general torso area to determine a natural
and aesthetically pleasing position for your
breasts and areola/nipple complex post-op.
You should provide your surgeon with photos
of your breasts previously in life, if possible.
If not, a bathing suit photo may help.
Your surgeon should take into account your skin
condition and (i.e. elasticity and thinness)
and age. Sometimes a surgeon will offer
the option of having an implant inserted if
there is barely any breast tissue remaining.
Your surgeon should discuss with you the details
of how a Mastopexy is performed, explain the
possible risks and complications involved and
any post-operative special care instructions. .
Discuss with your surgeon any questions or concerns
you may have before deciding whether or not
to commit to Mastopexy. |
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What
are the different techniques for Mastopexy? |
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The amount of
sag determines the best procedure to be performed.
It is important to decide whether augmentation
or reduction should accompany the uplifting
procedure. The procedure that one elects
to undergo is determined by several factors.
First and foremost is the amount of sag or ptosis
(pronounced: toe-sis) present. When a
slight amount of ptosis is present then a Crescent
Mastopexy can be performed. The nipple
can be uplifted 2 to 3 centimeters. The
incision and therefore subsequent scar is around
the top of the areola (pigmented skin).
Should a greater amount of lifting be required
an incision will be needed that completely surrounds
the areola with a vertical line dropping down
the center of the breast to the bottom of the
breast and sometimes a horizontal incision at
the bottom of the breast in the crease between
the breast and the chest. |
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How
long does a Mastopexy last? |
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Any surgery can
not be considered permanent as far as aging,
gravity and your personal bra-wearing habits
go. Gravity & age will prevail and you will
sag -- period. Although we can attempt to slow
its process by maintenance and healthy eating.
Whatever the case, a woman's breast tissue,
in 95% of cases, will sag eventually. Regardless
of having had Mastopexy, a breast will sag again.
It may be years from now, but you may need an
additional Mastopexy depending on your habits
of bra wearing, this may be slower. It is supposed
that a breast may sag again after 15 years with
part time bra wearing, less than half that in
a bra is hardly worn. If you have very thin
skin, even less. Be safe and wear a bra. |
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| Breast
Reduction: |
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How
many techniques are there for breast reduction? |
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- There is a manual technique where surgeons
remove tissue after having opened the breast
along the tissue lines where surface tissue
will be removed as well and lifted.
- There is the tumescent technique that is
in all actuality, liposuction in a lesser
form.
- The liposuction technique can also be used
with ultrasonic energy but has an increased
chance of injury due to burns. Apparently
the high frequency waves can over-excite the
water molecules (or any fluid) causing them
to boil beneath the skin as well as damaging
superficial tissues as well. Unfortunately
there is also the possibility that blind
removal will accidentally disturb or
remove milk ducts/glands in such a way that
a patient's breast feeding chances are severely
decreased.
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Is
breast reduction permanent? |
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Yes, Breast reduction
is permanent. Although the remaining fat
cells will swell and enlarge if you overeat
and gain weight. Breast tissue will still
swell and be tender to the touch when affected
by natural or synthetic hormones. If you
take hormone supplements it is quite possible
to gain small amounts of breast tissue back.
Although it may not look the same or be as much. |
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What
does a typical breast reduction consultation entail? |
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Firstly, your
doctor will discuss your goals with you and
he will explain what can realistically be achieved.
A surgeon should take into account what your
hip size is. Your breasts may be a hindrance
to you but removing too much will make your
hips look large and give you a pear shape.
Obviously you can request significant removal,
just consider balance when determining your
end size. Many women with large breasts
just "want them out!" but may
later regret having the majority of the breast
volume removed. I am just suggesting thorough
consideration before committing.
He or she will then show you photos of
his work, you may also wish to show him photos
that you have brought to the consultation of
what you like and do not like. He or she
should discuss the risks at length and the details
that are associated with a breast reduction.
There is no one size fits all technique when
it comes to this procedure. It is all
individual, just like you! |
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Protocol
for a pre-operative appointment if you should choose
to undergo a breast reduction: |
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Prior to surgery,
a complete medical history is taken in order
to evaluate the general health of the patient.
The breasts themselves are then examined thoroughly
to determine the most effective surgical approach.
The surgeon will go over the anesthesia to be
used, the procedure, what results might realistically
be expected and possible risks and complications.
Mammograms or x-rays may be taken as well as
pre-operative photographs. Preoperative
instructions often include the elimination of
certain drugs containing aspirin for several
weeks before surgery in order to minimize the
possibility of excess bleeding. Birth
control and other estrogen containing hormones
may also be discontinued temporarily (depending
upon the individual). Antibiotics, pain
relievers and other medications prescribed a
few days prior to your surgery for your convenience
as we want you to be completely prepared for
your surgery with no excess worry. |
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| Rhinoplasty:
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What
is rhinoplasty? |
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Rhinoplasty is
cosmetic surgery of the nose. It is also
known as nasal refinement and the layman's
term nose job. With rhinoplasty, 'defects'
from either birth or trauma can be corrected
by infracturing or breaking the bones of the
nose and re-setting them in the desired shape,
often narrow and straight.
A hump may be removed to give a more pleasing,
symmetrical look. The cartilages of the
nose can be molded and trimmed to create a more
compact or pleasing shape. Rhinoplasty
can soften an otherwise beautiful face by refining
one's features. |
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When
can rhinoplasty be performed? |
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Extensive nasal
surgery is generally avoided in children.
There are major growth centers in the nose that
affect the growth of the face. In cases
of severe disfigurement due to accidents, surgery
is performed in an attempt to restore the alignment
of those centers. For lesser deformities
surgery is deferred until after the child stops
growing. Rhinoplasties performed on teenagers
and young adults, it seems, are often beneficial
to the social development and self confidence
of the individual. The aging process is
reflected in many ways in the nose and its correction
can add youthfulness and freshness to the appearance. |
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What
does a typical Rhinoplasty consultation entail? |
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First, your doctor
will discuss your goals with you and he will
explain what can be achieved realistically.
A good doctor will not just slim your nose or
shorten it, rather he will take into account
what your facial features and
bone structure would benefit from. Be
it a slimmer more defined or perhaps more turned
up. Perhaps it is only a hump that is
desired to be removed, making it unnecessary
to even have a Full Rhinoplasty. There
is no "one size fits all" when it
comes to this procedure. It is all individual.
Just like you! |
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I
am 16 and have been thinking of rhinoplasty for a long
time. At what age is it safe to have a rhinoplasty? |
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Usually rhinoplasty
is performed at the earliest, 13 or 14 years
of age in girls and 15 to 16 years of age in
boys. Reason being, and it is a known
fact, girls physically mature faster than boys
and the collective goal is to perform surgery
when at least 90% of the growth is complete.
There are major growth centers in the nose that
affect the growth of the face.
In cases of severe disfigurement due to accidents,
surgery is performed in an attempt to restore
the alignment of those centers. For lesser
deformities surgery is deferred until after
the teen stops growing. Rhinoplasties
performed on teenagers and young adults, it
seems, are often beneficial to the social development
and self confidence of the individual.
In other words, this depends upon the stage
of growth in the face as well as the gender
of the patient. A qualified surgeon can
better help you upon personal examination. |
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